Resurgence of cholera in Kosti City, Sudan: impact of armed conflict and water supply disruption

IF 1.7 Q4 INFECTIOUS DISEASES
Ayman Azhary , Nooh Mohamed Hajhamed , Ahmed Noralla Altyip , Elham Elamin , Eman Taha Osman Ali , Ayman Ahmed , Emmanuel Edwar Siddig
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引用次数: 0

Abstract

Objectives

This study assesses the magnitude and epidemiological characteristics of the recent cholera resurgence in Kosti City, Sudan, amid ongoing armed conflict and water supply disruptions.

Methods

This was a retrospective cross-sectional study based on hospital records that analyzed cholera surveillance data from Kosti Teaching Hospital from February 20, 2025, to February 24, 2025 (peak period). Epidemiological measures included case fatality rate (CFR) based on the following factors: age, sex, and displacement status. We analyzed the data using R software version 4.2.2.

Results

During the peak period, 1714 cholera cases and 69 fatalities were reported (CFR: 4.02%). 136 individuals were internally displaced, and age groups 1-4 and ≥65 years demonstrated the highest CFRs of 9.7% and 9.9%, respectively. By March 5, 2025, 1004 new cases had overwhelmed Kosti Teaching Hospital, with a lower fatality rate (2.3%) compared to the peak period’s CFR.

Conclusions

The resurgence of cholera in Kosti underscores the critical need for strengthened water, sanitation, and hygiene interventions and coordinated outbreak response strategies. Addressing underlying vulnerabilities is essential to prevent future outbreaks, especially in conflict-affected settings.
苏丹科斯蒂市霍乱死灰复燃:武装冲突和供水中断的影响
本研究评估了苏丹Kosti市在持续的武装冲突和供水中断的情况下最近霍乱卷土重来的规模和流行病学特征。方法采用回顾性横断面研究方法,分析Kosti教学医院2025年2月20日至2025年2月24日(高峰期)霍乱监测数据。流行病学措施包括基于以下因素的病死率(CFR):年龄、性别和流离失所状况。我们使用R软件4.2.2版本对数据进行分析。结果高峰期共报告霍乱病例1714例,死亡69例,病死率4.02%。国内流离失所者136人,1 ~ 4岁和≥65岁的CFRs最高,分别为9.7%和9.9%。到2025年3月5日,1004例新病例已使Kosti教学医院不堪重负,与高峰时期的病死率相比,病死率较低(2.3%)。结论霍乱在科斯蒂的死灰复燃凸显了加强水、环境卫生和个人卫生干预和协调疫情应对战略的迫切需要。解决潜在的脆弱性对于防止未来爆发至关重要,特别是在受冲突影响的环境中。
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来源期刊
IJID regions
IJID regions Infectious Diseases
CiteScore
1.60
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审稿时长
64 days
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