Oral Cholera Vaccine Coverage during an Outbreak and Humanitarian Crisis, Iraq, 2015

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Article published in Emerging Infectious Diseases in January 2017 by Lam, Eugene et al. 

ABSTRACT

During November–December  2015, as part of the  2015 cholera outbreak response in Iraq, the  Iraqi  Ministry  of  Health  targeted ≈ 255,000 displaced  persons > 1 year of  age with 2 doses of oral cholera vaccine (OCV). All persons who received vaccines were living in selected refugee camps, internally displaced persons camps, and collective centers. We conducted a multistage cluster survey to obtain OCV coverage estimates in 10 governorates that were targeted during the campaign. In total, 1,226 household and 5,007 individual interviews were conducted. Overall, 2-dose OCV coverage in the targeted camps was 87% (95% CI 85%–89%). Two-dose OCV coverage in the 3 northern governorates (91%; 95% CI 87%–94%) was higher than that in the 7 southern and central governorates (80%; 95% CI 77%–82%). The experience in Iraq demonstrates that OCV campaigns can be successfully implemented as part of a comprehensive response to cholera outbreaks among high-risk populations in conflict settings

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