Document Detail


Outbreak of tetanus cases following the tsunami in Aceh Province, Indonesia.
MedLine Citation:
PMID:  19153905     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aceh Province in Indonesia was the area most severely affected by the tsunami of 26 December 2004. Extensive loss of life, property, and livelihood left a large segment of the population without basic needs and vulnerable to epidemic-prone diseases. Following the tsunami, a surveillance/early warning and response system was implemented to detect, investigate, and respond to outbreaks of communicable diseases. Fixed and mobile clinics, hospitals, and laboratories, operating all over the affected areas, reported weekly figures and daily alerts. Over 1 month following the tsunami, 106 cases of clinically diagnosed tetanus were reported. Most cases occurred among adults. The case fatality ratio was 18.9%, higher among older patients and among those with short incubation periods. No other major outbreaks occurred in the acute phase of the emergency. This series of tetanus cases was the largest cluster reported following a natural disaster or mass casualty event, overtaken only by the recent earthquake in the Kashmir (139 cases reported), and reflects the high number of injuries which occurred during the tsunami and poor prior immunization status of the population. In the context of natural disasters, preventive measures against tetanus, including wound cleaning and active and passive immunization, should be routinely conducted. Immediate disaster relief should include supplies for the management of wounds and cases of tetanus.
Authors:
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Global public health     Volume:  1     ISSN:  1744-1706     ISO Abbreviation:  Glob Public Health     Publication Date:  2006  
Date Detail:
Created Date:  2009-01-20     Completed Date:  2009-02-17     Revised Date:  2009-12-11    
Medline Journal Info:
Nlm Unique ID:  101256323     Medline TA:  Glob Public Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  173-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Disasters / statistics & numerical data*
Disease Outbreaks / prevention & control,  statistics & numerical data*
Female
Humans
Indonesia / epidemiology
Male
Middle Aged
Population Surveillance
Tetanus / epidemiology*
Tidal Waves*
Investigator
Investigator/Affiliation:
Philippe Barboza / ; Denis Coulombier / ; Loris Defilippi / ; Michelle Gayer / ; Francesco Grandesso / ; Tom Grein / ; J Philippe Guerin / ; Pavani Kalluri / ; Asheena Khalakdina / ; Ali Khan / ; Didier Laureillard / ; Dominique Legros / ; Johan Lemarchand / ; T Maulana / ; Daniel Mic / ; Alain Moren / ; Autilia Newton / ; Johannes Schnitzler / ; Tony Stewart / ; Jean Michel Tassie / ; Sidik Utoro / ; Ronald Waldman / ; Media Yulizar /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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