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Lab Confirmation of Cholera Cases

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Michael D. McDonald's picture
Michael D. McDonald
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Joined: 2010-11-01

The lab confirmation of cholera cases is critical in the beginning and the end of community spread of an epidemic.  In addition, it is critical to have the first case in a new area confirmed with lab results to trigger a series of severity-indexed trigger point based prospective best practices.  Please list tasks below that you think are addressable and critical to the functioning of the cholera lab testing in Haiti now. 

 


Michael D. McDonald's picture
Michael D. McDonald
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Joined: 2010-11-01
Cholera Confirmation:Clinical Signs/Population Disease Pattern

Jim Wilson, an eminent operational biosurveillance expert, states that in the middle of a fast moving outbreak of cholera, lab confirmation for institutions establishing policies may be very important.  However, from a clinical or public health perspective in epidemic or outbreak conditions, the clinical protocol for cholera should be followed on the basis of clinical symptoms alone, if lab results are not immediately forthcoming.  Public health workers should also act on the basis of the patterns of disease in the population to rapidly educate, establish sanitary conditions, ensure the quality of the water supply for drinking and washing in situations where cholera is present or may soon be present in a community.

Michael D. McDonald's picture
Michael D. McDonald
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Joined: 2010-11-01
AlMac99: Lab Bottleneck, but Neighborhood Capacity

A new comment has been added by AlMac99 to this thread in group Surveillance: Lab work bottleneck but neighborhood capacity

Laboratory work seems to be a bottleneck.  Hospitals and clinics all over Haiti have samples going to one national laboratory, which is going to get backed up. This will exacerbate determination of which suspect cases really are cholera in a reasonable time period.

Can additional labs be used in Dominican Republic, by UNHAS helicopter ride to Jamaica or other neighbor nations?  Can a navy ship supply additional lab support, with helicopter delivery?  The goal would be for PAHO to find a group of labs capacity in reasonable commute distance, such that there is no overload of what needs to go thru testing.

Read more at http://haiti.mphise.net/secondary-and-tertiary-levels-cholera-control#comment-24 or reply via http://haiti.mphise.net/comment/reply/77/24.

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