Cholera: a comparison of the 2008-9 and 2010 outbreaks in Kadoma City, Zimbabwe.
INTRODUCTION
Kadoma City experienced cholera outbreaks in 2008-9, and 2010, affecting 6,393 and 123 people, respectively. A study was conducted to compare epidemiology of the cholera outbreaks.


METHODS
A descriptive cross sectional study was conducted, analyzing line list data for the 2 outbreaks. Proportions, means were generated and compared using the Chi Square test at 5% level of significance.


RESULTS
Cholera cases were similar by gender and age, with the 20-30 years group being most affected. Rimuka township contributed 80% and 100% of city cases in 2008-9 and 2010, respectively, p value = 0.000. In 2008-9, 91% of cholera cases presented within 2 days compared to 98% in 2010. Delay seeking treatment increased from 58% to 73% (p value = 0.001), with gender, and place equally affected. The 2010 outbreak evolved faster, resulting in higher proportion being managed in CTU. CFR was 2% in 2008-9, and 3.3% in 2010 (p value =0.31).


CONCLUSION
The 2008-9 and 2010 cholera outbreaks were similar by age and gender. Rimuka Township was most affected by the outbreaks. There was worsening of delay seeking treatment. The 2010 outbreak was more rapid, leading to early opening of CTC. CFR was consistently above 1%.
['Maponga|Brian Abel|BA|', 'Chirundu|Daniel|D|', 'Gombe|Notion Tafara|NT|', 'Tshimanga|Mufuta|M|', 'Bangure|Donewell|D|', 'Takundwa|Lucia|L|']
D000293:Adolescent D000328:Adult D017677:Age Distribution D000368:Aged D000369:Aged, 80 and over D002648:Child D002675:Child, Preschool D002771:Cholera D003430:Cross-Sectional Studies D004196:Disease Outbreaks D005260:Female D006801:Humans D007223:Infant D008297:Male D008875:Middle Aged D010342:Patient Acceptance of Health Care D017678:Sex Distribution D013997:Time Factors D055815:Young Adult D015030:Zimbabwe
Kadoma Zimbabwe Cholera trends