scholarly journals Description of the targeted water supply and hygiene response strategy implemented during the cholera outbreak of 2017-2018 in Kinshasa, DRC

2020 ◽  
Author(s):  
Didier Bompangue ◽  
Sandra Moore ◽  
Nadège Taty ◽  
Benido Impouma ◽  
Bertrand Sudre ◽  
...  
Keyword(s):  
Water Supply ◽  
Urban Areas ◽  
Response Strategy ◽  
Cholera Outbreak ◽  
Household Water Treatment ◽  
Cholera Case ◽  
Grid Approach ◽  
Public Areas ◽  
Before And After ◽  
Republic Of The Congo

Abstract Background Rapid control of cholera outbreaks is a significant challenge in overpopulated urban areas. During late-2017, Kinshasa, the capital ofthe Democratic Republic of the Congo, experienced a cholera outbreak that showed potential to spread throughout the city. A novel targeted water and hygiene response strategy was implemented to quickly stem the outbreak. Methods We describe the first implementation of the cluster grid response strategy carried out in the community during the cholera outbreak in Kinshasa, in which response activities targeted cholera case clusters using a grid approach. Interventions focused on emergency water supply, household water treatment and safe storage, home disinfection and hygiene promotion. We also performed a preliminary community trial study to assess the temporal pattern of the outbreak before and after response interventions were implemented. Cholera surveillance databases from the Ministry of Health were analyzed to assess the spatiotemporal dynamics of the outbreak using epidemic curves and maps. Results From January 2017 to November 2018, a total of 1,712 suspected cholera cases were reported in Kinshasa. During this period, the most affected health zones included Binza Météo, Limeté, Kokolo, Kintambo and Kingabwa. Following implementation of the response strategy, the weekly cholera case numbers in Binza Météo, Kintambo and Limeté decreased by an average of 57% after two weeks and 86% after four weeks. The total weekly case numbers throughout Kinshasa Province dropped by 71% four weeks after the peak of the outbreak. Conclusion During the 2017-2018 period, Kinshasa experienced a sharp increase in cholera case numbers. To contain the outbreak, water supply and hygieneresponse interventions targeted case households, nearby neighbors and public areas in case clusters using a grid approach. Following implementation of the response, the outbreak in Kinshasa was quickly brought under control. A similar approach may be adapted to quickly interrupt cholera transmission in other urban settings.

scholarly journals ­Description of the targeted water supply and hygiene response strategy implemented during the cholera outbreak of 2017-2018 in Kinshasa, DRC

2020 ◽  
Author(s):  
Didier Bompangue ◽  
Sandra Moore ◽  
Nadège Taty ◽  
Benido Impouma ◽  
Bertrand Sudre ◽  
...  
Keyword(s):  
Water Supply ◽  
Urban Areas ◽  
Response Strategy ◽  
Cholera Outbreak ◽  
Household Water Treatment ◽  
Cholera Case ◽  
Grid Approach ◽  
Public Areas ◽  
Before And After ◽  
Republic Of The Congo

Abstract Background: Rapid control of cholera outbreaks is a significant challenge in overpopulated urban areas. During late-2017, Kinshasa, the capital of the Democratic Republic of the Congo, experienced a cholera outbreak that showed potential to spread throughout the city. A novel targeted water and hygiene response strategy was implemented to quickly stem the outbreak.Methods: We describe the first implementation of the cluster grid response strategy carried out in the community during the cholera outbreak in Kinshasa, in which response activities targeted cholera case clusters using a grid approach. Interventions focused on emergency water supply, household water treatment and safe storage, home disinfection and hygiene promotion. We also performed a preliminary community trial study to assess the temporal pattern of the outbreak before and after response interventions were implemented. Cholera surveillance databases from the Ministry of Health were analyzed to assess the spatiotemporal dynamics of the outbreak using epidemic curves and maps.Results: From January 2017 to November 2018, a total of 1,712 suspected cholera cases were reported in Kinshasa. During this period, the most affected health zones included Binza Météo, Limeté, Kokolo, Kintambo and Kingabwa. Following implementation of the response strategy, the weekly cholera case numbers in Binza Météo, Kintambo and Limeté decreased by an average of 57% after two weeks and 86% after four weeks. The total weekly case numbers throughout Kinshasa Province dropped by 71% four weeks after the peak of the outbreak.Conclusion: During the 2017-2018 period, Kinshasa experienced a sharp increase in cholera case numbers. To contain the outbreak, water supply and hygiene response interventions targeted case households, nearby neighbors and public areas in case clusters using a grid approach. Following implementation of the response, the outbreak in Kinshasa was quickly brought under control. A similar approach may be adapted to quickly interrupt cholera transmission in other urban settings.

scholarly journals Description of the targeted water supply and hygiene response strategy implemented during the cholera outbreak of 2017-2018 in Kinshasa, DRC

2019 ◽  
Author(s):  
Didier Bompangue ◽  
Sandra Moore ◽  
Nadège Taty ◽  
Benido Impouma ◽  
Bertrand Sudre ◽  
...  
Keyword(s):  
Water Supply ◽  
Urban Areas ◽  
Response Strategy ◽  
Cholera Outbreak ◽  
Household Water Treatment ◽  
Cholera Case ◽  
Grid Approach ◽  
Public Areas ◽  
Republic Of The Congo ◽  
The City

Abstract Background Rapid control of cholera outbreaks is a significant challenge in overpopulated urban areas. During late-2017, Kinshasa, the capital of the Democratic Republic of the Congo, experienced an increase in cholera cases that showed potential to spread throughout the city. A novel targeted water and hygiene response strategy was implemented to quickly stem the outbreak. Methods We describe the first implementation of the cluster grid response strategy carried out in the community during the cholera outbreak in Kinshasa, in which water and hygiene response activities targeted cholera case clusters. Interventions, which focused on emergency water supply, household water treatment and safe storage, home disinfection and hygiene promotion, were organized using a grid approach. We also performed a preliminary community trial study to assess the temporal pattern of the outbreak, before and after response interventions were implemented. Cholera surveillance databases from the Ministry of Health were analyzed to assess the spatiotemporal dynamics of the outbreak using epidemic curves and cartography. Results From January 2017 to November 2018, a total of 1,712 suspected cholera cases were reported in Kinshasa. During this period, the health zones most affected included Binza Météo, Limeté, Kokolo, Kintambo and Kingabwa. Following implementation of the response strategy, the weekly cholera case numbers in Binza Météo, Kintambo and Limeté decreased by an average of 57% in two weeks and 86% in four weeks. The total weekly case numbers throughout Kinshasa Province dropped by 71% at four weeks after the outbreak peak. Conclusion During the 2017-2018 period, Kinshasa experienced a sharp increase in cholera cases that showed potential to rapidly spread throughout the city. To contain the outbreak, water and hygiene response interventions targeted case households, nearby neighbors and public areas in case clusters using a grid approach. Following implementation of the response, the outbreak in Kinshasa was quickly brought under control. A similar approach may be useful to quickly interrupt cholera transmission in other urban settings.

scholarly journals Description of the targeted WASH response strategy implemented during the cholera outbreak of 2017-2018 in Kinshasa, DRC

2019 ◽  
Author(s):  
Didier Bompangue ◽  
Sandra Moore ◽  
Nadège Taty ◽  
Benido Impouma ◽  
Bertrand Sudre ◽  
...  
Keyword(s):  
Sharp Increase ◽  
Wash Water ◽  
Response Strategy ◽  
Cholera Outbreak ◽  
Household Water Treatment ◽  
Urban Settings ◽  
Public Areas ◽  
Republic Of The Congo ◽  
Emergency Water Supply ◽  
The City

Abstract Background Rapid control of cholera outbreaks is a significant challenge in overpopulated urban settings, and documented results on field interventions are scarce. During the 2017-2018 period, Kinshasa, the capital ofDemocratic Republic of the Congo, experienced a sharp increase in cholera cases that showed potential to quickly spread throughout the city. A novel targeted WASH (Water, Sanitation and Hygiene) strategy was implemented to quickly stem the cholera outbreak. Methods We carried out a descriptive study of the cholera outbreak in Kinshasa from 2017 to 2018. Cholera surveillance databases from the Ministry of Health were analyzed to assess the spatiotemporal dynamics of the cholera outbreak using epidemic curves and cartography. Weekly precipitation levels in Kinshasa were also assessed. We also described the targeted cluster grid WASH strategy, which was implemented to quickly target case clusters at the household and community level, carrying out interventions focused on emergency water supply, household water treatment and safe storage, home disinfection and hygiene promotion. We also examined the evolution of the outbreak following implementation of the response strategy. Results From January 2017 to November 2018, a total of 1,712 suspected cholera cases were reported in Kinshasa. During this period, the health zones most affected included Binza Météo, Limeté, Kokolo, Kintambo and Kingabwa. Following implementation of the response strategy, the weekly cholera case numbers in Binza Météo, Kintambo and Limeté decreased by an average of 57% in two weeks and 86% in four weeks. The total weekly case numbers throughout Kinshasa Province dropped by 71% at four weeks after the outbreak peak. Conclusion During the 2017-2018 period, Kinshasa experienced a sharp increase in cholera cases that showed potential to quickly spread throughout the city. To contain the outbreak, WASH response interventions targeted case households, nearby neighbors and public areas in case clusters using a grid approach. Following implementation of the WASH response, the outbreak in Kinshasa was quickly brought under control. A similar approach may be useful to quickly interrupt cholera transmission in other urban settings.

scholarly journals Water sanitation, hygiene and the prevalence of diarrhea in the rural areas of the delta region of Myanmar

2021 ◽  
Author(s):  
Shane Htet Ko ◽  
Hiroshi Sakai
Keyword(s):  
Drinking Water ◽  
Water Supply ◽  
Rural Areas ◽  
Urban Areas ◽  
Total Population ◽  
Quality Parameters ◽  
Water Sources ◽  
Water Safety ◽  
Household Water Treatment ◽  
Drinking Water Sources

Abstract Myanmar is an agriculture-based country with 70% of the total population residing in rural areas. Around half of the total population in Myanmar has to consume water from unimproved sources. The prevalence of diarrhea due to contaminated drinking water is high even in urban areas. The urban community may expect the provision of municipal water supply in the near future if the current revolution in the country succeeds. However, the rural areas have lesser or no chance to get quality water because of a lot of other prioritized tasks. Household water treatment is encouraged to be implemented as one of the national water safety plans for rural water supply in Myanmar. This study explored the diarrhea prevention awareness of the rural community using a questionnaire survey. The microbial quality parameters of drinking water sources were also examined. Fecal coliform contamination was detected in all examined drinking water sources. A significant association was found between drinking untreated water and the occurrence of diarrhea. The percentage of people who applied the diarrhea preventive measures was low. Even if they knew how to prevent the disease, very few people applied the measures in reality. Therefore, measures to cause behavioral change should be initiated, together with awareness raising, to promote diarrhea prevention in the community.

scholarly journals Description of the targeted water supply and hygiene response strategy implemented during the cholera outbreak of 2017–2018 in Kinshasa, DRC

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Didier Bompangue ◽  
Sandra Moore ◽  
Nadège Taty ◽  
Benido Impouma ◽  
Bertrand Sudre ◽  
...  
Keyword(s):  
Water Supply ◽  
Response Strategy ◽  
Cholera Outbreak

Fountains as Reservoirs of Myth and Memory

2017 ◽  
Author(s):  
Betsey A. Robinson
Keyword(s):  
Water Supply ◽  
Case Studies ◽  
Natural Water ◽  
Architectural Form ◽  
Before And After ◽  
Local Traditions ◽  
Local Nature

Case studies from Hellenistic and imperial Corinth and Ephesus demonstrate the ways in which springs and fountains were used to honour forces of nature, commemorate mythological figures and events, and strengthen, or even invent, local traditions. Famous for its natural water supply, Corinth capitalized on storied springs, both before and after its destruction and refoundation as a Roman colony. The fountains of Peirene and Glauce demonstrate different strategies for connecting past and present and establishing authority by the manipulation of architectural form and the selective retelling of stories. At Ephesus, Hellenistic and Roman fountains celebrated local nature and myth with increasingly extravagant architecture, statuary, and water displays. This chapter focuses on a series of fountains that featured the founding hero Androclus, from a monument erected in his honour to great facade fountains in which he was one of many figures communicating Ephesian identity and pride.

scholarly journals Innovative approach for achieving of sustainable urban water supply system by using of solar photovoltaic energy

2017 ◽  
Vol 37 (1) ◽  
pp. 58 ◽  
Author(s):  
Jure Margeta ◽  
Bojan Đurin
Keyword(s):  
Water Supply ◽  
Urban Areas ◽  
Renewable Energy Sources ◽  
Water Reservoir ◽  
Supply System ◽  
Water Supply System ◽  
Urban Water ◽  
Solar Photovoltaic ◽  
Urban Water Supply ◽  
Pump Station

Paper describes and analyses new and innovative concept for possible integration of solar photovoltaic (PV) energy in urban water supply system (UWSS). Proposed system consists of PV generator and invertor, pump station and water reservoir. System is sized in such a manner that every his part is sized separately and after this integrated into a whole. This integration is desirable for several reasons, where the most important is the achievement of the objectives of sustainable living in urban areas i.e. achieving of sustainable urban water supply system. The biggest technological challenge associated with the use of solar, wind and other intermittent renewable energy sources RES is the realization of economically and environmentally friendly electric energy storage (EES). The paper elaborates the use of water reservoires in UWSS as EES. The proposed solution is still more expensive than the traditional and is economically acceptable today in the cases of isolated urban water system and special situations. Wider application will depend on the future trends of energy prices, construction costs of PV generators and needs for CO2 reduction by urban water infrastructure.

Abstract 197: What Limits the Use of AEDs by Bystanders?

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Hiroshi Kaneko ◽  
Tetsuo Hatanaka ◽  
Aki Nagase ◽  
Seishiro Marukawa ◽  
Tetsuya Sakamoto
Keyword(s):  
Cardiac Arrest ◽  
Urban Areas ◽  
Limiting Factors ◽  
Survey Period ◽  
Automated External Defibrillators ◽  
Public Areas ◽  
Patient Side ◽  
Almost All ◽  
Key Steps ◽  
The City

Introduction: In Japan, the number of automated external defibrillators (AEDs) placed in public areas has climbed up to the estimated 530,000. We reported previously that a half of out-of-hospital cardiac arrests occurred within 100 m from a public AED in urban areas. However, shocks for defibrillation were given to less than 15% of those patients. The objectives of this study was to identify the limiting factors against the use of AEDs by bystanders. Methods: A prospective survey on out-of-hospital cardiac arrest was conducted in the city of Osaka (Dec 2016 through Mar 2017) and the city of Nagoya (Dec 2016 through Nov 2017) searching for patient demographics and AED settings including; absence/presence of a public AED on the scene, attachment of AED pads, delivery of shocks before the time of EMS arrival. Results: Of 558 cases of cardiac arrest registered during the survey period, an AED had already been delivered at the patient side by the time of EMS arrival in 92 case (16.5%). Of those, pads had been attached in 89 cased (96.7%). Shocks had been advised in 35 cases (39.3%) and to all but one of those cases at least 1 shock had been given by the bystanders. There were no statistically significant differences between the groups of cases with and without AEDs at the patient side regarding the patient age (65 years [IQR: 48-74] vs 63 years [IQR49-75], p=0.84), gender (p=0.68) and the time from call to EMS arrival (7 min [IQR: 6-9] vs 7 min [IQR: 6-9], p=0.74). Cases occurring indoors had more chances of AEDs being delivered on the patient side than cases occurring outdoors (24.0% vs 7.8%, p<0.001). Conclusions: Our study indicates that once an AED is delivered at the patient side, pads are successfully attached and shocks are given if indicated in almost all cases. This suggests that finding and delivering an AED onto the patient side are the limiting factors against the use of AEDs by bystanders. In order to popularize the use of AEDs by bystanders, informing people with AED placement and clear direction to the AED location seem to be the key steps.

Impact of adenotonsillectomy on the quality of life of patients operated on at the Hospital de Clínicas, Paraguay

2021 ◽  
pp. 1-7
Author(s):  
Carlos Mena Canata ◽  
Rebeca Noemí Ruiz Vallejos
Keyword(s):  
Quality Of Life ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Rural Areas ◽  
Urban Areas ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
Before And After ◽  
The Impact

The objective of this study is to determine the impact of adenotonsillectomy on the quality of life of postoperative patients.The study is observational, cross-sectional, and retrospective. The files of all postoperative adenotonsillectomy patients in Otorhinolaryngology Service, Hospital de Clínicas, San Lorenzo Paraguay. The Obstructive sleep apnea – 18 questionnaire (OSA 18) was applied, asking patients about symptoms before and after surgery. An effective sample of 143 postoperative patients was obtained. The average age was 6.05 ± 2.08 years, 55.10% (81) were male and 44.89% (66) were female, 65.30% (96) were from urban areas and 34.69% (51) from the rural areas. The t test was performed for means of two paired samples, comparing the results of the Obstructive sleep apnea – 18 questionnaire surveys before and after surgery which presented a significant difference (p <0.05) with a tendency to improve the quality of life after surgery. It has been shown that there is a significant difference, a considerable improvement in the quality of life of patients after adenotonsillectomy.

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