Proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra, 2017)

Oral presentation


Cite this: Pan African Medical Journal - Conference Proceedings. Oct 2017; 3(3): 21. doi:10.11604/pamj.cp.2017.3.21.129

Submitted: 05 Oct 17   Accepted: 09 Oct 17   Published: 16 Oct 17

Key words: Vibrio cholerae, outbreak, response, Ahanta West

© Daniel Tetteh Agudey et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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This abstract is published as part of the proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (GHANA, )

Outbreak of cholera in Agona Town, Ahanta West District, Western Region, Ghana-2016

Daniel Tetteh Agudey1,2,&, Emmanuel Kojo Tinkoran2, Kofi Asemanyi-Mensah2, Edwin Afari1, Fredrick Wurapa1, Samuel Oko Sackey1, Michael Adjabeng2, Donne Ameme1, Ebenezer Kofi Mensah1


1Ghana Field Epidemiology and Laboratory Training Program, Accra, Ghana, 2Ghana Health Service, Ghana



&Corresponding author
Daniel Tetteh Agudey, Ghana Field Epidemiology and Laboratory Training Programme, Ghana Health Service, Accra, Ghana




Introduction: vibrio cholerae causes an estimated 3-5 million illness and 100,000-130,000 deaths annually. In 2015, a total of 692 cholera cases with 8 deaths (CFR = 1.14%) were recorded from all ten regions of Ghana. Western Region recorded 52 cases with 1 death (CFR = 1.9%) in 2015. On November 15 2016, a confirmed cholera case was reported by Public Health Laboratory from Agona Town in Ahanta West district. Agona Town has an estimated population of about 930. We investigated to establish the extent of the reported outbreak, identify the source of infection and support implementation of control and preventive measures.


Methods: we conducted a descriptive cross-sectional study. A suspected case was a person having acute watery diarrhea with or without vomiting at Agona Town from October 28.2016 to December 30.2016. We reviewed medical records, interviewed key stakeholders and conducted environmental assessment. Rectal samples from case-patients were collected and sent for laboratory investigation. Data was managed and analyzed using MS Excel. Univariate analyses were expressed as frequencies and proportions.


Results: of 14 case-patients, 71.4 %( 10/14) were males; median age was 32 years (interquartile range 5-79 years). Overall attack rate was 0.03% (14/43,930) and a case fatality of 7.1% (1/14). Age-group > 40 years were mostly affected 43% (6/14). The index case, a 5-year old male reported on 21st November 2016. There was no history of travel of parents. Vibrio cholerae 01 serotype Inaba was isolated from rectal samples. We identified broken down public latrine with faeces leaking around which is close to where the index case resides.


Conclusion: vibrio cholerae serotype Inaba caused the outbreak affecting mostly older persons. Broken down public latrine could have been the source of infection. Water, Sanitation and Hygiene (WASH) intervention initiated based on our recommendation. This played a major role in controlling the outbreak.



















1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)

Country: GHANA

Dates: 18 Sep 17 - 21 Sep 17

Venue: Swiss Spirit and Suites Alisa Hotels

Organizers: Ghana Field Epidemiology and Laboratory Training Programme


Contact person: Dr. Ernest Kenu (