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

Oral presentation

Unexplained cluster of deaths - Nana Kru Community, Dugbe River District, Liberia, January 2017

Cite this: Pan African Medical Journal - Conference Proceedings. Oct 2017; 3(3): 23. doi:10.11604/pamj.cp.2017.3.23.127

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

Key words: Unexplained cluster of deaths, Liberia, community, general community health volunteer

© George Tamatai et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/3/23/abstract

Corresponding author: Joseph Asamoah Frimpog, Liberia Field Epidemiology Training Program, Monrovia, Liberia (asamoah.frimpong@gmail.com)

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

Unexplained cluster of deaths - Nana Kru Community, Dugbe River District, Liberia, January 2017

George Tamatai1, Joseph Asamoah Frimpog1,&, Maame Amo-Addae1, Lily Sanvee Blebo1, Faith Kamara1

 

1Liberia Field Epidemiology Training Program, Monrovia, Liberia

 

 

&Corresponding author
Joseph Asamoah Frimpog, Liberia Field Epidemiology Training Program, Monrovia, Liberia

 

 

Abstract

Introduction: an unexplained cluster of deaths (UCD) is deaths from unknown cause occurring closely together. In Liberia, UCD is one of the 14 priority events requiring immediate reporting and investigation. On 11th January, 2017, the Dugbe River District Health Team was notified of five unexplained deaths in Nana Kru Community. We investigated to describe the events, establish the causes of death, implement control measures and make recommendations.

 

Methods: Nana Kru Community has 2000 inhabitants. It is served by one health facility accessible by 4 hours of walk. We interviewed family members and general Community Health Volunteer (gCHV) and reviewed medical records at the health facilities.

 

Results: five children aged 4-8 years (median 4 years) had been ill. Three were males. It was clarified that three children died, not five. Four of the children presented with fever, difficult breathing, vomiting, diarrhoea, weakness and loss of appetite. They all tested positive for malaria and were referred to hospital by the gCHV. Two were treated for malaria at the hospital and discharged. The other two refused the referral and were managed at home but deteriorated and died on 7th January, 2017. None used insecticide treated nets (ITN). The fifth child had rashes all over his body, swollen legs and blisters since July 2016 and died at home on 1st January, 2017. Dead bodies were buried before team arrived.

 

Conclusion: the likely cause of the 7th January, 2017 deaths was severe malaria. Contributing factors were delay in seeking healthcare, long distance to health facility, not sleeping under ITN. The cause of the death on 1st January, 2017 was not established. We conducted community sensitization on good health seeking behavior, use of ITN, safe burial and the importance of collecting specimen from dead bodies before burial. Upon our recommendation, a health-post has been setup in Nana Kru Community.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

Secretariat: gfeltp@gmail.com

Contact person: Dr. Ernest Kenu (ernest_kenu@yahoo.com)