Cholera_Amran_Detailed_Presentation.pptx

Cholera presentation

1. Cholera Outbreak in Amran City, Yemen: A Multifactorial Analysis Epidemiology, Risk Factors, and Public Health Implications

2. Key Insights - High cholera incidence (238 cases) with a rate of 120/100,000/month - Disproportionate impact on: • Adults >40 years (34.5%) • Females (58.8%) • Illiterate individuals (49.2%) - Water sources: Bottled water (68.1%) for drinking, wells (44.4%) for household use - Poor hygiene practices (e.g., handwashing before eating: 60.1%)

3. Global Comparison - Amran’s incidence rate (120/100,000/month) exceeds WHO epidemic thresholds - Bangladesh: 68/100,000/month - Haiti: 164/100,000/month

4. Who Is Most Affected? - Age: • Highest risk in >40 years (34.5%) • Lower risk in children (31.1%) - Gender: • Female predominance (58.8%) - Education: • Illiterate: 49.2%, University-educated: 1.3%

5. Environmental Drivers - Water Sources: • Bottled water (68.1%), wells (44.4%) - Treatment: • Distillation (44.5%), boiling (26.9%), chlorination (3.8%) - Hygiene: • Handwashing after toilet (81.1%) vs. before eating (60.1%)

6. Khat Chewing and Cholera Risk - Unwashed khat consumption increases infection risk - Cultural prevalence of khat chewing in Yemen

7. Recommendations - Targeted health education for illiterate populations - Promote safe khat preparation practices - Expand access to chlorinated water and sanitation - Strengthen healthcare provider training on cholera management

8. Limitations & Future Directions - Self-reported data biases - Cross-sectional design limitations - Seasonal snapshot (July–August 2024) - Future: Longitudinal studies, geospatial analysis

9. Key Takeaways - Cholera in Amran is driven by conflict, poverty, WASH deficits, and cultural practices - Integrated interventions (infrastructure + education) are critical

10. Thank You Contact info and logo (if applicable)