The study on single-dose cholera vaccine in Zambia evaluates the effectiveness of using a single dose of the oral cholera vaccine (OCV) during a 2016 outbreak in Lusaka. Due to limited vaccine supply, authorities opted for a one-dose emergency campaign instead of the usual two-dose regimen. A matche...d case-control study was conducted to assess vaccine effectiveness, showing 88.9% short-term protection against cholera. The findings suggest that a single-dose approach can be an effective strategy in outbreak settings, especially when vaccine supplies are constrained. However, further research is needed to determine long-term immunity and effectiveness in young children.
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Le document fournit des directives complètes pour la gestion des épidémies de choléra, y compris la prévention, le diagnostic et le traitement. Il met l'accent sur les mesures de réponse rapide, l'importance de la thérapie de réhydratation (orale et intraveineuse), ainsi que sur les interven...tions de santé publique telles que l'assainissement de l'eau, la promotion de l'hygiène et la surveillance épidémiologique pour contrôler la propagation du choléra dans les communautés affectées. Ce matériel est conçu comme une ressource pour les professionnels de santé et les autorités de santé publique.
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The WHO Cholera Kits 2020 provide essential medical and logistical supplies for responding to cholera outbreaks. Designed to support the first month of an outbreak, the kits include treatment supplies for 100 patients, laboratory testing materials, investigation tools, and infrastructure components ...for patient care. The six kit types cover central, peripheral, and community-level treatment, along with resources for surveillance and outbreak response. The document also outlines recent modifications, ordering procedures, and recommendations for deployment in high-risk areas.
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The document emphasizes integrating environmental considerations into nutrition programs. It introduces a screening tool piloted across ten projects to identify environmental risks and opportunities, fostering sustainable practices in food systems. The tool promotes collaboration, co-learning, and a...ctionable steps to align nutrition goals with environmental sustainability, ensuring long-term benefits for health and ecosystems.
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Le Plan Stratégique Multisectoriel d’Élimination du Choléra en République Démocratique du Congo (2013-2017) vise à réduire l’incidence du choléra à moins d’un cas pour 100 000 habitants. Ce plan repose sur une approche multisectorielle, combinant santé, eau, hygiène et assainissemen...t pour enrayer la transmission du choléra.
Il identifie trois types de zones : zones sources (A), zones épidémiques (B) et zones de diffusion (C), chacune nécessitant des interventions adaptées. Les stratégies incluent l’amélioration des infrastructures d’eau potable et d’assainissement, la surveillance épidémiologique, la prévention, la prise en charge médicale et la coordination des actions.
Malgré des progrès dans certaines régions, la mise en œuvre du plan a rencontré des défis, notamment en raison du manque de financements et de la persistance de foyers endémiques dans l'Est du pays. Une coordination nationale et internationale est essentielle pour mobiliser les ressources et atteindre l'objectif d'élimination du choléra en RDC.
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Multi-country outbreak of cholera External Situation Report # 23, published 20 February 2025
Le document fournit des lignes directrices sur la gestion des diarrhées aiguës, mettant en avant des solutions de réhydratation orale (SRO) améliorées avec une osmolarité réduite et la supplémentation en zinc. Il souligne leur efficacité pour réduire la durée et la gravité des épisodes ...diarrhéiques et prévenir de futurs cas. Destiné aux familles, aux communautés et aux professionnels de santé, il vise à intégrer ces pratiques dans les soins de routine à domicile et dans les centres de santé.
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Le plan stratégique de la RBM Partnership to End Malaria pour 2021-2025 présente les priorités stratégiques du partenariat mondial visant à éliminer le paludisme. Le document se concentre sur trois objectifs stratégiques principaux : optimiser les programmes régionaux et nationaux, maximiser... le financement et faciliter le déploiement de nouveaux produits et stratégies. Le plan met l'accent sur la collaboration multisectorielle, en exploitant les partenariats au niveau mondial, régional et national pour lutter efficacement contre le paludisme. Il souligne également l'importance du partage de données, du plaidoyer et de la communication pour garantir que le paludisme reste une priorité en matière de santé. Le document met aussi en lumière les défis posés par la pandémie de COVID-19 et la nécessité de maintenir l'élan dans la lutte contre le paludisme.
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The effective vaccine management (EVM) workshop, jointly organized by WHO and UNICEF, was attended by participants from 13 countries, who reviewed the various EVM benchmarks, identified the gaps in policies, guidelines, SOPs and job aids, and developed respective country action plans to fill these g...aps. This meeting report outlines the proceedings and outcomes of the workshop conducted in Bangkok, Thailand, in December 2024
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Small drinking-water supplies commonly experience operational, managerial, technical and resourcing challenges that impact their ability to deliver safe and reliable services. The needs and opportunities associated with these supplies therefore warrant explicit consideration in policies and regulati...ons.
These Guidelines, specifically tailored to small water supplies, build on over 60 years of guidance by the World Health Organization (WHO) on drinking-water quality and safety. They focus on establishing drinking-water quality regulations and standards that are health based and context appropriate; on proactively managing risks through water safety planning and sanitary inspections; and on carrying out independent surveillance. The guidance is intended primarily for decision-makers at national and subnational levels with responsibility for developing regulatory frameworks and support programmes related to these activities. Other stakeholders involved in water service provision will also benefit from the guidance in this document.
Designed to be practical and accessible, these Guidelines offer clear guidance that is rooted in the principle of progressive improvement. State-of-the-art recommendations and implementation guidance are provided, drawn from a comprehensive evidence review and established good practices. Additionally, case examples are provided from countries and areas around the world to demonstrate how the guidance in this publication has been implemented in practice in a wide variety of contexts.
Together with WHO’s 2024 Sanitary inspection packages – a supporting tool for the Guidelines for drinking-water quality: small water supplies, these Guidelines update and supersede WHO’s 1997 Guidelines for drinking-water quality. Volume 3: surveillance and control of community supplies. Key changes to this updated publication include a greater focus on preventive risk management and a broader range of small water supplies covered, including those managed by households, communities and professional entities.
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