There was a corresponding decrease of 94*6% in the prevalence of dermal lesions (from 11-2% to 0*6%), and a reduction of 97.3% in latent infections (from 93.6% to 2.5%). Conclusions-The control of yaws using existing community-based health workers has proved very effective in Ecuador. (Genitourin Med 1995;71:343-346)
This report analyses the trends in the cholera epidemic that hit Ecuador in 1991. The study is based on personal experiences and analysis of epidemiological databases from the Ministry of Public Health of Ecuador. The number of cases and initial attack rates in an immunologically naive population are described by province. An analysis of the Andean and coastal cholera patterns of transmission are described along with its associated risk factors. The logistical, environmental, and socio-cultural risk factors prevalent during the epidemic and the control measures implemented are also reviewed. Also, the role of the epidemic in the development of the public health and healthcare resources in Ecuador is discussed here. Current data indicate favorable conditions for another outbreak of cholera in Ecuador. In view of the existing risk factors, new strategies are proposed to prevent such an epidemic in the future.
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