A large outbreak of shigellosis commencing in an internally displaced population, Papua New Guinea, 2013

Benny, Edwin; Mesere, Kelly; Pavlin, Boris I; Yakam, Logan; Ford, Rebecca; Yoannes, Mition; Kisa, Debbie; Abdad, Mohammad Yazid; Menda, Lincoln; Greenhill, Andrew R.; Horwood, Paul F.

doi:10.5365/wpsar.2014.5.2.003

Cited by 18 publications

(36 citation statements)

References 2 publications

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“…Shigellosis among refugees has previously been observed in similar settings globally [10,14,15]. Carriers and infected persons who do not clean their hands thoroughly with water and soap after defecation are the main source of Shigella spread.…”

Section: Discussionmentioning

confidence: 93%

“…Refugees are at increased risk of infectious disease primarily due to their vulnerability, poor hygiene condition, and overcrowding in reception or transit centres. Shigellosis is a well-known problem in these settings [8][9][10]. We discovered high rates of antimicrobial resistance in all Shigella species isolated from the recently arrived refugees, which physicians should be aware of.…”

Section: Discussionmentioning

confidence: 99%

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Shigellosis in refugees, Austria, July to November 2015

et al. 2015

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We report on a cluster of shigellosis including 21 cases in refugees and two in local residents who worked in refugee transit centres, detected in Austria in 2015, between calendar weeks 29 and 47. The species isolated from the cluster cases, including one mixed infection, were S. sonnei (n = 13), S. flexneri (n = 10) and S. boydii (n = 1). Eleven of 18 tested isolates were extended spectrum beta-lactamase (ESBL)-positive, including five of six ciprofloxacin-resistant and three azithromycin-resistant isolates.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Shigellosis in refugees, Austria, July to November 2015

et al. 2015

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“…The importance of Shigella in Papua New Guinea is exemplified by a recent outbreak of Shigella in an internally displaced population, which spread to the surrounding community and resulted in approximately 1200 cases of shigellosis and 5 deaths. 34 Mixed infections were detected at a high frequency in this study (22.1%), which is comparable to the level of co-infections detected in a diarrhoeal aetiology study conducted in Tanzania (20.7%) 14 and consistent with the high level of co-infections detected in other developing settings such as Jordan (15.5%), 15 Libya (13.8%), 16 Vietnam (13.5%), 17 and Brazil (11.0%). 18 In comparison, coinfections are typically reported at lower frequency in developed settings, e.g.…”

Section: Discussionmentioning

confidence: 97%

Detection of enteric viral and bacterial pathogens associated with paediatric diarrhoea in Goroka, Papua New Guinea

Soli

Maure

Kas

et al. 2014

International Journal of Infectious Diseases

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“…[9][10][11][12][13][14] Studies have linked unboiled water, contaminated food and household contact with shigellosis. [15][16][17][18] The current study sought to determine the cause of an outbreak of shigellosis occuring in August 2012 in Al Batinah South Governorate, Oman.…”

Section: Discussionmentioning

confidence: 99%

Shigellosis Outbreak in Al Batinah South Governorate, Oman: Case-control study

Abaidani

Raju

Al-Shualli

et al. 2015

Sultan Qaboos Univ Med J

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abstract:Objectives: An outbreak of acute gastroenteritis due to Shigella flexneri occurred in August 2012 in the catchment area of the Wadi Sahtan Health Center in Rustaq, Al Batinah South Governorate, Oman. The aim of this study was to discover possible causes of this outbreak in the villages of Fassa, Rogh and Amk and to measure the risk of exposure among cases and controls. Methods: A case-control study was conducted in September 2012 in Fassa, Rogh and Amk. All households in the three villages were interviewed. Case and control households were compared to determine possible exposure avenues, including place of residence, source of drinking water, hand hygiene levels and practices related to drinking water, food preparation and environmental sanitation. Results: Residing in Fassa (P <0.0001; odds ratio [OR] = 4.86, 95% confidence interval [CI] = 2.22-10.63) and average hand hygiene practices (P = 0.008; OR = 13.97, 95% CI = 1.58-123.36) were associated with an increased risk of contracting shigellosis. No significant differences were found with regards to the other exposure avenues. Conclusion: This was the first study conducted in Oman regarding an outbreak of shigellosis in a community setting. The only variables that significantly impacted the risk of acute gastroenteritis were residing in Fassa and average hand hygiene practices. The source of the outbreak could not be identified. However, septic tank sanitation and water and food consumption practices were not satisfactory in the studied villages. These need to be addressed to prevent similar outbreaks of acute gastroenteritis in this region in the future.

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A large outbreak of shigellosis commencing in an internally displaced population, Papua New Guinea, 2013

Abstract: This outbreak of shigellosis highlights the threat of enteric diseases to vulnerable populations such as internally displaced persons in Papua New Guinea, as has been observed in other global settings.

Cited by 18 publications

References 2 publications

Shigellosis in refugees, Austria, July to November 2015

Shigellosis in refugees, Austria, July to November 2015

Detection of enteric viral and bacterial pathogens associated with paediatric diarrhoea in Goroka, Papua New Guinea

Shigellosis Outbreak in Al Batinah South Governorate, Oman: Case-control study

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