Actions for the fight against cholera in the Lake Chad Basin

Our actions against Cholera in Lake Chad Basin

Fight against cholera in Cameroon

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Total Inhabitants: 19500000
Area type: Rural
Funds invested: XXXX
Partners: UNICEF, Veolia Environnement Foundation,
In October 2010, the Veolia Environnement Foundation participated in the coordination of the Water, Sanitation and Hygiene cluster approach and response, involving the Government and civil society, in Cameroon, upon a UNICEF request.

Expertise was brought through:
  • the monitoring and evaluation of epidemiological surveillance systems at the national level and between the trans-border countries;
  • an epidemiological study at the national level;
  • a technical evaluation of W.A.S.H. activities in relation to basic epidemiological information.
Based on the epidemiological study in Cameroon, 3 main zones were identified as priority areas for immediate intervention:
  • border and rural districts of the Mandara Mountains;
  • border districts of the Lake Chad in particular flood and island areas;
  • and areas of south-eastern region bordering the Logone (DS Vélé and Guerés).
A 5 points action plan was recommended:
  • Need for a contingency plan at the Cameroonian regional scale to prepare cholera treatment and W.A.S.H. responses to the cholera epidemics;
  • Secured access to potable water;
  • Trans-border cooperation in terms of surveillance, and medical and W.A.S.H. response;
  • Socio-anthropological studies to understand the specificities of the spread of the cholera epidemics in this region;
  • Improvement of hygiene practices through educational and communication campaigns focused on avoidance of cholera through reliance on disinfected water and sanitation procedures.
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Fight against cholera actions in Chad

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Total Inhabitants: 12450000
Area type: N/A
Funds invested: XXXX
Partners: Action Against Hunger, Farcha veterinary and zootechnical research laboratory, Veolia Environnement Foundation, Franche-Comté University, European Commission,
Upon a request from Action contre la Faim in July 2011, experts of the Veolia Environnement Foundation completed a mission in N’Djamena, in Chad.

The objective of the mission was to develop a laboratory protocol designed to detect the presence of the historic cholera strain (vibrio Cholerae O1) in water. The protocol was established in support of scientists at the Farcha veterinary and zootechnical research laboratory.
The results of the research helped mapping the presence of vibrio Cholerae in water, and provided a closer understanding of the dynamics of the cholera disease.
Laboratory technicians were also trained at sample traceability, safety rules in the laboratory, and at managing hazardous waste.
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A transborder strategy for a sustainable fight against cholera

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Total Inhabitants: N/A
Area type: Urban & Rural
Funds invested: XXXX
Partners: UNICEF, Centers for Disease Control, Veolia Environnement Foundation, European Commission, DFID, USAID,
2010 – 2011:
Missions involving a Water, Sanitation and Hygiene specialist and an epidemiologist were held with UNICEF, from October 2010 to April 2011.
Studies were conducted in the 4 trans-border countries of the Lake Chad basin: Cameroon, Chad, Nigeria, and Niger.

Observations were made on Water, Sanitation and Hygiene related risk factors:
  • The use of open wells is strongly related to cholera epidemics in Cameroon and Nigeria;
  • And late access to medical care, population displacements, and mortuary customs are known causes of cholera spread.
And recommendations were made by the experts to optimise the epidemiological surveillance system:
  • Adopt a 2 steps W.A.S.H. response strategy, combining long term initiatives in priority zones with an emergency targeted response;
  • Consider the human and social aspects when preparing and communicating the cholera response strategies in order for the communities to adhere and participate to the initiative;
  • Establish a health trans-border cooperation to anticipate the spread of the cholera epidemics in the Lake Chad basin, which would also help the preparation of contingency planning and prevention strategies, based on gained experience.;
  • Validate a number of suggestions for decentralised and trans-border epidemiological surveillance early alert system, integrated with W.A.S.H. response;
  • Develop operational research programs to orientate, optimise and assess the quality of cholera prevention and response programs.
These integrated approach-based regional studies aimed at providing optimal W.A.S.H. and Health responses as solutions to eliminate cholera epidemics in the region through trans-border cooperation.

2011:
In November 2011, the Veolia Environnement Foundation participated to the Maroua Cholera workshop that gathered national representatives of Cameroon, Chad, Niger and Nigeria.
The workshop aimed at preparing a strategy to harmonize and coordinate epidemiological surveillance, medical care and W.A.S.H. activities in the basin of Lake Chad, on the trans-border region between the four countries.
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