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.