Cholera in Haiti, March 2011

Photo by John Carroll


Haiti cholera 'far worse than expected', experts fear
BBC News - By Michelle Roberts - March 16, 2011


The cholera epidemic affecting Haiti looks set to be far worse than
officials had thought, experts fear.


Rather than affecting a predicted 400,000 people, the diarrhoeal disease
could strike nearly twice as many as this, latest estimates suggest.


Aid efforts will need ramping up, US researchers told The Lancet journal.


The World Health Organization says everything possible is being done to
contain the disease and warns that modelling estimates can be inaccurate.


Before last year's devastating earthquake in the Caribbean nation, no cases
of cholera had been seen on Haiti for more than a century.


The bacterial disease is spread from person-to-person through contaminated
food and water.



It causes severe diarrhoea and vomiting, and patients, particularly children
and the elderly, are vulnerable to dangerous dehydration as a result.
Gross underestimate

In the three months between October and December 2010, about 150,000 people
in Haiti contracted cholera and about 3,500 died.


Around this time, the United Nations projected that the total number
infected would likely rise to 400,000.


But researchers at the University of California, San Francisco, say this is
a gross underestimate.


They believe the toll could reach 779,000, with 11,100 deaths by the end of
November 2011.


Dr Sanjay Basu and colleagues reached their figures using data from Haiti's
ministry of health.


They say the UN estimates were "crude" and based on "a simple assumption"
that the disease would infect a set portion (2-4%) of Haiti's 10 million
population.


Dr Basu's calculations take into account factors like which water supplies
have been contaminated and how much immunity the population has to the
disease.


They predict the number of cholera cases will be substantially higher than
official estimates.


"The epidemic is not likely to be short-term," said Dr Basu. "It is going to
be larger than predicted in terms of sheer numbers and will last far longer
than the initial projections."


But the researchers say thousands of lives could be saved by provision of
clean water, vaccination and expanded access to antibiotics.


A spokesman for the World Health Organization said: "We have to be cautious
because modelling does not necessarily reflect what's seen on the ground.


"Latest figures show there have been 252,640 cases and 4,672 deaths as of 10
March 2011.


"We really need to reconstruct water and sanitation systems for the cholera
epidemic to go away completely.


"It's a long-term process and cholera is going to be around for a number of
years yet."