Dear Colleagues:

The latest UNC Water Institute Research Digest focuses on cholera control. If you have any comments or questions about the review, please post them to the group.

Link - waterinstitute.unc.edu/files/2018/09/was...-digest-9_090718.pdf

WaSH Policy Research Digest - ISSUE #9, SEPTEMBER 2018: CHOLERA CONTROL

Detailed Review of a Recent Publication: Governments can achieve cholera control through a well-targeted and coordinated combination of universal WaSH access and vaccination

It also includes a Literature Review: The role of WaSH in preventing cholera

Key Policy and Programmatic Takeaways

• Cholera remains a persistent health problem in sub-Saharan Africa and requires an integrated and well-planned response
• Cholera can only be controlled in a sustained manner over the long term by achieving universal access to water, sanitation and hygiene (WaSH), in households and beyond, particularly health care facilities and schools
• Oral Cholera Vaccine (OCV) is a useful measure to curb transmission in the short term, but is limited by the availability of the vaccine, the amount of time the protection lasts and low efficacy in children under 5
• Detailed mapping of cholera incidence can help in targeting high-risk areas, but must be supplemented by local investigations of cholera epidemiology and mapping of WaSH coverage
• Policy makers must determine the best mix of interventions, working across government to coordinate