SlideShare una empresa de Scribd logo
1 de 19
Descargar para leer sin conexión
Emergency Response and CholeraEmergency Response and Cholera
in Ghanain Ghana
West Africa Regional Workshop on HWTSWest Africa Regional Workshop on HWTS
La Palm Beach Hotel, Accra-GhanaLa Palm Beach Hotel, Accra-Ghana 6-8 May, 20136-8 May, 2013
Presentation by:Presentation by:
Enoch OfosuEnoch Ofosu
WASH in Emergencies Coordinator,WASH in Emergencies Coordinator,
GhanaGhana
blessedenoch@gmail.comblessedenoch@gmail.com
Developing CountriesDeveloping Countries -- Causes ofCauses of
DeathDeath
CommunicableCommunicable
DiseaseDisease
Major Cause ofMajor Cause of
Death inDeath in
DisasterDisaster
Directly RelatedDirectly Related
to Poor Waterto Poor Water
and Sanitationand Sanitation
Source: WHO 2010
CauseCause DeathsDeaths
HIV / AIDSHIV / AIDS 2,678,0002,678,000
Respiratory InfectionsRespiratory Infections 2,643,0002,643,000
Heart DiseaseHeart Disease 2,484,0002,484,000
Diarrhoeal DiseaseDiarrhoeal Disease 1,793,0001,793,000
Cerebrovascular DiseaseCerebrovascular Disease 1,381,0001,381,000
Childhood DiseasesChildhood Diseases 1,217,0001,217,000
MalariaMalaria 1,103,0001,103,000
TuberculosisTuberculosis 1,021,0001,021,000
Pulmonary DiseasePulmonary Disease 748,000748,000
MeaslesMeasles 674,000674,000
WHO Cholera 2012 Report
Sno Country Cases Deaths CFR
1 Somalia 77636 742 3.17
2 Cameroon 22433 783 3.49
3 Democratic Republic of Congo 21700 584 2.69
4 Chad 17267 458 2.65
5 Ghana 10628 105 0.99
6 Niger 2324 60 0.58
7 Mali 2220 95 4.28
8 Angola 1810 110 6.08
9 Mozambique 1279 5 0.39
10 Cote d'vore 1261 24 1.9
11 Zimbabwe 1220 2 0.16
12 Liberia 1146 0 0
13 Burundi 1072 1 0.09
14 Other Countries 26682 1214
Total 188678 4183 2.22
This is 2011 data
Ghana Cholera Report 2012
Total cases for 2012= 9548, Deaths=100, CFR=1%
Main Causes of
cholera
Risk factors
Insufficient/Unsafe water supply (quality
and quantity).
Unsafe Excreta Disposal
Poor hygiene practises (including hand
7
FRAMEWORK FOR EFFECTIVE
MANAGEMENT OF OUTBREAKS
Preparedness
Response
Efficient surveillance
system
Prevention
Preparedness
Pre-positioning of oral dehydration
salts and other medical supplies;
Pre-positioning of water treatment supplies;
Training of personnel;
Preparation of national and sub – national
plans of action.
FRAMEWORK FOR EFFECTIVE
MANAGEMENT OF OUTBREAKS (Contd.)
NADMO (Coordination)
Health (Database Management);
WASH;
Education;
Social sector;
Communication;
OVERALL COORDINATION (Declared
Emergency)
Intervention EffectIntervention Effect
 ↑↑ Water QualityWater Quality
 ↑↑ Water QuantityWater Quantity
 Hand WashingHand Washing
 Latrines – SafeLatrines – Safe
Excreta DisposalExcreta Disposal
 All MeasuresAll Measures
EXCRETA
WATER FLIES HANDS
MOUTH
FOOD
BARRIER
BARRIERBARRIER
BASIS OF WASH OVERALL WASHBASIS OF WASH OVERALL WASH
INTERVENTIONSINTERVENTIONS
Surface water
Water source Risk of faecal
contamination
Rivers High to very high
Lake High to very high
Rainfall Low to high
Transmission potential through potableTransmission potential through potable
waterwater
Groundwater
Water source Risk of faecal
contamination
Protected spring Nil or very low
Closed dug well Low
Open dug Well Medium to high
Borehole Nil or very low
Improved access to
safe water sources;
Knowledge in how to make
water safe for consumption;
Health education that encourages
improved food safety and
personal hygiene.
FOCUS OF WATER SAFETY INTERVENTIONS
Baseline data collection;
Frank reporting;
Analysis of data to guide interventions
accordingly to lead to timely prevention
and preparedness activities.
APPROACH
THE ROLE OF HWTS
16
EXCRETA
WATER FLIES HANDS
MOUTH
FOOD
BARRIER
BARRIERBARRIER
HWTS MEASURES USED
• Household water purification tablets (e.g.
Aquatabs)
• Household level filtration (e.g. Ceramic
Filters)
• Disinfection of Household Wells
• Behaviour Change Communication /
promotional activities on HWTS
• Boiling – mainly as result of promotional
activities
17
OUTCOMES AND LESSONS
LEARNT
• Effective redress of cholera situation the situation in ER
and BAR (unsafe water)
• Anecdotal evidence to reduction in other diarrhea
related disease
• Increased awareness and knowledge in water hygiene
(general hygiene)
• Effective entry point for HWTS programme
interventions ( as well as CLTS and HWWS)
• Enhanced capacity of implementers in promotion of
HWTS and use of methods/ technologies
18
THANK YOU
19

Más contenido relacionado

Similar a Presentation at the international household water tretment workshop in africa ghana

Why businesses should care about sustainability?
Why businesses should care about sustainability?Why businesses should care about sustainability?
Why businesses should care about sustainability?Cap40
 
Evaluation of factors that influence Reoccurrence of Cholera epidemics in Bwe...
Evaluation of factors that influence Reoccurrence of Cholera epidemics in Bwe...Evaluation of factors that influence Reoccurrence of Cholera epidemics in Bwe...
Evaluation of factors that influence Reoccurrence of Cholera epidemics in Bwe...PUBLISHERJOURNAL
 
WATER SANITATION IN THE PHILIPPINES.COMK
WATER SANITATION IN THE PHILIPPINES.COMKWATER SANITATION IN THE PHILIPPINES.COMK
WATER SANITATION IN THE PHILIPPINES.COMKpidojaycee398
 
RADKE%202013%20Water%20Sanitation%20and%20Health_Health%20Risk%20Management_1...
RADKE%202013%20Water%20Sanitation%20and%20Health_Health%20Risk%20Management_1...RADKE%202013%20Water%20Sanitation%20and%20Health_Health%20Risk%20Management_1...
RADKE%202013%20Water%20Sanitation%20and%20Health_Health%20Risk%20Management_1...mohdyounus26
 
RADKE 2013 Water Sanitation and Health_Health Risk Management_130827.ppt
RADKE 2013 Water Sanitation and Health_Health Risk Management_130827.pptRADKE 2013 Water Sanitation and Health_Health Risk Management_130827.ppt
RADKE 2013 Water Sanitation and Health_Health Risk Management_130827.pptssusere214cd
 
Prevalence, Diversity of Diarrhoeagenic Escherichia Coli and Associated Risk ...
Prevalence, Diversity of Diarrhoeagenic Escherichia Coli and Associated Risk ...Prevalence, Diversity of Diarrhoeagenic Escherichia Coli and Associated Risk ...
Prevalence, Diversity of Diarrhoeagenic Escherichia Coli and Associated Risk ...Babatunde Odetoyin
 
Promo Fact Sheet Global Water Crisis
Promo Fact Sheet Global Water CrisisPromo Fact Sheet Global Water Crisis
Promo Fact Sheet Global Water CrisisLisa Cottingham
 
The How-to: Water & HIV Integrated Responses PP 2
The How-to: Water & HIV Integrated Responses PP 2The How-to: Water & HIV Integrated Responses PP 2
The How-to: Water & HIV Integrated Responses PP 2Rouzeh Eghtessadi
 
Za'atari Project Proposal
Za'atari Project ProposalZa'atari Project Proposal
Za'atari Project ProposalDulcie Xue
 
Physics Honors Paper - Tu Nguyen - 2015
Physics Honors Paper - Tu Nguyen - 2015Physics Honors Paper - Tu Nguyen - 2015
Physics Honors Paper - Tu Nguyen - 2015Tu Nguyen
 
Arsenic and bangladesh
Arsenic and bangladeshArsenic and bangladesh
Arsenic and bangladeshyeasin kabir
 
Yellow fever { Africa and South America}
Yellow fever { Africa and South America}Yellow fever { Africa and South America}
Yellow fever { Africa and South America}DR .PALLAVI PATHANIA
 
San Francisco Sewage Clean Up
San Francisco Sewage Clean UpSan Francisco Sewage Clean Up
San Francisco Sewage Clean UpSarah Griego
 
TEMPLATE PLAN (1).pptxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
TEMPLATE PLAN (1).pptxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxTEMPLATE PLAN (1).pptxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
TEMPLATE PLAN (1).pptxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxKayeTrisha
 
Water, sanitation, & hygiene (WASH) and NTDs
Water, sanitation, & hygiene (WASH) and NTDsWater, sanitation, & hygiene (WASH) and NTDs
Water, sanitation, & hygiene (WASH) and NTDsJordan Teague
 
Cholera in Nigeria
Cholera in NigeriaCholera in Nigeria
Cholera in NigeriaYinka Ariba
 
One Health Approach to Solve Complex Problems and Improve Livelihoods at the ...
One Health Approach to Solve Complex Problems and Improve Livelihoods at the...One Health Approach to Solve Complex Problems and Improve Livelihoods at the...
One Health Approach to Solve Complex Problems and Improve Livelihoods at the ...Global Livestock CRSP
 

Similar a Presentation at the international household water tretment workshop in africa ghana (20)

Why businesses should care about sustainability?
Why businesses should care about sustainability?Why businesses should care about sustainability?
Why businesses should care about sustainability?
 
Evaluation of factors that influence Reoccurrence of Cholera epidemics in Bwe...
Evaluation of factors that influence Reoccurrence of Cholera epidemics in Bwe...Evaluation of factors that influence Reoccurrence of Cholera epidemics in Bwe...
Evaluation of factors that influence Reoccurrence of Cholera epidemics in Bwe...
 
WATER SANITATION IN THE PHILIPPINES.COMK
WATER SANITATION IN THE PHILIPPINES.COMKWATER SANITATION IN THE PHILIPPINES.COMK
WATER SANITATION IN THE PHILIPPINES.COMK
 
RADKE%202013%20Water%20Sanitation%20and%20Health_Health%20Risk%20Management_1...
RADKE%202013%20Water%20Sanitation%20and%20Health_Health%20Risk%20Management_1...RADKE%202013%20Water%20Sanitation%20and%20Health_Health%20Risk%20Management_1...
RADKE%202013%20Water%20Sanitation%20and%20Health_Health%20Risk%20Management_1...
 
RADKE 2013 Water Sanitation and Health_Health Risk Management_130827.ppt
RADKE 2013 Water Sanitation and Health_Health Risk Management_130827.pptRADKE 2013 Water Sanitation and Health_Health Risk Management_130827.ppt
RADKE 2013 Water Sanitation and Health_Health Risk Management_130827.ppt
 
Prevalence, Diversity of Diarrhoeagenic Escherichia Coli and Associated Risk ...
Prevalence, Diversity of Diarrhoeagenic Escherichia Coli and Associated Risk ...Prevalence, Diversity of Diarrhoeagenic Escherichia Coli and Associated Risk ...
Prevalence, Diversity of Diarrhoeagenic Escherichia Coli and Associated Risk ...
 
Promo Fact Sheet Global Water Crisis
Promo Fact Sheet Global Water CrisisPromo Fact Sheet Global Water Crisis
Promo Fact Sheet Global Water Crisis
 
The How-to: Water & HIV Integrated Responses PP 2
The How-to: Water & HIV Integrated Responses PP 2The How-to: Water & HIV Integrated Responses PP 2
The How-to: Water & HIV Integrated Responses PP 2
 
Za'atari Project Proposal
Za'atari Project ProposalZa'atari Project Proposal
Za'atari Project Proposal
 
Health.water.sanitation
Health.water.sanitationHealth.water.sanitation
Health.water.sanitation
 
Physics Honors Paper - Tu Nguyen - 2015
Physics Honors Paper - Tu Nguyen - 2015Physics Honors Paper - Tu Nguyen - 2015
Physics Honors Paper - Tu Nguyen - 2015
 
Arsenic and bangladesh
Arsenic and bangladeshArsenic and bangladesh
Arsenic and bangladesh
 
Yellow fever { Africa and South America}
Yellow fever { Africa and South America}Yellow fever { Africa and South America}
Yellow fever { Africa and South America}
 
Causes Of Water Scarcity
Causes Of Water ScarcityCauses Of Water Scarcity
Causes Of Water Scarcity
 
San Francisco Sewage Clean Up
San Francisco Sewage Clean UpSan Francisco Sewage Clean Up
San Francisco Sewage Clean Up
 
WASH overview.
WASH overview.WASH overview.
WASH overview.
 
TEMPLATE PLAN (1).pptxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
TEMPLATE PLAN (1).pptxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxTEMPLATE PLAN (1).pptxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
TEMPLATE PLAN (1).pptxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
 
Water, sanitation, & hygiene (WASH) and NTDs
Water, sanitation, & hygiene (WASH) and NTDsWater, sanitation, & hygiene (WASH) and NTDs
Water, sanitation, & hygiene (WASH) and NTDs
 
Cholera in Nigeria
Cholera in NigeriaCholera in Nigeria
Cholera in Nigeria
 
One Health Approach to Solve Complex Problems and Improve Livelihoods at the ...
One Health Approach to Solve Complex Problems and Improve Livelihoods at the...One Health Approach to Solve Complex Problems and Improve Livelihoods at the...
One Health Approach to Solve Complex Problems and Improve Livelihoods at the ...
 

Más de Enoch Ofosu

Scaling up hwts – the
Scaling up hwts – theScaling up hwts – the
Scaling up hwts – theEnoch Ofosu
 
Evaluating Household Water Treatment and Safe Storage
Evaluating Household Water Treatment and Safe StorageEvaluating Household Water Treatment and Safe Storage
Evaluating Household Water Treatment and Safe StorageEnoch Ofosu
 
Status of Household Water Treatment and Safe Storage  in Ghana
Status of Household Water Treatment and Safe Storage  in GhanaStatus of Household Water Treatment and Safe Storage  in Ghana
Status of Household Water Treatment and Safe Storage  in GhanaEnoch Ofosu
 
Water and Sanitation Annual Sector Report -2010 Edition
Water and Sanitation Annual Sector Report -2010  EditionWater and Sanitation Annual Sector Report -2010  Edition
Water and Sanitation Annual Sector Report -2010 EditionEnoch Ofosu
 
National Water Policy of Ghana
National Water Policy of GhanaNational Water Policy of Ghana
National Water Policy of GhanaEnoch Ofosu
 
Environmental sanitation policy of Ghana
Environmental sanitation policy of GhanaEnvironmental sanitation policy of Ghana
Environmental sanitation policy of GhanaEnoch Ofosu
 
Shifting trends in rural livelihood a case study of asutifi district
Shifting trends in rural livelihood   a case study of asutifi districtShifting trends in rural livelihood   a case study of asutifi district
Shifting trends in rural livelihood a case study of asutifi districtEnoch Ofosu
 
Urban and small town water supply management models in ghana
Urban and small town water supply management models in ghanaUrban and small town water supply management models in ghana
Urban and small town water supply management models in ghanaEnoch Ofosu
 
Water and Sanitation Sector Performance Report of Ghana, 2010 Edition
Water and Sanitation Sector Performance Report of Ghana, 2010 EditionWater and Sanitation Sector Performance Report of Ghana, 2010 Edition
Water and Sanitation Sector Performance Report of Ghana, 2010 EditionEnoch Ofosu
 
Water and Sanitation Sector Performance Report of Ghana, 2009 Edition
Water and Sanitation Sector  Performance Report of Ghana, 2009 EditionWater and Sanitation Sector  Performance Report of Ghana, 2009 Edition
Water and Sanitation Sector Performance Report of Ghana, 2009 EditionEnoch Ofosu
 

Más de Enoch Ofosu (10)

Scaling up hwts – the
Scaling up hwts – theScaling up hwts – the
Scaling up hwts – the
 
Evaluating Household Water Treatment and Safe Storage
Evaluating Household Water Treatment and Safe StorageEvaluating Household Water Treatment and Safe Storage
Evaluating Household Water Treatment and Safe Storage
 
Status of Household Water Treatment and Safe Storage  in Ghana
Status of Household Water Treatment and Safe Storage  in GhanaStatus of Household Water Treatment and Safe Storage  in Ghana
Status of Household Water Treatment and Safe Storage  in Ghana
 
Water and Sanitation Annual Sector Report -2010 Edition
Water and Sanitation Annual Sector Report -2010  EditionWater and Sanitation Annual Sector Report -2010  Edition
Water and Sanitation Annual Sector Report -2010 Edition
 
National Water Policy of Ghana
National Water Policy of GhanaNational Water Policy of Ghana
National Water Policy of Ghana
 
Environmental sanitation policy of Ghana
Environmental sanitation policy of GhanaEnvironmental sanitation policy of Ghana
Environmental sanitation policy of Ghana
 
Shifting trends in rural livelihood a case study of asutifi district
Shifting trends in rural livelihood   a case study of asutifi districtShifting trends in rural livelihood   a case study of asutifi district
Shifting trends in rural livelihood a case study of asutifi district
 
Urban and small town water supply management models in ghana
Urban and small town water supply management models in ghanaUrban and small town water supply management models in ghana
Urban and small town water supply management models in ghana
 
Water and Sanitation Sector Performance Report of Ghana, 2010 Edition
Water and Sanitation Sector Performance Report of Ghana, 2010 EditionWater and Sanitation Sector Performance Report of Ghana, 2010 Edition
Water and Sanitation Sector Performance Report of Ghana, 2010 Edition
 
Water and Sanitation Sector Performance Report of Ghana, 2009 Edition
Water and Sanitation Sector  Performance Report of Ghana, 2009 EditionWater and Sanitation Sector  Performance Report of Ghana, 2009 Edition
Water and Sanitation Sector Performance Report of Ghana, 2009 Edition
 

Último

EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)Mohamed Rizk Khodair
 
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptx
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptxGood Laboratory Practice (GLP) in Pharma-LikeWays.pptx
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptxLikeways
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptPradnya Wadekar
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.aarjukhadka22
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
Physiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisPhysiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisNilofarRasheed1
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...Sujoy Dasgupta
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxMAsifAhmad
 
QUESTIONS & ANSWERS FOR QUALITY ASSURANCE, RADIATIONBIOLOGY& RADIATION HAZARD...
QUESTIONS & ANSWERS FOR QUALITY ASSURANCE, RADIATIONBIOLOGY& RADIATION HAZARD...QUESTIONS & ANSWERS FOR QUALITY ASSURANCE, RADIATIONBIOLOGY& RADIATION HAZARD...
QUESTIONS & ANSWERS FOR QUALITY ASSURANCE, RADIATIONBIOLOGY& RADIATION HAZARD...Ganesan Yogananthem
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...bkling
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 

Último (20)

EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)
 
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptx
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptxGood Laboratory Practice (GLP) in Pharma-LikeWays.pptx
Good Laboratory Practice (GLP) in Pharma-LikeWays.pptx
 
Unit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.pptUnit I herbs as raw materials, biodynamic agriculture.ppt
Unit I herbs as raw materials, biodynamic agriculture.ppt
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
Bulimia nervosa ( Eating Disorders) Mental Health Nursing.
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
Physiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid ArthritisPhysiotherapy Management of Rheumatoid Arthritis
Physiotherapy Management of Rheumatoid Arthritis
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio..."Radical excision of DIE in subferile women with deep infiltrating endometrio...
"Radical excision of DIE in subferile women with deep infiltrating endometrio...
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptxDNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
DNA nucleotides Blast in NCBI and Phylogeny using MEGA Xi.pptx
 
QUESTIONS & ANSWERS FOR QUALITY ASSURANCE, RADIATIONBIOLOGY& RADIATION HAZARD...
QUESTIONS & ANSWERS FOR QUALITY ASSURANCE, RADIATIONBIOLOGY& RADIATION HAZARD...QUESTIONS & ANSWERS FOR QUALITY ASSURANCE, RADIATIONBIOLOGY& RADIATION HAZARD...
QUESTIONS & ANSWERS FOR QUALITY ASSURANCE, RADIATIONBIOLOGY& RADIATION HAZARD...
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 

Presentation at the international household water tretment workshop in africa ghana

  • 1. Emergency Response and CholeraEmergency Response and Cholera in Ghanain Ghana West Africa Regional Workshop on HWTSWest Africa Regional Workshop on HWTS La Palm Beach Hotel, Accra-GhanaLa Palm Beach Hotel, Accra-Ghana 6-8 May, 20136-8 May, 2013 Presentation by:Presentation by: Enoch OfosuEnoch Ofosu WASH in Emergencies Coordinator,WASH in Emergencies Coordinator, GhanaGhana blessedenoch@gmail.comblessedenoch@gmail.com
  • 2. Developing CountriesDeveloping Countries -- Causes ofCauses of DeathDeath CommunicableCommunicable DiseaseDisease Major Cause ofMajor Cause of Death inDeath in DisasterDisaster Directly RelatedDirectly Related to Poor Waterto Poor Water and Sanitationand Sanitation Source: WHO 2010 CauseCause DeathsDeaths HIV / AIDSHIV / AIDS 2,678,0002,678,000 Respiratory InfectionsRespiratory Infections 2,643,0002,643,000 Heart DiseaseHeart Disease 2,484,0002,484,000 Diarrhoeal DiseaseDiarrhoeal Disease 1,793,0001,793,000 Cerebrovascular DiseaseCerebrovascular Disease 1,381,0001,381,000 Childhood DiseasesChildhood Diseases 1,217,0001,217,000 MalariaMalaria 1,103,0001,103,000 TuberculosisTuberculosis 1,021,0001,021,000 Pulmonary DiseasePulmonary Disease 748,000748,000 MeaslesMeasles 674,000674,000
  • 3. WHO Cholera 2012 Report Sno Country Cases Deaths CFR 1 Somalia 77636 742 3.17 2 Cameroon 22433 783 3.49 3 Democratic Republic of Congo 21700 584 2.69 4 Chad 17267 458 2.65 5 Ghana 10628 105 0.99 6 Niger 2324 60 0.58 7 Mali 2220 95 4.28 8 Angola 1810 110 6.08 9 Mozambique 1279 5 0.39 10 Cote d'vore 1261 24 1.9 11 Zimbabwe 1220 2 0.16 12 Liberia 1146 0 0 13 Burundi 1072 1 0.09 14 Other Countries 26682 1214 Total 188678 4183 2.22 This is 2011 data
  • 4. Ghana Cholera Report 2012 Total cases for 2012= 9548, Deaths=100, CFR=1%
  • 6. Risk factors Insufficient/Unsafe water supply (quality and quantity). Unsafe Excreta Disposal Poor hygiene practises (including hand
  • 7. 7
  • 8. FRAMEWORK FOR EFFECTIVE MANAGEMENT OF OUTBREAKS Preparedness Response Efficient surveillance system Prevention
  • 9. Preparedness Pre-positioning of oral dehydration salts and other medical supplies; Pre-positioning of water treatment supplies; Training of personnel; Preparation of national and sub – national plans of action. FRAMEWORK FOR EFFECTIVE MANAGEMENT OF OUTBREAKS (Contd.)
  • 10. NADMO (Coordination) Health (Database Management); WASH; Education; Social sector; Communication; OVERALL COORDINATION (Declared Emergency)
  • 11. Intervention EffectIntervention Effect  ↑↑ Water QualityWater Quality  ↑↑ Water QuantityWater Quantity  Hand WashingHand Washing  Latrines – SafeLatrines – Safe Excreta DisposalExcreta Disposal  All MeasuresAll Measures EXCRETA WATER FLIES HANDS MOUTH FOOD BARRIER BARRIERBARRIER BASIS OF WASH OVERALL WASHBASIS OF WASH OVERALL WASH INTERVENTIONSINTERVENTIONS
  • 12. Surface water Water source Risk of faecal contamination Rivers High to very high Lake High to very high Rainfall Low to high Transmission potential through potableTransmission potential through potable waterwater
  • 13. Groundwater Water source Risk of faecal contamination Protected spring Nil or very low Closed dug well Low Open dug Well Medium to high Borehole Nil or very low
  • 14. Improved access to safe water sources; Knowledge in how to make water safe for consumption; Health education that encourages improved food safety and personal hygiene. FOCUS OF WATER SAFETY INTERVENTIONS
  • 15. Baseline data collection; Frank reporting; Analysis of data to guide interventions accordingly to lead to timely prevention and preparedness activities. APPROACH
  • 16. THE ROLE OF HWTS 16 EXCRETA WATER FLIES HANDS MOUTH FOOD BARRIER BARRIERBARRIER
  • 17. HWTS MEASURES USED • Household water purification tablets (e.g. Aquatabs) • Household level filtration (e.g. Ceramic Filters) • Disinfection of Household Wells • Behaviour Change Communication / promotional activities on HWTS • Boiling – mainly as result of promotional activities 17
  • 18. OUTCOMES AND LESSONS LEARNT • Effective redress of cholera situation the situation in ER and BAR (unsafe water) • Anecdotal evidence to reduction in other diarrhea related disease • Increased awareness and knowledge in water hygiene (general hygiene) • Effective entry point for HWTS programme interventions ( as well as CLTS and HWWS) • Enhanced capacity of implementers in promotion of HWTS and use of methods/ technologies 18