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Ghana - Standard Operating Procedures for the prevention and control of cholera - 2016

Find below the Standard Operating Procedures for the prevention and control of cholera in Ghana.

Cholera is an acute diarrhoeal disease caused by infection of the intestine with the bacterium Vibrio cholerae. Both children and adults can be infected. The disease is characterized by sudden onset of profuse painless watery diarrhoea, occasional vomiting and rapid dehydration leading to death if prompt treatment is not given.
Cholera remains a major public health challenge in Ghana. A total of 26,924 cases and 620 deaths were reported in the country from 1999 to 2005. In 2012 most regions in Ghana except for Upper West experienced outbreaks. In 2014, Ghana was hit by a massive cholera outbreak which recorded the highest number of cases in the past 30 years claiming many lives. During that outbreak a total of 28,975 cases including 247 deaths were reported from all the 10 regions of the country.
These recent cholera outbreaks have brought to the fore, the challenges of institutional structures to effectively prevent and respond to outbreaks. The key challenge has been the late detection of the early cases making the surveillance system less sensitive leading to late response. The first edition of the Cholera SOPs were developed in June 2011 and have been used since then. However, the World Health Organization (WHO) has developed new guidelines to assist in the early detection of cholera and containment in least resource settings. To improve on health outcomes, the first edition of the Cholera SOP was reviewed to include this new guidelines to address the challenges of late detection and delayed response.
The aim of the Second Edition of Cholera Standard Operating Procedures (SOPs) is to guide the health personnel from various levels of the health system in the implementation of an enhanced surveillance of Cholera and early implementation of targeted Water, Sanitation and Hygiene (WASH) interventions and a guide as to when to use Oral Cholera Vaccine (OCV). The SOPs are “Must Do” critical activities to prevent and mitigate the impact of outbreaks of cholera in the country. They are by no means exhaustive and will be subjected to regular reviews and updates as and when the need arises.
Hon. Alex Segbefia
Minister of Health




This document is presented in the country webpage, available here: Ghana