ICT for Cholera Prevention and Outbreak Management in Haiti

Photo credit: www.vaccinenewsdaily.com

With the rainy season off to an early start in Haiti this spring, can technology help stave off the rising cholera epidemic?

That’s what several international aid and health organizations are considering now that the advantages of ICT — innovation, efficiency, fast-response time — are needed to meet the impending rainy season which promises to bring flooding and ultimately more cases of cholera.  Since the earthquake in 2010, more than 530,000 Haitians have fallen ill with cholera, and more than 7,000 have died — staggering numbers when considering the amount of international aid and health projects that have descended upon the country within the past two years.  ICT in all of its forms and all that it enables — low-cost mobile devices, open data and access, social media — could improve the response time and efficiency of health initiatives in the cholera crisis if properly implemented.

One example of how ICT is already being utilized to prevent more cases of cholera is a new vaccine campaign by GHESKIO, a health organization based in Port-au-Prince, Haiti, in collaboration with Partners in Health, a non-profit healthcare organization that is well known for their efforts against the spread of cholera.  In order to identify recipients for the vaccines as efficiently and quickly as possible within a country where travel is difficult, community health workers went door-to-door collecting information about the potential recipients via smartphones. The information was then aggregated into a database to locate and distribute the vaccines to the 100,000 chosen recipients — a process that has just begun after a series of delays.

Utilizing mobile technology to combat the spread of cholera is not a new concept to Partners in Health.  In a campaign started just last year, community health workers have been using specially programmed phones to help track information about cholera patients in isolated communities throughout Haiti’s Central Plateau – an important step in gathering up-to-date infection data that could prevent more deaths.  “Receiving real-time cholera information from community health workers is crucial,” says Cate Oswald, Partner in Health’s Haiti-based program coordinator for community health.  “We need accurate and up-to-date reports in order to best prevent more cases and respond to quick spread of the epidemic.”

Social media has also played a large role in detecting and tracking the incidence of cholera outbreaks.  A study released in January by the American Journal of Tropical Medicine and Hygiene reported that Twitter actually provided data that was faster and more accurate in some cases than traditional methods in tracking the cholera epidemic.  Not only does social media provide a fast response time, it “is cost-effective, rapid, and can be used to reach populations that otherwise wouldn’t have access to traditional healthcare or would not seek it”, said Rumi Chunara, a research fellow at HealthMap and Harvard Medical School in the US, and lead author of the study.

Image from haiti.mphise.net

HealthMap, an automated electronic information system for monitoring, organizing, and visualizing reports of global disease outbreaks according to geography, time, and infectious diseases, has been an important tool in helping inform Partners in Health and other health organizations about the spread of cholera in Haiti.  Not only does HealthMap track the spread of cholera, it also identifies new safe water installations, health facilities, cholera treatment centers, and emergency shelters.

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