Containment of cholera outbreak in a rural community in Rivers State, Nigeria: a case report on health care in danger

Authors

  • Golden Owhonda Department of Public Health and Disease Control, Rivers State Ministry of Health, Port Harcourt, Rivers State, Nigeria https://orcid.org/0000-0002-8242-1508
  • Anwuri Luke Department of Community Medicine, College of Medical Sciences, Rivers State University, Nkpolu-Oroworukwo, Port Harcourt, Rivers State, Nigeria
  • Bright Owhondah Ogbondah Department of Community Medicine, College of Medical Sciences, Rivers State University, Nkpolu-Oroworukwo, Port Harcourt, Rivers State, Nigeria
  • Tondor Cleopatra Uzosike Department of Community Medicine, College of Medical Sciences, Rivers State University, Nkpolu-Oroworukwo, Port Harcourt, Rivers State, Nigeria
  • Ifeoma Nwadiuto Department of Public Health and Disease Control, Rivers State Ministry of Health, Port Harcourt, Rivers State, Nigeria
  • Victor Abikor Department of Public Health and Disease Control, Rivers State Ministry of Health, Port Harcourt, Rivers State, Nigeria
  • Ihuoma Aaron Wali Department of Community Medicine, College of Medical Sciences, Rivers State University, Nkpolu-Oroworukwo, Port Harcourt, Rivers State, Nigeria
  • Victor Oris Onyiri Department of Public Health and Disease Control, Rivers State Ministry of Health, Port Harcourt, Rivers State, Nigeria
  • Emmanuel Owhondah Department of Public Health and Disease Control, Rivers State Ministry of Health, Port Harcourt, Rivers State, Nigeria
  • Lime Juice Bobmanuel Department of Public Health and Disease Control, Rivers State Ministry of Health, Port Harcourt, Rivers State, Nigeria

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20231712

Keywords:

HCiD, Cholera, Outbreak

Abstract

Health care in danger (HCiD) is a public health menace affecting patients, healthcare workers, health facility properties/buildings or/and ambulance services due to the violence experienced in the course of accessing healthcare delivery services. This study was a case report of violence against a healthcare worker during the containment of a cholera outbreak in a rural community in Rivers State, Nigeria. The incident was observed between the 3rd to 5th of May 2022, during the containment of a cholera outbreak within the affected rural community. The victim was a frontline healthcare worker and a member of the rapid response team who was abducted while transporting samples to a reference laboratory for diagnostic confirmation. The abductors demanded ransom but the victim was subsequently released after family members bargained with the assailants. Upon release, she received medical care at the state tertiary facility. She continues to render healthcare services to date. As a follow-up, the State security agencies are currently embedded within the PHEOC response at various levels of healthcare. Communities and stakeholders are encouraged to respect and support healthcare and its resources.

References

International Committee of the Red Cross (ICRC), Association of Public Health Physicians (APHPN). Health Care in Danger (HCiD) training module for medical students, healthcare workers and teachers. Int Red Cross and Red Crescent Movement Abuja, Nigeria. 2021:32.

Haar RJ, Read R, Fast L, Blanchet K, Rinaldi S, Taithe B et al. Violence against healthcare in conflict: A systematic review of the literature and agenda for future research. Confl Health. 2021;15(37):18. .

Safeguarding Health in Conflict Coalition. Health workers at risk: Violence against health care. Geneva, Switzerland. 2020;68. Available at: https://www.icn.ch/what-we-do/campaigns/safeguarding-health-conflict-coalition. Accessed on 5 March 2023.

Safeguarding Health in Conflict coalition. Impunity remains: Attacks on health care in 23 countries in conflict. Geneva, Switzerland. 2018;68. Available at: https://www.medecinsdumonde.org/app/uploads/2022/04/SHCC_2019_online_Final-002.pdf. Accessed on 5 March 2023.

Fraga S. Methodological and ethical challenges in violence research. Porto Biomed J. 2016;1(2):77-80.

World Health Organization (WHO). Factsheet Sustainable Development Goals (SDG) health targets: Violence, health and sustainable development. World Health Assembly Geneva, Switzerland. 2020;20. Available at: https://www.euro.who.int/__data/assets/pdf_file/0006/430854/InterpersonalViolenceAcrossTheLife-Course-eng.pdf. Accessed on 5 March 2023.

McKay D, Heisler M, Mishori R, Catton H, Kloiber O. Attacks against healthcare personnel must stop, especially as the world fights COVID-19. The Lancet. 2020;395(10239):1743-5.

Rasak B, Garuba, RO. Political thuggery, violence and women participation in Nigeria. Polit Sci Rev. 2017;8(1):63-76.

Umar A, Sule B. Effect of political thuggery on sustainable democracy in Nigeria. J Manag Sci. 2016;14(3):76-89.

Lim MC, Jeffree MS, Saupin SS, Giloi N, Lukman KA. Workplace violence in healthcare settings: The risk factors, implications and collaborative preventive measures. Ann Med Surg. 2022;78(103727):5.

Mehta S, Machado F, Kwizera A, Papazian L, Moss M, Azoulay É et al. COVID-19: A heavy toll on healthcare workers. Lancet Respir Med. 2021;9(3):226-8.

Yousuf MH, Jabbar A, Ullah I, Tahir MJ, Yousaf Z. Violence against health care system in areas of conflict: Unveiling the crisis globally. Ethics Med Public Health. 2021;19(100730):3.

Safeguarding Health in Conflict coalition. Ineffective past, uncertain future the United Nations Security Council’s Resolution on the protection of healthcare (UN-SCR): A five-year review of ongoing violence and inaction to stop it. Geneva, Switzerland. 2021;8. Available at: https://insecurityinsight.org/wp-content/uploads/2021/05/Ineffective-past-Uncertain-Future-A-Five-Year-Review-2016-2020.pdf. Accessed on 5 March 2023.

Medical aid for Palestinians. health under occupation. Gaza, Palestine; 2017;40. Available at: https://www.map.org.uk/downloads/health-under-occupation---map-report-2017.pdf. Accessed on 5 March 2023.

Devi S. COVID-19 exacerbates violence against health workers. The Lancet. 2020;396(10252):658.

Omar A. Understanding and preventing attacks on health facilities during an armed conflict in Syria. Risk Manag Healthcare Policy. 2020;20(13):191-203.

Adamczyk S. Twenty years of protection of civilians at the United Nations Security Council. London, United Kingdom: Humanitarian policy group overseas development institute. 2019;13. Available at: https://odi.org/documents/5971/12709.pdf. Accessed on 5 March 2023.

International Committee of the Red Cross (ICRC). Promoting military operational practice that ensures safe access to and delivery of healthcare. Geneva, Switzerland. 2014;52. Available at: https://primarysources.brillonline.com/browse/human-rights-documents-online/promoting-military-operational-practice-that-ensures-safe-access-to-and-delivery-of-health-care;hrdhrd99302014007. Accessed on 5 March 2023.

International Red Cross and Red Crescent Movement (ICRC). The fundamental principles of ICRC. Geneva, Switzerland. 2015;8. Available at: https://www.icrc.org/sites/default/files/topic/file_plus_list/4046-the_fundamental_principles_of_the_international_red_cross_and_red_crescent_movement.pdf. Accessed on 5 March 2023.

World Health Organization (WHO). A guidance document for medical teams responding to health emergencies in armed conflicts and other insecure environments. Geneva, Switzerland. 2021;104. Available at: https://creativecommons.org/licenses/by-nc-sa/3.0/igo. Accessed on 5 March 2023.

Owhonda G, Luke A, Ogbondah BO, Nwadiuto I, Abikor V, Owhondah E. Outbreak investigation of cholera in a rural community, Rivers State Nigeria: An interventional epidemiological study. Int J Community Med Public Health. 2023;10(2):860-8.

Bandyopadhyay S, Baticulon RE, Kadhum M, Alser M, Ojuka DK, Badereddin Y, et al. Infection and mortality of healthcare workers worldwide from COVID-19: A systematic review. BMJ Glob Health. 2020;5(12):11.

Albalawi AHS, Kassem FK, Alasmee NA. Nurse’s perception toward factors contributing to violence exposure at the complex for mental health in Tabuk City: A scoping review. Evid-Based Nurs Res. 2022;4(2):17.

Ramzi ZS, Fatah PW, Dalvandi A. Prevalence of workplace violence against healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Front Psychol. 2022;13(896156):8.

Usman N, Dominic B, Nwankwo B, Nmadu A, Omole N, Usman O. Violence towards health workers in the workplace: Exploratory findings in secondary healthcare facilities in Kaduna metropolis, Northern Nigeria. Babcock Univ Med J. 2022;5(1):28-36.

Felix U. A case study on violence against nurses in Nigeria and recommendations in reducing the violence. Texila Int J Nursing. 2016;2(1):7.

Elsaid NMAB, Ibrahim O, Abdel-Fatah ZF, Hassan HA, Hegazy MH, Anwar MM et al. Violence against healthcare workers during coronavirus (COVID-19) pandemic in Egypt: A cross-sectional study. Egypt J Forensic Sci. 2022;12(45):11.

Japan International Cooperation Agency. Impact of COVID-19 pandemic on medical healthcare workers in Mumbai city, India. Indian office; 2022:46. Available at: https://www.jica.go.jp/india/english/ office/others/c8h0vm0000fdjmnd-att/study_02.pdf. Accessed on 5 March 2023.

Alsaleem SA, Alsabaani A, Alamri RS, Hadi RA, Alkhayri MH, Badawi KK et al. Violence towards healthcare workers: A study conducted in Abha City, Saudi Arabia. J Fam Community Med. 2018;25(3):188-93.

Bhatti OA, Aziz N, Martins R, Khan J, Rauf H. Violence against healthcare workers during the COVID-19 pandemic: A review of incidents from a lower-middle-income country. Ann Glob Health. 2021;87(1):11.

Bitencourt MR, Alarcão ACJ, Silva LL, Dutra A de C, Caruzzo NM, Roszkowski I et al. Predictors of violence against health professionals during the COVID-19 pandemic in Brazil: A cross-sectional study. PLOS ONE. 2021;16(6):16.

Marsh SM, Rocheleau CM, Carbone EG, Hartley D, Reichard AA, Tiesman HM. Occurrences of workplace violence related to the COVID-19 pandemic, the United States, March 2020 to August 2021. Int J Environ Res Public Health. 2022;19(14387):14.

Ramandanes M. Violence against healthcare workers: An epidemic within a pandemic. Old Dominion University, College of Health Sciences, School of Community & Environmental Health, Norfolk, Virginia United States of America. 2022;2. Available at: https://digitalcommons.odu.edu/cgi/viewcontent.cgi?article=1009&context=gradposters2022_healthsciences. Accessed on 5 March 2023.

Data-Friendly Space. Ukrainian crisis: Situational analysis. 2022:35. Available at: https://datafriend lyspace.org/content/uploads/2022/09/DFS-Ukraine-Situation-Analysis-September-2022.pdf. Accessed on 5 March 2023.

Abayomi A, Balogun MR, Bankole M, Banke-Thomas A, Mutiu B, Olawepo J et al. From Ebola to COVID-19: Emergency preparedness and response plans and actions in Lagos, Nigeria. Glob Health. 2021;17(79):10.

Patel K, Mishra BK, Kanungo S, Bhuyan D, Som M, Marta B et al. Community response towards health care providers delivering health care services during COVID-19 pandemic: A strategy framework based on findings of a qualitative study in Odisha, India. J Fam Med Prim Care. 2022;11(9):5417-22.

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Published

2023-05-31

How to Cite

Owhonda, G., Luke, A., Ogbondah, B. O., Uzosike, T. C., Nwadiuto, I., Abikor, V., Wali, I. A., Onyiri, V. O., Owhondah, E., & Bobmanuel, L. J. (2023). Containment of cholera outbreak in a rural community in Rivers State, Nigeria: a case report on health care in danger. International Journal Of Community Medicine And Public Health, 10(6), 2256–2261. https://doi.org/10.18203/2394-6040.ijcmph20231712

Issue

Section

Case Reports