Outbreak of Beriberi in a Prison in Côte d'Ivoire.

Hdl Handle:
http://hdl.handle.net/10144/23756
Title:
Outbreak of Beriberi in a Prison in Côte d'Ivoire.
Authors:
Ahoua, L; Etienne, W; Fermon, F; Godain, G; Brown, V; Kadjo, K; Bouaffou, K; Legros, D; Guerin, P J
Journal:
Food and Nutrition Bulletin
Abstract:
BACKGROUND: A beriberi outbreak occurred in the Maison d'Arrêt et de Correction d'Abidjan (MACA), a detention center in Abidjan, Côte d'Ivoire, between October 2002 and April 2003. OBJECTIVE: A retrospective investigation was conducted to document the outbreak in April 2003. METHODS: A descriptive analysis and a case-control study were performed. A probable case patient was defined as a person detained in the center between October 2002 and April 2003 with at least two of the following symptoms: bilateral leg edema, dyspnea, positive squat test, motor deficiencies, and paresthesia. A definite case patient was defined as a probable case patient who showed clinical improvement under thiamin treatment. RESULTS: Of 712 cases reported, 115 (16%) were probable and 597 (84%) were definite. The overall attack rate was 14.1%, and the case fatality rate was 1.0% (7/712). The highest attack rate was reported in the building housing prisoners with long-term sentences (16.9%). All patients were male, and the mean age was 28 years. During the period studied, the penal ration provided a fifth of the quantity of thiamin recommended by international standards. After adjustment for potential confounders, a history of cholera infection (adjusted odds ratio [OR(a)], 12.9; 95% confidence interval [CI], 2.9 to 54.1) and incarceration in the building for severe penalties (OR(a), 4.8; 95% CI, 1.3 to 18.5) were associated with the disease. CONCLUSIONS: Beriberi has been underreported among prisoners. Further attention should be given to its risk factors, especially a history of acute diarrhea. Systematic food supplementation with vitamins and micronutrients should be discussed when the penal ration does not provide the necessary nutrient intake recommended according to international standards.
Affiliation:
Epicentre, 42 boulevard Richard Lenoir, Paris 75011, France. lahoua@epicentre.msf.org
Issue Date:
Sep-2007
URI:
http://hdl.handle.net/10144/23756
PubMed ID:
17974361
Language:
en
ISSN:
0379-5721
Appears in Collections:
Other Diseases

Full metadata record

DC FieldValue Language
dc.contributor.authorAhoua, L-
dc.contributor.authorEtienne, W-
dc.contributor.authorFermon, F-
dc.contributor.authorGodain, G-
dc.contributor.authorBrown, V-
dc.contributor.authorKadjo, K-
dc.contributor.authorBouaffou, K-
dc.contributor.authorLegros, D-
dc.contributor.authorGuerin, P J-
dc.date.accessioned2008-04-18T12:07:17Z-
dc.date.available2008-04-18T12:07:17Z-
dc.date.issued2007-09-
dc.identifier.citationOutbreak of Beriberi in a Prison in Côte d'Ivoire. 2007, 28 (3):283-90notFood Nutr Bullen
dc.identifier.issn0379-5721-
dc.identifier.pmid17974361-
dc.identifier.urihttp://hdl.handle.net/10144/23756-
dc.description.abstractBACKGROUND: A beriberi outbreak occurred in the Maison d'Arrêt et de Correction d'Abidjan (MACA), a detention center in Abidjan, Côte d'Ivoire, between October 2002 and April 2003. OBJECTIVE: A retrospective investigation was conducted to document the outbreak in April 2003. METHODS: A descriptive analysis and a case-control study were performed. A probable case patient was defined as a person detained in the center between October 2002 and April 2003 with at least two of the following symptoms: bilateral leg edema, dyspnea, positive squat test, motor deficiencies, and paresthesia. A definite case patient was defined as a probable case patient who showed clinical improvement under thiamin treatment. RESULTS: Of 712 cases reported, 115 (16%) were probable and 597 (84%) were definite. The overall attack rate was 14.1%, and the case fatality rate was 1.0% (7/712). The highest attack rate was reported in the building housing prisoners with long-term sentences (16.9%). All patients were male, and the mean age was 28 years. During the period studied, the penal ration provided a fifth of the quantity of thiamin recommended by international standards. After adjustment for potential confounders, a history of cholera infection (adjusted odds ratio [OR(a)], 12.9; 95% confidence interval [CI], 2.9 to 54.1) and incarceration in the building for severe penalties (OR(a), 4.8; 95% CI, 1.3 to 18.5) were associated with the disease. CONCLUSIONS: Beriberi has been underreported among prisoners. Further attention should be given to its risk factors, especially a history of acute diarrhea. Systematic food supplementation with vitamins and micronutrients should be discussed when the penal ration does not provide the necessary nutrient intake recommended according to international standards.en
dc.language.isoenen
dc.rightsArchived with thanks to Food and Nutrition Bulletinen
dc.subject.meshAdulten
dc.subject.meshBeriberien
dc.subject.meshCase-Control Studiesen
dc.subject.meshCholeraen
dc.subject.meshComorbidityen
dc.subject.meshConfidence Intervalsen
dc.subject.meshCote d'Ivoireen
dc.subject.meshDieten
dc.subject.meshDisease Outbreaksen
dc.subject.meshHumansen
dc.subject.meshInstitutionalizationen
dc.subject.meshMaleen
dc.subject.meshOdds Ratioen
dc.subject.meshPrisonersen
dc.subject.meshRetrospective Studiesen
dc.subject.meshSurvival Analysisen
dc.subject.meshThiamineen
dc.subject.meshTreatment Outcomeen
dc.titleOutbreak of Beriberi in a Prison in Côte d'Ivoire.en
dc.contributor.departmentEpicentre, 42 boulevard Richard Lenoir, Paris 75011, France. lahoua@epicentre.msf.orgen
dc.identifier.journalFood and Nutrition Bulletinen

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