Impact of COVID-19 on Cholera Outbreaks in Kenya: A Study of Mavoko Sub-County, 2019-2023

Anne Mwende Ndolo and Keumji Jung
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Anne Mwende Ndolo: Department of Global Health and Disease Control, Division of Infectious Disease Control, Yonsei University, Seoul, South Korea
Keumji Jung: Department of Global Health and Disease Control, Division of Infectious Disease Control, Yonsei University, Seoul, South Korea

International Journal of Research and Innovation in Social Science, 2024, vol. 8, issue 11, 2094-2108

Abstract: Background: The global impact of COVID-19 on healthcare affected cholera prevention in Africa. Despite being an endemic area, Mavoko, Kenya, experienced a surprising decrease in cholera cases during the pandemic. This study analyzes the dynamics of cholera outbreaks in Mavoko before, during, and after COVID-19, aiming to refine public health strategies for cholera prevention, with broader implications for future pandemics. Method: This study retrospectively analyzed cholera in Mavoko Sub-County during pre-COVID-19 (2019), COVID-19 (2020-2021), and post-COVID-19 (2022-2023). Participants seeking cholera-related medical care were included. Data from Mavoko’s Disease Surveillance and Response Unit, supplemented by 2019 Kenya Census data, were analyzed using descriptive statistics, chi-square, and logistic regression to explore cholera’s association with factors like sanitation, water access, wealth, urban/rural settings, and handwashing facilities. Results: The study of 1,786 individuals revealed gender and age correlations, urban-rural variations, and wealth disparities. Mortality rates were higher in men, while cholera cases were evenly distributed between genders. Cholera prevalence was high pre- and post-COVID-19, lower during COVID-19. Insanitary sanitation significantly increased cholera risk (AOR=1.28, p=0.047), water source type showed potential association but not significance (AOR=1.43, p=0.064). Pre- and post-COVID-19 periods had higher cholera risks than during COVID-19 (AOR=3.38, p 0.05). For cholera severity, poor sanitation (AOR=4.56, p

Date: 2024
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