Considerations for Oral Cholera Vaccine Use during Outbreak after Earthquake in Haiti, 2010–2011

摘要

To the Editor: We wish to thank Date et al. for their clear discussion of the arguments against the use of oral cholera vaccines (OCVs) in Haiti in 2010–11 (1). The epidemic curve in their article suggests that the control activities had an effect on mortality rates, resulting in a decrease in case-fatality rates to <1%. This fi nding is a remarkable success not achieved during the recent cholera outbreak in Zimbabwe that affected 98,531 persons, of whom 4,282 (4.3%) died (2). However, the article does not discuss the lack of effect of the control measures in Haiti on the spread of the epidemic. Considering the failure of containment, it would have been interesting to read how the authors judge the recommendation not to vaccinate, with the benefi t of hindsight