Outbreak of beriberi in a prison in Côte d'Ivoire.

Outbreak of beriberi in a prison in Côte d'Ivoire. Research Abstract Details 

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Outbreak of beriberi in a prison in Côte d'Ivoire. Abstract Text:

Laurence Ahoua,William Etienne,Florence Fermon,Graziella Godain,Vincent Brown,Kassy Kadjo, Bouaffou,Dominique Legros,Philippe Jean Guerin,Laurence Ahoua,William Etienne,Florence Fermon,Graziella Godain,Vincent Brown,Kassy Kadjo, Bouaffou,Dominique Legros,Philippe Jean Guerin,

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.

Outbreak of beriberi in a prison in Côte d'Ivoire. Publishing Authors By Initials

L Ahoua,W Etienne,F Fermon,G Godain,V Brown,K Kadjo,K Bouaffou,D Legros,PJ Guerin,L Ahoua,W Etienne,F Fermon,G Godain,V Brown,K Kadjo,K Bouaffou,D Legros,PJ Guerin,

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Outbreak of beriberi in a prison in Côte d'Ivoire. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Food and nutrition bulletin

VOLUME: 28

Page Numbers: 283-90

Journal Abbreviation:

ISSN: 0379-5721

DAY: 2

MONTH: Sep

YEAR: 2007

Outbreak of beriberi in a prison in Côte d'Ivoire. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Outbreak of beriberi in a prison in Côte d'Ivoire.

AFFILIATION: Epicentre, 42 boulevard Richard Lenoir, Paris 75011, France. lahoua@epicentre.msf.org

Country: Japan

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MEDLINETA: Food Nutr Bull

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