• Am. J. Trop. Med. Hyg. · Feb 2014

    Multicenter Study

    Hospitalizations and deaths caused by diarrhea in children five years old and younger at four hospitals in Haiti, 2010-2012.

    • Kiersten S Derby, Mentor Ali Ber Lucien, Eyal Leshem, Maria W Steenland, Stanley Juin, Gerard A Joseph, and Mark A Katz.
    • US Centers for Disease Control and Prevention - Haiti, Port-au-Prince, Haiti; Laboratoire National de Sante Publique (National Public Health Laboratory), Port-au-Prince, Haiti; US Centers for Disease Control and Prevention, Atlanta, Georgia.
    • Am. J. Trop. Med. Hyg. 2014 Feb 1;90(2):291-3.

    AbstractWorldwide, diarrhea is a major contributor to morbidity and mortality in children; however, there are few data on the burden of diarrheal disease in Haiti. We conducted a retrospective review of hospital discharge registries from 2010 to 2012 in the pediatric wards of four Haitian hospitals and recorded the number of all-cause hospitalizations and deaths as well as diarrheal hospitalizations and deaths by age (≤ 2 and 3-5 years) and epidemiological week. Diarrhea was associated with 3,582 (33.7%) of 10,621 hospitalizations and 62 (11.5%) of 540 in-hospital deaths in children ≤ 5 years old. Of these children, 88.5% and 96.8%, respectively, were among children ≤ 2 years old. The highest proportions of diarrhea-associated hospitalizations occurred from January to April. At four Haitian hospitals over a 3-year period, during which time a major epidemic of cholera occurred, diarrheal disease in children ≤ 5 years was a major contributor to pediatric hospitalizations and mortality.

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