Oral cholera vaccination in hard-to-reach communities, Lake Chilwa, Malawi.

Conclusion: Vaccination coverage on the shores of Lake Chilwa was moderately high and the innovative distribution strategies tailored to people living on the lake provided adequate coverage, even among hard-to-reach communities. Community engagement and simplified delivery procedures were critical for success. Off-label, out-of-cold-chain administration of oral cholera vaccine should be considered as an effective strategy for achieving high coverage in hard-to-reach communities. Nevertheless, coverage and effectiveness must be monitored over the short and long term.
PMID: 30505029 [PubMed - in process]

Source: Bulletin of the World Health Organization - December 1, 2018 Category: International Medicine & Public Health Authors: Grandesso F, Rafael F, Chipeta S, Alley I, Saussier C, Nogareda F, Burns M, Lechevalier P, Page AL, Salumu L, Pezzoli L, Mwesawina M, Cavailler P, Mengel M, Luquero FJ, Cohuet S Tags: Bull World Health Organ Source Type: research