Treatment success for patients with tuberculosis receiving care in areas severely affected by Hurricane Matthew – Haiti, 2016

On October 4, 2016, Hurricane Matthew struck southwest Haiti as a category 4 storm. The goal of this study was to evaluate the impact of the hurricane on tuberculosis (TB) services and patient outcomes in the three severely affected departments-Sud, Grand'Anse, and Nippes-of southwest Haiti. We...

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Vydáno v:PloS one Ročník 16; číslo 3; s. e0247750
Hlavní autoři: Charles, Macarthur, Richard, Milo, Reichler, Mary R., Koama, Jean Baptiste, Morose, Willy, Fitter, David L.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Public Library of Science 17.03.2021
Public Library of Science (PLoS)
Témata:
Acquired immune deficiency syndrome
AIDS
Antiretroviral drugs
Biology and Life Sciences
Clinical outcomes
Demographics
Demography
Disease control
Disease prevention
Drug resistance
Drug therapy
Earth Sciences
Editing
Electronic surveillance
Health care facilities
Health facilities
Hepatitis
HIV
Human immunodeficiency virus
Hurricanes
Immunization
Medical diagnosis
Medical treatment
Medicine and Health Sciences
Municipalities
Patient outcomes
Patients
People and places
Physiological aspects
Population
Prevention
Program evaluation
Public health
Regression analysis
Sputum
Subdivisions
Success
Tropical diseases
Tuberculosis
Viruses
Haiti
Atlanta Georgia
Georgia
United States > US
Port Au Prince Haiti
ISSN:1932-6203, 1932-6203
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Shrnutí:On October 4, 2016, Hurricane Matthew struck southwest Haiti as a category 4 storm. The goal of this study was to evaluate the impact of the hurricane on tuberculosis (TB) services and patient outcomes in the three severely affected departments-Sud, Grand'Anse, and Nippes-of southwest Haiti. We developed a standard questionnaire to assess a convenience sample of health facilities in the affected areas, a patient tracking form, and a line list for tracking all patients with drug-susceptible TB registered in care six months before the hurricane. We analyzed data from the national TB electronic surveillance system to determine outcomes for all patients receiving anti-TB treatment in the affected areas. We used logistic regression analysis to determine factors associated with treatment success. Of the 66 health facilities in the three affected departments, we assessed 31, accounting for 536 (45.7%) of 1,174 TB patients registered in care when Hurricane Matthew made landfall in Haiti. Three (9.7%) health facilities sustained moderate to severe damage, whereas 18 (58.1%) were closed for <1 week, and five (16.1%) for ≥1 week. Four weeks after the hurricane, 398 (73.1%) of the 536 patients in the assessed facilities were located. Treatment success in the affected departments one year after the hurricane was 81.4%. Receiving care outside the municipality of residence (adjusted odds ratio [aOR]: 0.46, 95% confidence interval [CI]: 0.27-0.80) and HIV positivity (aOR: 0.31, 95% CI: 0.19-0.51) or unknown HIV status (aOR: 0.49, 95% CI: 0.33-0.74) were associated with significantly lower rates of treatment success. Despite major challenges, a high percentage of patients receiving anti-TB treatment before the hurricane were located and successfully treated in southwest Haiti. The lessons learned and results presented here may help inform policies and guidelines in similar settings for effective TB control after a natural disaster.
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Competing Interests: The authors have declared that no competing interests exist.
Current Address: Immunization Systems Branch, Global Immunization Division, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
Current Address: Global Tuberculosis Branch, Division of Global HIV and Tuberculosis, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0247750