{"id":4347,"date":"2025-06-18T18:07:33","date_gmt":"2025-06-18T18:07:33","guid":{"rendered":"https:\/\/ijssass.com\/journal\/facteurs-explicatifs-de-la-persistance-du-cholera-dans-la-ville-de-goma\/"},"modified":"2025-06-18T20:01:19","modified_gmt":"2025-06-18T20:01:19","slug":"facteurs-explicatifs-de-la-persistance-du-cholera-dans-la-ville-de-goma","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/facteurs-explicatifs-de-la-persistance-du-cholera-dans-la-ville-de-goma\/","title":{"rendered":"FACTEURS EXPLICATIFS DE LA PERSISTANCE DU CHOLERA DANS LA VILLE DE GOMA"},"content":{"rendered":"<p>This article was originally published as: <strong>FACTEURS EXPLICATIFS DE LA PERSISTANCE DU CHOLERA DANS LA VILLE DE GOMA<\/strong><\/p>\n<p>Original Article Link: <a href='https:\/\/ijssass.com\/index.php\/ijssass\/article\/view\/169' target='_blank' rel='noopener'>Read Original Article<\/a><\/p>\n<p>Download PDF: <a href='https:\/\/ijssass.com\/index.php\/ijssass\/article\/view\/169\/266' target='_blank' rel='noopener'>Click Here to Download PDF<\/a><\/p>\n<h2>Abstract<\/h2>\n<p>Le chol\u00e9ra est une toxi-infection intestinale grave, contagieuse, caus\u00e9e par l\u2019enterotoxine de V. cholerae des s\u00e9rogroupes O1 et O139 associ\u00e9es \u00e0 des \u00e9pid\u00e9mies majeures .C\u2019est une urgence de sant\u00e9 publique. L\u2019objectif g\u00e9n\u00e9ral de cette \u00e9tude \u00e9tait de \u00a0d\u00e9terminer les facteurs explicatifs de la persistance de l\u2019\u00e9pid\u00e9mie de chol\u00e9ra dans la ville de Goma.<\/p>\n<p>MATERIEL ET METHODE\u00a0:Une \u00e9tude cas-t\u00e9moins \u00a0a \u00e9t\u00e9 r\u00e9alis\u00e9 \u00a0dans \u00a02 zones de sant\u00e9 de la ville de Goma (Goma et \u00a0Karisimbi). L\u2019\u00e9chantillon a \u00e9t\u00e9 tir\u00e9 de la liste lin\u00e9aire de l\u2019\u00e9pid\u00e9mie de 2017 (124 cas appari\u00e9s aux 246 t\u00e9moins), tir\u00e9s au hasard au tour des m\u00e9nages des cas. Les variables ind\u00e9pendantes \u00e9taient introduites \u00a0dans le mod\u00e8le de r\u00e9gression logistique par le logiciel SPSS 23.0 pour identifier les facteurs significativement associ\u00e9s \u00e0 la persistance des \u00e9pid\u00e9mies de chol\u00e9ra dans la ville de Goma apr\u00e8s ajustement des variables ind\u00e9pendantes les unes sur les autres. \u00a0Il y a \u00a0eu calcul d\u2019 ORA\u00a0: IC \u00e0 95% \u00a0, le p au seuil de signification : de 5% de chaque variable ind\u00e9pendante retenue.<\/p>\n<p>RESULTATS\u00a0:Sur un total de 370 enqu\u00eat\u00e9s (124 cas et 246 t\u00e9moins), \u00a0le chol\u00e9ra a touch\u00e9 toutes les tranches d\u2019\u00e2ge dans les 2 communes enqu\u00eat\u00e9es de la ville de Goma. L\u2019\u00e2ge de moins de 5 ans \u00e9tait \u00a0plus touch\u00e9 avec \u00a028,8 % des cas, suivi de 5 -14 ans soit 21,6 % et de 15 \u2013 24 ans soit 17,6 % . La moyenne d\u2019\u00e2ge des cas et des t\u00e9moins \u00e9tait de 19,06 ans pour les cas et 19,45 ans pour les t\u00e9moins ,avec un \u00e9cart-type de 17,77 et 17,95.Le sexe masculin \u00a0\u00e9tait plus touch\u00e9 \u00a0avec 53,7% \u00a0que \u00a0le \u00a0sexe f\u00e9minin avec 46,3%.La persistance du chol\u00e9ra dans la ville de Goma est significativement associ\u00e9 au : \u00a0non traitement de l\u2019eau de boisson\u00a0:[OR=10,721, IC \u00e0 95%\u00a0: [8,14337,737] p=0,021]\u00a0; \u00e0 la pr\u00e9sence \u00a0des mouches dans les toilettes\u00a0: [OR=7,049 IC \u00e0 95%\u00a0: [2,08216,421] p=0,037\u00a0]; \u00e0 la source \u00a0d\u2019approvisionnement d\u2019eau de boisson non am\u00e9lior\u00e9e\u00a0: [OR\u00a0: 4,689, IC \u00e0 95%\u00a0: [1,57315,121]\u00a0; p\u00a0: 0,008], \u00e0 \u00a0la pr\u00e9sence des mati\u00e8res f\u00e9cales tout autour du trou des toilettes \u00a0[OR=2,864 IC \u00e0 95%\u00a0: [2,2747,182] p=0,011]; \u00e0 la consommation \u00a0des aliments vendus le long de la rue non couvert .[OR=2,233IC \u00e0 95%\u00a0: [1,4015,735] p=0,001].<\/p>\n<p>\u00a0CONCLUSION:\u00a0Les facteurs explicatifs de la persistance \u00a0de cholera \u00e0 Goma sont\u00a0: non traitement de l\u2019eau de boisson\u00a0,la pr\u00e9sence \u00a0des mouches dans les toilettes\u00a0, \u00a0la source \u00a0d\u2019approvisionnement d\u2019eau de boisson non am\u00e9lior\u00e9e\u00a0, \u00a0la pr\u00e9sence des mati\u00e8res f\u00e9cales tout autour du trou des toilettes \u00a0, la consommation \u00a0des aliments vendus le long de la rue non couvert .<\/p>\n<h2>Authors<\/h2>\n<ul>\n<li>KASHINDE MOSOMO TRESOIR (Ecole de Sant\u00e9 Publique, Universit\u00e9 de Goma, Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>KYOMBO MBELA GUILLAUME (Ecole de Sant\u00e9 Publique, Universit\u00e9 de Goma, Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>SENGA BAKANGWA RAPHAEL (Ecole de Sant\u00e9 Publique, Universit\u00e9 de Goma, Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>KALONJI MUKENDI THIERRY (Ecole de Sant\u00e9 Publique, Universit\u00e9 de Goma, Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>MPANGI BASHELEBO SYLVIE (Ecole de Sant\u00e9 Publique, Universit\u00e9 de Goma, Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>KABESHA THEOPHILE (Ecole de Sant\u00e9 Publique, Universit\u00e9 de Goma, Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>TSONGO KIBENDELWA ZACHARIE (Ecole de Sant\u00e9 Publique, Universit\u00e9 de Goma, Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>WEMBONYAMA S OKITOSHO (Ecole de Sant\u00e9 Publique, Universit\u00e9 de Goma, Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>MAKOSO NIMI BLAISE (D\u00e9partement de M\u00e9decine Interme, Universit\u00e9 Kasa vubu , Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<li>NKEMBI NZUZ (Ecole de Sant\u00e9 Publique , Universit\u00e9 de Kinshasa, Facult\u00e9 de M\u00e9dicine, R\u00e9publique D\u00e9mocratique du Congoo)<\/li>\n<\/ul>\n<h2>Keywords<\/h2>\n<p>Facteurs explicatifs, Cholera, Goma<\/p>\n<h2>References<\/h2>\n<ol>\n<li>OMS, Chol\u00e9ra 2019. Relev\u00e9 \u00e9pid\u00e9miologique hebdomadaire, 2019, 85(31) : 293-308, chol\u00e9ra 3,<\/li>\n<li>PEIFFER B. Le Chol\u00e9ra sur : www.liste-hygi\u00e8ne.org\/CHOLERA .html, 2018.<\/li>\n<li>NGAHA KWABIA L. Aspects \u00e9pid\u00e9miologiques du chol\u00e9ra au Mali : \u00e0 propos de 913 cas enregistr\u00e9s dans les r\u00e9gions de SEGOU, KOULIKORO et MOPTI du 14 Ao\u00fbt au 30 Novembre 2003. Th\u00e8se Med Bamako 2004 ; 63 : 67p.<\/li>\n<li>Organisation Mondiale de la Sant\u00e9 (OMS). Cholera \u2013 Aide-m\u00e9moire n\u00b0 107<\/li>\n<li>Gen\u00e8ve, Suisse, (2011),<\/li>\n<li>Weekly epidemiological record,WHO NO 37, 17 SEPTEMBER 2021 (https:\/\/www.gtfcc.org\/fr\/news\/declaration-du-comite-directeur-du- groupe-de-travail-mondial-sur-la-lutte-contre-le-cholera-gtfcc\/)<\/li>\n<li>Harris J.B. &#038; al. Cholera. Lancet, 2012, 379, 2466-2476<\/li>\n<li>OMS. Chol\u00e9ra, 2014. REH, 2015, 90, 517-544.<\/li>\n<li>OMS. Chol\u00e9ra, 2012. REH, 2013, 88, 321 -334.<\/li>\n<li>Didier Bompangue : Dynamique des \u00e9pid\u00e9mies de chol\u00e9ra dans la r\u00e9gion des grands lacs africains: cas de la R\u00e9publique D\u00e9mocratique du Congo. Ecologie, Environnement. Universit\u00e9 de Franche-Comt\u00e9, th\u00e8se 2009.<\/li>\n<li>Minist\u00e8re de la Sant\u00e9 Publique (RDC) Plan strat\u00e9gique de la lutte contre le chol\u00e9ra en 2013-2017.<\/li>\n<li>Organisation Mondiale de la Sant\u00e9 (OMS) Rapport annuel sur le chol\u00e9ra en RDC, 2015 ; r\u00e9v\u00e9l\u00e9 \u00e9pid\u00e9miologie hebdomadaire Mars 2016<\/li>\n<li>Maire de la ville de Goma : www.viamichelin.fr\/web\/Cartes-plans\/Carte_plan-Goma-_-Nord_Kivu-Republique_democratique_du Congo 2011<\/li>\n<li>Akpa Rapha\u00ebl Gbary, Roch Aristide Sossou, Jean-Paul Dossou, Virginie Mongbo, Achille Massougbodji:The determinants of the low case fatality rate of the cholera epidemic in the Littoral department of Benin in 2008.<\/li>\n<li>Rolars VE, at all, attitudes, and practices related to treatment and prevention of cholera, Haiti 2010.Emerging infectious diseases 2011.<\/li>\n<li>Minist\u00e8re de la Sant\u00e9 Publique Rapport annuel sur le chol\u00e9ra en Iraq ,2015 ; Plan national de lutte contre les \u00e9pid\u00e9mies : MSP ; 2012<\/li>\n<li>Doudou Tubaya : Facteurs de risque de chol\u00e9ra \u00e0 Lubumbashi cas de district sanitaire de Lubumbashi, \u00e9cole de sant\u00e9 publique de Lubumbashi.2007<\/li>\n<li>Faye A, Ndiaye Nm, Faye D, Tal-Dia A: Qualit\u00e9 de l\u2019eau et comportements hygi\u00e9niques des populations en milieu rural s\u00e9n\u00e9galais, Med Trop: revue du corps de sant\u00e9 colonial. 2011 ; 71(1): 45-48<\/li>\n<li>Cholera Epidemics, War and Disasters around Goma and Lake Kivu: An Eight-Year Survey, Didier Bompangue, Patrick Giraudoux, Martine Piarroux, Guy Mutombo, Rick Shamavu, Bertrand, Sudre, Annie Mutombo, Vital Mondonge, Renaud Piarroux2 2004<\/li>\n<li>Christian Senoumantin, YabiIboura\u00efma, AzonheThierry,Osseni Abdel-Aziz, :Analyse des d\u00e9terminants du chol\u00e9ra dans la ville de Djougou Au B\u00e9nin Legba 10.19044\/esj.2017.v13n18p171.<\/li>\n<li>Kone Coulibaly et ses collaborateurs : les facteurs de risque de chol\u00e9ra \u00e0 Harare city au Zimbabwe en 2008<\/li>\n<li>Cummings JM et ses collaborateurs : d\u00e9terminants de chol\u00e9ra dans les camps de r\u00e9fugi\u00e9s en Ouganda 2010.<\/li>\n<li>Taylor DL, Kahawita TM, Cairncross S, Ensink JHJ the Impact of Water, Sanitation and Hygiene Interventions to Control Cholera: A Systematic Review. PLoSONE<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>This article was originally published as: FACTEURS EXPLICATIFS DE LA PERSISTANCE DU CHOLERA DANS LA VILLE DE GOMA Original Article&#8230;<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124,249],"tags":[290,289,291],"class_list":["post-4347","post","type-post","status-publish","format-standard","hentry","category-articles","category-education","tag-cholera","tag-facteurs-explicatifs","tag-goma","wpcat-124-id","wpcat-249-id"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>FACTEURS EXPLICATIFS DE LA PERSISTANCE DU CHOLERA DANS LA VILLE DE GOMA - IJSSASS Repository<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ijssass.com\/journal\/facteurs-explicatifs-de-la-persistance-du-cholera-dans-la-ville-de-goma\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"FACTEURS EXPLICATIFS DE LA PERSISTANCE DU CHOLERA DANS LA VILLE DE GOMA - 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