Two epidemiological studies, designed to expand our knowledge of morbidity and
mortality indicators concerning malaria and Bacillus Calmette-Guerin vaccination in the
Hospital Albert Schweitzer health district located in Central Haiti's Artibonite Valley, are
presented. The hospital serves a rural population of 190,000 in its 610 square mile
district. A large proportion of the rural population still relies on traditional healers in
times of illness. Consequently, accurate morbidity and mortality data from individuals and
communities in the district are scarce.
The first study investigated an outbreak of axillary lymphadenitis and abscesses
after Bacillus Calmette-Guerin vaccination among rural Haitian children treated at
Hospital Albert Schweitzer from January 1986 through March 1991. Seventy-seven cases
of vaccine-related complications were identified, all among children immunized before the
age of 1 year. The proportions of children with complications were 0.017% for 1986
through 1989, 0.91% for 1990, and 2.2% for January through March 1991. The probable
explanation for the increase is a change in the BCG strain or in the reactogenicity of the
Pasteur strain. / Graduation date: 1994
| Identifer | oai:union.ndltd.org:ORGSU/oai:ir.library.oregonstate.edu:1957/35506 |
| Date | 06 May 1994 |
| Creators | Bonnlander, Heinke P. |
| Contributors | Rossignol, Annette MacKay |
| Source Sets | Oregon State University |
| Language | en_US |
| Detected Language | English |
| Type | Thesis/Dissertation |
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