Open Access Journal Indian Journal of Medical Research and Pharmaceutical Sciences October 2016; 3(10) ISSN: ISSN: 2349-5340 DOI: 10.5281/zenodo.161533 Impact Factor: 3.052 © Indian Journal of Medical Research and Pharmaceutical Sciences http://www.ijmprs.com/ [21] EPIDEMIOLOGICAL ASPECTS OF CHOLERA IN CÔTE D’IVOIRE FROM 2002 to 2013 Lallié Hermane Désiré 1 , Dago Dougba Noel 1* , Moroh Aboya Jean Luc 1 , S.N. Dagnan 2 , D. Cherif 2 , Kouamé Jean-Pierre 2 and Coulibaly Daouda 2 1 Unité de Formation et de Recherche (UFR) des Sciences Biologiques Université Peleforo Gon Coulibaly BP 1328 Korhogo, Côte d’Ivoire. 2 Institut National d’Hygiène Publique de Côte d’Ivoire, B.P. V14 Abidjan, Côte d’Ivoire. Abstract Keywords: Cholera, Epidemic, Epidemiology, Côte d'Ivoire. Background: Our study aimed to identify the main epidemiological characteristics of cholera in Côte d'Ivoire. Methods: It consisted of a descriptive retrospective analysis of all reported suspected and confirmed cases of cholera at the National Institute of Public Hygiene of Côte d'Ivoire from 2002 to 2013. Results: During this period, 8028 suspect case of cholera were recorded and 101 cases had been confirmed out of 462 cases sampled. The most affected regions with 44.1% and 25.3% respectively were “Lagunes 1” and “Lagunes 2”, Southern of Côte d'Ivoire. The adults (as from 15 years old) with nearly 80% of cases where mostly affected category. Notifications on sex and clinical symptoms were not available. Out of 8 028 notified cases, 297 deaths were deplored (case fatality rate 3.7%). Conclusion: Our study showed that cholera is a real public health problem in tropical sub-Saharan Africa area particularly in Côte d'Ivoire. Then, efficient and effective fight against this disease in above mentioned area were required applying better prevention approach as well as improving population living conditions. Introduction Cholera is an acute bacterial infection of the intestines, leading in its most serious form to a non-aching diarrhoea and to vomiting causing quickly a serious dehydration which can lead to death [1]. The pathogenic agent of this sickness is of type Gram-negative, belonging to the family of Vibrionaceae and to Cholerae kind, having many serotypes (more than155) in which only two ( Vibrio cholerae O1 Classique and El Tor and Vibrio cholerae O139), producing the cholera victim toxin are responsible of epidemics[2]. Reporting word public health problematic situation to the 6 firsts pandemics, it is noteworthy to underline that cholera occupied a relevant place in particular in Africa were more than 90% of cholera cases were identified [2; 3]. Moreover, in 2007, the World Health Organization (WHO) recorded 177963 cholera cases in the world for 4031 deaths. During the same period in Africa, it has recorded 166 583 cases be it around 94% of cases for a total of 3994 deaths be it more than 99% of deaths in the world[1]. Indeed, the first cases of cholera were pointed out in Côte d’Ivoire a Western Africa country during the 7th pandemic in 1970 and 1971 with respectively 868 and 668 cases [4]. Since then the cholera stayed endemic with some epidemic explosions notably from 1990, certainly extended by the socio-politics and economics crisis the country faced. However, the epidemic of 2001 was the most virulent with 5912 recorded cases and 305 deaths (fatality rate of 5.2%) [1; 2]. Côte d’Ivoire (West Africa country) got its independence in 1960 and known a relative period of stability until the end of eighties. At the beginning of nineties Côte d’Ivoire experienced it first economic difficulties. That was because of its debt and the fall in the cost of the farm products. This crisis has direct consequences the devaluation of the Franc CFA and the creation of a structural adjustment program limiting then any investment in the field of health. That situation combined with the occurrence of many socio-political crisis