In 2013, a stockpile of oral cholera vaccine (OCV) was created for use in outbreak response, but vaccine availability remains severely limited. Innovative strategies are needed to maximize the health impact and minimize the logistical barriers to using available vaccine. Here we ask under what conditions the use of one dose rather than the internationally licensed two-dose protocol may do both.

Original Source

A new data set of landslides that caused loss of life in Latin America and the Caribbean in the 10-year period from 2004 and 2013 inclusive has been compiled, providing new insight into the impact of landslides in this key part of the world. This data set indicates that in the 10-year period a total of 11 631 people lost their lives across the region in 611 landslides. The geographical distribution of the landslides is highly heterogeneous, with areas of high incidence in parts of the Caribbean (most notably Haiti), Central America, Colombia, and southeast Brazil.

Malaria remains endemic in 21 countries of the American continent with an estimated 427,000 cases per year. Approximately 10% of these occur in the Mesoamerican and Caribbean regions. During the last decade, malaria transmission in Mesoamerica showed a decrease of ~85%; whereas, in the Caribbean region, Hispaniola (comprising the Dominican Republic [DR] and Haiti) presented an overall rise in malaria transmission, primarily due to a steady increase in Haiti, while DR experienced a significant transmission decrease in this period.