Edgar Cambaza

By Edgar Manuel Cambaza, Edson Mongo, Elda Anapakala, Robina Nhambire, Jacinto Singo and Edsone Machava

Cholera is endemic in Mozambique and, together with other diarrheic diseases, is a major cause of infant death. There are yearly outbreaks in the northern provinces. The last major review of cholera in the country was published in 2013, but there have been major events since then, such as the 2015 outbreak in central and northern Mozambique and others in the following years. Plenty of related information were shared during the XVI National Health Journeys, 17–20 September 2018, in Maputo City. This chapter aims to summarize and discuss the most relevant information on cholera from the journeys, and other recent publications, in order to update the information from the latest major review. Regarding etiology, new strains of V. cholerae irradiating from several areas have been replacing the original from the Indian subcontinent. Water and sanitation are major challenges but, in some instances, sociocultural features play a significant role in people’s reluctance to use untreated water, even when they have access to potable sources, and mistrust toward government interventions. Vaccination campaigns seemed effective but there is a need to promote more adherence and collaboration from people at risk, perhaps by involving more the local government and religious and traditional authorities.

Part of the book: Healthcare Access

By Edson Mongo, Edgar Cambaza, Robina Nhambire, Jacinto Singo and Edsone Machava

Idai was a strong tropical cyclone in Central Mozambique, causing over 1000 deaths, destroying schools, hospitals, roads, and more than 239,731 houses, displacing thousands of people to 136 accommodation sites, and leaving people in need for assistance. The resulting precarious hygienic conditions caused outbreaks of diseases such as malaria and cholera. This communication summarizes the onset of cholera outbreak in Sofala province and its response. It was declared on 27 March, and the number of cases raised up to 6766 and 8 confirmed deaths, with the highest incidence in the city of Beira. The government and partners made integrated efforts to control the disease, establishing treatment centers and units and improving sanitation and hygiene and surveillance. Furthermore, 800,000 people were immunized, and the results seemed satisfactory considering the response. Although cyclones are rare, Mozambique has a very limited capacity to handle their impact, and this urges the country to keep a contingency fund for future disasters.

Part of the book: Evaluation of Health Services

By Edgar Cambaza, Alberto Sineque, Edson Mongo, Aline Gatambire, Edirsse Mateonane and Raquel Chissumba

Aflatoxins gained increased recognition in Mozambique due to their negative impact on health, food security, and trade. Most contamination occurs in peanuts, maize, and their products. Nevertheless, there is little awareness, probably because the press and mass media do not disseminate enough information. This study analyzed the quantity and quality of information on aflatoxins in Mozambique’s leading online newspapers between 2009 and 2018. After analyzing articles using Atlas.ti, the information was synthesized and compared to scholarly sources. Mozambique requires more press and media coverage of aflatoxin research and development activities. Awareness campaigns should be reinforced, distribute information to multiple organizations, and use multiple means, including online mainstream press, spreading information to reach a broad range of people, given the diversity of cultures and villages’ remoteness. Organizations providing information, including universities, need to translate the highly technical information published in scientific journals to help reporters understand the research’s implications. Furthermore, there is a need to identify groups that do not receive messages from current campaigns and appropriate methods for reaching those populations.

Part of the book: Aflatoxins