{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T22:29:59Z","timestamp":1788474599290,"version":"build-2803163510"},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T00:00:00Z","timestamp":1566172800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>On August 14, 2017, a 6-kilometer mudslide occurred in Regent Area, Western Area District of Sierra Leone following a torrential downpour that lasted 3 days. More than 300 houses along River Juba were submerged; 1141 people were reported dead or missing and 5905 displaced. In response to the mudslide, the World Health Organization (WHO) Country Office in Sierra Leone moved swiftly to verify the emergency and constitute an incident management team to coordinate the response. Early contact was made with the Ministry of Health and Sanitation and health sector partners. A Public Health Emergency Operations Center was set up to coordinate the response. Joint assessments, planning, and response among health sector partners ensured effectiveness and efficiency. Oral cholera vaccination was administered to high-risk populations to prevent a cholera outbreak. Surveillance for 4 waterborne diseases was enhanced through daily reporting from 9 health facilities serving the affected population. Performance standards from the WHO Emergency Response Framework were used to monitor the emergency response. An assessment of the country\u2019s performance showed that the country\u2019s response was well executed. To improve future response, we recommend enhanced district level preparedness, update of disaster response protocols, and pre-disaster mapping of health sector partners.<\/jats:p>","DOI":"10.1017\/dmp.2019.53","type":"journal-article","created":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T08:20:28Z","timestamp":1566202828000},"page":"256-264","source":"Crossref","is-referenced-by-count":17,"title":["A Public Health Response to a Mudslide in Freetown, Sierra Leone, 2017: Lessons Learnt"],"prefix":"10.1017","volume":"14","author":[{"given":"Robert","family":"Musoke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Chimbaru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amara","family":"Jambai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Njuguna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Kayita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Bunn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anderson","family":"Latt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Yao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zabulon","family":"Yoti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Yahaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Githuku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Immaculate","family":"Nabukenya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Maina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley","family":"Ifeanyi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahima Soc\u00e9","family":"Fall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,8,19]]},"reference":[{"key":"S1935789319000533_ref21","unstructured":"21. World Health Organization. Cholera vaccines: WHO position paper. http:\/\/apps.who.int\/iris\/bitstream\/10665\/258763\/1\/WER9234.pdf?ua=1. Published 2017. Accessed December 7, 2017."},{"key":"S1935789319000533_ref19","doi-asserted-by":"crossref","first-page":"1908","DOI":"10.1016\/S0140-6736(17)33050-7","article-title":"Mapping the burden of cholera in sub-Saharan Africa and implications for control: an analysis of data across geographical scales","volume":"391","author":"Lessler","year":"2018","journal-title":"Lancet"},{"key":"S1935789319000533_ref10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3201\/eid1301.060779","article-title":"Epidemics after natural disasters","volume":"13","author":"Watson","year":"2007","journal-title":"Emerg Infect Dis"},{"key":"S1935789319000533_ref8","unstructured":"8. Government of Sierra Leone. The Statistical Digest 2007-2013 Edition. OPen Data Sierra Leone. http:\/\/opendatasl.gov.sl\/dataset?query=statistical+digest&sort. 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Gorchev, HG , Ozolins, G. WHO guidelines for drinking-water quality. World Health Organization. doi: 10.1016\/S1462-0758(00)00006-6","DOI":"10.1016\/S1462-0758(00)00006-6"},{"key":"S1935789319000533_ref11","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1586\/eri.11.155","article-title":"Infectious diseases following natural disasters: prevention and control measures","volume":"10","author":"Kouadio","year":"2012","journal-title":"Expert Rev Anti Infect Ther"},{"key":"S1935789319000533_ref16","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.5.537"},{"key":"S1935789319000533_ref12","first-page":"147","article-title":"Natural disasters, armed conflict, and public health","volume":"26","author":"Leaning","year":"2013","journal-title":"N Engl J Med"},{"key":"S1935789319000533_ref2","doi-asserted-by":"publisher","DOI":"10.1186\/1476-069X-10-38"},{"key":"S1935789319000533_ref3","unstructured":"3. Japan International Cooperation Agency. 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World Health Organization. http:\/\/apps.who.int\/iris\/bitstream\/10665\/258888\/1\/OEW35-268192017.pdf?ua=1. Published 2017. 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