{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T07:53:47Z","timestamp":1784966027474,"version":"3.55.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2007,9,1]],"date-time":"2007-09-01T00:00:00Z","timestamp":1188604800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Food Nutr Bull"],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A beriberi outbreak occurred in the Maison d'Arr\u00eat et de Correction d'Abidjan (MACA), a detention center in Abidjan, C\u00f4te d'Ivoire, between October 2002 and April 2003.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>A retrospective investigation was conducted to document the outbreak in April 2003.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive analysis and a case\u2013control study were performed. A probable case patient was defined as a person detained in the center between October 2002 and April 2003 with at least two of the following symptoms: bilateral leg edema, dyspnea, positive squat test, motor deficiencies, and paresthesia. A definite case patient was defined as a probable case patient who showed clinical improvement under thiamin treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 712 cases reported, 115 (16%) were probable and 597 (84%) were definite. The overall attack rate was 14.1%, and the case fatality rate was 1.0% (7\/712). The highest attack rate was reported in the building housing prisoners with long-term sentences (16.9%). All patients were male, and the mean age was 28 years. During the period studied, the penal ration provided a fifth of the quantity of thiamin recommended by international standards. After adjustment for potential confounders, a history of cholera infection (adjusted odds ratio [OR\n                      <jats:sub>a<\/jats:sub>\n                      ], 12.9; 95% confidence interval [CI], 2.9 to 54.1) and incarceration in the building for severe penalties (OR\n                      <jats:sub>a<\/jats:sub>\n                      , 4.8; 95% CI, 1.3 to 18.5) were associated with the disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Beriberi has been underreported among prisoners. Further attention should be given to its risk factors, especially a history of acute diarrhea. Systematic food supplementation with vitamins and micronutrients should be discussed when the penal ration does not provide the necessary nutrient intake recommended according to international standards.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/156482650702800304","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T16:04:55Z","timestamp":1448467495000},"page":"283-290","source":"Crossref","is-referenced-by-count":37,"title":["Outbreak of Beriberi in a Prison in C\u00f4te D'Ivoire"],"prefix":"10.1177","volume":"28","author":[{"given":"Laurence","family":"Ahoua","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Etienne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Fermon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graziella","family":"Godain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kassy","family":"Kadjo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kouam\u00e9","family":"Bouaffou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique","family":"Legros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe Jean","family":"Guerin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2007,9,1]]},"reference":[{"key":"bibr1-156482650702800304","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-200405000-00020"},{"key":"bibr2-156482650702800304","doi-asserted-by":"publisher","DOI":"10.1097\/00002826-198509000-00010"},{"key":"bibr3-156482650702800304","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-11-200412070-00035"},{"key":"bibr4-156482650702800304","first-page":"65","volume":"36","author":"Pellizzari A","year":"1988","journal-title":"Cah Anesthesiol"},{"key":"bibr5-156482650702800304","doi-asserted-by":"publisher","DOI":"10.1381\/0960892054222759"},{"key":"bibr6-156482650702800304","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2005.04.001"},{"key":"bibr7-156482650702800304","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2004.04.051"},{"key":"bibr8-156482650702800304","doi-asserted-by":"publisher","DOI":"10.1093\/phr\/118.1.59"},{"key":"bibr9-156482650702800304","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1980.03300360034021"},{"key":"bibr10-156482650702800304","doi-asserted-by":"publisher","DOI":"10.1177\/004947550203200419"},{"key":"bibr11-156482650702800304","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(03)90134-9"},{"key":"bibr12-156482650702800304","unstructured":"Bouchet-Saulnier F. 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