In Cameroon, CDC helped global partners distribute an oral cholera vaccine (OCV) during Ramadan, when no one takes anything by mouth between sunrise and sunset. The OCV teams adopted a strategy used by prior polio vaccine campaigns in which community health workers coordinated with Muslim leaders and communities to provide OCV during early morning or evening, and it worked. More than 278,000 doses were given over a 5-week period. Several months later, using cholera as an epidemic-prone disease example, Cameroon conducted a high-stakes test of its new Emergency Operations Center during a mock outbreak exercise.
In addition, CDC worked in over a dozen African countries to prevent deaths from cryptococcal meningitis by implementing early screening and preventive treatment. Their work has helped South Africa implement testing nationwide. They continue to work with other countries to overcome hurdles in access to cryptococcal antigen tests, fluconazole availability, and laboratory and clinician training.