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A 30-year-old member asked:

What makes cholera such a difficult disease to manage in disaster areas?

3 doctor answers6 doctors weighed in
Dr. Larry Lutwick
Infectious Disease 49 years experience
No infrastructure : The lack of a public health infrastructure is behind such outbreaks...The absence of safe, clean drinking water spreads the infection...And the absence of available health care to keep patients hydrated (death is from fluid loss)...And no sewage system to keep the pathogen out of the water.
Dr. James Ferguson
Pediatrics 46 years experience
Fluid needs: Cholera produces a secretory diarrhea. In this form of diarrhea, you not only have the squirts, the disease makes the bowel wall secrete or push out additional cell water from the body.Treatment tries to keep up with this extra fluid loss, but when IV therapy is not available the patient can dry out faster than they can take in fluids and electrolytes they are loosing.
Dr. Elton Behner
Dentistry 37 years experience
Unsanitary condition: and contaminated drinking water combined with the healthcare system being overwhelmed trying to care for so many in need.

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Last updated Feb 5, 2018

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