Doctor insights on:
How Did Cholera Start
Cholera is a bacterial intestinal infection caused by vibrio cholerae. It causes severe painless diarrhea as much as 10-20 liters/day (4 gal). This will quickly lead to dehydration and death if fluid replacement not done. Causes > 100, 000 deaths/yr. Diarrhea described as rice water stool. Spread from feces to mouth. Poor ...Read more
Yes and no: Epidemic cholera would not likely occur in the usa or other developed nations because of the presence of adequate sewage systems and the availability of clean, safe water to drink ....But the non-epidemic strains pop up every so often usually linked to uncooked shellfish from the gulf of mexico. I took care of one last year. There are imported cases once in a while, some from the haiti outbreak. ...Read moreSee 1 more doctor answer
Rehydration: Most healthy people don't get into trouble from cholera - in fact most healthy people, due to their healthy stomach acidity, don't even get cholera. If you are unlucky enough to get it, the principle symptom is profuse, water, diarrhea, so rehydration is key. Using a "rehydration solution" (combination of (safe) water, sugar, salt, and pinch of baking soda) can be life saving! ...Read moreSee 1 more doctor answer
Dehydration: First, i would question the diagnosis - most healthy travelers do not get cholera due to their healthy stomach acidity defense. However, if you have choleral you can expect profuse, watery diarrhea. Treatment is aggressive hydration! using an electrolyte / rehydration salt solution can be lifesaving! ors (oral rehydration salt) packets can be purchased or made with (safe) water, sugar, & salt. ...Read moreSee 1 more doctor answer
Contaminated water: Most people acquire cholera from fecally-contaminated water from an inadequate sewage system or none at all. Haiti, especially after the disastrous earthquake centered in leogane, clearly showed how rapidly cholera can spread without an adequate sewage system. ...Read moreSee 1 more doctor answer
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. ...Read more
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