Cholera Outbreaks: Key Facts, Symptoms, Prevention, and Treatment

Cholera is a highly infectious, acute diarrheal disease caused by the bacterium Vibrio cholerae, typically found in contaminated food or water.

Cholera Symptoms

– Severe, acute watery diarrhea

– Dehydration

– Symptoms appear within 12 hours to 5 days after infection

– Most cases are mild or asymptomatic, but can lead to severe dehydration and death if left untreated

Cholera Epidemics and Outbreaks

– 1.3 to 4.0 million cases and 21,000 to 143,000 deaths annually worldwide

– Recent outbreaks reported in 44 countries, with 472,697 cases and 2,349 deaths in 2022 

Vaccine for Cholera

– Three WHO pre-qualified oral cholera vaccines (OCVs): Dukoral®, Shanchol™, and Euvichol-Plus®

– Two doses required for full protection, with varying administration and booster requirements ¹

Cholera Disease Prevention and Control

– Safe water and basic sanitation

– Improved hygiene practices

– Multifaceted approach including surveillance, social mobilization, and treatment

– Oral cholera vaccines used in conjunction with water and sanitation improvements ¹

Cholera Treatment

– Oral rehydration solution (ORS) for most cases

– Intravenous fluids and antibiotics for severe cases

– Zinc adjunctive therapy for children under 5

– Rapid access to treatment essential during outbreaks

Community Engagement

– Active participation in program development and implementation

– Promotion of good hygiene practices and safe food handling

– Increased communication during outbreaks 

Resources:

– World Health Organization (WHO)

– Center for Disease Control and Prevention (CDC)

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