Water and Sanitation

Cholera still issue despite Haiti's public health progress

Dev ken
Started by Dev ken on
10 Mar 2015 at 09:14
Know-how: Monitors, Membranes

Cholera still issue despite Haiti's public health progress Say a news article. Why Cholera is not ENDEMIC? Any one has worked on the issue? What was the approach and learning?

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  • WaterPublic Health
  • WaterPublic HealthDisease


Dev ken
Its hard to believe that it tolled such a huge amount of lives in Europe lately. Good insight.
Vishakha Rajput
Hello Dev,

You must be knowing that Eastern India - the Gangetic delta is largely considered as the "homeland" of cholera. I worked with a team called "Epidemic Disease Outbreaks Prevention" in rural area of India. We were taught basic thumb rules about Cholera then, like Cholera is caused by the bacterium Vibrio cholerae, it is caused by ingesting food or water that has been contaminated by the bacterium etc.

We can say that, industrialized countries have seen practically no cholera cases for over a century because of access to good water and better sewage infrastructure. Cholera continue to be danger wherever crowded housing conditions exist and water and sanitation facilities are of substandard.

Use of oral cholera vaccines in emergency situations is accepted but their effectiveness remains a challenge. To date, there is no specific indication for use of oral cholera vaccines in endemic situations. There are two oral cholera vaccines are available which are World Health Organization pre qualified. But these vaccine available gives partial protection for some limited time. For that reason, it is recommended to prevent Cholera before it starts.

In our project area we had few Barefoot Doctors (community members with basic medical and paramedical training), they had 4 Mantra to prevent and stop spreading Cholera,
1. Use safe water
2. Clean your hand as much you can
3. Say no to open defection system
4. Cook food well

The effective way to stop spreading Cholera is to have access to clean water and good sanitation facilities, which remains a challenge for developing countries like India.

You may like to explore some crucial data regarding Cholera :
1. Estimated annual number of cholera cases in non-endemic countries - http://www.who.int/bulletin/volumes/90/3/BLT-11-093427-table-T5.html
2. Vaccination strategies for epidemic cholera in Haiti with implications for the developing world - http://www.pnas.org/content/108/17/7081
3. Cholera fact sheet by WHO http://www.who.int/mediacentre/factsheets/fs107/en/
bob ted
Vaccines are not effective thats the reason behind govt's failure.
Amon Lukhele
The best approach is good hygiene. In Malawi its now we have experienced cholera because of Floods and people are in Camps. Since in Camps there is challenges of water, toilets, food, good accommodation etc.
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