Cholera in the Context of Global Health Inequities

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Cholera is caused by bacteria and is usually spread by dirty water. It leads to serious diarrhea and losing a lot of water. If cholera is not treated, it can kill within hours, even in people who were healthy before.
In developed countries, cholera is almost completely gone thanks to modern sewage and water cleaning. But there is still cholera in Haiti, Southeast Asia, and Africa. Cholera is most likely to spread when people have to live in close quarters without good cleanliness because of poverty, war, or natural disasters.
Cholera is easy to treat. A simple and cheap rehydration treatment can save someone from dying of serious dehydration.


What cholera looks like


Cholera can be very weak, with no signs at all. But between 12 hours and five days after eating the bacteria, about 10% of people who get sick get very sick. Among these signs are diarrhea, which means having very watery poop.
• A strong thirst.
• Less pee and urine.
Having muscle cramps.
• Being restless or irritable.
• Throwing up.
• Weakness.
If you start to show any signs of cholera, you should call a doctor right away. Little signs of sickness might go away on their own in a few days. But being thirsty can quickly turn into death. Getting help right away can save your life.

A lack of electrolytes


Not having the right amount of electrolytes in your body can cause major problems like muscle cramps. These are caused by salts like sodium, chlorine, and potassium leaving the body quickly.
• Be shocked. This is one of the worst things that can happen when you’re dehydrated. The amount of oxygen in your body drops and your blood pressure drops because of low blood volume. If you don’t treat serious hypovolemic shock, you could die in minutes.
Issues that cholera can lead to
When you have cholera and throw up, you can lose a lot of important chemicals, such as:
• Electrolytes.
3. Fluids.
• Salts.
4. Potassium.
You can get dehydrated and have dry mucus membranes in your eyes, nose, and mouth if your body doesn’t get enough of those things.
• Heart rate very fast.
Hypokalemia means that the blood doesn’t have enough potassium.
• Hypertension, or low blood pressure.
• Skin that doesn’t stretch as much as it used to.
Cholera can make people very thirsty, which can cause: • Kidney failure if not handled.
• Be shocked.
2. Coma.
• Death.


What Causes

 
Cholera is caused by a bacteria called Vibrio cholerae. A poison that the bacteria in the small intestine make is what makes the sickness so dangerous. The toxin makes the body release a lot of water, which causes diarrhea and a fast loss of salts and water (electrolytes).
People who are exposed to cholera bacteria may not get sick, but they still pass the bacteria in their stool, which can make food and water unsafe to drink.
The main way that cholera gets spread is through contaminated water systems. • Surface or well water is where you can find the bacteria. Large-scale cholera cases often start in public wells that are contaminated. People who live in busy places without good cleaning are especially at risk.
• Seafood. If you eat shrimp or seafood that comes from certain places that is raw or overcooked, you could get cholera. People in the United States who got cholera recently ate fish from the Gulf of Mexico.
• Fruits and veggies that are raw. In places where cholera is common, eating fruits and veggies that have not been cleaned can make you sick. In poor countries, crops can be harmed by dung fertilizers that haven’t broken down yet or irrigation water that has raw sewage in it.
• Grains. When grains like rice and millet are cooked and then left at room temperature for a few hours in places where cholera is common, the bacteria that cause it can grow.


Causes of risk

 
However, babies who are fed breast milk from mothers who have had cholera before are protected from getting it themselves. Still, there are some things that can make you more likely to get the disease or have serious symptoms.
Cholera is more likely to happen in places with bad sanitation. Cholera is more likely to spread in places where it is hard to keep things clean, like by making sure there is clean water. These kinds of situations are common in refugee camps, poor countries, and places where there is famine, war, or natural disaster.
• Less stomach acid or none at all. Cholera germs can’t live in an acidic environment, and stomach acid normally helps protect against getting sick. However, children, older adults, and people who take antacids, H-2 blockers, or proton pump inhibitors don’t have enough stomach acid and are more likely to get cholera because of this.
• Exposure in the home. If you live with someone who has cholera, you are more likely to get it yourself.
• Blood type O. People with type O blood are twice as likely to get cholera as people with other blood types. No one is sure why this is the case.
• Raw or not cooked enough crab. There aren’t any large-scale cholera outbreaks in developed countries right now, but eating shellfish from seas known to have the germs greatly raises your risk.
How to Manage and Treat
When you should see a doctor

In developed countries, the chance of getting cholera is barely there. If you follow food safety rules, you probably won’t get it even if you’re in a place where it appears. Still, cholera cases happen all over the world. See your doctor if you get very bad diarrhea after visiting a place where cholera is common.
If you think you may have been exposed to cholera and have diarrhea, especially very bad diarrhea, you should get medical help right away. Severe dehydration is an emergency that needs to be treated right away.

How do you treat ?


Stopping or fixing dehydration is the most important part of treating cholera. People who have cholera should get back the fluids and salts they’ve lost right away. A doctor or nurse may write a prescription for:
ORS stands for oral rehydration solution. You may need to drink a lot of this ready-made mix of sugar, salts, and water.
• Intravenous fluids: If you are severely dehydrated, your doctor may use a needle to pump fluids straight into your blood.
Some other methods could be: • Antibiotics.
• Zinc in kids younger than 5 years old. V. cholera bugs generally leave the body in two weeks.
Safety First


How can I stay away?


Cholera is not likely to spread to people who don’t live or visit places with bad drainage. But if you’re in a place where cholera is common, these steps can help you avoid getting it:
• Stay away from water pumps, tap water, and ice cubes. You should be careful with the water you drink and the water you use to brush your teeth, wash dishes, and make food.
• Seafood should not be eaten raw or barely cooked.
• Only drink water that has been heated, put in a bottle, or treated with certain chemicals. Also, don’t drink from a can or bottle that has a cover that is broken.
• Eat foods that come in a box. For other things, make sure they are served hot and fresh.
• Think about making your water safe to drink: For at least one minute, boil it. Each liter of water should have half an iodine tablet or two drops of bleach added to it. Or you can use bleach pills.
Foods should be washed with clean water.
• Always wash your hands with soap and clean water, but especially after going to the bathroom and before touching or eating food. Use hand cleaner with at least 60% alcohol if you can’t get clean water or soap.


Can you get a shot against disease?


Vaschora® is the name of a cholera vaccine that has been cleared by the U.S. Food and Drug Administration (FDA). It’s for people between the ages of 18 and 64 who want to go to places where cholera is common. But most tourists don’t go to places where cholera is common, so the vaccine isn’t suggested very often. There are two other cholera medicines that aren’t allowed in the US.
Even though vaccines work most of the time, you should still be careful when you travel. Be careful with water and food, and wash your hands a lot.


The outlook or prognosis


How likely is it that someone with cholera will get better?
Cholera might go away in a few days by itself. But you should see a doctor if your symptoms are serious and you start to lose water. You need to get more drinks very quickly.


Getting Along With


How can I stay safe if I’m going to be in a place where cholera is common?
The Centers for Disease Control and Prevention (CDC) has a website called Travel Health Notices where people can look for cholera and other disease breakouts.
Don’t drink water that has cholera in it if you live in or plan to visit a place that has it. Be careful when you make food and wash your hands. These things could be useful:
Water in bottles, chlorine pills, household bleach, iodine tablets, and ready-to-eat foods.


A message from the Reprospot


If you have serious diarrhea, whether it’s from cholera or something else, you should call a doctor right away. To keep from becoming dehydrated, you need to refill fluids and minerals. It’s possible for this problem to lead to major health issues or even death.

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