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CHOLERA
GROUP ONE COP
INTRODUCTION
Cholera is an acute epidemic bacterial infectious
disease.It is characterized by watery diarrhea, extreme loos of fluids, electrolytes and severe dehydration. The disease has a short incubation period of 18 hours-5 days. Due to severe dehydration,fatality rates are high wen untreated especially among children and infants Death can occur within hours as the disease is fatal. CAUSATIVE AGENT Cholera is caused by a bacterium Vibrio cholerae which was discovered in 1883 The German bacteriologist Robert Koch studied the disease during an epidemic in Egypt.He found a bacterium in the intestines of those who had died of cholera.but could neither isolate the organism nor infect animals with it. He later succeeded in in isolating the bacteria in india.He discovered that they thrive in damp,dirty linen and moist earth and in stools of patients with the disease. The vibrio cholarae bacteria live in shallow in microscopic crustaceans. EPIDEMIOLOGY Starting from 2003 there has been a progressive increase in yearly incidence of cholera in the country.In 2010,6794 cases and 115 deaths of the disease were reported with Lusaka province accounting to 85% of the total cases. Outbreaks usually start during the rainy season and are confined with the peri-urban areas of Lusaka,luapula southern and copperbelt provinces. In 2017 an acute outbreak of cholera was declared in Zambia after laboratory confirmation of vibrio cholera biotype EL Tor from stool specimens from two patients with acute watery diarrhea Every year approximately 3-5 million cholera cases occur worldwide.The number of cholea cases MODE OF TRANSMISSION
Vibrio cholera is transmitted between humans
through the faecal-oral route Eating or drinking contaminated food and water can cause infection Eating of undercooked shellfish that is infected with the bacteria Lastly person to person infection though it is rare. PATHOPHYSIOLOGY
When the bacteria is ingested it reaches the small
intestines where it releases an enterotoxin that induces the enterocytes to release more water and electrolytes in the intestines,which then results in watery diahrrea SIGNS AND SYMPTOMS OF CHOLERA
electrolytes Drugs –doxycycline as a single dose Tetracycline- Erythromycin Chloramphenicol PREVENTION AND CONTROL
Chlorinating public water and boiling water
Healthy education Washing hands with soap and water after using the toilet Avoid flies by covering food Avoid eating street fresh foods Good sanitation and personal hygiene