CHOLERA

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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

 Large profuse watery diarrhea


 Vomiting
 Dry mouth
 Lethargy
 Excessive thirst
 Sunken eyes
 Reduced urine output
 Low blood pressure
 Rapid pulse
DIAGNOSIS

 Stool and rectal swabs for culture


 Blood culture
TREATMENT

 Re-hydration to replace the lost fluid and


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

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