Diagnosis, Management, and Future Control of Cholera

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Chowdhury, Fahima
Ross, Allen G
Islam, Md Taufiqul
McMillan, Nigel AJ
Qadri, Firdausi
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2022
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Abstract

Cholera, caused by Vibrio cholerae, persists in developing countries due to inadequate access to safe water, sanitation, and hygiene. There are approximately 4 million cases and 143,000 deaths each year due to cholera. The disease is transmitted fecally-orally via contaminated food or water. Severe dehydrating cholera can progress to hypovolemic shock due to the rapid loss of fluids and electrolytes, which requires a rapid infusion of intravenous (i.v.) fluids. The case fatality rate exceeds 50% without proper clinical management but can be less than 1% with prompt rehydration and antibiotics. Oral cholera vaccines (OCVs) serve as a major component of an integrated control package during outbreaks or within zones of endemicity. Water, sanitation, and hygiene (WaSH); health education; and prophylactic antibiotic treatment are additional components of the prevention and control of cholera. The World Health Organization (WHO) and the Global Task Force for Cholera Control (GTFCC) have set an ambitious goal of eliminating cholera by 2030 in high-risk areas.

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Clinical Microbiology Reviews

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35

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3

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© 2022 American Society for Microbiology. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.

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Health policy

Epidemiology

Science & Technology

Life Sciences & Biomedicine

Microbiology

Vibrio cholerae

WaSH

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Chowdhury, F; Ross, AG; Islam, MT; McMillan, NAJ; Qadri, F, Diagnosis, Management, and Future Control of Cholera, Clinical Microbiology Reviews, 2022, 35 (3), pp. e00211-21

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