1. Cholera
Dr Ashwini Kalantri

2. Signs and Symptoms
 Vomiting and painless diarrhea – “Rice Water”
 10 – 20 Litres/day!
 Low BP
 Wrinkled Skin
 Sunken eyes
 Rapid Pulse
 “Blue Death”

3. Cause
Vibrio Cholerae
100 million bacteria to infect

4. Vibrio Cholerae

5. Transmission
 Fecal contamination of food and water caused by
poor sanitation
 Water borne disease.

6. Diagnosis
 A rapid dip-stick test
 Patient history and doing a brief examination
 Stool and swab samples – before antibiotics.
 Direct microscopy of stool is not recommended, as it
is unreliable.

7. Prevention
Sanitation and Hygiene!

8. Treatment
 Fluids and electrolytes
 Antibiotics – Doxycycline

9. Epidemiology

10. New York, USA, 1832

11. London, 1854