Travel Health Information Resource Page for Cholera

Read below for travel health advice on diseases and special needs from the MDtravelhealth channel.

Page Index

Would you like to Edit this page? Login or Sign up!
  • Overview You can't Edit

    1

    Cholera

    Cholera is an intestinal infection caused by a bacterium known as Vibrio cholerae. Cholera is acquired through ingestion of contaminated food or water. It is rarely spread from person-to-person. The incubation period ranges from less than one to five days. In most cases, infection with Vibrio cholerae causes either no symptoms or mild diarrhea. Some, however, develop profuse watery diarrhea, usually with vomiting, leading to profound dehydration, which may be fatal. The cornerstone of treatment is rehydration, usually with oral rehydration solution. Severe cases may require intravenous fluids. Antibiotics are also given, usually tetracycline or doxycycline, though quinolone antibiotics such as ciprofloxacin and levofloxacin are also effective. A recent study in Bangladesh showed that a single 1-gram dose of azithromycin (Zithromax) was significantly more effective than a single 1-gram dose of ciprofloxacin (see the New England Journal of Medicine).

    Cholera is rare in travelers, including those visiting countries where cholera outbreaks are occurring. In previous years, cholera vaccination was required for entry into many countries, but is no longer required of any traveler. As of August 2000, the only cholera vaccine approved for use in the United States was no longer being manufactured or sold. (See the Centers for Disease Control for details.) The vaccine had not been generally recommended because it reduces the rate of infections by no more than 50%, is effective for no more than 3-6 months, and frequently causes pain at the injection site. Three oral vaccines have been developed, including Orochol (Mutacol) and Dukoral. Mutacol and Dukoral are licensed in Canada and Australia and Dukoral is licensed in the European Union, but none of the oral cholera vaccines have been approved in the United States. The vaccines are generally safe, but protection has not been shown to last for more than six months. According to Health Canada and the National Travel Health Network and Centre (U.K.), oral cholera vaccines are not recommended for most travelers, but may be considered for those at higher than average risk, such as health professionals in endemic areas, aid workers in refugee camps, and those traveling to remote areas where cholera epidemics are occurring and there is limited access to medical care. See the review in the Weekly Epidemiological Record (PDF) for detailed information regarding the new vaccines.

    Cholera is best prevented by careful selection of food and beverages, as described elsewhere. Breast-feeding appears to be protective against cholera.

    From the World Health Organization (WHO)

    Cholera

    Cholera: Basic Facts for Travelers

    Cholera Fact Sheet

    From the Centers for Disease Control (CDC)

    Cholera

    From the Pan American Health Organization

    Cholera in the Americas

    From Health Canada

    Oral Cholera Vaccination

    From the Reviews in Medical Microbiology

    S. Kabir. Cholera vaccines: the current status and problems. Reviews in Medical Microbiology 2005, 16: 101-116.

Back to Page Index

 

 

The MDtravelhealth channel is a source of travel health information for travellers, written by medical professionals.

MDth Navigation

Page is maintained by

The MDtravelhealth channel relies on medical professionals from all over the world to maintain the Travel Health Information on these pages.

Nobody :(
Are you a Doctor, nurse or other Medical professional that feels they can update this page? Please login or sign up and select MDtravelhealth Channel in the Account Area.

Topic Tags for Cholera

Topic Tags are what bind the Red Planet Travel site together, and are very important.

This place has been tagged:

If you think those tags are not perfect, then please let the person responsible for this page know by dropping a note in the anonymous drop box below, or better yet sign up or login and join our community, once you've got enough reputation score you can edit them yourself!

Got a Question?

?

Ask any travel related question or help others with your experience and earn Reputation Score and become a valued member of our community.

MDtravelhealth Medical Contributions

Before you apply read about the Medical Professionals Roles on Red Planet Travel

You need to be logged in and have applied to MDth channel to contribute to this page.

Have something to Contribute?

We are looking to grow the information on this site, if you have something to contribute to any page then we'd like to hear from you.

What's more you can now earn money (paid direct via Paypal) for writing descriptions about places you know.

You will need to tell other members about yourself and your relevant knowledge and experience about what you want to contribute about.

Look below for some example page types, and types of people whose views on a place might be useful to know.

Page Type: Hotel

Are there any special benefits or adaptations that this Hotel or it's location has that you can comment on in your capacity as a Doctor

Tell us your job, knowledge, experience..

My Experience: Doctor

This hotel has great CPR equipment and I can see the team are all trained

If you are the owner/manager of any place, then you can, of course, take control of your page and add relevant information other visitors might want to know