Cholera Resurgence

13 Sep 2024

The recent data released by the World Health Organization’s (WHO) has highlighted cholera as a preventable disease. 

Cholera

About Cholera

  • Cholera is an acute diarrhoeal disease . 
    • It is caused by the bacterium Vibrio cholerae
  • It is especially dangerous for people with low immunity, such as malnourished children and those with HIV/AIDS.
  • Causes and Transmission: Cholera spreads through:
    • Eating contaminated food.
    • Drinking unsafe water.
    • Contact with infected individuals (e.g., shaking hands).
  • Seasonal Pattern: The disease peaks during hot, humid, and rainy seasons, especially during monsoons (June to September).
  • Major contributing factors 
    • Climate Change: Warmer temperatures and changes in precipitation patterns can create favorable conditions for the spread of cholera.
    • Cholera Conflict: Disasters and conflicts can disrupt water and sanitation infrastructure, making it difficult to prevent the spread of cholera.
    • Lack of Access to Clean Water and Sanitation: Inadequate access to safe drinking water and sanitation facilities increases the risk of cholera transmission.
    • Poverty and Displacement: Poverty and displacement can contribute to poor hygiene and sanitation practices.
      • It makes populations more vulnerable to cholera.

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India’s Efforts to tackle Cholera Disease 

Cholera outbreaks are common in India. To tackle these issues, India has taken various steps. 

  • Total Sanitation Campaign: This campaign was implemented by the national rural health mission.
    • It aims to improve sanitation, nutrition, and ensure availability of safe drinking water.  
  • Oral cholera vaccines (OCV): This vaccination drives are conducted in high risk zone to offer immunity during cholera seasons
  • Village Health and Sanitation Committees: These committees are formed at the local level in which local leaders monitor and ensure availability of clean drinking water and toilets. 
  • Cholera hotspot mapping: India mapped cholera hotspots regions ( 2010 to 2015)to identify the areas of interventions. 
    • In mapping hotspots, GIS and disease surveillance data are  used. 

Global Cholera Situation

  • UNICEF and WHO Data:
    • 2 billion people lack access to safe drinking water.
    • 3.6 billion people don’t have proper sanitation.
    • Cholera deaths increased by 17% in 2023 compared to 2022, with 4,000 deaths reported last year.
    • 22 countries are facing active cholera outbreaks in 2024.
  • Geographical Distribution: Cholera cases have decreased in the Middle East and Asia but doubled in Africa.
    • It highlights inequities in healthcare access.
  • Global Initiatives
    • Global task force for cholera control: It aims to end cholera by 2030 using multi sectoral interventions. 
      • Finding disease hotspots
      • Improve sanitation and water infrastructure

 

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