A village affected with epidemic of cholera, what is the lsl step which should to be taken in the village to decrease the chances of death from cholera:
Ans. (a) Safe water supply & sanitationRef K. Park 23rded. /232-33* Cholera is an acute diarrheal disease caused by Vibrio cholerae.* I.P.-1-2 days* First step in epidemic of cholera: Verification of diagnosis* First line treatment of choice: water and electrolyte replacement.* In the given question, safe water supply and sanitation should be the 1st step to decrease mortality from cholera.Also know* Stool appearance of cholera: "Rice watery stool* Chemoprophylaxis of cholera: Tetracycline 500mg BID for 5 days.* Drug of choice for cholera:# Adults: Doxycycline 300 mg stat.# Children: Cotrimoxazole 5mg/kg BID for 3 days# Pregnant female: Furazolidone 100mg QID for 3 days.
Safe water supply & sanitation
Cholera vaccination to all individuals
Primary Chemoprophylaxis
Treat everyone in the village with tetracycline
Cholera