Cholera is a disease caused by the bacteria Vibrio cholerae that affects millions of people worldwide each year. It causes severe diarrhea and dehydration that can be life-threatening if not treated promptly. The disease spreads through contaminated food or water and proper sanitation and hygiene practices are important to prevent transmission. Treatment involves oral rehydration and antibiotics to kill the bacteria. Vaccines also exist to help prevent outbreaks.

8. Pathognomonic Sign RICE-WATER STOOL

28. LOOK CONDITION Well, Alert Restless, Irritable* Lethargic, Unconscious, Floppy EYE Sunken Very Sunken and Dry TEARS Present Absent Absent MOUTH TONGUE Moist Dry Very Dry STOOL Loose Rice Watery Rice Watery

29. FEEL SKIN PINCH Goes Back Quickly Goes Back Slowly Goes Back Very Slow DECIDE The patient has no sign of dehydration If the patient has two or more signs, including at least one sign, there is moderate dehydration If the patient has two or more signs, including at least one sign, there is severe dehydration

44. Where pipe water supplies are existing, steps should be taken to protect the water sources from possible contamination and to promote operation of water works at maximum efficiency.

47. Washing the hands thoroughly and properly before handling foods should be done.