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Cholera Outbreak in Ghana 2024: Understanding the Disease and How to Protect Yourself

Kwasi Sarfo Kantanka

cholera outbreak in Ghana 2024


Cholera is a highly infectious disease caused by ingesting food or water contaminated with the *Vibrio cholerae* bacterium. Though it’s rare in developed countries, cholera remains a significant public health threat in parts of Africa, Asia, and Latin America, particularly where access to clean water and sanitation is limited. Cholera outbreaks can spread rapidly, and if left untreated, the disease can be fatal within hours due to severe dehydration. Cholera is now considered endemic in many parts of Ghana. Poor sanitation and limited access to safe drinking water, especially in urban and peri-urban slums, have played a significant role in the persistence of cholera. Additionally, poorly regulated urban settlements contribute to flooding due to inadequate drainage systems, compounded by insufficient waste management services. Since 1970, Ghana has experienced repeated cholera outbreaks. In 2014, the country faced its largest outbreak in 30 years, with over 14,000 reported cases and 127 deaths, marking a tragic record for cholera cases and fatalities in Ghana. In 2024, the first confirmed case of cholera was reported on October 4, when a patient arrived at a healthcare facility displaying symptoms of vomiting, diarrhea, and abdominal pain. This individual had recently attended a funeral in Ada East.


As of October 11, 2024, a total of nine cholera cases have been confirmed in both Ada West and Ada East.


What Causes Cholera?


cholera outbreak in Ghana 2024

Cholera is primarily spread through contaminated water and food, making it a significant risk in areas where sanitation systems are poor or water supplies are contaminated. It spreads quickly in crowded places and areas affected by floods or natural disasters where clean drinking water is scarce. Key causes include:


1. Contaminated Water Supplies: Drinking, cooking, or bathing in water infected with cholera bacteria.

2. Poor Sanitation: Open defecation or unclean sewage systems allow bacteria to infiltrate water sources.

3. Contaminated Food: Food prepared with or washed in contaminated water.

4. Raw or Undercooked Seafood: Seafood, especially shellfish, from contaminated waters can carry the bacteria.


Symptoms of Cholera


symptoms of cholera

Symptoms of cholera can appear within hours to five days after exposure to the bacteria. They range from mild to severe, with some people showing no symptoms at all. The most common symptoms include:


- Severe diarrhea (often sudden and painless)

- Vomiting and nausea

- Rapid dehydration, leading to sunken eyes, dry mouth, and shriveled skin

- Muscle cramps due to loss of essential electrolytes

- Weakness and fatigue


Dehydration from cholera can lead to shock, kidney failure, and death if not treated quickly.


How to Protect Yourself from Cholera


Preventing cholera is mainly about ensuring access to clean water, proper sanitation, and good hygiene practices. Here are practical measures to reduce your risk of contracting cholera:


1. Drink Safe Water

- Only drink water that has been boiled, filtered, or treated with chlorine or iodine tablets.

- Avoid ice made from untreated water.

- In outbreak zones, consider drinking bottled water or water that has been filtered or purified.


2. Practice Good Hygiene

- Handwashing: Wash your hands with soap and clean water frequently, especially after using the restroom and before handling food.

- Sanitize Surfaces: Clean any surfaces that may have come into contact with contaminated water or waste.


3. Cook Food Properly

- Eat food that has been thoroughly cooked, and serve it while it’s still hot.

- Avoid raw or undercooked seafood, especially shellfish, which can harbor the bacteria.

- If washing food, such as fruits and vegetables, use purified water only.


4. Sanitize Utensils and Cooking Surfaces

- Clean cooking utensils, dishes, and surfaces with treated water or use a sanitizing solution.

- Avoid sharing utensils and plates without washing them thoroughly.


5. Dispose of Waste Properly

- Use sanitary facilities for waste disposal, and avoid open defecation, as this can spread cholera bacteria to water sources.

- If there are no latrines available, bury waste far from water sources.


6. Seek Medical Care if Symptoms Appear

- Early medical intervention is crucial. Rehydration therapy, either orally or intravenously, is the primary treatment for cholera.

- Antibiotics may be prescribed in severe cases to reduce the duration and severity of symptoms.


7. Vaccination

- In areas with frequent cholera outbreaks, vaccines can offer some protection. Oral cholera vaccines are available and are especially useful in high-risk areas or for individuals traveling to places with ongoing outbreaks.


Conclusion

While cholera can spread quickly and be life-threatening, it is preventable with good hygiene practices, safe drinking water, and proper sanitation. During an outbreak, it is essential to adhere to preventive measures and stay informed through reliable sources. By following these steps, individuals can protect themselves and help curb the spread of this dangerous disease.

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