Cholera

Cholera is one of the most devastating of all human diseases. Although endemic in some areas of the world, cholera is usually associated with massive migrations of people, such as those occurring during war or famine. Cholera is also common in developing countries, where suboptimal sanitation practices are responsible for its spread. If not treated, cholera has a fatality rate of over 60%. Death results from dehydration, a consequence of the severe diarrhea and vomiting that characterize this disease. In the last 15 years, treatment strategies have been devised that have cut the fatality rate of cholera to 1%. Preventive measures have also reduced the incidence of cholera outbreaks. These measures, however, require swift intervention, which is not always possible during the social upheavals that can lead to cholera epidemics.