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Cholera01:25

Cholera

Cholera is an acute gastrointestinal disease caused by the Gram-negative bacterium Vibrio cholerae. It is transmitted primarily via the fecal-oral route through the ingestion of contaminated water or food.Vibrio cholerae is a motile, Gram-negative bacterium of the family Vibrionaceae, primarily associated with waterborne outbreaks in areas with inadequate sanitation. Although over 200 serogroups of V. cholerae exist, only O1 and O139 are responsible for epidemic cholera. The O1 serogroup,...
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Infectious diseases arise from intricate interactions between pathogens and their reservoirs. A reservoir of infection refers to the natural habitat where a pathogen lives, grows, and multiplies, serving as a continual source of infection. Reservoirs are broadly classified as either living or nonliving, and each plays a unique role in disease transmission, significantly influencing public health interventions and control strategies.Humans act as reservoirs for a wide array of pathogens,...
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Investigation of Disease Outbreaks

Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
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Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...
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Acute diarrhea, a common gastrointestinal disturbance, is characterized by the rapid evacuation of fluid stools, leading to an excessive weight in fluid. This condition typically arises from disorders affecting intestinal water and electrolyte transport. It can be triggered by an increased osmotic load within the intestine, excessive secretion of electrolytes and water, mucosal exudation of protein and fluid, or altered intestinal motility. The primary risks of acute diarrhea are dehydration...
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Diphtheria is an acute, toxin-mediated infectious disease that primarily affects the upper respiratory tract. It is caused by Corynebacterium diphtheriae, a Gram-positive, pleomorphic rod that lacks spore-forming capability and exhibits a characteristic club-shaped morphology under microscopic examination. While C. diphtheriae can asymptomatically colonize mucosal surfaces, clinical disease manifests only when the bacterial strain is lysogenized by a specific β-corynephage. This phage...

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Related Experiment Video

Updated: May 11, 2026

Laboratory Techniques Used to Maintain and Differentiate Biotypes of Vibrio cholerae Clinical and Environmental Isolates
07:58

Laboratory Techniques Used to Maintain and Differentiate Biotypes of Vibrio cholerae Clinical and Environmental Isolates

Published on: May 30, 2017

In a time of cholera.

P A Grace1

  • 1Department of Surgery, University Hospital Limerick, Dooradoyle, Limerick, Republic of Ireland, pierce.grace@hse.ie.

Irish Journal of Medical Science
|May 31, 2013
PubMed
Summary
This summary is machine-generated.

Despite evidence for effective treatments, blood-letting was a common cholera therapy in the 1830s. This harmful practice persisted for decades, delaying the adoption of life-saving intravenous fluid therapy.

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Area of Science:

  • Medical History
  • Epidemiology
  • Public Health

Background:

  • Historical cholera treatment practices in 1832 Dublin are examined.
  • Blood-letting (leeches or venesection) was a prevalent intervention for cholera patients.
  • The rationale for blood-letting was to reduce cardiac and pulmonary stress.

Observation:

  • Dr. Nathaniel Alcock documented 22 cholera cases treated with blood-letting in 1832.
  • Townsend Street Cholera Hospital records indicate extensive use of blood-letting.
  • Public health measures and various cures were implemented during the epidemic.

Findings:

  • The overall cholera mortality rate in Ireland was 38%, with higher rates in some regions.
  • Despite the high mortality, some physicians demonstrated the efficacy of intravenous fluids.
  • These life-saving findings were disregarded, and blood-letting continued.

Implications:

  • The historical account highlights the detrimental impact of ineffective medical practices.
  • Delayed adoption of intravenous fluid therapy contributed to prolonged cholera mortality.
  • Understanding past treatment failures informs current medical practice and research priorities.