Chapter 24 : Cholera Surveillance

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Presently, cholera surveillance varies from country to country and is not always smooth during an epidemic. Cholera control can be enhanced if the benefit of rapid and accurate reporting of cases is recognized and if attention is given to optimizing national and international surveillance. Surveillance is a key component in an ideal plan for cholera control. Other integral components include health education, environmental sanitation, clinical management, laboratory diagnosis, and epidemiologic investigation. A confirmed cholera case should be laboratory-confirmed O1 infection of any person who has diarrhea. The laboratory is a central component of cholera surveillance. It is essential for confirming the arrival of O1, monitoring its continued presence or disappearance, determining its antimicrobial susceptibilities, and identifying its presence in the environment. Surveillance of community sewage by using Moore swabs is useful for determining the presence of O1 in an area where no cases have been detected from human surveillance. Cholera is a global public health problem that requires international cooperation for effective control. Surveillance, both national and international, is an essential part of cholera control.

Citation: Vugia D. 1994. Cholera Surveillance, p 371-378. In Wachsmuth I, Blake P, Olsvik Ø (ed), and Cholera. ASM Press, Washington, DC. doi: 10.1128/9781555818364.ch24

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Cholera Toxin
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Figure 1

Proposed communication system for cholera surveillance.

Citation: Vugia D. 1994. Cholera Surveillance, p 371-378. In Wachsmuth I, Blake P, Olsvik Ø (ed), and Cholera. ASM Press, Washington, DC. doi: 10.1128/9781555818364.ch24
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