Thursday, August 1, 2013

In Sierra Leone, Lokomasama braces up to combat cholera in the chiefdom

In Sierra Leone, Lokomasama braces up to combat cholera in the chiefdom
Port Loko July 18 (SLENA) – The people of Lokomasama in the Port Loko District are making frantic efforts to combat any outbreak of cholera in the chiefdom. At a recent meeting of stakeholders organized by the Action for Community Development (AFCOD) …
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Cholera: Symptoms, diagnosis, treatment and prevention
Cholera outbreak The news is rife with reports of the ever increasing cases of cholera in the city this year. With the numbers increasing alarmingly, state health authorities are flummoxed with the sudden trend. So, how is cholera caused? How does it …
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Dengue claims kid; 8 cases of cholera in 8 days
MUMBAI: The spate of monsoon diseases appears to be worsening with a nine-year-old boy succumbing to dengue in Hinduja Hospital and eight cases of cholera coming up in the first eight days of July alone. The boy, Yash Bansode, who lived in Vasai, died …
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Selection for cholera and Chinese in Bangladesh
Right before I was to sleep a reader sent me an email which pointed to a Nick Wade piece in The New York Times, Gene Sleuths Find How Some Naturally Resist Cholera. It's about new research in ScienceTranslational Medicine, Natural Selection in a …
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Cholera claims five lives
QUETTA, July 16: At least five people, two of them children, have recently died of cholera and over 20 people are suffering from it in Panjpai tehsil of Quetta district near Afghan border. The deaths have occurred in Pashtoon Kot area, some 70km from …
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Ogun Govt To Curb Cholera Outbreak In Communities
The Ogun State Government has moved to curb cholera outbreak in two communities in the State, tracing the source of the disease to poor level of hygiene. The Commissioner for Health, Dr. Olaokun Soyinka said in Abeokuta yesterday that some …
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Cholera Epidemic Doesn’t Stop Illegal Betelnut Sellers

Cholera

Image by Boogies with Fish
www.messersmith.name/wordpress/2009/11/26/cholera-epidemi…
If you don’t live in PNG it’s probably escaped your notice that there’s a cholera epidemic ripping through the population – as if HIV/AIDS was not enough! Anybody with an ounce of brains knows that cholera spreads through, uh, . . . well, there’s no polite way to say it – feces.  Okay, I guess that that’s reasonably polite.

So, the powers that be in Madang, in their infinite wisdom, have promulgated many rules to try to stop the spread. The problem is that nobody is out there checking to see if anybody at all is paying attention. These people certainly are not:

They have set up an illegal betelnut market (called buai  in Pidgin) not fifty metres from our office. They’ve even put up some scruffy barbed wire to mark it off, heaven knows why. They have not been happy at all with my three visits today, camera in hand:

Those faces may look  happy, but let me tell you they are not.  So, what’s so bad about this? Well cholera spreads primarily from poor sanitation. Your best defense from cholera is to stay clean, especially the places that count, drink no water that’s contaminated and do not eat food that might be contaminated. If you fail to follow these rules, you’re very likely to get very sick. The hospital has set up a special ward for cholera patients and it doesn’t look as if it’s going to be big enough.

So what’s this got to do with buai?  Well, think about it. Especially since town water has been only occasionally available for several days, nobody is paying much attention to washing their hands. So, the guy shown above goes to the toilet and, guess what, he doesn’t have any toilet paper and no clean water is in sight. Then he goes back to his little store of death and picks up a buai  nut and hands it to you. You do the usual thing, pop it into your mouth and start to peel back the skin. Hmmmm . . . yummy cholera germs!

So, you’re skeptical, eh? MadDog is off on another of his rants, tasol.  Well, let me show you what I found (by smell) twenty metres from the buai  market. You guessed it – the toilet:

Uh, that brown blob in the lower centre of the image is exactly what it look like. There was plenty more lurking inches back in the foliage. Lots  more.

If you’ve never had the delight of walking (very carefully) around in a tropical area where people are defecating all over the place, believe me, you can forgo the experience with no great loss.

Okay, now I’m mad. Somebody is going to do  something about this or I’m going to sharpen up my pencil and start jabbing it into people’s ears. There are people that I care about who are at risk from this.


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