How to Prevent Cholera While Traveling

Cholera is an intestinal illness caused by the spread of the vibrio cholerae bacterium and is responsible for over 100,000 deaths worldwide each year. The bacterium can live in contaminated sources of food and water and in the brackish water of rivers and coastal water. Symptoms are often mild or even unnoticed when cholera is contracted. However, the Centers for Disease Control and Prevention (CDC) estimates that approximately 5% of all persons infected with cholera will have severe and even life threatening symptoms such as profuse watery diarrhea and vomiting. Without proper treatment, people experiencing these sever symptoms may experience dehydration and shock which can lead to death in just hours.



Every year, millions of travelers journey to resource-limited countries with known cases of cholera. Travelers should beware and take precautions against contracting cholera when traveling internationally to areas with limited resources, but feel confident in the ability to prevent the disease by employing appropriate sanitation practices and guarding against contaminated food and water. If contracted, patients can be treated for cholera with fluid and salt replacement and antibiotics as long as medical attention is sought quickly.

Things You'll Need

  • Bottled Water
  • Bleach
  • Iodine tablets
  • Soap
  • Alcohol-based hand cleaner
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Instructions

    • 1

      Consult with your family physician before international travel. According to a recent study conducted by the Division of Infectious Diseases at Massachusetts General Hospital, less than 50 percent of international travelers heading to resource-limited destinations sought medical advice before traveling. Depending on your destination, your doctor could advise you to take disease treatment supplies such as an antibiotic for travelers' diarrhea, water purification tablets, and oral re-hydration salts. "Far too many people don't seek medical advice before they travel," says the study's lead author Dr. Regina LaRocque.

    • 2

      Drink water that is bottled and has an unbroken seal. Avoid tap water, ice and fountain drinks in case the water supply for these products is contaminated. Canned carbonated beverages are safe to drink as is water that has been boiled for over one minute and treated with two drops of bleach. Boiled water may also be treated with one iodine tablet for every two liters of water. Remember to use bottled or treated water for brushing your teeth, washing your dishes and preparing your food.

    • 3

      Consume only cooked food served hot and foods that are packaged and sealed. Do not eat raw food or undercooked meats. Other foods to avoid include seafood, leafy greens and peeled fruits and vegetables. "Foods should be cooked well and eaten hot," advises Dr. LaRocque.

    • 4

      Wash your hands often with soap and clean water, especially before and after using the restroom, and preparing and consuming meals. If clean water is not available for hand-washing, use an alcohol-based hand cleaner containing at least 60% alcohol. "Soap can't cure cholera, but it can help prevent the spread of the disease," says Shawn Seipler, executive director of Clean the World.

    • 5

      Monitor the CDC travelers' health web-page for updates and advisories.

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