Cholera cases ring alarm bells

One of the most serious and infectious diseases that is waterborne, cholera has resurfaced in Nepal this monsoon also, infecting 16 individuals in three districts thus far, according to health authorities.

Lalitpur, so far, has the highest number of cases (8), followed by Kailali (5) and Kathmandu (3), according to the Ministry of Health and Population. At first, a person based in Godavari, Lalitpur, was referred to the Teku Hospital in Kathmandu on the basis of symptoms and the case was confirmed 72 hours later.

According to Spokesperson for the ministry, Dr Prakash Budhathoki, contaminated water and filthy surroundings are the primary causes of cholera. “Contaminated water causes several diseases. Drinking boiled water can keep such diseases at bay,” he said, stressing the need to raise awareness about the importance of drinking boiled water. He said treatment is available at Teku Hospital and other hospitals.

In 2022, the Kathmandu valley witnessed 77 confirmed cases of cholera. In the wake of a cholera outbreak in ward numbers 11, 12 and 13 of Kathmandu Metropolitan City in 2023, concerned ward offices administered oral cholera vaccine in coordination with public health authorities. 

This waterborne disease, caused by Vibrio cholera and coliform bacteria, affects all age groups, though older people and newborns with lower immune systems are particularly susceptible. 

An inadequate sanitation system and poor hygiene are mainly behind cholera in Nepal. Rainwater and leftover water may also contain cholera-causing bacteria. 

Dr Sher Bahadur Pun, chief of the Clinical Research Unit at Sukraraj Hospital, highlights the importance of maintaining the quality of water for curbing waterborne diseases. Ensuring water quality is a basic duty of concerned authorities, he says: Such essential services should not be halted under any pretext.

“Only 80 percent of the patients show clear and common symptoms of cholera whereas 20 percent show rapid symptoms. Cholera can prove fatal if the patient is not rushed to the nearest hospital on time,” according to Budhathoki. 

So, taking a cue from symptoms, there is an urgent need to rush the affected people to nearest health facilities. Administering oral rehydration salt powder like Jeevan Jal from time to time is crucial for saving the patients’ lives. 

Hospitals in Nepal are well-equipped to deal with the cases of cholera and the health ministry is prepared to supply essential facilities and materials to deal with the disease, according to officials.