Diarrhoea is the process of passing watery faeces, accompanied by symptoms such as stomach pains,

1. The Europeans poured have poured something into the water which sterilized the water and killed the toxins that become disruptive in the digestive system when they are consumed. They Europeans may have poured what are called oral rehydration salts into the well, which quickly works are combatting the cholera, and will prevent further outbreaks from occurring.

Some of the most emerging and re-emerging agents of the waterborne diseases are; Cholera which is caused by the ingestion of water that is infected by Vibrio Cholerae. This is a painless form of diarrhea characterized by watery stool. Dysentery which is caused by Escherichia Coli. Typhoid that is caused by Salmonella typhi which is usually accompanied by fever is yet another disease. Gastroenteritis diseases caused by Giardia and Cryptosporodia and some species of hepatitis are also known to be caused by water (CDC, 2011). These disease causing agents find their way into the human body through infected water that people from the poorer communities in Uganda use and have no option of cleaner water.

Causes: Cholera is caused by the bacterium Vibrio cholerae. The bacteria releases a toxin that causes increased release of water from cells in the intestines, which produces severe

Between the 1830’s to 1860’s, cholera spread into the United States from India by trade routes. Cholera is an acute diarrhoeal infection caused by drinking or eating material that is infected with Vibrio cholerae. Cholera causes watery diarrhoea, but can show days later or never show

Cholera most likely originated in India as many as 1,000 years ago. The earliest documentation of recorded symptoms is from a medical report written in 1563. Later, the first cholera pandemic initiated in 1817 when the bacterium spread from India to Southeast Asia, Central Asia, Russia, the East African coast and the Middle East and lasted until 1823. Modernization eventually increased the extent of the illness through providing means by which the bacteria could spread. On its own, Cholera would have remained separated from the rest of the world by miles of land and sea, but technological innovations connected the continents, and it did not take long for the bacteria to infect the precise human beings who would provide them safe travel. In 1826, unknowing merchants inadvertently carried the disease over trade

Also, an estimated 4 million cases and over 100,000 deaths occur each year due to this bacteria. Because the intestines are the site in which fluid is absorbed from food, unfortunately for people suffering from the bacteria, the intestines overdo their job and one suffers from diarrhea. Diarrhea is a homeostatic imbalance, in which stools are “watery” (Hoehn, 892).

E. coli or Escherichia coli are a kind of bacteria that affects the intestinal or the digestive system of a human being, which can even lead to death. It is one of the subgroup of fecal coliform bacteria. E. coli O157:H7 is that toxic microorganism or bacteria which causes the intestinal disease in the human beings which is most likely to last about a week. The common symptoms of these diseases are that the patient will have diarrhea with blood (Clermont, Bonacorsi and Bingen 2000). However, the serve cases of this disease may lead to kidney problems, which can lead to death especially when the patient is a child or an elderly person. That is, it can act severely in those patients who have does not have a strong immune system. Some types of E. coli are normally found in the intestines of people and animals

coli bacteria is a type of bacteria that can live in the intestines of animals and humans. However, there are some types of the E. coli bacteria, particularly E. coli 0157:H7, that can cause intestinal infections. Symptoms of this type of infection include dehydration, abdominal cramps, fever and bloody diarrhoea. These symptoms can endure 2-8 days after exposure to the bacteria. Since these symptoms generally resolve after a few days to a week, most cases of E. coli 0157:H7 infection can be treated at home.

Harris, J. B., LaRocque, R. C., Qadri, F., Ryan, E. T., & Calderwood, S. B. (2012). Cholera. Lancet, 379(9835), 2466–2476. http://doi.org/10.1016/S0140-6736(12)60436-X

Two out of every five people living in Sub-Saharan Africa lack safe water. A baby there is 500 times more likely to die from water-related illness than one from the United States. This is a serious ongoing issue that requires the rest of the world to take action. Water spreads diseases easily if the necessary precautions are not taken. Many developing African countries don’t have sewage treatment, or the people don’t have methods to filter and disinfect. Once a person is sick either there is no way to cure them, or medical care is too expensive, so they are left untreated with a high risk of death. Although many believe that the fight for sanitary water in Africa is insurmountable, people in these developing countries can overcome their challenge to access clean water and avoid water-borne diseases through proper sewage treatment facilities, universal water filtration and medical care.

The migration of a population displaced by a natural disaster such as the occurrence of the magnitude 7.0 earthquake that hit the people of Haiti did introduce mortality rates due to unhealthy and unsanitary conditions the refugees lived under in camps. The overcrowded living conditions facilitated a quadrupled spread and transmission of infectious disease such as cholera bacteria inflicting diarrhea. These infections are easily spread through contaminated water. Emotional stress which has a great impact on the physical as well as the mental health of the population quickly degraded the body immune system. Inadequate quantities and qualities of water to sustain health and personal hygiene, poor environmental sanitation and insufficient shelter are all factors that made cholera more potent. An infectious disease like cholera thrives best in a malnutrition host with no access to health care. However, it would be appropriate to educate the people about the bacteria involved hence the need to highlight on the origin (primary) of the bacteria causing cholera. The secondary transmission route would also be enumerated and the impact they both have on the people. The ways in which the spread of the infection could be reduced would further be elaborated.

Almost 100 countries worldwide are still affected by cholera and it’s virtually impossible to completely prevent an outbreak. If left alone, this rapidly infectious disease can cause many fatalities. However, improved methods for surveillance, diagnosis, and treatment, paired with higher standards of sanitation and personal

There are other common sources of cholera bacterium are surface or well water, seafood, raw fruits and vegetables, and grains. In water, Vibrio cholerae can survive for long periods of time, staying dormant. People in areas with poor sanitation, like crowded refugee camps, are at risk of cholera, due to the fact that water provided for said community could be a source of contamination of cholera bacteria. Seafood, when raw or undercooked, can be contaminated by cholera bacteria, if the seafood came from certain areas with contaminated waters. Since the 1970s, cholera outbreaks in the U.S. have been caused by smuggled seafood from cholera-infected areas, and from the Gulf of Mexico. Shellfish are especially contaminated, due to the fact that “they filter large amounts of water, concentrating the levels of cholera bacteria”. Raw fruits—especially unpeeled—and vegetables coming from an area with a source of cholera are another frequent source of the cholera bacteria. Innoculation of the fruits

Currently, the gold-standard assay for cholera diagnosis is the isolation and identification of V. cholera from cultured stool samples. This culture-based method may take up to 48 hours for results and relies on clinical symptoms and prior knowledge for pathogen identification. This method remains problematic for developing successful control strategies, particularly for the current asymptomatic El Tor strain 7P. To complicate matters further, V. cholerae cannot be cultured when in a biofilm state, which is formed upon human ingestion as a means of protection from the acidic nature of the stomach.

A case control study conducted by Tuttle et.al(1995) in Zambia revealed that cases were more likely to have recent contact with a person with dysentery, to have a family member with preceding dysentery and to have eaten relish purchased from a vendor. They also found that case households were more likely to share their latrine and obtain drinking water only by hand-dipping into a wide-mouthed container 15.