更多的社区参与和卫生实践的改变让帕尔马斯和相邻的雅各布村（Jacob）的女性、男性和儿童远离霍乱 — — 极大地扭转了过去几年的形势 — — 也降低了他们罹患其他水媒疾病。
Increased community engagement and changes in hygiene practices have freed the women, men, and children of Los Palmas and the neighboring village of Jacob of cholera – a dramatic reversal from the last few years – and reduced their risk of contracting other water-borne diseases.