In cholera epidemic which step should be first taken:: (A) Vaccination to all individuals immediately, (B) Primary chemoprophylaxis, (C) Cure with tetracycline, (D) Safe water supply and sanitation
Answer is D. Ans. (d) Safe water supply and sanitationRef K. Park 23rded. /232-33* Cholera is an acute diarrheal disease caused by Vibrio cholerae.* I.P.-1-2 days* First step in epidemic of cholera: Verification of diagnosis* First line treatment of choice: water and electrolyte replacement.* In the given question, safe water supply and sanitation should be the 1st step to decrease mortality from cholera.Also know* Stool appearance of cholera: "Rice watery stool* Chemoprophylaxis of cholera: Tetracycline 500mg BID for 5 days.* Drug of choice for cholera:# Adults: Doxycycline 300 mg stat.# Children: Cotrimoxazole 5mg/kg BID for 3 days# Pregnant female: Furazolidone 100mg QID for 3 days.