Picture yourself lying on a dirty cot with a hole cut out under you to collect buckets full of unstoppable diarrhea. Now imagine your child lying there. Finally, pretend you are not one of the lucky ones lying on a cholera cot in a hospital, but are lined up outside in the street, waiting for help.
Cholera is an ugly disease.
The bacteria Vibrio cholerae makes a toxin that shreds the intestinal lining, causing white flecks that look like rice to be passed in huge volumes of watery diarrhea. In hospitals, these “rice water stools” are collected and measured in buckets so body fluids can be replaced. Adults can lose up to 22 liters a day while battling this devastating infection. Without fluid and electrolyte replacement, most victims die from shock.
Lucky patients that recover often still carry the bacteria and can infect others. They can even re-infect themselves.
Cholera bacteria can survive outside the human body in water. They do especially well in dirty water. Unsanitary conditions are breeding grounds for Vibrio cholerae.
I read this morning in the New York Times that cholera has spread from the Hatian countryside to the crowded, unsanitary camps of the earthquake survivors in Port-au-Prince. The camps don’t have clean toilets and are often flooded when it rains. Over a million people live in filth and poverty. According to the article, health officials predict that over 270,000 people could get sick with cholera over the next few years.
People like you, and me, and our kids.
What can you do to help? Support aid organizations that are mobilizing to get clean water, water purification supplies, and medical supplies to Haiti. Once the supplies arrive though, it’s up to the Hatian government to make sure workers are able to get them to the people most in need. Let’s hope they do.