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Technical Note Organization of Case Management during a Cholera Outbreak June 2017

Cholera epidemics continue to be a major public health problem in many countries around the world. When epidemics strike, they can spread rapidly. The disease can also evolve quickly; patients with severe disease can die of dehydration hours after showing the first symptoms of cholera.

To decrease mortality, one of the main challenges is to ensure that individuals with cholera have access to treatment as soon as possible after symptoms appear¹. This entails engagement of a network of cholera treatment structures and strategies ranging from home based or community care through to overnight stay structures with highly trained medical staff. Depending on the context, the network may be pre-existing, or may need to be established specifically during an outbreak or incorporate both established and new elements. As with childhood diarrhoea, new technological advances are not required to reduce cholera mortality².

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