V. cholerae - Filippo Pacini

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Pre-emptive and reactive cholera vaccination are recommended by WHO for outbreak control • Pre-emptive vaccination should be used to prevent potential outbreaks and contain actual outbreaks, targeting at-risk groups » During complex emergencies that compromise water and sanitation » When neighboring regions experience an outbreak » When disease incidence increases in an endemic region • Reactive vaccination should be considered, depending on local factors • Vaccination for outbreak control must achieve high population coverage • Vaccination should be in conjunction with treatment, provision of clean water, and improved sanitation WHO. Weekly epidemiological record 2010;85:117-28. Available at: http://www.who.int/wer/2010/wer8513.pdf
NEW ISSUES IN PREVENTION AND CONTROL • Detecting V. cholerae in the environment: » detection of V. cholerae O1 in the environment preceded the appearance of cases in the community by 2-3 months » detection of V. cholerae O1 in the sewage of Lima city preceded the appearance of cases • Abundance of V. cholerae O1 correlates with the abundance of copepods. Plankton mass and displacement can be explored by using satellite images • The integration of several disciplines including epidemiology, marine biology, microbiology, medicine, and satellite imagery may prevent global epidemics
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Cholera in the AMERICAS: Peru 1991
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EPIDEMIOLOGY Transmission » fecal
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SEVEN PANDEMICS OF CHOLERA Pandemic
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EPIDEMIOLOGICAL DIFFERENCES BETWEEN
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LIFE CYCLE OF Vibrio cholerae
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THE AGENT Vibrio cholerae is a Gra
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Vibrio cholerae ON THE SURFACE OF A
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ELECTROLYTE CONCENTRATIONS IN CHOLE
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STOOL SAMPLE OF A CHOLERA PATIENT r
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STOOL SAMPLE OF A CHOLERA PATIENT
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FOODBORNE TRANSMISSION Country of o
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SITUATION OF PERU DURING 1991 • H
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THE CHOLERA EPIDEMIC IN PERU The e
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El Niño Current Humboldt Current
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RISK FACTORS FOR CHOLERA, PERU 1991
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NEW ISSUES IN PREVENTION AND CONTRO
Page 41: ACUTE RENAL FAILURE AT CAYETANO HER
Page 45 and 46: PRINCIPLES OF REHYDRATION THERAPY
Page 47 and 48: PRACTICAL GUIDELINES FOR THE TREATM
Page 49 and 50: CHOLERA IN ZAIRE, 1994 • 1.2´Hut
Page 51 and 52: COUNTRIES WHERE V. cholerae O139 CA
Page 54 and 55: Cholera 1991 THIS PANDEMIC COULD PR
Page 56 and 57: Number of cases x 1000 CHOLERA IN T
Page 59: CHOLERA AMONG TRAVELERS Taylor D. e
Page 62: ROLE OF O BLOOD GROUP • Hospitali
Page 66 and 67: Positive aspects of cholera epidemi
Page 69 and 70: CHOLERA IN THE WORLD: 1996-2005 Ch
Page 71: Cholera slides from Bangladesh •
Page 78 and 79: ien ha echado el Vibrio cholerae en
Page 80 and 81: analysis demonstrate s close identi
Page 82 and 83: Contact with freshly shed V. choler
Page 84 and 85: A multiple approach is critical for
Page 86 and 87: Reactive mass vaccination can preve
Page 88 and 89: Ministerio de Salud Dirección Gene
Page 92 and 93: CHANGING PATTERNS IN CHOLERA EPIDEM
Page 94: “ From the time the cholera procl
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V. cholerae - Filippo Pacini

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