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The-Accountant-Sep-Oct-2017-Final

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HEALTH<br />

lining can cause bloody diarrhea. If the<br />

parasite reaches the bloodstream it can<br />

spread through the body, most frequently<br />

ending up in the liver where it can cause<br />

amoebic liver abscesses. Liver abscesses<br />

can occur without previous diarrhea.<br />

Diagnosis is typical by stool examination<br />

using a microscope, but may not reliably<br />

exclude infection or separate between<br />

specific types. An increased white blood<br />

cell count may be present in severe cases.<br />

<strong>The</strong> most accurate test is finding specific<br />

antibodies in the blood. But it may remain<br />

positive following treatment. Bacterial<br />

colitis can result in similar symptoms.<br />

Treatment<br />

Prevention of amoebiasis is by improved<br />

sanitation, including separating food<br />

and water from faeces. <strong>The</strong>re is no<br />

vaccine. <strong>The</strong>re are two treatment options<br />

depending on the location of the infection.<br />

Amoebiasis in tissues is treated with either<br />

metronidazole, tinidazole, nitazoxanide,<br />

dehydrometine or chloroquine, while<br />

luminal infection is treated with diloxanide<br />

furoate or iodoquinoline. For treatment to<br />

be effective against all stages of disease<br />

may require a combination of medications.<br />

Infections without symptoms do not<br />

require treatment but infected individuals<br />

can spread the parasite to others and<br />

treatment can be considered. Treatment of<br />

other Entamoeba infections apart from E.<br />

histolytica is not needed.<br />

Amoebiasis is present all over the<br />

world. About 480 million people are<br />

infected with amoebiasis and this result<br />

in the death of between 40,000–110,000<br />

people a year. Most infections are now<br />

believed to be due to E.dispar. E. dispar<br />

is more common in certain areas and<br />

symptomatic cases may be less common<br />

than previously reported. <strong>The</strong> first case<br />

of amoebiasis was documented in 1875<br />

and in 1891 the disease was described<br />

in detail, resulting in the terms amoebic<br />

dysentery and amoebic liver abscess.<br />

Further evidence from the Philippines in<br />

1913 found that upon swallowing cysts<br />

of E. histolytica volunteers developed the<br />

disease according to wiki.<br />

World Health Organization<br />

(WHO) elaborates this by explaining<br />

that chronic amoebiasis can present<br />

with gastrointestinal symptoms plus<br />

fatigue, weight loss and occasional fever.<br />

Extraintestinal amoebiasis can occur<br />

if the parasite spreads to other organs,<br />

most commonly the liver where it causes<br />

amoebic liver abscess. Amoebic liver<br />

abscess presents with fever and right<br />

upper quadrant abdominal pain. It occurs<br />

worldwide, but is more common in<br />

areas or countries with poor sanitation,<br />

particularly in the tropics. Precautions<br />

according to WHO, include food and<br />

water hygiene; no vaccine is available.<br />

Here are the top 10 home remedies for<br />

amebiasis. www.top10homeremedies.<br />

com/<br />

• Increase Fluid Intake. Frequent<br />

watery stools and vomiting can lead<br />

to dehydration, which can worsen your<br />

condition. ...<br />

• Coconut. Coconut is a strong antiparasitic<br />

agent that can fight the<br />

parasites that cause amebiasis<br />

• Garlic<br />

• Oregano<br />

• Indian Lilac<br />

• Apple Cider Vinegar<br />

How many days does<br />

Amoebiasis last?<br />

When symptoms occur, they tend to<br />

appear one to four weeks after ingestion<br />

of the cysts. According to the Centers for<br />

Disease Control and Prevention (CDC),<br />

only about 10 to 20 percent of people who<br />

have amebiasis become ill from it.<br />

How about cholera?<br />

Cholera is an infectious disease that causes<br />

severe watery diarrhea, which can lead to<br />

dehydration and even death if untreated. It<br />

is caused by eating food or drinking water<br />

contaminated with a bacterium called<br />

Vibrio cholerae. This bacterium that causes<br />

cholera is usually found in food or water<br />

contaminated by feces from a person with<br />

the infection. Basically, to avoid cholera,<br />

you should among other things, drink and<br />

use safe water, wash your hands often with<br />

soap and safe water, use latrines or bury<br />

your feces (poop); do not defecate in any<br />

body of water and remember to cook food<br />

well (especially seafood), keep it covered,<br />

eat it hot, and peel fruits and vegetables.<br />

Cholera can be life-threatening but it is<br />

easily prevented and treated.<br />

According to webmd.com symptoms<br />

of cholera can begin as soon as a few<br />

hours or as long as five days after infection.<br />

Often, symptoms are mild. But sometimes<br />

they are very serious. About one in<br />

20 people infected have severe watery<br />

diarrhea accompanied by vomiting, which<br />

can quickly lead to dehydration. Although<br />

many infected people may have minimal<br />

or no symptoms, they can still contribute<br />

to spread of the infection.<br />

Signs and symptoms of dehydration<br />

include: Rapid heart rate, loss of skin<br />

elasticity (the ability to return to original<br />

position quickly if pinched) dry mucous<br />

membranes, including the inside of the<br />

mouth, throat, nose, and eyelids, low blood<br />

pressure thirst and muscle cramps. If not<br />

treated, dehydration can lead to shock and<br />

death in a matter of hours.<br />

Treatment for cholera<br />

Cholera treatment includes rehydration<br />

therapy; in this case prompt restoration of<br />

lost fluids and salts through rehydration<br />

therapy is the basic aim of treatment.<br />

<strong>The</strong>re is also antibiotic treatment, which<br />

reduces fluid requirements and duration of<br />

illness, is needed for severe cases of cholera.<br />

Zinc treatment has also been known to<br />

help improve cholera signs in children.<br />

Remember hydration is the mainstay<br />

of treatment for cholera. Depending on<br />

how severe the diarrhea is, treatment will<br />

consist of oral or intravenous solutions to<br />

replace lost fluids.<br />

Remember, the risk for cholera is very low<br />

for people visiting areas with epidemic<br />

cholera. When simple precautions are<br />

observed, contracting the disease is<br />

unlikely. Also to prevent cholera and<br />

amoebiasis, be aware of what food and<br />

drinks may harbor parasites and germs<br />

and avoid them.<br />

cananews@gmail.com<br />

Health tips<br />

• Try to restrict your fat intake<br />

to fewer than 30 percent from<br />

saturated fats<br />

• Stress, boredom, loneliness,<br />

hostility or other negative<br />

emotions can affect your weight<br />

loss plan.<br />

• A healthy body and a healthy<br />

mind is a good blend<br />

• Go out for a long walk to<br />

increase your circulation<br />

• Select whole grains. Try brown<br />

rice instead of white. Switch to<br />

whole wheat pasta.<br />

september - october <strong>2017</strong> 49

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