Worcester Travel Clinic provide a Cholera vaccination service

Your one stop Vaccination Clinic

Cholera

We provide a full range of travel vaccinations and medication

Cholera

Cholera is an acute diarrhoeal illness. It is caused by ingesting Vibrio Cholerae. It presents as a sudden onset of water diarrhoea. Introduction into the bowel occurs via ingestion of faecally contaminated water or shellfish or other foods. Cholera is common in poverty stricken countries where there is bad sanitation and poor access to drinking water

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Vaccination Pricing

Dukoral – £35 Per dose / £70 Per Course
Vaxchora – £78 Per Course

Signs & Symptoms

Cholera can be mild or occur without symptoms in healthy individuals.

Symptoms include:

Sudden onset of watery diarrhoea
Nausea
Vomiting
Dehydration
Shock in severe cases
Death occurs in 50% of those untreated with severe complications

Claines Pharmacy & Travel Clinic

General Contact & Travel Vaccination

Tel: 01905 453 703

Email: worcestertravelclinic@raylane.co.uk

Claines Pharmacy 153 Ombersley Rd, Worcester, WR3 7BX

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Evans Pharmacy & Travel Clinic

General Contact & Travel Vaccination

Tel: 01684 575 216

Email: malverntravelclinic@raylane.co.uk

Evans Pharmacy 231 Worcester Rd, Malvern, WR14 1SU

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If untreated, cholera can rapidly lead to serious dehydration and shock; fifty percent of those with serious complications, die. With quick and effective treatment, risk of dying is less than one percent.

The Vaccination – Dukoral Vaccine

Ages (Years)	Doses Required	Schedule	Time before travel	Boost required at
2-6	3	at least one week apart	Last dose up to day before*	6 months
6-85	2	at least one week apart	Last dose up to day before*	2 years

The Vaccination – Vaxchora Vaccine

Ages (Years)	Doses Required	Schedule	Time before travel	Boost required at
22-85	1	single dose	10 days before	–

*Vaccines work best if given time to become active. This vaccine can be given up to the day before travel and will provide some cover.

How do you catch Cholera?

Cholera is primarily transmitted through contaminated water or food. The bacterium responsible for cholera, Vibrio cholerae, is typically found in fecal matter of infected individuals. The most common ways to catch cholera include:

Drinking contaminated water: Consuming water from sources contaminated with the cholera bacterium, such as untreated or improperly treated water from rivers, lakes, or wells, can lead to infection.
Eating contaminated food: Consuming raw or undercooked seafood, particularly shellfish, that originated from contaminated waters can introduce the cholera bacteria into the body.
Poor sanitation and hygiene: Living in areas with inadequate sanitation systems and practicing poor personal hygiene can increase the risk of cholera. Direct contact with infected fecal matter, such as through contaminated surfaces or improper handwashing, can contribute to transmission.

Cholera is more prevalent in areas with inadequate water and sanitation infrastructure, and it can spread rapidly in crowded or unsanitary conditions, such as during natural disasters or in refugee camps. Proper sanitation practices, access to clean water, and safe food handling and preparation are crucial in preventing the spread of cholera. Vaccination is also available in some regions for additional protection against the disease.

Who is at risk from Cholera?

Cholera can affect people of all ages and backgrounds, but certain groups are more vulnerable to the disease. The following individuals are at higher risk of contracting cholera and experiencing severe symptoms:

People living in areas with inadequate sanitation and limited access to clean water are at the highest risk. Cholera thrives in environments where sanitation infrastructure is poor, leading to contaminated water sources and improper waste disposal.
Individuals in regions experiencing cholera outbreaks or epidemics are at increased risk due to the higher prevalence of the disease.
Travelers visiting regions with inadequate sanitation and hygiene practices, particularly in developing countries, may be at risk if they consume contaminated food or water.
People with compromised immune systems, such as those with HIV/AIDS or other underlying health conditions, have a higher susceptibility to severe cholera infections.
Malnourished individuals, including children and those living in impoverished conditions, are more vulnerable to the severe effects of cholera.

It is crucial for individuals in high-risk groups to prioritize preventive measures, such as practicing good hygiene, consuming safe water and food, and seeking vaccination when available. Prompt access to healthcare and appropriate treatment is essential in managing cholera cases and preventing complications.

Symptoms of Cholera

The symptoms of cholera can vary in severity, ranging from mild to severe. Some people infected with the cholera bacterium, Vibrio cholerae, may not exhibit any symptoms, while others may experience:
- Diarrhea: Profuse, watery diarrhea is the hallmark symptom of cholera. The diarrhea is often described as “rice water” due to its appearance and can lead to significant fluid loss.
- Dehydration: Rapid fluid loss through diarrhea can result in dehydration, which can be severe and life-threatening if left untreated. Symptoms of dehydration include dry mouth, excessive thirst, decreased urine output, dry skin, fatigue, and dizziness.
- Vomiting: Many individuals with cholera may experience episodes of vomiting, which can exacerbate fluid loss and dehydration.
- Muscle cramps: Painful muscle cramps and weakness can occur due to electrolyte imbalances caused by the loss of fluids and minerals.
- Rapid heart rate: Cholera can lead to an increased heart rate (tachycardia) as the body tries to compensate for fluid loss.
- Low blood pressure: In severe cases, cholera can cause a drop in blood pressure (hypotension), leading to weakness, dizziness, and potentially shock.
- Nausea and abdominal pain: Some individuals may experience nausea and abdominal discomfort, although these symptoms are less pronounced compared to the diarrhea.
It’s important to seek immediate medical attention if cholera is suspected, as prompt treatment can help manage symptoms, prevent complications, and reduce the risk of spreading the disease.