"Lack of urine output in the acutely hypocolaemic patient is renal success, not renal failure."

An acute infectious illness cased by Vibrion Choleragram negative rods-charecterised by rice-water diarrhea, and vomiting, with extreme fluid loss (up to a litre ad hour) electrolyte depletion, severe muscles cramps and prostration.

Very good (<1% mortality) with aggressive management of volume status. Untreated cases die of hypo-volaemic shok.

Bed rest until symptoms resolve, and patient feels well enough to take normal diet.

Personal hygiene as for any enteral infection.

Not required.

Natural infection confers life-long immunity.

Tetracyclineprophylaxis for all contacts.

Enteric precautions for personal hygiene, contact and food.

Cholera vaccine confers immunity for 3-6 months in 50% of patients, and is given as single dose.