National Institute of Cholera and Enteric Diseases, Kolkata, India.
Department of Epidemiology, Johns Hopkins University, Baltimore, MD, USA; Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Lancet. 2022 Apr 9;399(10333):1429-1440. doi: 10.1016/S0140-6736(22)00330-0.
Cholera was first described in the areas around the Bay of Bengal and spread globally, resulting in seven pandemics during the past two centuries. It is caused by toxigenic Vibrio cholerae O1 or O139 bacteria. Cholera is characterised by mild to potentially fatal acute watery diarrhoeal disease. Prompt rehydration therapy is the cornerstone of management. We present an overview of cholera and its pathogenesis, natural history, bacteriology, and epidemiology, while highlighting advances over the past 10 years in molecular epidemiology, immunology, and vaccine development and deployment. Since 2014, the Global Task Force on Cholera Control, a WHO coordinated network of partners, has been working with several countries to develop national cholera control strategies. The global roadmap for cholera control focuses on stopping transmission in cholera hotspots through vaccination and improved water, sanitation, and hygiene, with the aim to reduce cholera deaths by 90% and eliminate local transmission in at least 20 countries by 2030.
霍乱首先在孟加拉湾周围地区被描述,并在全球范围内传播,在过去两个世纪中导致了七次大流行。它是由产毒霍乱弧菌 O1 或 O139 细菌引起的。霍乱的特征是轻度到潜在致命的急性水样腹泻病。及时的补液治疗是治疗的基石。我们概述了霍乱及其发病机制、自然史、细菌学和流行病学,同时强调了过去 10 年在分子流行病学、免疫学和疫苗开发和部署方面的进展。自 2014 年以来,世界卫生组织协调的合作伙伴全球霍乱控制工作队一直在与几个国家合作制定国家霍乱控制战略。全球霍乱控制路线图侧重于通过疫苗接种和改善水、环境卫生来阻止霍乱热点地区的传播,目标是到 2030 年将霍乱死亡人数减少 90%,并在至少 20 个国家消除本地传播。