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Cholera

15 questions · History

Cholera is a feared diarrhoeal disease that can kill a healthy person within hours. It is caused by the bacterium Vibrio cholerae, spread mainly through contaminated drinking water and food. In the 19th century cholera moved in several pandemics from its home in the Indian Ganges delta across the whole world and killed millions. The disease triggers massive, watery diarrhoea: sufferers lose so much fluid that they literally dry out; the skin turns bluish, the eyes sink in. For a long time people believed „bad air“ (miasma) was the cause. Only in 1854 did the London doctor John Snow prove that a contaminated water pump was the source of an outbreak: a milestone of modern epidemiology. Shortly after, Robert Koch identified the pathogen. The decisive weapon against cholera is still clean drinking water and working sewers; where these are lacking, it breaks out again and again. The simple, ingenious treatment is oral rehydration: a solution of water, salt and sugar that replaces the lost fluid and has saved millions of lives.

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All questions with answers

Which comma-shaped bacterium did Robert Koch identify as a plague agent in 1883?

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Vibrio cholerae

It colonises the small intestine and releases a toxin.

💡 Did you know? Robert Koch described it more precisely in 1884.

How is cholera mainly transmitted?

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Contaminated drinking water

Contaminated food also transmits it.

💡 Did you know? Clean sewage systems are the best protection.

Which main symptom marks cholera?

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Watery diarrhoea

It looks like „rice water“.

💡 Did you know? The body loses enormous amounts of fluid.

What do cholera patients mostly die of?

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Dehydration

The massive fluid loss makes the circulation fail.

💡 Did you know? Untreated this can be fatal within hours.

Which simple treatment saves the most lives?

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Oral rehydration

A solution of water, salt and sugar.

💡 Did you know? It is seen as one of medicine's most important inventions.

Which London doctor proved a contaminated pump as the source in 1854?

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John Snow

He had the handle of the Broad Street pump removed.

💡 Did you know? He is seen as a founder of modern epidemiology.

Who conclusively identified the cholera pathogen?

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Robert Koch

The German bacteriologist found it in India in 1884.

💡 Did you know? Koch decisively shaped modern microbiology.

In which world region did cholera originate?

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The Ganges delta (India)

From there it broke out worldwide in the 19th century.

💡 Did you know? Seven great cholera pandemics are known.

Which false idea long explained diseases like cholera?

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The miasma theory

People believed „bad air“ caused illness.

💡 Did you know? John Snow's work disproved this idea.

Which infrastructure best protects a city from cholera?

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A working sewage system

Separating drinking and waste water is decisive.

💡 Did you know? Building modern sewers ended many outbreaks.

Does cholera still break out today?

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Yes

Especially after disasters and in war zones.

💡 Did you know? Mostly where clean water is lacking.

What skin colour do severe cholera patients often take on?

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Bluish

That is why it was once called „blue cholera“.

💡 Did you know? The cause is extreme fluid loss.

Is there a vaccine against cholera?

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Yes

Oral vaccines offer temporary protection.

💡 Did you know? Clean water still remains the key measure.

Which famous composer probably died of cholera in 1893?

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Pyotr Tchaikovsky

He is said to have drunk unboiled water.

💡 Did you know? The circumstances of his death are still disputed.

Which field grew largely out of cholera research?

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Epidemiology

It studies how diseases spread.

💡 Did you know? John Snow's map of deaths was its first tool.

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