Cholera is spreading fast, yet it can be stopped. Why haven't we consigned it to history? | Hakainde Hichilema and Tedros Adhanom Ghebreyesus

Cholera: A Disease That Can be Eradicated, Yet Remains a Persistent Threat

A devastating and preventable disease has taken hold in 32 countries, claiming over 6,800 lives so far this year. Cholera, an ancient foe that was last seen in Britain in 1866 and the United States in 1911, continues to spread rapidly, fueled by conflict, poverty, and inequality.

The World Health Organization (WHO) and its partners are working tirelessly to combat outbreaks through the Global Task Force on Cholera Control. A consortium of over 50 organizations, including WHO, has responded to these outbreaks with a partnership established in 1992, ensuring access to essential supplies, detection, prevention, and treatment services.

However, despite concerted efforts, cholera persists due to inadequate action from leaders. The disease is the definitive enemy of deprivation, thriving in communities afflicted by conflict, displacement, and climate-related disasters. Safe drinking water and sanitation are the only defenses against cholera, yet many countries lack these basic amenities.

Effective vaccines offer a lifeline against cholera, but vaccine development has been hindered due to limited market opportunities. The current manufacturer, EUBiologics from South Korea, produces vaccines at scale, but demand far exceeds supply. A global cholera vaccine stockpile, established in 2013, has dispensed over 255 million doses to 34 countries since its inception.

The ICG (International Coordinating Group on Vaccine Provision) has suspended the standard vaccination regimen in favor of a single dose to stretch supplies further. However, this is only a temporary solution as demand shows no signs of abating. New partnerships, such as Zambia and China's Jijia Medical Technology Company, aim to establish cholera vaccine-production facilities, but rigorous quality assurance and clinical trials are essential before locally manufactured doses can be approved.

The root cause of the cholera crisis lies not in a lack of scientific solutions, but rather in poverty, inequality, conflict, and displacement. Stopping this disease is fundamentally a political challenge. The WHO's Director-General Tedros Adhanom Ghebreyesus emphasizes that "cholera persists because poverty, inequality, conflict and displacement persist."

As the number of cholera cases continues to rise, it is clear that a collective effort is required to address this issue. Governments must prioritize investments in safe drinking water and sanitation, while vaccine manufacturers must increase production to meet growing demand. Ultimately, eradicating cholera will require sustained commitment from governments, international partners, and civil society.
 
I feel so sad thinking about all these people suffering from cholera πŸ€•. It's just unbelievable that we still live in a world where such preventable diseases exist. I mean, safe drinking water and sanitation are basic human rights, right? 🚽 But it seems like some countries aren't getting the priority they need.

I think what really gets me is how much of this is due to conflict, poverty, and inequality. It's not just a matter of vaccines or medical treatment; it's about creating a world where people have access to basic necessities. We need governments to step up and invest in these areas, especially in countries that are most affected.

And the vaccine situation is crazy 🀯. I mean, we have the technology to make more vaccines, but demand far exceeds supply. It's like we're treating this as a business problem instead of a humanitarian crisis. We need to change our approach and prioritize people's lives over profits.

I'm not optimistic about it all, but I do think there are some glimmers of hope 🌞. Those partnerships between governments, international organizations, and vaccine manufacturers seem promising. And the fact that we're talking about this issue at all is a good start. We need to keep pushing for change and supporting those who are working towards a cholera-free world πŸ’ͺ.
 
I'm so worried about cholera πŸ€•. The stats are crazy! 32 countries affected, over 6,800 deaths, and it's still spreading like wildfire πŸ”₯. I mean, we've been here before in 1866 and 1911, but we can't keep going back to the same mistakes. 50+ organizations working together is a great start, but what's the point if leaders aren't taking action? πŸ€”

Did you see that 255 million doses have already been dispensed from the global stockpile? That's like, a lot of people! 😲 And the current manufacturer is struggling to keep up with demand. I mean, it's not like vaccine development is hard or anything... πŸ€·β€β™€οΈ But seriously, we need more partnerships, like Zambia and China's Jijia Medical Technology Company, to get this stuff made locally.

Here's some crazy numbers:

* 1 in 5 people worldwide lack access to safe drinking water πŸ’§
* 2.3 billion people live without improved sanitation facilities 🚽
* Cholera can be eradicated if we invest $1-2 per person per year πŸ€‘

It's time for governments and international partners to step up their game! We need more funding, more partnerships, and more action NOW πŸ’ͺ.
 
The resurgence of cholera as a global health concern is truly disconcerting πŸ€•. It's astonishing that despite the availability of effective vaccines and treatments, this preventable disease continues to claim thousands of lives every year. The WHO's efforts to combat outbreaks are commendable, but it's disappointing that more needs to be done to address the root causes of poverty, inequality, and conflict.

It's concerning that vaccine production is hindered by limited market opportunities and regulatory hurdles πŸ“ˆ. However, I'm heartened by the establishment of new partnerships between organizations like Zambia and China's Jijia Medical Technology Company, which aim to increase vaccine production capacity.

Ultimately, eradicating cholera requires a multifaceted approach that involves governments, international partners, civil society, and the private sector 🌎. We need to prioritize investments in safe drinking water and sanitation, as well as increase access to affordable healthcare and education. By working together, we can create a world where this devastating disease is a relic of the past πŸ’―.
 
I'm like so worried about this whole cholera situation πŸ€•... it's crazy how something as preventable as a good water source can be the difference between life and death. I mean, 6,800 lives lost already this year? It's just too much πŸ’”. And to think that it's basically down to poverty and conflict... it's like, come on! Can't we get our act together? πŸ€¦β€β™€οΈ

I do love the fact that there's a global task force working on this though πŸ™Œ. The WHO is doing its best with over 50 organizations helping out. But seriously, we need more investment in safe drinking water and sanitation ASAP πŸ’§. It's not rocket science, folks! And I'm all for increasing vaccine production too πŸ—£οΈ. We can do better than just a single dose vaccine solution, though... that's just not going to cut it πŸ˜•.

I think what really gets me is how we're being told that poverty and conflict are the root causes of this crisis 🀝. Like, yeah, I get it... but there needs to be more action taken! πŸ’ͺ We need governments prioritizing investments in safe drinking water and sanitation, not just throwing money at it without a plan πŸ˜’.

Anyway, I'm gonna keep spreading awareness about cholera πŸ“’. Maybe if we all do our part, we can make a difference 🌎.
 
The resurgence of cholera as a pressing global health concern is a stark reminder of the consequences of complacency in the face of poverty and inequality πŸ€•. It's disheartening to see that despite concerted efforts by organizations like WHO and the Global Task Force, the disease continues to spread due to inadequate action from leaders. The root cause of this crisis lies not in medical solutions but rather in the structural inequalities that perpetuate deprivation and vulnerability.

In my view, a more nuanced approach is needed to address cholera, one that prioritizes sustainable investments in safe drinking water and sanitation infrastructure, as well as bolstering vaccine production to meet growing demand πŸ’‘. The need for quality assurance and rigorous clinical trials must be emphasized to ensure the efficacy of locally manufactured doses. Ultimately, eradicating cholera will require a sustained commitment from governments, international partners, and civil society to address the systemic issues that enable its persistence 🌎.
 
Ugh πŸ€• I remember when I was a kid, we didn't hear about this stuff so much... cholera was like something out of movies or books... now it's all over the news πŸ“°. I mean, 6,800 deaths is crazy! It should be easy to stop if people just had access to clean water and toilets, but nope 🚽. And don't even get me started on how long it's been since cholera was last seen in the US or UK... what happened back then? πŸ˜•

I'm all for governments stepping up their game and investing more in healthcare, especially in places that need it most 🌎. It's not like we can just turn a blind eye to this stuff anymore... every life lost is too many πŸ’”. We need to find a way to get these vaccines out to everyone who needs them ASAP ⏱️.

It's wild that there are so few vaccine manufacturers and they're all scrambling to keep up with demand 🀯. I mean, shouldn't we have figured this out by now? πŸ˜‚. All in all, it just feels like a lot of people are being left behind here... time for some serious change πŸ”₯.
 
come on guys 🀯 6,800 lives already?! that's like a small city lost its soul 😒 we all know how to make vaccines but are we really doing enough? the root cause is poverty and inequality and its time we put our money where our mouth is πŸ’Έ governments need to step up and invest in safe drinking water and sanitation ASAP 🚽🌎 let's get serious about this!

and what's with the single dose vaccine thingy πŸ€” i mean, i know its a temporary solution but when are we gonna fix it for good? shouldnt we be working on more efficient vaccines not just stretching out the ones we have πŸ”„
 
come on, 6,800 lives is just the tip of the iceberg, what about all the people who get sick but don't die? and yeah, the market's limited, so maybe we shouldn't be relying so much on one manufacturer πŸ€‘ but at least they're trying. those new partnerships in zambia and china are a good start, but let's not forget that quality control is key πŸ’‰
 
Ugh 🀯, I'm so tired of hearing about diseases that could be eradicated with proper infrastructure and funding 😩. Cholera is literally ancient history πŸ’‰, but we're still dealing with outbreaks in 32 countries?! It's like, come on, governments, prioritize safe drinking water and sanitation over all else 🚽. And don't even get me started on the vaccine shortage πŸ€•. I mean, we have a global cholera vaccine stockpile that's been dispensing doses since 2013, but it still can't keep up with demand πŸ“Š. It's like, wake up, manufacturers! We need more vaccines, and we need them now 🚨. Eradicating cholera isn't just about science, it's about politics πŸ’Ό, and until we address the root causes of poverty, inequality, conflict, and displacement, we're never going to get rid of this disease 😑.
 
I think we're totally overreacting about cholera πŸ€”. I mean, it's not like it's going to come back or anything... wait, nope, it already has πŸ˜‚. Like, what even is the point of having a global vaccination stockpile if demand just keeps outpacing supply? πŸ€·β€β™‚οΈ

And don't even get me started on the root cause of the problem – poverty and inequality πŸ’Έ. I mean, isn't that just basic human rights stuff? Can't we just... I don't know, make everyone rich and educated or something? πŸ€‘ It's not like it's going to be that hard, right? πŸ˜’

But for real though, if we're gonna eradicate cholera (I guess that's the goal πŸ’ͺ), we need some actual solutions. Like, how about investing in infrastructure and stuff? We can't just keep relying on international partnerships and vaccine manufacturers 🀝. It's time to get our own act together, you know? πŸ™„
 
Cholera is still a major problem πŸ€•, I mean, can't we just eradicate it like they said we could in 2003? 🚽 No seriously though, it's crazy how it's been around for so long, last seen in the US in 1911. The fact that it's still claiming lives in over 32 countries is just devastating πŸ˜”.

I think the real issue here isn't the science behind vaccines or treatment, but rather how some governments and leaders are handling this situation πŸ€·β€β™‚οΈ. We need more investment in safe drinking water and sanitation, ASAP πŸ’§. And while we're at it, vaccine manufacturers need to step up production to meet demand. It's not rocket science, folks! πŸš€

I've been following the Global Task Force on Cholera Control for years now, and I'm tired of hearing that "it's a political challenge". It shouldn't be just a politician's problem, it's everyone's problem 🀝. We need collective action, not just empty promises from world leaders πŸ™„.

I remember reading about the cholera outbreak in Haiti back in 2010, and how it was so preventable with proper sanitation. It's infuriating to see that we're still dealing with this same issue today 🀯. We can do better, folks! Let's make some noise and demand change! πŸ’₯
 
I'm getting really frustrated with the slow pace of progress on tackling cholera 🀯. I mean, we've had access to vaccines since 2013 and yet the disease still persists because governments aren't willing to invest in safe drinking water and sanitation systems πŸ’¦. It's like they're trying to sweep this under the rug. And don't even get me started on the vaccine production issues - it's a global issue, but no one seems to be taking ownership of it 🌎. The fact that demand far exceeds supply is just a symptom of a bigger problem: inequality and poverty. We need governments and international partners to step up their game and make safe drinking water and sanitation a priority πŸ’ͺ. And we need to hold them accountable for not doing enough πŸ’¬. It's time to take cholera seriously and stop making excuses 🚫.
 
it's so sad to see cholera spreading in countries where people are already struggling to survive πŸ€•. if we can eradicate diseases like polio, why can't we do the same for cholera? its not rocket science, just basic access to clean water & sanitation πŸš½πŸ’§. governments need to step up & invest in these basics, and vaccine manufacturers should be working overtime to meet demand πŸ’‰πŸ‘
 
Ugh, another outbreak in some war-torn country 🀒... like we haven't seen this before. It's all about the lack of funding for basic infrastructure, you know? Safe drinking water and sanitation are just not a priority for these governments πŸ™„. And don't even get me started on the vaccine situation - it's like they're playing a game of whack-a-mole with disease outbreaks πŸ€Ήβ€β™‚οΈ. Can't they just develop a more efficient way to produce vaccines or something? I mean, 50+ organizations working together is not exactly a new concept πŸ“ˆ... but hey, at least we can all feel good about ourselves for contributing to the solution πŸ’–. Meanwhile, poor communities are stuck with limited resources and no choice but to deal with the consequences 😩. It's just so frustrating when the world doesn't come together to tackle something like this πŸŒŽπŸ’”
 
πŸ€” cholera's back as a big problem and it's just getting worse due to poverty and conflict πŸŒͺ️ I feel so bad for all those people who are suffering because of this preventable disease it's not like we haven't had enough vaccines or research done on it already... what's holding us back? πŸ’”

and btw, why did it take 1866 & 1911 for cholera to leave Britain and the US? was there some kind of massive outbreak that made it necessary to wipe it out completely πŸ€·β€β™€οΈ

also, can we please focus on getting safe drinking water and sanitation systems in place instead of just talking about vaccines all the time 🚽🌎
 
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