Cholera

Check if you could be at risk of cholera

Cholera is not found in the UK. It's mostly found in parts of Africa and Asia, in places without a clean water supply.

You can get cholera from:

drinking unclean water
eating food (particularly shellfish) that's been in unclean water
eating food that's been handled by an infected person

The risk of getting it while travelling is very small.

You can get health advice for a country you're travelling to on the TravelHealthPro website

How to avoid cholera while travelling

There are things you can do to help avoid getting ill while travelling in areas where cholera is found.

Do

wash your hands with soap and water regularly, especially after using the toilet and before preparing food or eating
only drink bottled water or tap water that's been boiled
brush your teeth using bottled or boiled water

Don't

do not eat uncooked fruit and vegetables (including salads) that you have not washed with bottled or boiled water and prepared yourself
do not eat shellfish and seafood
do not have ice in your drinks

Vaccination for cholera

There's a vaccine for cholera, but most people do not need it.

It's usually only recommended if either:

you're travelling to an area where cholera is common and you'll be visiting remote places without access to medical care
you're an aid or disaster relief worker going to an area where a cholera outbreak is likely

The vaccine is given as a drink. For adults, 2 doses (given 1 to 6 weeks apart) can provide protection for up to 2 years.

You need to have had both doses at least a week before travelling.

If you need the cholera vaccine, you may be able to get it for free on the NHS. Ask at your GP surgery.

Symptoms of cholera

Symptoms of cholera include:

having lots of watery diarrhoea
feeling sick or being sick
tummy pain
dehydration

See a doctor if:

You have been in an area where there is cholera and you have:

severe watery diarrhoea and vomiting
symptoms of dehydration, such as feeling thirsty or dark yellow and strong-smelling pee

Tell the doctor if you have been in an area where cholera is found in the last few weeks.

You may need treatment to stop you becoming dangerously dehydrated.

Treatment for cholera

The main treatment for cholera is drinking plenty of fluids, including rehydration solution.

Rehydration solution is a powder you mix with water to replace salts, sugars and minerals your body has lost through diarrhoea. It's usually available from pharmacies.

If you're very unwell, you may need treatment in hospital where you may be treated with:

fluids given through a vein
antibiotics

Sexual Health Advice

Throughout this series we have help and advice on staying healthy, dealing with Sexually Transmitted Infections, the risks of each type of the most popular gay sex and what to do if the sex you have is not consentual. The topics covered in this series include:

	This item was in brought to you association with NHS website. Follow the links above for more information and don't forget to check out OutUK's A to Z of Gay Health which features items on everything from relationships, sexual health, mental and physical conditions and how to stay fit. This week our topic is: L - Lung Cancer.
Photos: OutUK and LightFieldStudios.