Page 103 - Journal of Special Operations Medicine - Summer 2014

No cholera vaccine is licensed for use in the United
BOX 4 When There Is Severe Dehydration States. Two oral vaccines, Dukoral (Netherlands) and
Shanchol (India), are available overseas.
Give IV drips of Ringer’s lactate or, if not available,
cholera saline (or normal saline).
Importance in a Deployed Setting
n 100mL/kg in 3-hr period (in 6-hr for children Cholera has the potential of being a rapidly debilitat-
aged <1 year) ing and potentially fatal illness in U.S. Servicemembers
n Start rapidly (30mL/kg within 30 min) and and host nation civilians alike. Prompt recognition of
then slow down. the disease, followed by fluid resuscitation, either orally
n Total amount per day: 200mL/kg during the or intravenously if necessary, can be lifesaving. Antibiot-
first 24 hr. ics should be initiated in those with moderate to severe
Source: Adapted from http://whqlibdoc.who.int/hq/2010 disease to potentially hasten recovery.
/WHO_CDS_CSR_NCS_2003.7_Rev.2_eng.pdf?ua=1.

Figure 2 Treating patients.

Cholera 93