Cholera and diarrhea that have been spreading in Birganj area for the past few days have not been brought under control. Meanwhile, four people have already died. According to the data released by the Birgunj Metropolitan Municipality on Monday morning, the number of cholera infected in Birgunj area alone has reached 173.

Among those who came in contact with Pokhria Hospital, the number of cholera infected has reached 15. Since the rate of infection can be reduced rapidly only when the source can be found, it is necessary for all three levels of government to emphasize it. At the same time, every person should make it mandatory to use clean drinking water in their routine to avoid cholera and diarrhea. 

Cholera is spread by infection with a bacterium called Vibrio cholerae. This bacteria spreads to other people through drinking water and food. Therefore, there is a higher chance of cholera infection in communities, families or individuals who do not have a healthy drinking water system, do not have safe excreta management, and depend on quality food outside the home.

Mainly intestinal infection, diarrhea and lack of water in the body lead to serious condition of the infected. Even in a short time after the infection, the condition of the infected becomes serious. Many of those infected do not show symptoms but have the bacteria in their stool for a few days. From which other people can be infected, the condition can also be serious. Cholera, like other types of infection, can quickly lead to a serious condition in people with reduced immunity, malnutrition, long-term patients, children, and the elderly.

Last June-July, there was a severe shortage of drinking water in Madhesh. At that time drinking water was provided from external sources. Which was used by the locals and stored as much as possible. Similarly, not every city has a local source of water.

Although Chapakal is kept for drinking water in Terai/Madhesh, it has been drying up lately. That is, increasing dependence on external and unfamiliar sources for water. Which has played a role in increasing contact with contaminated/contaminated drinking water. Therefore, every person needs to be aware of the quality of the water they are using. According to expert advice, it is necessary to use only boiled water. It plays a role in keeping everyone safe individually. 

At this time, people in the areas where cholera infection has been reported and the people in the areas where the infection is likely to spread need to be highly alert. All three levels of government should also take strategic initiatives. Where cholera is spreading, testing and treatment should be intensified. Although it may be difficult for individuals, overall, the treatment system of the infected in Birganj area has been expressed as effective. Institutional coordination has also been seen to be effective.

Every possible infected person should be treated and kept under medical supervision. Second, people should be encouraged to adopt safe lifestyles wherever there is a risk of infection. Water sources should be tested. Similarly, now schools in Birganj area have been closed. Exposing them too soon can spread the infection. Therefore, the decision should be taken carefully.

There is no way to be sure until the source of cholera infection is found or until the infection is reduced to zero. Therefore, it is necessary to make the issue of identifying the source a priority of the government. It will also help to control the immediate infection rate and take precautions in the future. At the same time, the government can spread public awareness about the lifestyles that communities, families and individuals should adopt to prevent the spread of infection.

can encourage and support that. The risk of infection can also be avoided if the person himself eats and uses only boiled water, eats only well-cooked food, and washes his hands. If the infection spreads, you should immediately go to the hospital and follow the doctor's advice and suggestions.