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1、AsCholeraSpreadsinHaiti,AuthoritiesExpectDiseasetoRemainforYearsInternationalaidgroupsaretryingtostopthethespreadofcholerainHaiti'scapitalPort-au-Prince,wheremanyearthquakesurvivorsliveinmakeshiftcampsandfilthyslums.Cholerastrikessofastitissometimescalledthelighteningdisease.Wi
2、thoutrehydrationtherapy,orantibioticsforseverecases,choleracankillinamatterofhours.Thediseasecausesacutediarrheathatcanleadtoseveredehydration.MostofthemorethanonemillionHaitiansdisplacedbyapowerfulearthquakelastJanuaryliveintentcitiesaroundthecapital,andwaterbornecholerabacter
3、iaspreadeasilyinunsanitaryconditionswheresuppliesaresharedforcookingandwashing.ButunsanitaryconditionsinHaitiarenotlimitedtothesecamps."Beforethis,Port-au-Princeforthemostpart,wasalargeurbanslumwithverypoorwaterandsanitationconditions,"notedDr.JonAndrusofthePanAmericanHealthOrg
4、anization,anarmoftheWorldHealthOrganization."Thisisripefortherapidspreadofcholera.Weexpecttransmissiontobeextensive."Haiti'sministerofhealthiscallingtheepidemicanationalemergency.Nearly10,000peoplehavebeenhospitalizedsincetheoutbreakbeganlatelastmonth.Dr.Andrussaysbasedonprojec
5、tionsfromanoutbreakinPeru,some270,000peopleinHaitimaycontractcholera.Asthediseasespreadsinthisinitialoutbreak,healthcarewillbeachallenge."Ithinkthecapacitytodealwiththepatientshasbeenstretchedbutsufficient,"hesaid."Weexpectthatpatientswillbetreatedintentsoutsidethewalls[ofhospi
6、tals].That'ssomethingwearepreparedtodo."Becausecholeraisspreadthroughfecalcontamination,poorhygieneandlackofsanitation,Dr.AndrussaysthePanAmericanHealthOrganizationhasstartedacampaigntoteachpeopleaboutgoodhygiene."We'vedeployedcommunicationexpertsthatareworkingoncommunitymessag
7、esinthelocalCreolelanguagetoensurethatfamiliesreceivesuchmessagesandunderstandthemanditgetstranslatedintobehavior,"Dr.Andrusexplained.Aftertheinitialoutbreakisundercontrol,healthofficialswillhavetodosomelong-termplanning."Thebacteriahasafootholdintheriversystemandinothersources
8、ofwateranditwillremain,"henoted,"anditwillbeachallenge
