TWO ignored factors that emphasize governments’ lack of sensitiveness to Zambians – overwhelmingly unacceptable poor sanitary conditions of the nation and the abysmally low levels of access to medical services – have helped in the ricocheting cholera outbreaks now being reported in Lusaka and Ndola.
It is a shame in today’s world to read that cholera cases in Zambia have hit the 443 mark extending to Ndola since the Lusaka outbreak. This far the scourge has been largely prevalent in Lusaka with Bauleni and Kanyama townships hit hardest. Sadly the only response from the government was a statement from the Local Government and Housing Minister Stephen Kampyongo announced that the sale of foodstuffs by vendors on the streets had to be suspended in light of the cholera outbreak. Nothing about efforts to clean up the country, just reacting to symptoms to unhygienic conditions.
Contaminated water, unhygienic handling and poor food preparations are among factors that aid rapid spread of cholera. Its high mortality rate is evidenced by the number of cases being reported in the media. Access to hygienic drinking water in Zambia is limited by low investment in the sector, drought, and poor planning that has seen demand for water outstrip supply for years. Cholera benefits from these, and Zambia’s public health system that is totally reactive. The health authorities pay minimal attention to preventive medicine. Even when they have advance notice of epidemics, they ignore them.
Cholera is not a tropical disease. Low standards of hygiene and quality of drinking water makes it prevalent in the tropics, parts of Asia and the Americas. In the 19th century, cholera outbreaks were common in the United States of America and Britain. Improvements in health standards, particularly drinking water and the availability of flushing toilets have distanced human waste – a great source of the disease – from water sources and made cholera a rarity in those regions.
Areas where flooding destroys toilet facilities and inject their contents into public water sources are prone to cholera. It is little wonder that the disease has facility to spread in Zambia.
In many places, water for domestic use is contaminated by poorly disposed human wastes. Yet cholera, according to the World Health Organization, WHO, “is an easily treatable disease. The prompt administration of oral rehydration salts to replace lost fluids nearly always results in cure. In especially severe cases, intravenous administration of fluids may be required to save the patient’s life.
Left untreated, however, cholera can kill quickly following the onset of symptoms. ” Water management is critical. While routine preaching about use of safe water persists, the reality is that millions of Zambians lack access to clean water. It is advisable to boil water, and avoid ice blocks that could have been made with water from doubtful sources. The cholera bacteria are known to survive the freezing process. Food needs to be cooked properly and human waste disposed in ways that would not contaminate water sources. The good, old benefits of washing hands after using toilets are still important to curtail the spread of cholera and other diseases.
The Zambian government, in view of cholera cases in Lusaka and Ndola should ask themselves how they spend the millions of Kwachas that is budget for health annually. It is a shame that in the 21st Century, hundreds of our people die from preventable causes while the government tallies the numbers and gleefully announce the statistics.