Cholera is most common in areas of natural disaster. A lack of clean food and water, poor sanitation and hygiene all increase the risk of Cholera.
Improved sanitation, food safety and immunization are the most effective ways to combat hepatitis A. Only drink bottled/boiled water and eat freshly cooked, piping hot food. Cold, uncooked food (with the exception of fruit that can be peeled), and sources of tap water e.g. ice, salads etc. must be avoided. The vaccine is highly effect method of prevention (and also protects against e. coli infections and resulting diarrhoea).
Symptoms develop within a few hours or up to 5 days form the time of infection. Typical symptoms include watery diarrhoea, muscle cramps and or vomiting. The danger is that if the diarrhoea and vomiting are severe, they can lead to severe electrolyte imbalance and dehydration. Symptoms associated with severe dehydration include sunken eyes, bluish, cold skin and decreased skin elasticity.