Cholera is spreading fast, yet it can be stopped. Why haven't we consigned it to history? | Hakainde Hichilema and Tedros Adhanom Ghebreyesus

A global health crisis has been unfolding in recent years, with cholera outbreaks claiming thousands of lives across 32 countries. The disease, which can be prevented through safe water and sanitation, is on the rise due to conflict, poverty, and inequality. Despite being a preventable disease, cholera persists as leaders fail to act with urgency.

The global response to cholera has been hampered by inadequate funding for vaccines. Only one manufacturer, EUBiologics in South Korea, produces cholera vaccines at the scale needed for mass vaccination campaigns. As a result, a global vaccine stockpile is being depleted rapidly, with over 49 million doses distributed so far this year.

The World Health Organization (WHO) and partners have established a continental cholera emergency response plan, which aims to provide rapid access to vaccines in emergencies. However, the stockpile is regularly below the recommended threshold of having 5 million doses ready to respond to outbreaks at any time.

To stretch supplies further, the WHO suspended the standard two-dose vaccination regimen in favor of a single dose. While this has provided temporary relief, demand shows no signs of abating, and supply must increase.

Efforts to expand vaccine production in Africa are underway, with Zambia signing a memorandum of understanding with China's Jijia Medical Technology Company to establish a cholera vaccine-production facility. However, rigorous quality assurance and clinical trials will be required before any locally manufactured doses can be approved by the WHO and deployed in mass vaccination campaigns.

Ultimately, stopping cholera is not a scientific or medical challenge but a political one. Poverty, inequality, conflict, and displacement persist, and addressing these underlying issues is crucial to preventing and responding to outbreaks of this disease.

Hakainde Hichilema, president of Zambia, and Tedros Adhanom Ghebreyesus, director general of the WHO, highlight the urgent need for governments to invest in safe drinking water and sanitation. By addressing these fundamental issues, we can prevent cholera outbreaks and bring this historical disease to an end.

The question remains: why have leaders failed to act with the urgency and commitment needed to consign cholera to history? What steps will be taken to address the root causes of poverty, inequality, and conflict that fuel the spread of this disease? The time for action is now.
 
I'm so frustrated, like 🀯, why can't governments prioritize healthcare over politics?! Cholera outbreaks are literally killing thousands of people every year, and yet no one's doing enough to stop it! πŸ’” We need more funding for vaccines, stat! 🚨 It's not rocket science, folks - safe water and sanitation are the key to preventing cholera. But until we address those underlying issues, we'll just keep seeing outbreaks pop up everywhere. Africa is like, totally behind on vaccine production too... Zambia's partnership with China's Jijia Medical Technology Company might be a good start, but let's see some actual results! 🀞 And what's up with the WHO's stockpile being depleted so fast?! We need a global response that's more than just "oh no, we forgot to budget for vaccines". πŸ’Έ Come on, leaders - it's time to step up and make cholera a thing of the past! πŸŽ‰
 
I think its actually super inspiring to see all these efforts being put into place to tackle cholera 🌟 Like, who wouldn't want to live in a world where safe water and sanitation are accessible to everyone? Its not just about the vaccines, its about creating systems that prevent outbreaks from happening in the first place. And I love that Zambia is teaming up with China to set up a vaccine-production facility - that's like, super cool tech πŸ’‘ Plus, its great to see leaders like Hakainde Hichilema and Tedros Adhanom Ghebreyesus speaking out about the importance of addressing poverty, inequality, and conflict. We need more people in positions of power to prioritize these issues πŸ™Œ And honestly, even though the stockpile is running low, I think its a good sign that the WHO is getting creative with solutions - like switching to single-dose vaccines! Its not perfect, but its progress, you know?
 
Ugh, it's about time someone talked about this πŸ€¦β€β™‚οΈ. I mean, how hard can it be to provide safe water and sanitation to people in need? It's not like it's rocket science or anything πŸš€. And yet, here we are with cholera outbreaks spreading like wildfire across 32 countries.

It's all just a matter of money, right? πŸ’Έ Who's going to foot the bill for these "emergencies" and "outbreaks"? The WHO is always talking about establishing a global vaccine stockpile, but when does it actually get funded? πŸ€”

And don't even get me started on the fact that there's only one manufacturer producing cholera vaccines at scale. What if they just... quit or something? πŸ’Έ Wouldn't that be great for the world? πŸ™„

I mean, I'm all for investing in safe drinking water and sanitation, but it feels like a drop in the ocean compared to the real issues we should be tackling. Poverty, inequality, conflict - these are the root causes of this problem, not just some one-off emergency.

But hey, at least we're having this conversation, right? Maybe someone will actually listen and do something about it... 🀞
 
I'm worried about this... πŸ€• Cholera is so preventable with clean water & sanitation, but it's still killing thousands worldwide πŸŒŽπŸ’§. We need more vaccine doses ASAP! 🚨 But the problem goes deeper than just vaccines... poverty, inequality, conflict... these are the real culprits πŸ’ΈπŸ”₯. I wish more governments would invest in safe drinking water & sanitation like Zambia and WHO are saying πŸ“πŸ‘. It's not just a medical issue, it's a political one 😬. We need leaders to take action NOW ⏰!

Here's a simple diagram of the problem:
```
+-----------------------+
| Clean Water |
| & Sanitation |
+-----------------------+
| |
| Poverty, Inequality |
| Conflict |
| |
+-----------------------+
| Cholera Outbreaks |
| (Preventable) |
+-----------------------+
```
We can do better! 🀞
 
I'm getting super concerned about the state of our world πŸŒŽπŸ’‰. Cholera outbreaks are on the rise and it's not like a new pandemic thing... we should've learned from history by now. The fact that there's only one manufacturer producing vaccines at the scale needed is just crazy 😱. It's all about politics, right? Leaders need to step up their game and invest in safe drinking water and sanitation πŸš½πŸ’§. It's not rocket science, folks! We need urgent action to address poverty, inequality, and conflict. The WHO has a plan, but it's being hampered by inadequate funding πŸ’Έ. Let's get our leaders together and figure out what we're doing wrong πŸ‘₯πŸ’¬
 
Can you believe this 🀯?! Cholera's like the ultimate party crasher – it shows up uninvited and just won't leave πŸ˜‚! But seriously, 49 million doses already gone and the stockpile's running dry? That's some serious party foul πŸ’”! And now they're having to stretch supplies by giving people only one dose 🀒. Talk about a vaccine party trick – but not in a good way πŸŽ‰!

I mean, it's like our leaders are all, "Let's just pretend cholera doesn't exist and hope it goes away" πŸ™„. No, no, no! We need to address the root causes of poverty, inequality, and conflict because that's where this party's going to end up if we don't get serious πŸ’₯!

It's crazy to think that with a single manufacturer only producing vaccines at scale, we're basically relying on one person's production line to save humanity 🀯. And now Zambia's trying to make its own vaccines? That's like playing a game of vaccine whack-a-mole – you try to fix it here, but then another hole pops up somewhere else πŸŒͺ️!

So, what's the plan to stop this party crasher once and for all? Let's get our leaders in check and fund safe drinking water and sanitation like their lives depend on it (because, spoiler alert, they kinda do) πŸ’§! It's time to put an end to this cholera shindig and make sure everyone's invited πŸŽ‰!
 
πŸ€” This global health crisis just keeps getting worse, cholera being one of those diseases that's totally preventable but still killing thousands every year 🌎 49 million doses distributed this year alone is insane, what's even crazier is that only 1 company in Korea makes enough vaccines for mass vaccination campaigns 🀯 EUBiologics is our savior... or should I say, the only one saving humanity right now πŸ™…β€β™‚οΈ
 
I'm like, really worried about this whole cholera thing... it's just so preventable, you know? πŸ€• Like, all we need is clean water and proper sanitation, but noooo, governments are too slow to act. And the vaccine situation? Forget about it, they're running out of doses faster than anyone can say " global health crisis". It's not like it's that hard to mass produce vaccines or anything... πŸ™„ I mean, EUBiologics is doing some decent work in South Korea but where's everyone else? Zambia signing a deal with China? Yeah, great, now let's see how long it takes for them to actually get the stuff out there. And don't even get me started on the quality assurance... that's just going to add more red tape and delays. πŸ™„ We need leaders who are gonna take this seriously and invest in the real solutions, not just slapping Band-Aids on the problem. Like, where's the urgency? It's not like cholera is going to magically disappear if we just wait around long enough...
 
πŸ€” i feel so bad seeing these out breaks in different countries its like we're not learning from our past πŸ™ˆ how can a disease that's been around for thousands of years still be killing people today? it's all about the water and sanitation, right? if we can get access to safe drinking water and proper toilets, we can prevent cholera. but its not just about providing those basic necessities, its about addressing the underlying issues like poverty and inequality 🀝
 
I'm so frustrated with all these governments just talking about it and not doing anything πŸ™„. Cholera is a preventable disease, folks! It's water and sanitation we need to focus on. Not some fancy vaccine production or emergency response plan that's always gonna be stuck in the red πŸ”΄. We need real action on poverty and inequality if we wanna stop this from spreading like wildfire β›ˆοΈ. And what's up with all these vaccine stockpiles? Like, 5 million doses should be enough, right? πŸ€·β€β™€οΈ But no, it's always too little, too late. Can't governments just get their priorities straight and make safe drinking water a basic human right already?! πŸ’§
 
I mean, can you even believe we're still dealing with cholera like it's a big deal? I'm all for hope, but it's getting frustrating when people in power just don't seem to care enough 🀯. I know the WHO and other organizations are trying their best, but if we want to make real progress, we need to stop blaming everyone else for not stepping up. We gotta take responsibility for our own communities' access to clean water and sanitation 🚽. It's not rocket science, folks! If we invest in these basic needs, we can prevent cholera outbreaks and make a real difference in people's lives πŸ’ͺ. But until we acknowledge the root causes of this problem – poverty, inequality, conflict – it's just going to keep coming back πŸ˜”. I'm all for action, but where's the plan?
 
🀯 I mean, come on... 32 countries and thousands of deaths? That's like a real-life video game where you have to keep reloading because your health keeps dropping! πŸ˜‚ But seriously, it's not like we're talking about a new PokΓ©mon here – cholera is actually a preventable disease that can be controlled with safe water and sanitation. πŸš½πŸ’§

It's like the saying goes: "When life gives you lemons, make lemonade." Or in this case, when life gives you cholera outbreaks, invest in some decent infrastructure! πŸ’Έ It's not rocket science, folks. We need to get our priorities straight and address poverty, inequality, and conflict before we start talking about vaccines. 🌎πŸ’ͺ

And can someone please explain to me why we have only one manufacturer of cholera vaccines? That's like having a single player in a multiplayer game – what happens when the other players join the party?! πŸ˜‚ We need more options, people! πŸ’Ό
 
I'm getting really frustrated about this whole cholera situation πŸ€•... I mean, it's literally a preventable disease if we have access to clean water and sanitation. But no, it's like leaders are just playing catch-up instead of taking proactive measures. And the fact that there's only one manufacturer producing vaccines at the scale needed is crazy! 😱 How can we expect to stop an outbreak when we don't even have enough vaccines? I think governments need to step up their game and invest in safe drinking water and sanitation ASAP πŸ’§. We can't keep relying on emergency responses, it's time for a more sustainable solution. What do you guys think is the main reason leaders are not taking urgent action against cholera? πŸ€”
 
πŸ€• cholera's back & still no one's doin' enuf 🚽 it's like we're just reactin' 2 every outbreak instead of preventin' them in the 1st place πŸ’§ u need safe water & sanitation, period! πŸ™…β€β™‚οΈ governments are always talkin bout funds 4 vaccines but where's the money 4 buildin clean water infra? πŸ€” gotta address poverty & inequality 2o if we wanna stop this disease once n for all πŸ”’ not just throw vaccine doses at it, we need systemic change πŸ’ͺ
 
I'm telling you, it's all connected 🀯... they're just trying to keep us distracted from the real issues while they're lining their pockets with vaccine profits πŸ’Έ... have you seen the way EUBiologics is dominating the cholera vaccine market? It's like they're getting away with something 😏... and don't even get me started on the WHO's emergency response plan – it sounds like a bunch of smoke and mirrors to me πŸš’... I mean, why are we relying on just one manufacturer for vaccines when we know there are plenty of other options out there? πŸ€” It's all about control and profit, if you ask me πŸ’ΈπŸ‘€
 
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