General Cholera tips in Marshallese

Mokta jen bar men otemjej, jen lelok nebar im kamolol non Anij kin juon in
ien en emon im ej alikartok non kijwoj kajojo.

Joij im ronjake jet nan in katak kilen kejbarok mour ilo an itok naninmij
in "Cholera".  Elap an naninmij in kein "etatalmoneane". Elap an armij kein
bo iben Cholera kin air  ber iben kij eo an naninmij in.  Kememej  ke dren
in drak ej numba juon ilo am maron bo ilo naninmij in.

Ewor jit "powder - Gatorade" in drak en ekkor non ro rej naninmij ilo bwokbwok, ilok
loje, im momoj.  Non aolep armij jab idrak dren elane ejanin lukun "boil"
mokta.  En lit wot am jerbal keneke naninmij in Cholera, elap an koktata im
armij maron mij jen wawin in.

Ekijien "powder" en:  Likit powder en iben dren in wot en emwoj an
boil.  Kalibui aolep kubwoj im bwe in mone im men kein ainwot.  En erreo
iturin aolep im ko im kejbarok am jolok bwe in am mone im aolep men ko rej
etun iomen bworij.  Kaibuni aoleb kubwe an adjeri and drito barainwot.
Kalibuni men kein ilo juon jikin etolok jen ijo kwoj idok am dren in drak
jen e.  Elane ro rej nanimij, emwoj air jibjibwe cup im kein mone, ak
jabrewot bar jibun ak men ko air lok wot, kwoj aikwoj kwalkwol iben jerejko
"Clorox".  Kejbarok ke aolep men ko rej tutu iben menokaru en an
drinaninmij ro rej bar kwalkwol iben Clorox.

Ekijien powder en, kejbarok am kajerbal wot iben ro rej naninmij
kadede.  Enaj jiban ainwot uno.  Barainwot kwoj maron idrak dren in
ni.  Bar juon alin, ij kakememej euk ke aolep cup im kein mone rej aikwoj
lukun kwalkwol iben Clorox.

Elane kwoj mone ik, en lukun lit am kaimeti.  Jab mone ukwor mai ien en
ejako naninmij en.  En kaimet aolep mone im en lukun met wot!  Aibwoj ej
aikwoj dru "boil" iomen jonul minute mokta jen drak.  Elane drinaninmij
emwoj an jibjibwe ilo an drum in ibwoj en am, kwonaj aikwoj jolok dren en
im  lukun kwalkwol  nien dren en iben clorox.

Kejbarok wot am kwalkwol bem ilo aolep ien kwoj jibjibwe nuknuk an
drinaninmij ak "sheet" im  "towel" ko air barainwot.

Kejbarok wot am mour mai juon Iia ien emon im enaj itok wot.

Anij ej lale lol im naninmij in enaj bar jako.

Mokta jen bar men otemjej, jen lelok nebar im kamolol non Anij kin juon in
ien en emon im ej alikartok non kijwoj kajojo.

Message/translation by:
Dr. Keola G.A. Downing, Ph.D.     -     Katomlap L'Enty       [12-27-2000]
Web Site: http://ulbobo.com/keola E-mail: keola@hilobay.com


This is just a brief description of strategies for dealing with the disease. Please do real research and don't rely solely on what Keola and I have said. We attempted to make these tips easy enough for people of limited education, reading ability and medical experience to follow. (Note: most of the RMI is literate.)  The following message was posted for the benefit of readers on December 27th, 2000.

Yokwe,

I spent the summer of '91 working as a health volunteer in Mexico while much
of Latin America suffered a cholera epidemic. Hopefully it won't spread. If
people boil or treat their water with a little iodine or chlorine, they should
avoid catching it. Any seafood should be cooked very well. People should
wash with plenty of soap if caring for someone sick. Their waste is highly
contaminated.

"Most antibiotics and chemotherapeutic agents have no value in cholera
therapy" (U. of Wisc.) . With rehydration and care, almost everyone recovers.
Most people can tolerate oral rehydration. There are numerous prescription
medicines, Pedialyte is good, and sports drinks like Gatorade also work. You
can also make a rehydration solution (U.N. Formula). It doesn't taste very
good, but will keep fluid levels up.

--------Homemade Rehydration solution-------------

ORS consists of four constituents, which are dissolved in one litre of
CLEAN drinking-water:

            · Sodium chloride (salt): 3.5 grams.
            · Trisodium citrate, dihydrate or sodium hydrogen carbonate (sodium bicarbonate - baking soda): 2.9 grams.
            · Potassium chloride: 1.5 grams.
            · Glucose (sugar) 20 grams.

Warning: don't overdo the salt!!!!!
---------------------------------------------

Note: on May 8th, 2002, the World Health Organization has issued a new formula

Press Release on WHO new rehydration solution formula
http://www.who.int/inf/en/pr-2002-35.html

-------------------------------------

U.S. Center for Disease Control
http://www.cdc.gov/ncidod/dbmd/diseaseinfo/cholera_g.htm

U.S. Food and Drug Administration
http://vm.cfsan.fda.gov/~MOW/chap7.html

University of Wisconsin - Department of Bacteriology, (U.S.)
http://www.bact.wisc.edu/Bact330/lecturecholera

World Health Organization
http://www.who.int/emc/diseases/cholera/

U.N. - Bangladesh -has rehydration solution formula
http://www.undp.org/tcdc/bestprac/scitech/cases/st4bang.htm


Yokwe Online
Pacific Islands Report
Charles Sturt University ~ Resources on the Marshall Islands
Jane's Photo Galleries of the Pacific
Republic of the Marshall Islands main tourism website MIVA
Micronesian Seminar (Catholic Church Sponsored Research Site) 
Pacific Magazine - regional news
Republic of the Marshall Islands U.S. Embassy Site
Bikini Atoll (RMI) site
Marshall Islands Journal
Ri Majol Online
Pacific Maps (U. of Texas, Austin)
Journeys of the Heart

Local RMI Pages
Majuro, Marshall Islands

Cholera Information Page - in Marshallese and English
Historic Images of Kwajalein
Maps of the Marshall Islands
Ken Butterfield's W.W.II experiences on and above Majuro
The Robert Tekulve World War II Pacific Photo Collection
U.S. Census 2000 Micronesian Demographics