Difficulty: Medium
Correct Answer: Both I and II follow.
Explanation:
Introduction / Context:
Cholera is a water/food-borne disease that can spread quickly in urban clusters with unsafe water or sanitation. Effective response balances urgent containment with medium-term system fixes. The statement reports widespread cases and fatalities across many cities, implying a systemic failure, not a localized incident.
Given Data / Assumptions:
Concept / Approach:
Outbreak control requires: (1) Identify and interrupt transmission (cause inquiry, water testing, chlorination); (2) Risk communication (hand hygiene, boiled water, ORS use); (3) Clinical response (rehydration points, antibiotics per protocol); (4) Surveillance.
Step-by-Step Solution:
1) Launch an immediate inquiry: map cases, test water sources, audit chlorination and pipeline integrity.2) Start mass-media messaging: boil water, wash hands with soap, use ORS, avoid unsafe food.3) Set up ORS corners and rapid rehydration camps; ensure IV fluids/antibiotics availability.4) Intensify chlorination, tanker water quality checks, and temporary closures of unsafe vendors.
Verification / Alternative check:
Public instructions (II) reduce immediate risk at household level; the cause inquiry (I) prevents recurrence by fixing upstream failures. Paramilitary deployment (III) is not intrinsic to epidemiological control; logistics can be managed via health, civic, and disaster-response teams unless law-and-order issues arise.
Why Other Options Are Wrong:
None follows: ignores urgent needs. Only II: treats symptom, not cause. Only I: lacks community-level behavior change. All follow: unnecessary militarization (III) without evidence.
Common Pitfalls:
Focusing only on hospital care; under-communicating ORS use; delayed water-quality remediation.
Final Answer:
Both I and II follow.
Discussion & Comments