Press Release

Chautauqua County Board of Commission Chairman Rodney Shaw called the regular meet-ing to order and opened with prayer at 8:30 a.m. Jan. 6 in the commis-sion room of the court-house. Commissioner Jack Carpenter, counselor Zoe Newton, clerk Niki Collier and deputy clerk Becky Smilko were all present.

Carpenter moved to approve the minutes of Dec. 30, 2019.

Shaw gave the second, and the motion passed 2-0.

Road and bridge super-intendent Mark McCall gave the department report.

Newton provided the draft resolution regarding second amendment support and gave a summary on the details of the document.

Shaw moved for a one-hour executive session to discuss matters pertaining to the terms and conditions of employment, regard-ing personnel matters of nonelected personnel for employee reviews. The open meeting shall resume no later than 10 a.m. in the commission room.

Carpenter gave the second, and the motion passed 2-0. The regular meeting resumed at 9:35 a.m.

Alan Montgomery, Civic Plus Regional Sales Manager, provided infor-mation regarding web host-ing services.

Commissioner Massey joined by phone.

Shaw moved to adopt Resolution 2020-01 to pro-tect and defend the indi-vidual right to keep and bear arms. Carpenter gave the second, and the motion passed 3-0.

Shaw moved to adjourn the meeting at 10:07 a.m. seconded by Carpenter, motion passed 2-0.

By RICHARD P. HOLM, MD

It was in London, England, 1854, when a severe diarrhea illness caused the deaths of 500

adults and children over a ten-day period and proved the value of scientific think-ing. Physician-scientist John Snow mapped out the loca-tions of those sick, and his work pointed to water from a hand pump well on Broad Street as a possible cause of the illness. He persuad-ed authorities to shut down the source by removing the pump handle from that well. Shortly thereafter, deaths from the illness abruptly slowed and scientists became con-vinced of the danger of this contaminated water.

Over the next years, scientists iden-tified Vibrio cholerae bacteria as the cause of that illness in London. The original pump is still there on what is now Broadwick Street, commemorating what is thought to be the founding event in the history of epi-demiology, the science of under-standing epidemics, infections, and patterns of illnesses in populations.

The word cholera comes from the Greek word which means “yellow bile,” from an ancient and misinformed idea that all illnesses are from an imbalance of yellow bile, phlegm, black bile or blood. We know today there are many causes for infectious diarrhea including viral, bacte-rial, and parasitic. In the mid-1800s with the aid of the newly discovered micro-scope, we came to realize how to catego-rize bacteria, and that cholera was likely responsible for many of the pandemics

throughout history. Sadly, despite all our present accumulated knowledge, human diarrhea from cholera persists today in developing countries, mostly the result of polluted water.

Cholera can kill within hours if left untreated. It causes severe vomiting along with three to five gallons of “rice-water” diarrhea per day resulting in severe dehy-dration. Unfortunately, highly infectious fecal material can too easily get into the water supply spreading the infection, especially to the very young, old and immunocompromised. More challenging is that 75 percent of people infected with cholera may not have symptoms but can still carry and spread the infection for two weeks after exposure.

Boiling all water before drinking would prevent the spread of all water-born illnesses. Rehydration and antibiotics are initial interventional therapy for cholera. However, too often, these preventions

and treatments are not easily avail-able in developing coun-

tries. The World Health Organization, an arm of the United Nations, estimates that, each

year, three to five million cases of diarrhea and more

than 130,000 deaths are still due to cholera.

The science of epidemiology began by discovering the water-source of a danger-ous diarrhea illness and we learned how, by simply removing a pump handle, we could prevent illness.

Follow The Prairie Doc Facebook page for free and easy access to the entire Prairie Doc library of educational videos, pod-casts and blog, featuring On Call with the Prairie Doc streaming live at 7 p.m. central most Thursdays.

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