How do people get cholera?
Cholera can be spread a few different ways. The first is the fecal-oral route, meaning a person needs to ingest the parasite. This can occur from actions like diaper changing or sexual activity, or indirectly such as eating contaminated food or water. Poor sewage systems and drinking water can cause cholera to spread quickly. The cholera bacteria also live in brackish (a mix of fresh and salt water) rivers and coastal waters, and can contaminate shellfish. Eating raw or undercooked shellfish from these areas can also cause infection.