{"id":20,"date":"2024-01-20T09:54:20","date_gmt":"2024-01-20T09:54:20","guid":{"rendered":"https:\/\/myclientwebsite.com\/dukoralcanada\/?page_id=20"},"modified":"2026-03-05T11:49:20","modified_gmt":"2026-03-05T11:49:20","slug":"lt-producing-etec","status":"publish","type":"page","link":"https:\/\/myclientwebsite.com\/dukoralcanada\/lt-producing-etec\/","title":{"rendered":"LT-producing ETEC"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"20\" class=\"elementor elementor-20\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a92f657 e-flex e-con-boxed e-con e-parent\" data-id=\"a92f657\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f61d911 e-con-full e-flex e-con e-child\" data-id=\"f61d911\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-550927c elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"550927c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">DUKORAL<sup>\u00ae<\/sup> can help prevent <span class=\"inline\">LT-producing<\/span> ETEC diarrhea in travellers.<sup>1<\/sup> <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1134171 e-flex e-con-boxed e-con e-parent\" data-id=\"1134171\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0714582 elementor-widget elementor-widget-text-editor\" data-id=\"0714582\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tETEC produces two toxins, a heat-stable toxin (ST) and a heat-labile toxin (LT).<sup>3<\/sup> \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ded031b elementor-widget elementor-widget-text-editor\" data-id=\"ded031b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tETEC is the <strong>most common pathogen<\/strong> causing <strong>diarrhea<\/strong> during travel for many areas of the world. Globally, <strong>60% of ETEC isolates produce LT<\/strong>, either LT alone (27%) or the combination of LT and ST toxin (33%).<sup>4-6<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56880f7 elementor-widget elementor-widget-text-editor\" data-id=\"56880f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAnnually, ETEC is estimated to cause approximately <strong>220 million<\/strong> diarrheal episodes and <strong>800,000<\/strong> deaths worldwide.<sup>3,7<\/sup> These diarrheal episodes result primarily from the action of ST and LT enterotoxins, both of which are secreted by ETEC during infection.<sup>7-8<\/sup> \n<ul class=\"ul\">\n \t<li>DUKORAL<sup>\u00ae<\/sup> is used for LT-producing ETEC (either synthesizing LT alone or both LT and ST).<sup>1<\/sup><\/li>\n \t<li>DUKORAL<sup>\u00ae<\/sup> is not indicated to prevent death.<sup>1<\/sup><\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aecc14a e-flex e-con-boxed e-con e-parent\" data-id=\"aecc14a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1eeba19 elementor-widget elementor-widget-heading\" data-id=\"1eeba19\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">The average incidence of LT-producing ETEC differs by geographical travel destination.<sup>6,9-11<\/sup><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-06868d9 elementor-widget elementor-widget-image\" data-id=\"06868d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"2000\" height=\"1142\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2026\/02\/Dukoral-Map.png\" class=\"attachment-full size-full wp-image-2194\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2026\/02\/Dukoral-Map.png 2000w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2026\/02\/Dukoral-Map-300x171.png 300w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2026\/02\/Dukoral-Map-1024x585.png 1024w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2026\/02\/Dukoral-Map-768x439.png 768w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2026\/02\/Dukoral-Map-1536x877.png 1536w\" sizes=\"(max-width: 2000px) 100vw, 2000px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5e1eeca e-con-full e-flex e-con e-child\" data-id=\"5e1eeca\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-bca0046 e-con-full e-flex e-con e-child\" data-id=\"bca0046\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ebfa291 elementor-invisible elementor-widget elementor-widget-image\" data-id=\"ebfa291\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInLeft&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"500\" height=\"561\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter1.jpg\" class=\"attachment-full size-full wp-image-1388\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter1.jpg 500w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter1-267x300.jpg 267w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0809c76 e-con-full e-flex elementor-invisible e-con e-child\" data-id=\"0809c76\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeInDown&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1047b41 elementor-widget elementor-widget-image\" data-id=\"1047b41\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"500\" height=\"561\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter2.jpg\" class=\"attachment-full size-full wp-image-1390\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter2.jpg 500w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter2-267x300.jpg 267w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9d85573 e-con-full e-flex elementor-invisible e-con e-child\" data-id=\"9d85573\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-129f23e elementor-widget elementor-widget-image\" data-id=\"129f23e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"561\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter3.jpg\" class=\"attachment-full size-full wp-image-1392\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter3.jpg 500w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter3-267x300.jpg 267w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f25196a e-con-full e-flex elementor-invisible e-con e-child\" data-id=\"f25196a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b14fd00 elementor-widget elementor-widget-image\" data-id=\"b14fd00\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"561\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter4.jpg\" class=\"attachment-full size-full wp-image-1394\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter4.jpg 500w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/02\/counter4-267x300.jpg 267w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f97cdc elementor-widget elementor-widget-heading\" data-id=\"5f97cdc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-heading-title elementor-size-default\">Adapted from Shah <em>et al.<\/em> 2009 and Isidean <em>et al.<\/em> 2011<br \/><br \/>\n*<strong> LT-producing ETEC: <\/strong>ETEC strains expressing LT alone or both LT and ST enterotoxins together (proportion among collected ETEC isolates).<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3727f52 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-text-editor\" data-id=\"3727f52\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>ETEC is one of the most common bacterial causes of travelers\u2019 diarrhea in high-risk destinations, including Thailand, with approximately 60% of ETEC isolates reported to be heat-labile toxin LT\u2013producing.<sup>4-6,11<\/sup><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64ab8fd elementor-widget elementor-widget-text-editor\" data-id=\"64ab8fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tLT-producing ETEC is transmitted by eating food or drinking water that is contaminated with enterotoxin strains of <em>E. coli <\/em>from human or animal feces.<sup>12<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba66949 elementor-widget elementor-widget-text-editor\" data-id=\"ba66949\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tInfection with LT-producing ETEC can cause profuse watery diarrhea.<sup>13,14<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90c6290 elementor-widget elementor-widget-text-editor\" data-id=\"90c6290\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAlthough ETEC infection is usually self-limiting, lasting 3 to 4 days, some episodes, particularly due to LT-producing ETEC go on to become persistent diarrhea lasting longer than 14 days.<sup>15<\/sup> \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-935ec8a elementor-widget elementor-widget-text-editor\" data-id=\"935ec8a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>DUKORAL<sup>\u00ae<\/sup> should be used in accordance with official recommendations taking into account the epidemiological variability and the risk of contracting diarrheal illness in different geographical areas and in different conditions of travel.<sup>1<\/sup><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eb2c31e e-flex e-con-boxed e-con e-parent\" data-id=\"eb2c31e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7261858 elementor-widget elementor-widget-heading\" data-id=\"7261858\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Causes and risk factors <\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d049b4b elementor-widget elementor-widget-text-editor\" data-id=\"d049b4b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tDiarrhea caused by LT-producing ETEC can occur if travellers ingest food, water, or ice that has been contaminated.<sup>16<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61622f9 elementor-widget elementor-widget-text-editor\" data-id=\"61622f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t98% of travellers have been shown to make a food or water mistake within the first 3 days of their vacation. These include:<sup>17<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e5b2a21 e-con-full e-flex e-con e-child\" data-id=\"e5b2a21\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-0219b6f e-con-full e-flex e-con e-child\" data-id=\"0219b6f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0aa6cbf elementor-widget elementor-widget-image\" data-id=\"0aa6cbf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"370\" height=\"210\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Drinking-beverages-with-ice.jpg\" class=\"attachment-full size-full wp-image-178\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Drinking-beverages-with-ice.jpg 370w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Drinking-beverages-with-ice-300x170.jpg 300w\" sizes=\"(max-width: 370px) 100vw, 370px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab88a00 elementor-widget elementor-widget-text-editor\" data-id=\"ab88a00\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tDrinking beverages with ice cubes or crushed ice<sup>16<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8877aea e-con-full e-flex e-con e-child\" data-id=\"8877aea\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b141c32 elementor-widget elementor-widget-image\" data-id=\"b141c32\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"370\" height=\"210\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Brushing-teeth-with-tap-water.jpg\" class=\"attachment-full size-full wp-image-177\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Brushing-teeth-with-tap-water.jpg 370w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Brushing-teeth-with-tap-water-300x170.jpg 300w\" sizes=\"(max-width: 370px) 100vw, 370px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2eb8566 elementor-widget elementor-widget-text-editor\" data-id=\"2eb8566\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tBrushing teeth with tap water<sup>16<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f32652b e-con-full e-flex e-con e-child\" data-id=\"f32652b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d839535 elementor-widget elementor-widget-image\" data-id=\"d839535\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"370\" height=\"210\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Consuming-salads.jpg\" class=\"attachment-full size-full wp-image-181\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Consuming-salads.jpg 370w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Consuming-salads-300x170.jpg 300w\" sizes=\"(max-width: 370px) 100vw, 370px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39ada01 elementor-widget elementor-widget-text-editor\" data-id=\"39ada01\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tConsuming salads and uncooked vegetables<sup>16<\/sup> \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-726598e e-con-full e-flex e-con e-child\" data-id=\"726598e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4a2f176 e-con-full elementor-hidden-mobile e-flex e-con e-child\" data-id=\"4a2f176\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9e1b7e6 e-con-full e-flex e-con e-child\" data-id=\"9e1b7e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6d2edb1 elementor-widget elementor-widget-image\" data-id=\"6d2edb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"370\" height=\"210\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Eating-fruits.jpg\" class=\"attachment-full size-full wp-image-180\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Eating-fruits.jpg 370w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Eating-fruits-300x170.jpg 300w\" sizes=\"(max-width: 370px) 100vw, 370px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6f0fa1 elementor-widget elementor-widget-text-editor\" data-id=\"f6f0fa1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tEating fruits which cannot be peeled<sup>16<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0e7dce3 e-con-full e-flex e-con e-child\" data-id=\"0e7dce3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-11008c9 elementor-widget elementor-widget-image\" data-id=\"11008c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"370\" height=\"210\" src=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Sampling-local-cuisine.jpg\" class=\"attachment-full size-full wp-image-179\" alt=\"\" srcset=\"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Sampling-local-cuisine.jpg 370w, https:\/\/myclientwebsite.com\/dukoralcanada\/wp-content\/uploads\/2024\/01\/Sampling-local-cuisine-300x170.jpg 300w\" sizes=\"(max-width: 370px) 100vw, 370px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2684033 elementor-widget elementor-widget-text-editor\" data-id=\"2684033\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tSampling local cuisine from street vendors<sup>16<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5013407 e-con-full elementor-hidden-mobile e-flex e-con e-child\" data-id=\"5013407\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0350245 elementor-widget elementor-widget-text-editor\" data-id=\"0350245\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tPopulations with increased susceptibility to cholera and LT-producing ETEC diarrhea and who are at higher risk for more severe disease include:<sup>1<\/sup>\n<ul class=\"ul\">\n \t<li>Persons with achlorhydia<\/li>\n \t<li>Persons with previous gastrectomy<\/li>\n \t<li>Persons with history of repeated severe diarrhea<\/li>\n \t<li>Young children &gt;2 years<\/li>\n \t<li>Immunosuppressed individuals due to HIV infection with depressed CD4 count or other immunodeficiency states<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe229f4 elementor-widget elementor-widget-text-editor\" data-id=\"fe229f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div style=\"margin-bottom: 10px\"><strong>DUKORAL<sup>\u00ae<\/sup> should be used in accordance with official recommendations taking into account the epidemiological variability and the risk of contracting diarrheal illness in different geographical areas and in different conditions of travel.<sup>1<\/sup><\/strong><\/div>\n\n<div style=\"margin-bottom: 0px\"><strong>DUKORAL<sup>\u00ae<\/sup> should not replace standard preventive hygiene measures. Rehydration measures must be taken in case of diarrhea.<sup>1<\/sup><\/strong><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e7a451d e-flex e-con-boxed e-con e-parent\" data-id=\"e7a451d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-dc1b773 e-con-full e-flex e-con e-child\" data-id=\"dc1b773\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-46d05e5 elementor-widget elementor-widget-text-editor\" data-id=\"46d05e5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tContact with contaminated food and beverages may be frequent and unforeseen.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c9ee640 elementor-widget elementor-widget-text-editor\" data-id=\"c9ee640\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tDUKORAL<sup>\u00ae<\/sup> can help prevent and protect your patients from LT-producing ETEC diarrhea during their travels.<sup>1<\/sup>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4175696 elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"4175696\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/myclientwebsite.com\/dukoralcanada\/about-dukoral\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Learn more about DUKORAL<sup>\u00ae<\/sup><\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>DUKORAL\u00ae can help prevent LT-producing ETEC diarrhea in travellers.1 ETEC produces two toxins, a heat-stable toxin (ST) and a heat-labile toxin (LT).3 ETEC is the most common pathogen causing diarrhea during travel for many areas of the world. Globally, 60% of ETEC isolates produce LT, either LT alone (27%) or the combination of LT and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-20","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-json\/wp\/v2\/pages\/20","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-json\/wp\/v2\/comments?post=20"}],"version-history":[{"count":109,"href":"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-json\/wp\/v2\/pages\/20\/revisions"}],"predecessor-version":[{"id":2255,"href":"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-json\/wp\/v2\/pages\/20\/revisions\/2255"}],"wp:attachment":[{"href":"https:\/\/myclientwebsite.com\/dukoralcanada\/wp-json\/wp\/v2\/media?parent=20"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}