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Cholera

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Bacterial Infections of Humans

Cholera is a severe diarrheal illness caused by certain types of Vibrio cholerae, that can lead rapidly to dehydration and death. Although other organisms occasionally cause similar illness, the term “cholera” is reserved for illness caused by infection with toxigenic strains of V. cholerae O1 or O139, whether the symptoms are mild or severe. Epidemic cholera has appeared relatively recently on the global stage, spreading throughout the world early in the 19th century and causing severe epidemics in the crowded cities of the newly industrializing Europe. Epidemic cholera has since recurred in massive multicontinental pandemics. These pandemics had a profound impact on the development of public health, stimulating the establishment of standing health departments, ongoing infectious disease surveillance, and swift and effective public health response to epidemics. The discovery that cholera was associated with contaminated municipal drinking water spurred the “sanitary revolution,” leading to modern water and sewage treatment systems and the control of many diseases in the developed world. Now as then, epidemic cholera continues to goad countries in the early phases of industrialization to develop adequate water and sanitation infrastructures.

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References

  1. Pollitzer, R., History of the disease, in: Cholera, World Health Organization Monograph Series No. 43, pp. 11–50, World Health Organization, Geneva, 1959.

    Google Scholar 

  2. Snow, J., Snow on Cholera, Being a Reprint of Two Papers, The Commonwealth Fund, Oxford University Press, London, 1936.

    Google Scholar 

  3. Koch, R., An address on cholera and its bacillus, Br. Med. J. 2:403–407 (1884).

    Article  PubMed  CAS  Google Scholar 

  4. Rosenberg, C. E., The Cholera Years: The United States in 1832, 1849, and 1866, University of Chicago Press, Chicago, 1987.

    Google Scholar 

  5. Kamal, A. M., The seventh pandemic of cholera, in: Cholera (D. Barua and W. Burrows, eds.), pp. 1–14, Saunders, Philadelphia, 1974.

    Google Scholar 

  6. Tauxe, R. V., and Blake, P. A., Epidemic cholera in Latin America, JAMA. 267:1388–1390 (1992).

    Article  PubMed  CAS  Google Scholar 

  7. Sepulveda J., Valdespino, J.L., and Garcia-Garcia, L., Cholera in Mexico: the paradoxical benefits of the last pandemic, Int. J. Infect. Dis. 10: 4–13 (2006).

    Article  PubMed  Google Scholar 

  8. World Health Organization, Cholera in 2007. Week. Epidemiol. Rec. 83:269–284 (2007).

    Google Scholar 

  9. WHO Reference re: IHR—website http://www.who.int/csr/ihr/en/

  10. Koo, D., Traverso, H., Libel, M., et al., Epidemic cholera in Latin America 1991–1993: Implications of case definitions used for public health surveillance, Bull. Pan. Am. Health Organ. 30:134–143 (1996).

    PubMed  CAS  Google Scholar 

  11. World Health Organization, Cholera outbreak: assessing the outbreak response and improving preparedness, WHO/CDS/CPE/ZFK/2004.4

    Google Scholar 

  12. Vugia, D. J., Koehler, J. E., and Ries, A. A., Surveillance for epidemic cholera in the Americas: An assessment, CDC Surveillance Summaries, March 1992, Morbid. Mortal. Week. Rep. 41(SS-1):27–34 (1992).

    CAS  Google Scholar 

  13. Vugia, D. J., Rodriquez, M., Vargas, R., et al., Epidemic cholera in Trujillo, Peru 1992: Utility of a clinical case definition and shift in Vibrio cholerae O1 serotype, Am. J. Trop. Med. Hyg. 50:566–569 (1994).

    PubMed  CAS  Google Scholar 

  14. Centers for Disease Control and Prevention, Case definitions for public health surveillance, Morbid. Mortal. Week. Rep. 39: (RR-13) (1990).

    Google Scholar 

  15. Centers for Disease Control and Prevention. Laboratory Methods for the Diagnosis of Epidemic Dysentery and Cholera. Atlanta, GA: 1999.

    Google Scholar 

  16. Shapiro R. L., Otieno, M. R., Adcock, P. M., et al. Transmission of epidemic Vibrio cholerae O1 in rural western Kenya associated with drinking water from Lake Victoria: an environmental reservoir for cholera, Am. J. Trop. Med. Hyg. 60: 271–276 (1999).

    PubMed  CAS  Google Scholar 

  17. Gangarosa, E. J., and Mosley, W. H., Epidemiology and control of cholera, in: Cholera (D. Barua and W. Burrows, eds.), pp. 381–403, Saunders, Philadelphia, 1974.

    Google Scholar 

  18. Mintz, E. D., Effler, P., Maslankowski, L., et al., A rapid public health response to a cryptic outbreak of cholera in Hawaii, Am. J. Public Health 84:1988–1991 (1994).

    Article  PubMed  CAS  Google Scholar 

  19. Barrett, T. J., Blake, P. A., Morris, G. K., et al., Use of Moore swabs for isolating Vibrio cholerae from sewage, J. Clin. Microbiol. 11:385–388 (1980).

    PubMed  CAS  Google Scholar 

  20. Keasler, S. P., and Hall, R. H., Detecting and biotyping Vibrio cholerae O1 with multiplex polymerase chain reaction. Lancet, 341: 1661 (1993).

    Article  PubMed  CAS  Google Scholar 

  21. Benenson, A. S., Islam, M. R., and Greenough, III. W. B., Rapid identification of Vibrio cholerae by darkfield microscopy, Bull. World Health Organ. 30:827–831 (1964).

    PubMed  CAS  Google Scholar 

  22. Hasan, J. A. K., Huq, A., Tamplin, M. L., Siebeling, R. J., and Colwell, R. R., A novel kit for rapid detection of Vibrio cholerae O1, J. Clin. Microbiol. 32:249–252 (1994).

    PubMed  CAS  Google Scholar 

  23. Qadri, F. Hasan, J. Hossain, A., et al., Evaluation of the monoclonal antibody-based kit Bengal SMART for rapid detection of Vibrio cholerae O139 synonym Bengal in stool samples, J. Clin. Micro. 33:732–734 (1995).

    CAS  Google Scholar 

  24. Kalluri, P., Naheed, A., Rahman, S., et al. An evaluation of three rapid diagnositic tests for cholera: does the skill level of the technician matter? Trop. Med. Intl. Health 11:49–55 (2006).

    Article  Google Scholar 

  25. Levine, M. M., Kaper, J. B., Black, R. E., and Clements, M. L., New knowledge on pathogenesis of bacterial infections as applied to vaccine development, Microbiol. Rev. 47:510–550 (1983).

    PubMed  CAS  Google Scholar 

  26. Svennerholm, A.-M., Holmgren, J., Black, R., and Levine, M., Serologic differentiation between antitoxin responses to infection with V. cholerae and enterotoxin-producing Escherichia coli, J. Infect. Dis. 147:514–521 (1983).

    CAS  Google Scholar 

  27. Morris, J. G., Losonsky, G. E., Johnson, J. A., et al., Clinical and immunological characteristics of Vibrio cholerae O139 Bengal infection in North American volunteers, J. Infect. Dis. 171:903–908 (1995).

    Article  PubMed  Google Scholar 

  28. Albert, M. J., Alam, K., Ansaruzzaman, F., et al., Lack of cross-protection against diarrhea due to Vibrio cholerae O139 synonym Bengal after oral immunization of rabbits with V. choleraeO1 vaccine strain, CVD103-Hgr, J. Infect Dis. 119:230–231 (1994).

    Article  Google Scholar 

  29. Qadri, F. Wenneras, C. Albert, MJ. et al., Comparison of immune responses in patients infected with Vibrio cholerae O139 and O1, Infect. Immun.65: 3571–3576 (1997).

    PubMed  CAS  Google Scholar 

  30. Kolvin, J. L., and Roberts, D., Studies on the growth of Vibrio cholerae biotype E1 Tor and biotype classical in foods, J. Hygiene 89:243–252 (1982).

    Article  CAS  Google Scholar 

  31. Sakazaki, R., Bacteriology of Vibrio and related organisms, in: Cholera, 2nd ed. (D Barua and W. B. Greenough III, eds.), pp. 37–55, Plenum Press, New York.

    Google Scholar 

  32. Spangler, B. D., Structure and function of cholera toxin and the related Escherichia coli heat labile enterotoxin, Microbiol. Rev. 56:622–647 (1992).

    PubMed  CAS  Google Scholar 

  33. Ottemann, K. M., and Mekalanos, J. J., Regulation of cholera toxin expression, in: Vibrio cholerae and Cholera (I. K. Wachsmuth, P. A. Blake, and O. Olsvik, eds.), pp. 177–185, American Society for Microbiology, Washington, DC, 1994.

    Google Scholar 

  34. Kay, B. A., Bopp, C. A., and Wells, J. G., Isolation and identification of Vibrio cholerae O1 from fecal specimens, in: Vibrio cholerae and Cholera (I. K. Wachsmuth, P. A. Blake, and O. Olsvik, eds.), pp. 1–26, American Society for Microbiology, Washington, DC, 1994.

    Google Scholar 

  35. Siddique, A. K., Baqui, A. H., Eusof, A., et al., Survival of classic cholera in Bangladesh, Lancet 337:1125–1127 (1991).

    Article  PubMed  CAS  Google Scholar 

  36. Benenson, A. S., Ahmad, S. Z., and Oseasohn, R. O., Person-to-person transmission of cholera, in: Proceedings of the Cholera Research Symposium (O. A. Bushnell and C. S. Brookhyser, eds.), pp. 332–336, Public Health Service, US Department of Health, Education and Welfare, Bethesda, MD, 1965.

    Google Scholar 

  37. Clemens, J. D., Van Loon, F., Sack, D. A., et al., Biotype as determinant of natural immunizing effect of cholera, Lancet 337:883–884 (1991).

    Article  PubMed  CAS  Google Scholar 

  38. Blake, P. A., Endemic cholera in Australia and the United States, in: Vibrio cholerae and Cholera (I. K. Wachsmuth, P. A., Blake, and O. Olsvik, eds.), pp. 309–319, American Society for Microbiology, Washington, DC, 1994.

    Google Scholar 

  39. Bourke, A. T. C., Cossins, Y. N., Gray, B. R. W., et al., Investigation of cholera acquired from the riverine environment in Queensland, Med. J. Aust. 144:229–234 (1986).

    PubMed  CAS  Google Scholar 

  40. Nalin, D. R., Cholera, copepods and chitinase, Lancet 2:958 (1976).

    Article  PubMed  CAS  Google Scholar 

  41. Huq, A., West, P. A., Small, B., Huq, M. I., and Colwell, R. R., Influence of water temperature, salinity, and pH on survival and growth of toxigenic Vibrio cholerae serovar O1 associated with live copepods in laboratory microcosms, Appl. Environ. Microbiol. 48:420–424 (1984).

    PubMed  CAS  Google Scholar 

  42. Islam, M. S., Drasar, B. S., and Bradley, D. J., Attachment of toxigenic Vibrio cholerae O1 to various freshwater plants and survival with a filamentous green algae, Rhizoclonium fontanum, J. Trop. Med. Hyg. 92:396–401 (1989).

    CAS  Google Scholar 

  43. Colwell, R. E., and Huq, A., Vibrios in the environment: Viable but nonculturable Vibrio cholerae, in: Vibrio cholerae and Cholera (I. K. Wachsmuth, P. A. Blake, and O. Olsvik, eds.), pp. 117–133, American Society for Microbiology, Washington, DC, 1994.

    Google Scholar 

  44. Gauthier, M. J., Environmental parameters associated with the viable but nonculturable state, in: Non-culturable microorganisms in the environment. (R. R. Colwell and D. J. Grimes, eds.), pp. 87–112, ASM Press, Washington, 2000.

    Google Scholar 

  45. Binsztein, N., Costagliola, M. C., Pichel, M., et al., Viable but nonculturable Vibrio cholerae O1 in the aquatic environment of Argentina, Appl. Environ. Microbiol. 70:7481–7486 (2004).

    Article  PubMed  CAS  Google Scholar 

  46. Fasano, A., Baudry, B., Pumplin, D. W., et al., Vibrio cholerae produces a second enterotoxin, which affects intestinal tight junctions, Proc. Natl. Acad. Sci. USA 88:5242–5246 (1991).

    Article  PubMed  CAS  Google Scholar 

  47. Trucksis, M., Galen, J. E., Michalski, J., Fasano, A., and Kaper, J. B., Accessory cholera enterotoxin (Ace), the third toxin of a Vibrio cholerae virulence cassette, Proc. Natl. Acad. Sci. USA 90:5267–5271 (1993).

    Article  PubMed  CAS  Google Scholar 

  48. Walia, K., Ghosh, S., Singh, H., et al., Purification and characterization of novel toxin produced by Vibrio cholerae O1, Infect. Immun. 67: 5215–5222 (1999).

    PubMed  CAS  Google Scholar 

  49. Trucksis, M., Conn, T. L., Wasserman, S. S., et al., Vibrio cholerae ACE stimulates Ca2+-dependent Cl/HCO3 secretion in T84 cells in vitro, Am. J. Physiol. Cell. Physiol. 279: C567–C577 (2000).

    PubMed  CAS  Google Scholar 

  50. Marinaro, M., Fasano, A., and De Magistris, M. T., Zonula occludens toxin acts as an adjuvant through different mucosal routes and induces protective immune responses, Infect. Immun. 71: 1897–1902 (2003).

    Article  PubMed  CAS  Google Scholar 

  51. Faruque, S. M., and Mekalanos, J. J., Pathogenicity islands and phages in Vibrio cholerae evolution, Trends Microbiol. 11:505–510 (2003).

    Article  PubMed  CAS  Google Scholar 

  52. Waldor, M. K., and Mekalanos J. J., Lysogenic conversion by a filamentous phage encoding cholera toxin, Science 272:1910–1914 (1996).

    Article  PubMed  CAS  Google Scholar 

  53. Ramamurthy, T., Garg, S., Sharma, R., et al., Emergence of a novel strain of Vibrio cholerae with epidemic potential in southern and eastern India, Lancet 341:703–704 (1993).

    Article  PubMed  CAS  Google Scholar 

  54. Johnson, J. A., Salles, C. A., Panigrahi, P., et al. Vibrio cholerae O139 synonym bengal is closely related to Vibrio cholerae El Tor but has important differences, Infect. Immun. 62: 2108–2110 (1994).

    PubMed  CAS  Google Scholar 

  55. Manning, P. A., Stroeher, U. H., and Morona, R., Molecular basis for O-antigen biosynthesis in Vibrio cholerae O1: Ogawa-Inaba switching, in: Vibrio cholerae and Cholera (I. K. Wachsmuth, P. A. Blake, and O. Olsvik, eds.), pp. 77–94, American Society for Microbiology, Washington, DC, 1994.

    Google Scholar 

  56. Faruque, S. M., Sack, D. A., Sack, R. B., et al., Emergence and evolution of V. cholerae O139, PNAS 100: 1304–1309 (2003).

    Article  PubMed  CAS  Google Scholar 

  57. Wachsmuth, I. K., Olsvik, O., Evins, G. M., and Popovic, T., The molecular epidemiology of cholera, in: Vibrio cholerae and Cholera (I. K. Wachsmuth, P. A. Blake, and O. Olsvik, eds.), pp. 357–370, American Society for Microbiology, Washington, DC, 1994.

    Google Scholar 

  58. Popovic, T., Bopp, C., Olsvik, O., and Wachsmuth, K., Epidemiologic application of a standardized ribotype scheme for Vibrio cholerae O1, J. Clin. Microbiol. 31:2474–2482 (1993).

    PubMed  CAS  Google Scholar 

  59. Cameron, D. N., Khambaty, F. M., Wachsmuth, I. K., Tauxe, R. V., and Barrett, T. J., Molecular characterization of Vibrio cholerae O1 strains by pulsed-field electrophoresis, J. Clin. Microbiol. 32:1685–1690 (1994).

    PubMed  CAS  Google Scholar 

  60. Evins, G. M., Cameron, D. N., Wells, J. G., et al., The emerging diversity of the electrophoretic types of Vibrio cholerae in the Western Hemisphere, J. Infect. Dis. 172:173–179 (1995).

    Article  PubMed  CAS  Google Scholar 

  61. Dalsgaard, A., Skov, M. N., Serichantalergs, O., et al., Molecular evolution of Vibrio cholerae O1 strains isolated in Lima, Peru, from 1991 to 1995, J. Clin. Microbiol. 35: 1151–1156 (1997).

    PubMed  CAS  Google Scholar 

  62. O’Shea, Y. A., Reen, F. J., Quirke, A. M., and Boyd. E. F., Evolutionary genetic analysis of the emergence of epidemic Vibrio cholerae isolates on the basis of comparative nucleotide sequence analysis and multilocus virulence gene profiles, J. Clin. Microbiol. 42: 4657–4671 (2004).

    Article  PubMed  CAS  Google Scholar 

  63. Koo, D., Aragon, A., Moscoso, V., et al., Epidemic cholera in Guatemala, 1993: Transmission of a newly introduced epidemic strain by street vendors, Epidemiol. Infect. 116:121–126 (1996).

    Article  PubMed  CAS  Google Scholar 

  64. Popovic, T., Fields, P. I., Olsvik, O., et al., Molecular subtyping of toxigenic Vibrio cholerae O139 causing epidemic cholera in India and Bangladesh, 1992–1993, J. Infect. Dis. 171:122–127 (1995).

    Article  PubMed  CAS  Google Scholar 

  65. Olsvik, O., Wahlberg, J., Petterson, B., et al., Use of automated sequencing of polymerase chain reaction generated amplicons to identify three types of cholera toxin subunit B in Vibrio cholerae O1 strains, J. Clin. Microbiol. 31:22–25 (1993).

    PubMed  CAS  Google Scholar 

  66. Crump, J. A., Bopp, C. A., Greene, K. D., et al., Toxigenic Vibrio cholerae serogroup O141-associated cholera-like diarrhea and bloodstream infection in the United States, J. Infect. Dis. 187: 866–868 (2003).

    Article  PubMed  Google Scholar 

  67. Dalsgaard, A. Serichantalergs O., Forsulund A., et al., Clinical and environmental isolates of Vibrio cholerae serogro4p O141 carry the CTX phage and the genes encoding the toxin-coregulated pili, J. Clin. Microbiol. 11:4086–4092 (2001).

    Article  Google Scholar 

  68. Heidelberg, J. F., Eisen, J. A., Nelson, W. C., et al., DNA sequence of both chromosomes of the cholera pathogen, Vibrio cholerae. Nature 406:477–483 (2000).

    CAS  Google Scholar 

  69. Gaffga, N. H., Tauxe, R. V., and Mintz, E. D., Cholera: A New Homeland in Africa? Am J. Trop. Med Hyg. 77(4):705–713 (2007).

    Google Scholar 

  70. Tauxe, R., Seminario, L., Tapia, R., and Libel, M., The Latin American epidemic, in: Vibrio cholerae and Cholera (I. K. Wachsmuth, P. A. Blake, and O. Olsvik, eds.), pp. 321–350, American Society for Microbiology, Washington, DC, 1994.

    Google Scholar 

  71. Pan-American Health Organization, Cholera in the Americas, Epidemiol. Bull. 16(2): 11–13 (1995).

    Google Scholar 

  72. Tauxe, R. V., Holmberg, S. D., Dodin, A., Wells, J. G., and Blake, P. A., Epidemic cholera in Mali: High mortality and multiple routes of transmission in a famine area, Epidemiol. Infect. 100:279–289 (1988).

    Article  PubMed  CAS  Google Scholar 

  73. Glass, R. I., Becker, S., Huq, I., et al., Endemic cholera in rural Bangladesh, 1966–1980, Am. J. Epidemiol. 116:959–970 (1982).

    PubMed  CAS  Google Scholar 

  74. Faruque, S. M., Albert, M. J., and Mekalanos, J. J., Epidemiology, Genetics, and Ecology of Toxigenic Vibrio cholerae, Microbiol. Mol. Biol. Rev. 62:1301–1314 (1998).

    PubMed  CAS  Google Scholar 

  75. Faruque, A. S., Fuchs, G. J., and Albert, M. J., Changing epidemiology of cholera due to Vibrio cholerae O1 and O139 Bengal in Dhaka, Bangladesh, Epidemiol. Infect. 116:275–278 (1996).

    Article  PubMed  CAS  Google Scholar 

  76. Faruque, S. M., Chowdhury, N., Kamruzzaman, M., Reemergence of Epidemic Vibrio cholerae O139, Bangladesh, Emerg. Infect. Dis. 9:1116–1122 (2003).

    Google Scholar 

  77. Azurin, J. C., Kobari, K., Barua, D., et al., A long-term carrier of cholera: Cholera Dolores, Bull. World Health Organ. 37:745–749 (1967).

    PubMed  CAS  Google Scholar 

  78. Blake, P. A., Epidemiology of cholera in the Americas, Gastroenterol. Clin. North Am. 22(3):639–660 (1993).

    PubMed  CAS  Google Scholar 

  79. Holmberg, S. D., Harris, J. R., Kaye, D. E., et al., Foodborne transmission in Micronesian households, Lancet 1:730–732 (1984).

    Google Scholar 

  80. Deb, B. C., Sircar, B. K., Sengupta, P. G., et al., Studies on interventions to prevent eltor cholera transmission in urban slums, Bull. World Health Organ. 64:127–131 (1986).

    PubMed  CAS  Google Scholar 

  81. Shaffer, N., Mendes, P., Costa, C. M., et al., Epidemic cholera in Guinea-Bissau: Importance of foodborne transmission, Abstract No. 1459, in: Program and Abstracts of the 28th Interscience Conference on Antimicrobial Agents and Chemotherapy, 1988, Los Angeles, p. 370, American Society for Microbiology, Washington, DC, 1988.

    Google Scholar 

  82. Gunnlaugsson, G., Einarsdottir, J., Angulo, F. J., et al., Funerals during the 1994 cholera epidemic in Guinea-Bissau, West Africa: The need for disinfection of bodies of persons dying of cholera, Epidemiol. Infect. 120:7–15 (1998).

    Article  PubMed  CAS  Google Scholar 

  83. Centers for Disease Control and Prevention, Isolation of Vibrio cholerae O1 from oysters—Mobile Bay, 1991–1992, Morbid. Mortal. Week. Rep. 42:91–93 (1992).

    Google Scholar 

  84. McCarthy, S. A. and Khambaty, F. M., International dissemination of epidemic Vibrio cholerae by cargo ship ballast and other nonpotable waters, Appl. Environ. Microbiol. 60:2597–2601 (1994).

    PubMed  CAS  Google Scholar 

  85. Faruque, S. M., Asadulghani, Saha. M.N., et al., Analysis of clinical and environmental strains of nontoxigenic Vibrio cholerae for susceptibility to CTX: molecular basis for origination of new strains with epidemic potential, Infect. Immun. 66: 5819–5825 (1998).

    PubMed  CAS  Google Scholar 

  86. Colwell, R. R,. Global climate and infectious disease: the cholera paradigm, Science. 274: 2025–2031 (1996).

    Article  PubMed  CAS  Google Scholar 

  87. Faruque, S. M., Naser, I. B., Islam, M. J., et al. Seasonal epidemics of cholera inversely correlate with the prevalence of environmental cholera phages, PNAS 102: 1702–1707 (2005).

    Article  PubMed  CAS  Google Scholar 

  88. Weber, J. T., Levine, W. C., Hopkins, D. P., and Tauxe, R. V., Cholera in the United States, 1965–1991; Risks at home and abroad, Arch. Intern. Med. 154:551–556 (1994).

    Article  PubMed  CAS  Google Scholar 

  89. Colwell R., and Huq, A. Marine ecosystems and cholera. Hydrobiologia 460: 141–145 (2001).

    Article  Google Scholar 

  90. Lipp, E. K., Huq, A. and Colwell, R. Effects of global climate on infectious disease: the cholera model, Clin. Micro. Rev. 15: 757–770 (2002).

    Article  PubMed  Google Scholar 

  91. Rogers, L., Thirty years’ research on the control of cholera epidemics, Br. Med. J. 2:1193–1197 (1957).

    Article  PubMed  CAS  Google Scholar 

  92. Ries, A. A., Vugia, D. J., Beingolea, L., et al., Cholera in Piura, Peru: A modern urban epidemic, J. Infect. Dis. 166:1429–1433 (1992).

    Article  PubMed  CAS  Google Scholar 

  93. Baine, W. B., Zampieri, A., Mazzotti, M., et al. Epidemiology of cholera in Italy in 1973, Lancet 2:1370–1378 (1974).

    Article  PubMed  CAS  Google Scholar 

  94. Glass, R. I., Svennerholm, A.-M., Stoll, B. J., et al., Protection against cholera in breast-fed children by antibodies in breast milk, N. Engl. J. Med. 308:1389–1392 (1983).

    Article  PubMed  CAS  Google Scholar 

  95. Cholera Working Group, Large epidemic of cholera-like disease in Bangladesh caused by Vibrio cholerae O139 synonym Bengal, Lancet 342:387–390 (1993).

    Article  Google Scholar 

  96. Glass, R. I., Holmgren, J., Haley, C. E., et al., Predisposition for cholera of individuals with O blood group; Possible evolutionary significance, Am. J. Epidemiol. 121:791–796 (1985).

    PubMed  CAS  Google Scholar 

  97. Swerdlow, D. L., Mintz, E. D., Rodriguez, M., et al., Severe life-threatening cholera associated with blood group O in Peru: Implications for the Latin American epidemic, J. Infect. Dis. 170:468–472 (1994).

    Article  PubMed  CAS  Google Scholar 

  98. Blake, P. A., Epidemiology of cholera in the Americas, Gastroenterol. Clin. North Am. 22(3): 639–660 (1993).

    PubMed  CAS  Google Scholar 

  99. Goma Epidemiology Group, Public health impact of the Rwandan refugee crisis: What happened in Goma, Zaire in July, 1994? Lancet 345:359–361 (1995).

    Article  Google Scholar 

  100. Swerdlow, D. L., Malenga, G., Begkoyian D, et al., Epidemic cholera among refugees in Malawi, Africa: treatment and transmission, Epid. Infect. 118: 207–214 (1997).

    Article  CAS  Google Scholar 

  101. Hatch, D. L., Waldman, R. J., Lungu, G. W., and Piri, C., Epidemic cholera during refugee resettlement in Malawi, Int. J. Epidemiol. 23:1292–1299 (1994).

    Article  PubMed  CAS  Google Scholar 

  102. Morris, J. G., West, G. R., Holck, S. E., et al., Cholera among refugees in Rangsit, Thailand, J. Infect. Dis. 145:131–133 (1982).

    Article  PubMed  Google Scholar 

  103. Sur, D., Dutta, P., Nair, G. B. and Bhattacharya, S. K., Severe cholera outbreak following floods in a northern district of West Bengal. Indian J. Med. Res. 112: 178–182 (2000).

    PubMed  CAS  Google Scholar 

  104. Guha-Sapir, D., van Panhuis, W., The Andaman Nicobar earthquake and tsunami 2004: Impact on diseases in Indonesia. Centre for Research on Epidemiology of Disasters (2005). http://www.cred.be/docs/cred/publications/4sunami.report.pdf

  105. Centers for Disease Control and Prevention, Vibrio illnesses after Hurricane Katrina—multiple states, August-September 2005, Morbid. Mortal. Week. Rep. 54:928–931 (2005).

    Google Scholar 

  106. Centers for Disease Control and Prevention, Two Cases of Toxigenic Vibrio cholerae O1 Infection After Hurricanes Katrina and Rita—Louisiana, October 2005, Morbid. Mortal. Week. Rep. 55:31–32 (2006).

    Google Scholar 

  107. Shahinian, M. L., Passaro, D. J., Swerdlow, D. L., et al., Helicobacter pylori and epidemic Vibrio cholerae O1 infection in Peru, Lancet. 355:377–378 (2000).

    Article  PubMed  CAS  Google Scholar 

  108. Steinberg, E. B., Greene, K. D., Bopp, C. A., et al., Cholera in the United States, 1995–2000: trends at the end of the twentieth century, J. Infect. Dis. 184: 799–801 (2001).

    Article  PubMed  CAS  Google Scholar 

  109. Johnston, J. M., Martin, D. L., Perdue, J., et al., Cholera on a Gulf Coast oil rig, N. Engl. J. Med. 309:523–526 (1983).

    Article  PubMed  CAS  Google Scholar 

  110. Ackers, M., Pagaduan R., Hart, G., et al., Cholera and sliced fruit: Probable secondary transmission from an asymptomatic carrier in the United States, Int. J. Infect. Dis. 1:212214. (1997).

    Article  Google Scholar 

  111. Taylor, J. L., Tuttle, J., Pramukul, T., et al., An outbreak of cholera in Maryland associated with imported commercial frozen fresh coconut milk, J. Infect. Dis. 167:1330–1335 (1993).

    Article  PubMed  CAS  Google Scholar 

  112. McIntyre, R. C., Tira, T., Flood, T., and Blake, P. A., Modes of transmission of cholera in a newly infected population on an atoll: Implications for control measures, Lancet 1:311–314 (1979).

    Article  PubMed  CAS  Google Scholar 

  113. Blake, P. A., Rosenberg, M. L., Costa, J. B., Ferreira, P. S., Guimaraes, C. L., and Gangarosa, E. J., Cholera in Portugal, 1974. I. Modes of transmission, Am. J. Epidemiol. 105:337–343 (1977).

    PubMed  CAS  Google Scholar 

  114. Blake, P. A., Rosenberg, M. L., Florencia, J., Costa, J. B., Quintino, L. do. P., and Gangarosa, E. J., Cholera in Portugal, 1974. II. Transmission by bottled mineral water, Am. J. Epidemiol. 105:344–348 (1977).

    PubMed  CAS  Google Scholar 

  115. Swerdlow, D. L., Mintz, E. D., Rodriguez, M., et al., Waterborne transmission of epidemic cholera in Trujillo, Peru: Lessons for a continent at risk, Lancet 340:28–32 (1992).

    Article  PubMed  CAS  Google Scholar 

  116. Gundry, S., Conroy, R., and Wright, J. A systematic review of the health outcomes related to household water quality in developing countries, J. Water Health. 2:1–13 (2004).

    PubMed  Google Scholar 

  117. Mujica, O. J., Quick, R. E., Palacio, A. M., et al., Epidemic cholera in the Amazon: The role of produce in disease risk and prevention, J. Infect. Dis. 169:1381–1384 (1994).

    Article  PubMed  CAS  Google Scholar 

  118. St. Louis, M. E., Porter, J. D., Helal, A., et al., Epidemic cholera in West Africa: The role of food handling and high-risk foods, Am. J. Epidemiol. 131:719–728 (1990).

    Google Scholar 

  119. Dubois, A. E., Sinkala, M., Kalluri, P., et al., Epidemic cholera in urban Zambia: hand soap and dried fish as protective factors, Epidemiol. Infect. 134: 1226–1230 (2006).

    Article  PubMed  CAS  Google Scholar 

  120. Lim-Quizon, M. C., Benabaye, R. M., White, F. M., Dayrit, M. M., and White, M. E., Cholera in metropolitan Manila: Food-borne transmission via street vendors, Bull. World Health Organ. 72:745–749 (1994).

    PubMed  CAS  Google Scholar 

  121. Sutton, R. G. A., An outbreak of cholera in Australia due to food served in flight on an international aircraft, J. Hyg. 72:441–451 (1974).

    Article  CAS  Google Scholar 

  122. Centers for Disease Control and Prevention, Cholera ass4ciated with an international airline flight, 1992, Morbid. Mortal. Week. Rep. 41:134–135 (1992).

    Google Scholar 

  123. Eberhart-Phillips, J., Besser, R. E., Tormey, M. P., et al., An outbreak of cholera from food served on an international aircraft, Epidemiol. Infect. 116: 9–13 (1996).

    Article  PubMed  CAS  Google Scholar 

  124. Hoge C. W., Bodhidatta L., Echeverria., et al., Epidemiologic study of Vibrio cholerae O1 and O139 in Thailand: at the advancing edge of the eight pandemic, Am. J. Epidemiol. 143: 263–268 (1996).

    PubMed  CAS  Google Scholar 

  125. Boyce, T. G., Mintz, E. D., Greene, K. D., et al., Vibrio cholerae O139 Bengal infections among tourists to Southeast Asia: An international foodborne outbreak, J. Infect. Dis. 172:1401–1404 (1995).

    Article  PubMed  CAS  Google Scholar 

  126. Levine, M. M., Black, R. E., Clements, M. L., Nalin, D. R., Cisneros, L., and Finkelstein, R. A., Volunteer studies in development of vaccines against cholera and enterotoxigenic Escherichia coli: A review, in: Acute Enteric Infections in Children: New Prospects for Treatment and Prevention (T. Holme, J. Holmgren, M. Merson, and R. Molby, eds.), pp. 443–459, Elsevier, Amsterdam, 1981.

    Google Scholar 

  127. King, C. A., and van Heyningen, W. E., Deactivation of cholera toxin by a sialidase-resistant monosialosylganglioside, J. Infect. Dis. 127:639–647 (1973).

    Article  PubMed  CAS  Google Scholar 

  128. Swerdlow, D. L., and Ries, A. A., Cholera in the Americas: Guidelines for the clinician, J. Am. Med. Assoc. 267:1495–1499 (1992).

    Article  CAS  Google Scholar 

  129. Fontaine, O., Gore, S. M., Pierce, N. F., Rice-based oral rehydration solutions for treating diarrhea.The Cochrane Database of Systematic Reviews 1998, Issue 4. Art. No.: CD001264. DOI: 10.1002/14651858.CD001264.

    Google Scholar 

  130. Hahn, S., Kim, Y., and Garner, P., Reduced osmolarity oral rehydration solution for treating dehydration due to diarrhoea in children: systematic review, BMJ 323:81–85 (2001).

    Article  PubMed  CAS  Google Scholar 

  131. Nalin D. R., Hirschorn, N., Greenough W., et al., Clinical concerns about reduced-osmolarity oral rehydration solutions, JAMA. 291:2632–2635 (2004).

    Article  PubMed  CAS  Google Scholar 

  132. Nagarajan, L., Ganguli, N. K., Natarajan, U., et al., Bacterial contamination of reconstituted oral rehydration solution, Indian Pediatrics 27: 21–25 (1990).

    PubMed  CAS  Google Scholar 

  133. Daniels, N. A., Simons, S. L., Rodrigues, A., et al., First do no harm: making oral rehydration solution safer in a cholera epidemic, Am. J. Trop. Med. Hyg. 60: 1051–1055 (1999).

    PubMed  CAS  Google Scholar 

  134. Khan, W., Bennish, M. L., Seas, C., et al., Randomised controlled comparison of single-dose ciprofloxacin and doxycycline for cholera caused by Vibrio cholerae O1 or O139, Lancet 348: 296–300(1996).

    Article  PubMed  CAS  Google Scholar 

  135. Gotuzzo, E., Ses, C., Echevarria, J., Ciprofloxacin for the treatment of cholera: a randomized, double-blind, controlled clinical trial of a single daily dose in Peruvian adults, Clin. Infect. Dis. 6:1485–1490 (1995).

    Article  Google Scholar 

  136. Saha, D., Wasif, A. K., Karim, M. M., Single-dose ciprofloxacin versus 12-dose erythromycin for childhood cholera: a randomised controlled trial, Lancet 366: 1085–1093 (2005).

    Article  PubMed  CAS  Google Scholar 

  137. Hirschorn, N., Chowdhury, A. K. M. A., and Lindenbaum, J., Cholera in pregnant women, Lancet 1:1230–1232 (1969).

    Article  Google Scholar 

  138. Mintz, E. D., Reiff, F. M., and Tauxe, R. V., Safe water treatment and storage in the home: a practical new strategy to prevent waterborne disease, JAMA. 273:948–9534(1995).

    Article  PubMed  CAS  Google Scholar 

  139. Mintz, E., Bartram, J., Lochery, P and Wegelin, M., Not just a drop in the bucket: expanding access to point-of-use water treatment systems, AJPH 91:1565–1570 (2001).

    Article  CAS  Google Scholar 

  140. Beatty, M. E., Jack, T., Sivapalasingam, S., et .al., An outbreak of Vibrio cholerae O1 infections on Ebeye Island, Republic of the Marshall Islands, associated with use of an adequately chlorinated water source, Clin. Inf. Dis. 38: 1–9 (2004).

    Article  Google Scholar 

  141. Deb, B. C., Sircar, B. K., Sengupta, P. C., et al., Studies on interventions to prevent eltor cholera transmission in urban slums, Bull. WHO. 64: 127–131 (1986).

    PubMed  CAS  Google Scholar 

  142. Reller, M. E., Yves J., Mong, M., et al., Cholera prevention with traditional and novel water treatment methods: an outbreak investigation in Fort-Dauphin, Madagascar, AJPH 91: 1608–1610 (2001).

    Article  CAS  Google Scholar 

  143. Centers for Disease Control and Prevention (2005). Atlanta (August 26, 2005); http://www.cdc.gov/safewater/

  144. Conroy, B. A., Elmore-Meegan, M., Joyce, T., et al., Solar disinfection of drinking water and diarrhoea in Maasai children: a controlled field trial, Lancet 348: 1695–1697 (1996).

    Article  PubMed  CAS  Google Scholar 

  145. Conroy R. M., Meegan, M. E., Joyce T., et al., Solar disinfection of water reduces diarrhoeal disease: an update, Arch. Dis. Child. 81: 337–338 (1999).

    Article  PubMed  CAS  Google Scholar 

  146. Conroy R. M., Meegan, M. E., Joyce T., et al., Solar disinfection of drinking water protects against cholera in children under 6 years of age,Arch. Dis, Chil, 85:293–295 (2001).

    Article  CAS  Google Scholar 

  147. D’Aquino, M., and Teves, S. A., Lemon juice as a natural biocide for disinfecting drinking water, Bull. Pan-Am. Health Organ. 28:324–330 (1994).

    PubMed  Google Scholar 

  148. Rodrigues, A., Sandström A., Tomé, C., et al., Protection from cholera by adding lime juice to food—results from community and laboratory studies in Guinea-Bissau, West Africa, Trop. Med. Intl. Health. 5:418–422 (2000).

    Article  CAS  Google Scholar 

  149. Sobel, J., Mahon, B., Mendoza, C. E., et al., Reduction of fecal contamination of street-vended beverages in Guatemala by a simple system for water purification and storage, handwashing, and beverage storage, Am. J. Trop. Med. Hyg. 59:380–387 (1998).

    PubMed  CAS  Google Scholar 

  150. Alcayaga, S., Alcagaya, J., and Gassibe, P., Changes in the morbidity profile of certain enteric infections after the cholera epidemic, Rev. Chile Infect. 1:5–10 (1993).

    Google Scholar 

  151. McCormack, W. M., Chowdhury, A. M., Jahangir, N., Fariduddin Ahmed, A. B., and Mosley, W. H., Tetracycline prophylaxis in families of cholera patients, Bull. WHO. 38:787–792 (1968).

    PubMed  CAS  Google Scholar 

  152. Weber, J. T., Mintz, E. D., Caniazares, R., et al., Epidemic cholera in Ecuador: Multidrug resistance and transmission by water and seafood, Epidemiol. Infect. 112:1–11 (1994).

    Article  PubMed  CAS  Google Scholar 

  153. Trach, D. D., Cam, P. D., Ke, N. T., et al., Investigations into the safety and immunogenicity of a killed oral cholera vaccine developed in Viet Nam, Bull. WHO 80: 2–8 (2002).

    PubMed  CAS  Google Scholar 

  154. Levine, M. M., and Tacket, C. O., Recombinant live oral vaccines, in: Vibrio cholerae and Cholera (I. K. Wachsmuth, P. A. Blake, and O. Olsvik, eds.), pp. 395–413, American Society for Microbiology, Washington, DC, 1994.

    Google Scholar 

  155. Lagos, R., Avendano, A., Preado, V., et al., Attenuated live cholera vaccine strain CVD 103-HgR elicits significantly higher serum vibriocidal antibody titers in persons of blood group O, Infect. Immun. 63:707–709 (1995).

    PubMed  CAS  Google Scholar 

  156. Clemens, J. D., Harris, J. R., Sack, D. A., et al., Field trial of oral cholera vaccines in Bangladesh: Results of one year of follow-up, J. Infect. Dis. 158:60–69 (1988).

    Article  PubMed  CAS  Google Scholar 

  157. Clemens, J. D., Sack, D. A., Harris, J. R., et al., ABO blood groups and cholera: New observations on specificity of risk, and modification of vaccine efficacy, J. Infect. Dis. 159:770–773 (1989).

    Article  PubMed  CAS  Google Scholar 

  158. Clemens, J. D., Sack, D. A., Harris, J. R., et al., Field trial of oral cholera vaccines in Bangladesh: Results from three-year follow-up, Lancet 335:270–273 (1990).

    Article  PubMed  CAS  Google Scholar 

  159. Ali, M., Emch, M., von Seiflein, L., et al., Herd immunity conferred by killed oral cholera vaccines in Bangladesh: a reanalysis, Lancet 366:44–49 (2005)

    Article  PubMed  Google Scholar 

  160. Sanchez, J. L., Vasquez, B., Begue, R. E., et al., Protective efficacy of oral whole-cell/recombinant-B-subunit cholera vaccine in Peruvian military recruits, Lancet 344:1273–1276 (1994).

    Article  PubMed  CAS  Google Scholar 

  161. Lucas, M. E., Deen, J. L., and Seidlein L., Effectiveness of Mass Oral Cholera Vaccination in Beira, Mozambique, N. Engl. J. Med. 352:757–767 (2005).

    Article  PubMed  CAS  Google Scholar 

  162. Perry, R. T., Plowe, C. V., Koumare, N., et al., A single dose of live oral cholera vaccine CVD 103-HgR is safe and immunogenic in HIV-infected and HIV-noninfected adults in Mali, Bull. WHO 76:63–71 (1998).

    PubMed  CAS  Google Scholar 

  163. Calain, P., Chaine, J. P., Johnson, et al., Can oral cholera vaccination play a role in controlling a cholera outbreak? Vaccine 19:2444–2451 (2004).

    Article  CAS  Google Scholar 

  164. World Health Organization (2009). Atlanta (February 08, 2009); http://www.who.int/mediacentre/news/releases/2009/cholera_zim_20090130/en/index.html

  165. Daily Cholera Update, 16th February, 2009, http://ochaonline.un.org/zimbabwe.

Suggested Reading

  • Barua, D., and Greenough, W. B., III (eds.), Cholera, Plenum Press, New York, 1992.

    Google Scholar 

  • Feacham, R. G., Environmental aspects of cholera epidemiology I. A review of selected reports of endemic and epidemic situations during 1961–1980, Trop. Dis. Bull. 78:676–698 (1981).

    Google Scholar 

  • Feacham, R. G., Miller, C., and Drasar, B., Environmental aspects of cholera epidemiology II. Occurrence and survival of Vibrio cholerae in the environment, Trop. Dis. Bull. 78:866–880 (1981).

    Google Scholar 

  • Feacham, R. G., Environmental aspects of cholera epidemiology III. Transmission and control, Trop. Dis. Bull. 79:2–47 (1982).

    Google Scholar 

  • Kaper, J. B., Morris, J. G., and Levine, M. M., Cholera, Clin. Microbiol. Rev. 8:48–86 (1995).

    PubMed  CAS  Google Scholar 

  • Wachsmuth, I. K., Blake, P. A., and Olsvik, O. (eds.), Vibrio cholerae and Cholera, American Society for Microbiology, Washington, DC, 1994.

    Google Scholar 

  • World Health Organization, Guidelines for Cholera Control, Geneva, Switzerland, 1993.

    Google Scholar 

  • Sack, D. A., Sack, R. B., Nair, G. B., and Siddique, A. K., Cholera, Lancet 363:223–233 (2004).

    Article  PubMed  CAS  Google Scholar 

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Menon, M.P., Mintz, E.D., Tauxe, R.V. (2009). Cholera. In: Brachman, P., Abrutyn, E. (eds) Bacterial Infections of Humans. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-09843-2_12

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