Cholera in United States associated with epidemic in Hispaniola. Emerg Infect Dis. 2011 Nov; [Epub ahead of print]

DOI: 10.3201/eid1711.110808
Suggested citation for this article: Newton AE, Heiman KE, Schmitz A, Török T, Apostolou A, Hanson H, et al. Cholera in United States associated with epidemic in Hispaniola. Emerg Infect Dis. 2011 Nov; [Epub ahead of print]

Cholera in United States Associated with Epidemic in Hispaniola
Anna E. Newton, Katherine E. Heiman, Ann Schmitz, Tom Török, Andria Apostolou, Heather Hanson, Prabhu Gounder, Susan Bohm, Katie Kurkjian, Michele Parsons, Deborah Talkington, Steven Stroika, Lawrence C. Madoff, Franny Elson, David Sweat, Venessa Cantu, Okey Akwari, Barbara E. Mahon, and Eric D. Mintz

Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (A.E. Newton, K.E. Heiman, A. Schmitz, T. Török, A. Apostolou, P. Gounder, K. Kurkjian, M. Parsons, D. Talkington, S. Stroika, B.E. Mahon, E.D. Mintz); Atlanta Research and Education Foundation Inc., Decatur, Georgia, USA (A.E. Newton, K.E. Heiman); Florida Department of Health, Tallahassee, Florida, USA (A. Schmitz, T. Török); New Jersey Department of Health and Senior Services, Trenton, New Jersey, USA (A. Apostolou); New York City Department of Health and Mental Hygiene, New York, New York, USA (H. Hanson, P. Gounder); Michigan Department of Community Health, Lansing, Michigan, USA (S. Bohm); Virginia Department of Health, Richmond, Virginia, USA (K. Kurkjian); Massachusetts Department of Public Health, Jamaica Plain, Massachusetts, USA (L.C. Madoff, F. Elson); North Carolina Division of Public Health, Raleigh, North Carolina, USA (D. Sweat); Texas Department of State Health Services, Austin, Texas, USA (V. Cantu); and Houston Department of Health and Human Services, Houston, Texas, USA (O. Akwari)

Cholera is rare in the United States (annual average 6 cases). Since epidemic cholera began in Hispaniola in 2010, a total of 23 cholera cases caused by toxigenic Vibrio cholerae O1 have been confirmed in the United States. Twenty-two case-patients reported travel to Hispaniola and 1 reported consumption of seafood from Haiti.

Cholera caused by toxigenic Vibrio cholerae, serogroup O1, serotype Ogawa, biotype El Tor, was confirmed on October 21, 2010, in Haiti and on October 31, 2010, in the Dominican Republic. These countries are on the island of Hispaniola. During October 21, 2010–April 4, 2011, >275,000 cholera cases and >4,700 deaths were reported from Hispaniola. Of these cases, 840 culture-confirmed cases and 10 deaths were reported from the Dominican Republic.

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