Journal of Global Infectious Diseases

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 4  |  Issue : 3  |  Page : 162--171

Re-emergence of cholera in the Americas: Risks, susceptibility, and ecology


Mathieu JP Poirier1, Ricardo Izurieta1, Sharad S Malavade1, Michael D McDonald2 
1 Department of Global Health, University of South Florida, Florida, USA
2 School of Public Health, University of Maryland, Maryland, USA

Correspondence Address:
Mathieu JP Poirier
Department of Global Health, University of South Florida, Florida
USA

Background: The re-emergence of cholera in Haiti has established a new reservoir for the seventh cholera pandemic which threatens to spread to other countries in the Americas. Materials and Methods: Statistics from this new epidemic are compared to the 1991 Peru epidemic, which demonstrated the speed and complexity with which this disease can spread from country to country. Environmental factors implicated in the spread of Vibrio cholerae such as ocean currents and temperatures, as well as biotic factors from zooplankton to waterfowl pose a risk for many countries in the Americas. Results: The movement of people and goods from Hispaniola are mostly destined for North America, but occur to some degree throughout the Americas. These modes of transmission, and the probability of uncontrolled community spread beyond Hispaniola, however, are completely dependent upon risk factors within these countries such as water quality and availability of sanitation. Although North America has excellent coverage of these deterrents to the spread of infectious gastrointestinal diseases, many countries throughout Latin America and the Caribbean lack these basic services and infrastructures. Conclusions : In order to curb the immediate spread of cholera in Hispaniola, treatment availability should be expanded to all parts of the island and phase II epidemic management initiatives must be developed.


How to cite this article:
Poirier MJ, Izurieta R, Malavade SS, McDonald MD. Re-emergence of cholera in the Americas: Risks, susceptibility, and ecology.J Global Infect Dis 2012;4:162-171


How to cite this URL:
Poirier MJ, Izurieta R, Malavade SS, McDonald MD. Re-emergence of cholera in the Americas: Risks, susceptibility, and ecology. J Global Infect Dis [serial online] 2012 [cited 2022 Aug 17 ];4:162-171
Available from: https://www.jgid.org/article.asp?issn=0974-777X;year=2012;volume=4;issue=3;spage=162;epage=171;aulast=Poirier;type=0