The epidemic of cholera that began in Peru in January 1991
continues to spread. Most recently, Bolivia, El Salvador, Honduras,
Nicaragua, and Panama were added to the list of countries reporting
cholera cases (Table 1) (1-3). Travelers who develop severe watery
diarrhea or diarrhea and vomiting during or within 1 week after
travel to an area with known cholera should seek medical attention
immediately. Physicians should request that specimens from persons
with suspected cholera be cultured on thiosulfate-citrate-bile
salts-sucrose medium and should report all suspected cases of
cholera to their local and state health departments.
Reported by: Enteric Diseases Br, Div of Bacterial and Mycotic
Diseases, National Center for Infectious Diseases, CDC.
References
CDC. Cholera--Peru, 1991. MMWR 1991;40:108-10.
CDC. Update: cholera outbreak--Peru, Ecuador, and Colombia. MMWR
1991;40:225-7.
CDC. Update: cholera--Western Hemisphere, and recommendations
for treatment of cholera. MMWR 1991;40:562-5.
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