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Update: Cholera -- Western Hemisphere, 1991

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.


  1. CDC. Cholera--Peru, 1991. MMWR 1991;40:108-10.

  2. CDC. Update: cholera outbreak--Peru, Ecuador, and Colombia. MMWR 1991;40:225-7.

  3. CDC. Update: cholera--Western Hemisphere, and recommendations for treatment of cholera. MMWR 1991;40:562-5.

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