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Titolo:
New insights on the emergence of cholera in Latin America during 1991: thePeruvian experience
Autore:
Seas, C; Miranda, J; Gil, AI; Leon-Barua, R; Patz, J; Huq, A; Colwell, RR; Sack, RB;
Indirizzi:
Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Int Hlth, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 t Hlth, Baltimore, MD 21205 USA Hosp Nacl Cayetano Heredia, Dept Enfermedades Trasnmisibles & Dermatol, Lima 100, Peru Hosp Nacl Cayetano Heredia Lima Peru 100 bles & Dermatol, Lima 100, Peru Inst Invest Nutr, Lima 18, Peru Inst Invest Nutr Lima Peru 18Inst Invest Nutr, Lima 18, Peru Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Environm Hlth Sci, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 th Sci, Baltimore, MD 21205 USA Univ Maryland, Ctr Marine Biotechnol, Inst Biotechnol, Baltimore, MD 21202USA Univ Maryland Baltimore MD USA 21202 t Biotechnol, Baltimore, MD 21202USA Univ Maryland, Dept Cell & Mol Biol, College Pk, MD 20742 USA Univ Maryland College Pk MD USA 20742 Mol Biol, College Pk, MD 20742 USA Univ Peruana Cayetano Heredia, Inst Med Trop Alexander Von Humboldt, Lima,Peru Univ Peruana Cayetano Heredia Lima Peru exander Von Humboldt, Lima,Peru
Titolo Testata:
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
fascicolo: 4, volume: 62, anno: 2000,
pagine: 513 - 517
SICI:
0002-9637(200004)62:4<513:NIOTEO>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
VIBRIO-CHOLERAE; SEROGROUP O1; EPIDEMIC; SUSCEPTIBILITY; DIARRHEA; DISEASE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Sack, RB Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Int Hlth, 624 N Broadway,Room 200, Baltimore, MD 21205 USA Johns Hopkins Univ 624 N Broadway,Room 200 Baltimore MD USA 21205
Citazione:
C. Seas et al., "New insights on the emergence of cholera in Latin America during 1991: thePeruvian experience", AM J TROP M, 62(4), 2000, pp. 513-517

Abstract

After a century of absence, in late January 1991, Vibrio cholerae invaded the Western Hemisphere by way of Peru. Although a number of theories have been proposed, it is still not understood how that invasion took place. We reviewed the clinical records of persons attending hospital emergency departments in the major coastal cities of Peru from September through January of1989/1990 and 1990/1991. We identified seven adults suffering from severe,watery diarrhea compatible with a clinical diagnosis of cholera during thefour months preceding the cholera outbreak, but none during the previous year. The patients were scattered among five coastal cities along a 1,000 kmcoastline. We postulate that cholera vibrios, autochthonous to the aquaticenvironment, were present in multiple coastal locations, and resulted fromenvironmental conditions that existed during an El Nine phenomenon. Once introduced into the coastal communities in concentrations large enough for human infection to occur, cholera spread by the well-known means of contaminated water and food.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 11:49:01