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Cholera in travelers: shifting tides in epidemiology, management, and prevention.
Curr Infect Dis Rep. 2015 Jan; 17(1):455.CI

Abstract

The distribution of cholera's devastating effects has changed. While cholera is endemic in 50 countries mostly in Asia and Africa, more than half of the cases reported in 2012 were in the Western Hemisphere, predominantly Haiti. Since the current epidemic began in Haiti in 2010, there has been spread to the Dominican Republic, Cuba, and most recently Mexico. Several recent case reports document individuals returning home from affected areas with diarrhea from cholera, in some cases severe. Hopeful news reported the containment of an outbreak through the use of a Vibrio cholera vaccine. There are safe and effective oral cholera vaccines available and recommended in outbreaks and endemic areas, although they are not currently available in the USA or to travelers. This review aims to discuss the latest data to aid our current recommendations for the prevention of cholera in travelers beyond standard personal and food hygiene precautions for the prevention of travelers' diarrhea and to offer insights on the most current data available about cholera vaccine progress and potential use.

Authors+Show Affiliations

Warren Alpert Medical School of Brown University, The Miriam Hospital, 164 Summit Avenue, Providence, RI, 02906, USA, kfillion@lifespan.org.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25604481

Citation

Fillion, Katie, and Maria D. Mileno. "Cholera in Travelers: Shifting Tides in Epidemiology, Management, and Prevention." Current Infectious Disease Reports, vol. 17, no. 1, 2015, p. 455.
Fillion K, Mileno MD. Cholera in travelers: shifting tides in epidemiology, management, and prevention. Current infectious disease reports. 2015;17(1):455.
Fillion, K., & Mileno, M. D. (2015). Cholera in travelers: shifting tides in epidemiology, management, and prevention. Current Infectious Disease Reports, 17(1), 455. https://doi.org/10.1007/s11908-014-0455-4
Fillion K, Mileno MD. Cholera in Travelers: Shifting Tides in Epidemiology, Management, and Prevention. Current infectious disease reports. 2015;17(1):455. PubMed PMID: 25604481.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cholera in travelers: shifting tides in epidemiology, management, and prevention. AU - Fillion,Katie, AU - Mileno,Maria D, PY - 2015/1/22/entrez PY - 2015/1/22/pubmed PY - 2015/1/22/medline SP - 455 EP - 455 JF - Current infectious disease reports VL - 17 IS - 1 N2 - The distribution of cholera's devastating effects has changed. While cholera is endemic in 50 countries mostly in Asia and Africa, more than half of the cases reported in 2012 were in the Western Hemisphere, predominantly Haiti. Since the current epidemic began in Haiti in 2010, there has been spread to the Dominican Republic, Cuba, and most recently Mexico. Several recent case reports document individuals returning home from affected areas with diarrhea from cholera, in some cases severe. Hopeful news reported the containment of an outbreak through the use of a Vibrio cholera vaccine. There are safe and effective oral cholera vaccines available and recommended in outbreaks and endemic areas, although they are not currently available in the USA or to travelers. This review aims to discuss the latest data to aid our current recommendations for the prevention of cholera in travelers beyond standard personal and food hygiene precautions for the prevention of travelers' diarrhea and to offer insights on the most current data available about cholera vaccine progress and potential use. SN - 1523-3847 UR - https://www.unboundmedicine.com/medline/citation/25604481/full_citation L2 - https://dx.doi.org/10.1007/s11908-014-0455-4 DB - PRIME DP - Unbound Medicine ER -
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