Cholera in Piura, Peru: A Modern Urban Epidemic
| Autor: | Luis Beingolea, Noe Garcia Baca, Anna Maria Palacios, Nancy H. Bean, Robert V. Tauxe, Allen A. Ries, Due J. Vugia, Marjorie Pollack, Luis Seminario, Joy G. Wells, Esther Vasquez, David L. Swerdlow |
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| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Urban Population Population Drinking Disease Outbreaks Feces Cholera Water Supply Environmental protection Environmental health Peru Epidemiology Humans Immunology and Allergy Medicine Child education Vibrio cholerae Aged Aged 80 and over education.field_of_study business.industry Public health Ice Age Factors Infant Newborn Infant Odds ratio Middle Aged medicine.disease Antibodies Bacterial Fecal coliform Diarrhea Infectious Diseases Case-Control Studies Child Preschool Food Microbiology Female medicine.symptom Water Microbiology business |
| Zdroj: | Journal of Infectious Diseases. 166:1429-1433 |
| ISSN: | 1537-6613 0022-1899 |
| Popis: | In late January 1991, epidemic cholera appeared in Peru. Within 2 months, 7922 cases and 17 deaths occurred in Piura, a Peruvian city of 361,868. A hospital-based culture survey showed that 79%-86% of diarrhea cases were cholera. High vibriocidal antibody titers were detected in 34% of the asymptomatic population. A study of 50 case-patients and 100 matched controls demonstrated that cholera was associated with drinking unboiled water (odds ratio [OR], 3.9; 95% confidence interval [CI], 1.7-8.9), drinking beverages from street vendors (OR, 14.6; CI, 4.2-51.2), and eating food from street vendors (OR, 24.0; CI, 3.0-191). In a second study, patients were more likely than controls to consume beverages with ice (OR, 4.0; CI, 1.1-18.3). Ice was produced from municipal water. Municipal water samples revealed no or insufficient chlorination, and fecal coliform bacteria were detected in samples from 6 of 10 wells tested. With epidemic cholera spreading throughout Latin America, these findings emphasize the importance of safe municipal drinking water. |
| Databáze: | OpenAIRE |
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