Will Cholera Be The Next Disease
By Patricia Doyle PhD
Hello Jeff - Cholera has hit Haiti, Dominican Republic and now Mexico. Given our porous borders, I think it is quite probable we will see Cholera hit the US next. States most at risk are thises with large numbers of illegals from Haiti, Dominican Republic and Mexico. Also Yemen and Nepal.
We must STOP the influx of illegals, especially across our southern border. States most at risk are California due to its HUGE Mexican illegal population, and Texas. We also must monitor Floria and New York with large illegal Haitian and Dominican populations. Given the fact that many of our towns and cities with large illegal and homeless populations are now cities with feces-strewn streets, we are very vulnerable to Cholera. Just as we are vulnerable to Hepatitis A and Polio due to poor sanitation facilities and practices...and feces and urine soaked streets. We must somehow improve hygiene and sanitation in order to keep Cholera, Polio and Hep-A from infecting the American population.
We MUST keep the thousands of Hondurans out of the US. Otherwise our government will be exposing our people to more diseases and eventually Cholera. The caravan of Hondurans has, reportedly, been stopped for now...but as happened with previous caravans, they were allowed to continue on into the US, thanks to Trump. We were trumped over by trump.
Date: Thu 11 Oct 2018
Source: WHO/PAHO [edited]
Epidemiological update - Cholera, 11 Oct 2018
Summary of the situation:
In 2017, a total of 13 803 suspected cases of cholera were reported on the island of Hispaniola: 13 681 cases (including 159 deaths) in Haiti and 122 cases (including 4 deaths) in the Dominican Republic. To date in 2018, a total of 3224 suspected cholera cases have been reported in Hispaniola, 96% in Haiti. In addition, Mexico reported a cholera case in June 2018.
The following is a summary of the situation in each country.
In Haiti between epidemiological week (EW) 1 and EW 36 of 2018 [1 Jan-7 Aug 2018], 3111 suspected cases were reported (Figure 1 [for figures, see source URL above. - Mod.LL]), including 37 deaths. The incidence rate for 2018 (until EW 36) is 25.5 cases per 100 000 population, which is the lowest recorded incidence since the beginning of the outbreak. Following the increase in cases that were reported in EW 19 [week ending 25 May 2018], a decrease has been observed, with a weekly average of 35 suspected cases reported over the last 8 weeks (EW 29 to EW 36 [28 Jul-7 Aug 2018]). The cumulative case-fatality rate (CFR) has remained around 1% since 2011.
In the Dominican Republic, between EW 1 and EW 38 of 2018 [1 Jan-21 Sep 2018], 113 suspected cases of cholera were reported, representing an incidence rate of 1.52 cases per 100 000 population; this incidence rate is greater than the incidence rate reported for the same period in 2017 (1.43 cases per 100 000 population). Of the cases reported in 2018, 77% (n equal to 87) correspond to an outbreak that affected the province of Independencia between July and August 2018. In 2018, 1 death has been reported related to the outbreak in the province of Independencia.
In June 2018, Mexico reported 1 case of cholera (_Vibrio cholerae_ O1 toxigenic) in a 43-year-old female patient who acquired the infection in Sinaloa. Molecular characterization showed that the isolated strain for this case is related to the _V. cholerae_ O1 serotype Inaba strain that circulated in Hidalgo state during 2014 with one isolated case, and that it is not epidemiologically related to the _V. cholerae_ O1 Ogawa strain that circulated during the 2013 outbreak in Hidalgo. No additional cases were reported.