March 17, 1993

Update: Cholera—Western Hemisphere, 1992

JAMA. 1993;269(11):1369. doi:10.1001/jama.1993.03500110033013

MMWR 1993;42:89-91 (2 figures, 1 table omitted)

EPIDEMIC CHOLERA continues to spread throughout Central and South America.1 This report updates the surveillance of this problem during 1992.

In 1992, 339 561 cholera cases and 2321 cholera-related deaths were reported from 21 countries in the Western Hemisphere, bringing to 731 312 cases and 6323 deaths the total numbers reported since the beginning of the epidemic in January 1991.

In 1992, 102 cases of cholera were reported in the United States—more than in any year since CDC began cholera surveillance in 1961. Cases were reported from 12 states: California (64 cases), Nevada (15), Texas (four), Maryland (three), New York (three), Arizona (two), Connecticut (two), Florida (two), Hawaii (two), Louisiana (two), Washington (two), and New Jersey (one). Seventy-five cases occurred among passengers who had been served contaminated seafood salad on an airplane arriving in Los Angeles from South America in February 1992;