Rodrigo Cerda is with the Department of Medicine, Massachusetts General Hospital, and Harvard Medical School, Boston. Patrick T. Lee is with the Primary Care Center, Cambridge Health Alliance, Cambridge, MA, and Harvard Medical School.
Am J Public Health. 2013 Nov;103(11):1934-7. doi: 10.2105/AJPH.2013.301567. Epub 2013 Sep 12.
In the Americas, the only two cholera epidemics of the past century have occurred in the past 25 years. Lessons from the 1991 Peruvian cholera epidemic can help to focus and refine the response to the current Haitian epidemic. After three years of acute epidemic response, we have an opportunity to refocus on the chronic conditions that make societies vulnerable to cholera. More importantly, even as international attention wanes in the aftermath of the earthquake and acute epidemic, we are faced with a need for continued and coordinated investment in improving Haiti's structural defenses against cholera, in particular access to improved water and sanitation.
在美洲，上个世纪仅发生过两次霍乱疫情，而且都在过去 25 年内。1991 年秘鲁霍乱疫情的经验教训可以帮助我们集中精力并改进对当前海地疫情的应对措施。在经历了三年的急性疫情应对之后，我们有机会重新关注那些使社会易受霍乱侵袭的慢性状况。更重要的是，即使在地震和急性疫情过后国际关注有所减弱，我们仍需要继续协调投资，改善海地防范霍乱的结构性防御措施，特别是改善供水和卫生设施。
