Loharikar A, Newton A E, Stroika S, Freeman M, Greene K D, Parsons M B, Bopp C, Talkington D, Mintz E D, Mahon B E
Office of Workforce and Career Development,Centers for Disease Control and Prevention,Atlanta, GA,USA.
Enteric Diseases Epidemiology Branch, Division of Foodborne, Waterborne and Environmental Diseases,Centers for Disease Control and Prevention,Atlanta, GA,USA.
Epidemiol Infect. 2015 Mar;143(4):695-703. doi: 10.1017/S0950268814001186. Epub 2014 May 27.
US cholera surveillance offers insight into global and domestic trends. Between 2001 and 2011, 111 cases were reported to the Centers for Disease Control and Prevention. Cholera was associated with international travel in 90 (81%) patients and was domestically acquired in 20 (18%) patients; for one patient, information was not available. From January 2001 to October 2010, the 42 (47%) travel-associated cases were associated with travel to Asia. In October 2010, a cholera epidemic started in Haiti, soon spreading to the Dominican Republic (Hispaniola). From then to December 2011, 40 (83%) of the 48 travel-associated cases were associated with travel to Hispaniola. Of 20 patients who acquired cholera domestically, 17 (85%) reported seafood consumption; 10 (59%) ate seafood from the US Gulf Coast. In summary, an increase in travel-associated US cholera cases was associated with epidemic cholera in Hispaniola in 2010-2011. Travel to Asia and consumption of Gulf Coast seafood remained important sources of US cholera cases.
美国霍乱监测为洞察全球和国内趋势提供了依据。在2001年至2011年期间，美国疾病控制与预防中心共收到111例霍乱病例报告。其中，90例（81%）与国际旅行相关，20例（18%）为国内感染，1例信息缺失。在2001年1月至2010年10月期间，42例（47%）与旅行相关的病例与前往亚洲的旅行有关。2010年10月，海地暴发霍乱疫情，并很快蔓延至多米尼加共和国（伊斯帕尼奥拉岛）。从那时起到2011年12月，48例与旅行相关的病例中有40例（83%）与前往伊斯帕尼奥拉岛的旅行有关。在20例国内感染霍乱的患者中，17例（85%）报告食用过海鲜；10例（59%）食用过来自美国墨西哥湾沿岸的海鲜。总之，2010 - 2011年美国与旅行相关的霍乱病例增加与伊斯帕尼奥拉岛的霍乱疫情有关。前往亚洲旅行和食用墨西哥湾沿岸海鲜仍是美国霍乱病例的重要感染源。
