Emerging Infectious Disease ISSN: 1080-6059

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Cholera in United States Associated with Epidemic in Hispaniola

Anna E. Newton

, Katherine E. Heiman, Ann Schmitz, Tom Török, Andria Apostolou, Heather Hanson, Prabhu Gounder, Susan Bohm, Katie Kurkjian, Michele Parsons, Deborah Talkington, Steven Stroika, Lawrence C. Madoff, Franny Elson, David Sweat, Venessa Cantu, Okey Akwari, Barbara E. Mahon, and Eric D. Mintz

Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (A.E. Newton, K.E. Heiman, A. Schmitz, T. Török, A. Apostolou, P. Gounder, K. Kurkjian, M. Parsons, D. Talkington, S. Stroika, B.E. Mahon, E.D. Mintz); Atlanta Research and Education Foundation Inc., Decatur, Georgia, USA (A.E. Newton, K.E. Heiman); Florida Department of Health, Tallahassee, Florida, USA (A. Schmitz, T. Török); New Jersey Department of Health and Senior Services, Trenton, New Jersey, USA (A. Apostolou); New York City Department of Health and Mental Hygiene, New York, New York, USA (H. Hanson, P. Gounder); Michigan Department of Community Health, Lansing, Michigan, USA (S. Bohm); Virginia Department of Health, Richmond, Virginia, USA (K. Kurkjian); Massachusetts Department of Public Health, Jamaica Plain, Massachusetts, USA (L.C. Madoff, F. Elson); North Carolina Division of Public Health, Raleigh, North Carolina, USA (D. Sweat); Texas Department of State Health Services, Austin, Texas, USA (V. Cantu); Houston Department of Health and Human Services, Houston, Texas, USA (O. Akwari)

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Table 2

Selected exposures during 4 d (7 d for body of water exposure) before illness onset in 23 cholera patients, United States, October 21, 2010–February 4, 2011*

Exposure	No. persons exposed	No. case-patients with information available
Foodborne
Street-vended food	1	20
Cooked seafood	9	20
Raw seafood	3	18
Waterborne
Any body of water†	7	20
Swimming/bathing	3	6
Well water (drinking)	1	1
Other
Seafood handled	1	7
Person(s) with cholera or cholera-like illness	5	19 Exposures were not investigated further. †Water exposures include local lake and stream of water running down a street in Haiti; a pool in the Dominican Republic; ocean (Dominican Republic); unspecified location in Port-au-Prince, Haiti; and a tank at a medical center in Haiti. Two case-patients did not specify body of water exposure. Exposures were not investigated further. †Water exposures include local lake and stream of water running down a street in Haiti; a pool in the Dominican Republic; ocean (Dominican Republic); unspecified location in Port-au-Prince, Haiti; and a tank at a medical center in Haiti. Two case-patients did not specify body of water exposure.

*Exposures were not investigated further.
†Water exposures include local lake and stream of water running down a street in Haiti; a pool in the Dominican Republic; ocean (Dominican Republic); unspecified location in Port-au-Prince, Haiti; and a tank at a medical center in Haiti. Two case-patients did not specify body of water exposure.

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