Cholera and Other Vibrioses in the United States

CHOLERA is no stranger to the United States. Cases were identified in this country during four of the seven worldwide cholera pandemics that have occurred since 1817: over 150,000 Americans died in 1832 and 1849 when the protracted second cholera pandemic twice visited the United States; 50,000 died in 1866 during the fourth pandemic; and cases were reported in New York and Massachusetts in 1911, during the sixth pandemic.1 2 3 Within the past decade cases have again been reported in the United States,4 5 6 7 and cholera is now apparently endemic along the U.S. Gulf Coast.6 Vibrio species other than Vibrio cholerae have . . .