Low detection of Vibrio cholerae carriage in healthcare workers returning to 12 Latin American countries from Haiti

Epidemiol Infect. 2015 Apr;143(5):1016-9. doi: 10.1017/S0950268814001782. Epub 2014 Jul 14.

Abstract

SUMMARY This investigation was undertaken to characterize the prevalence of intestinal Vibrio cholerae in healthcare workers (HCWs) returning from Haiti due to the ongoing cholera epidemic. Eight hundred and fifty asymptomatic HCWs of the Cuban Medical Brigade, who planned to leave Haiti, were studied by laboratory screening of stool culture for V. cholerae. A very low percentage (0.23%) of toxigenic V. cholerae serogroup O1, serotype Ogawa was found. To the best of our knowledge, this study represents the largest reported screening study for V. cholerae infection in asymptomatic HCWs returning from a cholera-affected country. Cholera transmission to health personnel highlights a possible risk of transmitting cholera during mobilization of the population for emergency response. Aid workers are encouraged to take precautions to reduce their risk for acquiring cholera and special care should be taken by consuming safe water and food and practising regular hand washing.

Keywords: Vibrio cholerae.

MeSH terms

  • Asymptomatic Diseases / epidemiology
  • Carrier State / epidemiology*
  • Cholera / epidemiology*
  • Cohort Studies
  • DNA, Bacterial / analysis
  • Epidemics*
  • Feces / microbiology*
  • Haiti / epidemiology
  • Health Personnel / statistics & numerical data*
  • Humans
  • Mass Screening
  • Polymerase Chain Reaction
  • Travel*
  • Vibrio cholerae / genetics*
  • Vibrio cholerae / isolation & purification
  • Vibrio cholerae O1 / genetics
  • Vibrio cholerae O1 / isolation & purification

Substances

  • DNA, Bacterial