Skip to main content
    • Aa
    • Aa

Changing epidemiology of cholera due to Vibrio cholerae O1 and O139 Bengal in Dhaka, Bangladesh

  • A. S. G. Faruque (a1), G. J. Fuchs (a1) and M. J. Albert (a1)

At the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B) Dhaka we studied the trends in cholera for the period January 1992 to May 1995. Vibrio cholerae O139 Bengal emerged as a second aetiologic agent of cholera in Dhaka in January 1993. In 1993, the majority of cholera cases was due to V. cholerae O139, with V. cholerae O1 accounting for a small proportion of cases. During the latter part of the study period (Jan 1994–May 1995), V. cholerae O1 re-emerged as the predominant cholera strain. The predominant age group affected in endemic cholera due to V. cholerae O1 was children 2–9 years old, and the organism was isolated from more females than from males at all ages. In contrast, cholera due to V. cholerae O139 caused disease mostly in adults 15 years and older, which indicated that this organism was new in this population. As with V. cholerae O1, V. cholerae O139 was isolated from more females than males. The initial rapid emergence and predominance of V. cholerae O139 was considered possibly to herald the start of the eighth pandemic of cholera. However, just after a year, the prevalence of V. cholerae O139 decreased dramatically with V. cholerae O1 resuming the role of the dominant cholera strain. The factor(s) contributing to the dramatic decline in prevalence of V. cholerae O139 is not well understood.

Corresponding author
* Author for correspondence.
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

2. T Ramamurthy , S Garg , R Sharma , Emergence of novel strain of Vibrio cholerae with epidemic potential in southern and eastern India. Lancet 1993; 341: 703–1.

5. GB Nair , T Ramamurthy , SK Bhattacharya , Spread of Vibrio cholerae O139 Bengal in India. J Infect Dis 1994; 169: 1029–34.

8. BJ Stoll , RI Glass , MI Huq , Surveillance of patients attending a diarrhoeal disease hospital in Bangladesh. BMJ 1982; 285: 1185–8.

9. T Shimada , E Arakawa , K Itoh , Two strains of Vibrio cholerae non-O1 possessing somatic (O) antigen factors in common with V. cholerae serogroup O139 synonym ‘Bengal’. Curr Microbiol 1994; 29: 331–3.

10. MS Islam , MK Hasan , MA Miah , Isolation of Vibrio cholerae O139 Bengal from water in Bangladesh. Lancet 1993; 342: 430.

14. MM Hossain , RI Glass . Parental son preference in seeking medical care for children less than five years of age in a rural community in Bangladesh. Am J Public Health 1988; 78: 1349–50.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
Please enter your name
Please enter a valid email address
Who would you like to send this to? *


Full text views

Total number of HTML views: 0
Total number of PDF views: 1 *
Loading metrics...

Abstract views

Total abstract views: 58 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 20th September 2017. This data will be updated every 24 hours.