Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 5
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    GRANDESSO, F. ALLAN, M. JEAN-SIMON, P. S. J. BONCY, J. BLAKE, A. PIERRE, R. ALBERTI, K. P. MUNGER, A. ELDER, G. OLSON, D. PORTEN, K. and LUQUERO, F. J. 2014. Risk factors for cholera transmission in Haiti during inter-peak periods: insights to improve current control strategies from two case-control studies. Epidemiology and Infection, Vol. 142, Issue. 08, p. 1625.

    Giebultowicz, Sophia Ali, Mohammad Yunus, Mohammad and Emch, Michael 2011. A comparison of spatial and social clustering of cholera in Matlab, Bangladesh. Health & Place, Vol. 17, Issue. 2, p. 490.

    Williams, Lorraine Collins, Andrew E Bauaze, Alberto and Edgeworth, Ross 2010. The role of risk perception in reducing cholera vulnerability. Risk Management, Vol. 12, Issue. 3, p. 163.

    Collins, A.E. Lucas, M.E. Islam, M.S. and Williams, L.E. 2006. Socio‐economic and environmental origins of cholera epidemics in Mozambique: guidelines for tackling uncertainty in infectious disease prevention and control. International Journal of Environmental Studies, Vol. 63, Issue. 5, p. 537.

    San Juan Garrido, R. Daz Pedroche, C. and Lpez Medrano, F. 2006. C?lera y otras infecciones por el g?nero Vibrio. Medicine - Programa de Formaci?n M?dica Continuada Acreditado, Vol. 9, Issue. 52, p. 3398.


Epidemic cholera in rural El Salvador: risk factors in a region covered by a cholera prevention campaign

  • R. E. Quick (a1), B. L. Thompson (a1), A. Zuniga (a2), G. Dominguez (a2), E. L. De Brizuela (a2), O. De Palma (a2), S. Almeida (a2), A. Valencia (a3), A. A. Ries (a4), N. H. Bean (a4) and P. A. Blake (a4)
  • DOI:
  • Published online: 01 May 2009

In response to the Latin American cholera epidemic, El Salvador began a prevention programme in April 1991. The first case was confirmed in August, and 700 cases were reported within 3 months. A matched case-control study was conducted in rural La Libertad Department in November 1991. Illness was associated with eating cold cooked or raw seafood (odds ratio [OR] = 7·0; 95% confidence limits [CL] = 1·4, 35·0) and with drinking water outside the home (OR = 8·8; 95% CL = 1·7, 44·6). Assertion of knowledge about how to prevent cholera (OR = 0·2; 95% CL = 0·1, 0·8) and eating rice (OR = 0·2; 95% CL = 0·1, 0·8) were protective. More controls than patients regularly used soap (OR = 0·3; 95% CL = 0·1, 1·0). This study demonstrated three important points for cholera prevention: (1) seafood should be eaten cooked and hot; (2) populations at risk should be taught to treat household drinking water and to avoid drinking water outside the home unless it is known to be treated; and (3) education about hygiene can be an important tool in preventing cholera.

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.

3.WB Baine , M Mazotti , D Greco , Epidemiology of cholera in Italy in 1973. Lancet 1974; ii: 1370–81.

6.RC McIntyre , T Tira , T Flood , PA Blake . Modes of transmission of cholera in a newly infected population on an atoll: implications for control measures. Lancet 1979; i: 311–14.

7.PA Blake , DT Allegra , JD Snyder , Cholera – a possible endemic focus in the United States. N Engl J Med 1980; 302: 305–9.

8.PW Lowry , AT Pavia , LM McFarland , Cholera in Louisiana – widening spectrum of seafood vehicles. Arch Intern Med 1989; 149: 2079–84.

9.ML Tamplin , C Carrillo . Environmental spread of Vibrio cholerae in Peru. Lancet 1991; 338: 1216–17.

10.D Swerdlow , E Mintz , M Rodríguez , Transmission of epidemic cholera in Trujillo, Peru: lessons for a continent at risk. Lancet 1992; 340: 2832.

11.AA Ries , DJ Vugia , L Beingolea , Cholera in Piura, Peru: a modern urban epidemic. J Infect Dis 1992; 166: 1429–33.

14.L Finelli , D Swerdlow , K Mertz , H Ragazzoni , K Spitalny . Outbreak of cholera associated with crab brought from an area with epidemic disease. J Infect Dis 1992; 166: 1433–5.

16.O Mujica , RE Quick , AM Palacios , Epidemic cholera in the Amazon: the role of produce in disease risk and prevention. J Infect Dis 1994; 169: 1381–4.

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? *