Thanks to Dr. Ian Mackay for tweeting about this report from PAHO: 27 May 2016: Cholera - situation in the Americas. I gave up on PAHO's cholera reports many years ago, when they featured Americans in suits sitting in panels and looking solemn. The scandalous inadequacy of PAHO's chikungunya only strengthened my animosity, and this update only makes me angrier than ever. Excerpt and then a comment:
Since epidemiological week (EW) 1 of 2016 until EW 17, a total of 14,574 cholera cases have been recorded from three countries in the Americas: Ecuador (1), Haiti (13,859), and the Dominican Republic (714). Haiti alone registered 95% of the total cases in 2016 in the Region of the Americas.
On 25 May 2016, the Ecuador IHR National Focal Point reported the confirmation of a cholera case in a 57 year old person, with an underlying clinical condition, from the city of Machala in the province of El Oro. The case was confirmed by the National Institute of Public Health and Research (INSPI) as Vibrio cholerae serogroup O1, serotype Ogawa, biotype El Tor. The strain is susceptible to Ampicillin, Ceftriaxone, Ciprofloxacin, Chloramphenicol, Tetracycline, sulfamethoxazole - trimethoprim. The epidemiological investigation found no other suspected cases. There was no increase registered of acute diarrheal disease in the city of Machala, at the province-level, nor at the national level. Nonetheless the investigation continues. The last autochthonous case of cholera was registered in Ecuador in 2004. In the Dominican Republic in 2016 as of EW 17 there were 714 suspected cholera cases reported and 16 deaths. The total number of cases in the first 17 weeks of 2016, exceeded the total recorded in 2014 (603 cases including 11 deaths) and in 2015 (546 cases including 15 deaths). In Haiti the number of cases registered in the first seventeen epidemiological weeks of 2016 exceeded the number of cases registered for the same period in both 2014 and 2015.