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Cholera in the Mediterranean: outbreak in Albania
D Greco1, I Luizzi1, A Sallabanda2
1Istituto Superiore di Sanità Rome, Italie.
Cholera outbreaks, caused by Vibrio cholerae 01 El Tor, spread from Pakistan across the Mediterranean in the 1990s. By 1993, this epidemic reached Eastern Europe, with numerous cases and localized outbreaks reported.
Area of Science:
- Epidemiology
- Infectious Diseases
- Microbiology
Background:
- The 1990s witnessed a significant cholera epidemic driven by Vibrio cholerae 01 El Tor.
- This strain's emergence and spread posed a substantial public health challenge.
Purpose of the Study:
- To document the geographical dissemination of the Vibrio cholerae 01 El Tor epidemic.
- To identify the regions affected by cholera in the Mediterranean and Eastern Europe during the 1990s.
Main Methods:
- Surveillance data analysis.
- Epidemiological mapping of reported cases and outbreak foci.
Main Results:
- The epidemic, originating in northern Pakistan, extended its reach to the Mediterranean region.
- Sporadic cases and distinct epidemic clusters of cholera were identified across southern Eastern European countries in 1993.
Conclusions:
- The study highlights the extensive geographical spread of Vibrio cholerae 01 El Tor during the 1990s.
- The findings underscore the need for robust public health surveillance and response systems to manage trans-border infectious disease outbreaks.
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