Abstract
We conducted a case–control study of a cholera outbreak after a wedding in the Dominican Republic, January 22, 2011. Ill persons were more likely to report having consumed shrimp on ice (odds ratio 8.50) and ice cubes in beverages (odds ratio 3.62). Travelers to cholera-affected areas should avoid consuming uncooked seafood and untreated water.
Highlights
We conducted a case–control study of a cholera outbreak after a wedding in the Dominican Republic, January 22, 2011
The Study We conducted a case–control study to identify foods and beverages consumed at the wedding banquet that were associated with diarrheal illness
A questionnaire developed by Dominican Republic health authorities, which addressed only food items consumed at the banquet, was sent to national health authorities in the 4 countries where guests originated
Summary
Mercedes Laura Jiménez, Andria Apostolou, Alba Jazmin Palmera Suarez, Luis Meyer, Salvador Hiciano, Anna Newton, Oliver Morgan, Cecilia and Raquel Pimentel. From November 15, 2010, through January 22, 2011, a total of 1,115 suspected cases and 280 laboratory-confirmed cases were reported by the Dominican Republic Ministry of Health (1). A questionnaire developed by Dominican Republic health authorities, which addressed only food items consumed at the banquet, was sent to national health authorities in the 4 countries where guests originated. A patient with a suspected case was defined as a person who had watery diarrhea during January 22–28, 2011, and had consumed food and beverages at the banquet. Controls were identified by event organizers or other banquet attendees as guests or workers at the banquet who consumed food and beverages but did not have diarrhea during January 22–28, 2011.
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