Mexico reports 46 confirmed cholera cases
Of the 46 reported cases, 44 occurred in the state of Hidalgo and two were identified in the Federal District. Media reports mentioned up to 81 confirmed cases in Mexico, with 77 in the state of Hidalgo, two in the Federal District and two in the state of Mexico.
Of the cases where information was provided, 56 percent were female and 44 percent were male. The age of the patients infected ranged from two years old to 82 years old and 30 percent of patients required hospitalization.
The cholera cases marked the first sustained autochthonous transmission of cholera since the 1991-2001 endemic period. The recent infections were caused by Vibrio cholerae O:1 Ogawa toxigenic, a different strain from the one that circulated in Mexico during the endemic period.
Genetic testing suggested the strain is similar to the one currently circulating in Cuba, Dominican Republic and Haiti. Between July 2012 and August 2013, there were 678 confirmed cases of cholera and three deaths in Cuba.
The ECDC suggested that travelers to Mexico be aware of preventive hygiene measures and seek advice from travel medicine clinics before departure to assess personal risk.