Vibrio cholerae--Truk, Federated States of Micronesia
Between August 1 and October 3, 1982, 892 cases of diarrhea and
11
deaths due to diarrhea were reported from Truk, Federated States of
Micronesia, Trust Territories of the Pacific Islands. Vibrio
cholerae
O1 has been isolated from stool cultures of 109 persons. CDC has
confirmed four of these isolates as biotype El Tor, serotype Inaba.
The outbreak began in early August in the four western outer
islands of Pulap, Pulusuk, Puluwat, and Tamatan, where it affected
265
(20%) of 1,300 persons. In early September the outbreak spread to
Moen, the capital of Truk, and nine of 17 islands in the Truk
lagoon.
Control measures have included boiling water, avoiding raw
shellfish,
and discouraging travel between islands and to other areas of the
Pacific. The principal therapy has been oral rehydration solution.
Epidemiologic investigations to determine the modes of transmission
are underway.
Reported by F Nocon, Guam Dept of Public Health and Social Svcs; N
Kansou, MPH, Health Svcs, R Gelder, Laboratory Svcs, Truk, K Aniol,
MPH, Medical Svcs, AH Polloi, Territorial Epidemiologist, Federated
States of Micronesia, D Kay, Office of Health Svcs, Trust
Territories
of the Pacific Islands, Saipan; Field Svcs Div, Epidemiology
Program
Office, Enteric Diseases Br, Div of Bacterial Diseases, Center for
Infectious Diseases, CDC.
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