A horrendous development, poised to get much worse if the epidemic begins spreading in Port-au-Prince. The preconditions for a massive outbreak are present, namely limited access to safe potable water and proper sanitation, both of which require an intact infrastructure. Over a million people are still living in tent camps around Port-au-Prince, with minimal or no sanitation.
While media attention is appropriately focused on Haiti, this should also serve as a reminder that cholera outbreaks occur regularly throughout the world, most commonly in sub-Saharan Africa, where Nigeria is now in the midst of a huge outbreak. These outbreaks typically receive very little media attention.
Pondering vexing issues in infection prevention and control
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