Arch Iran Med. 2011;14(5): 0-0.
PMID: 21888459
Scopus ID: 80052994528
  Abstract View: 703
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Original Article

A Cholera Outbreak Associated with Drinking Contaminated Well Water

Reza Ranjbar, Mohammad Rahbar * , Ali Naghoni, Shohreh Farshad, Amin Davari, Fereshteh Shahcheraghi


BACKGROUND: Cholera has been a significant public health challenge in many communities. An outbreak of acute diarrheal illness occurred among participants in a wedding ceremony in a village in Qazvin, Iran, in 2008. We conducted an epidemiological, environmental and microbiological investigation to determine the causative agent, source and extent of this outbreak.
METHODS: Clinical and environmental samples were collected and analyzed for the presence of diarrhea-causing bacterial organisms, which included Vibrio cholera. The relationship between the strains was determined using enterobacterial repetitive intergenic consensus polymerase chain reaction (ERIC-PCR).
RESULTS: The attack rate was 21.8%. Clinical and environmental samples were positive for V. cholerae serotype Inaba. All tested isolates had a similar ERIC-PCR pattern, which indicated that a single clone of V. cholerae was responsible for this outbreak.
CONCLUSION: Our findings demonstrated that well water was the source of this outbreak.

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ePublished: 01 Sep 2011
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