The sight of thousands of bodies piled 3 and 4 high along the roadsides
that led from the city of Goma, Zaire, to Rwandan refugee camps in July 1994
was shocking even to the most seasoned relief workers. The Centers for Disease
Control and Prevention (CDC) estimates that more than 45000 people died of Vibriocholerae O1 and that more
than 600000 were infected over the course of 3 weeks.1
Many kinds of assistance were offered, including a large quantity of cholera
vaccine procured by the US Army from a Swedish manufacturer. The offer of
free vaccine, and expressions of incredulity that accompanied its rejection
by the United Nations High Commissioner for Refugees and the World Health
Organization (WHO), were well documented on a television news program.2
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