We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Special Communication |

Cholera in the Americas Guidelines for the Clinician

David L. Swerdlow, MD; Allen A. Ries, MD, MPH
JAMA. 1992;267(11):1495-1499. doi:10.1001/jama.1992.03480110071036.
Text Size: A A A
Published online


UNTIL recently, cholera has been rare in the Americas. However, epidemic cholera appeared in Peru in January 1991 and spread rapidly through Latin America. In the first year of this epidemic, 17 cases of cholera that were associated with travel to Latin America were reported in the United States. More cases are likely to be seen. Although no spread from these imported cases has occurred, it is possible that some areas of the United States with poor sanitary conditions may be at risk for limited continued transmission of cholera. This article reviews the methods for recognition, diagnosis, and treatment of cholera.

HISTORICAL BACKGROUND  Six pandemics of cholera spread throughout the world before the 20th century, including three successive waves of epidemic cholera that affected the United States in the 19th century until the "sanitary revolution" brought the modernization of water and sewage systems.1 The current seventh pandemic began in


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.