title: Diarrhoeal diseases. Gastroenteritis and cholera epidemic, 1991.
abstract: In summary, during 1991, a substantial cholera outbreak occurred in Nepal. It presented as one of the causes of a multicausal gastroenteritis epidemic which reportedly resulted in nearly 92,000 cases and 1,800 deaths. The 1991 epidemic appeared to have been more severe with a longer duration than the epidemic which occurred in 1990. The overall case-fatality rate was 2.0%. Cholera was confirmed in 63% of faecal specimens processed, compared with 46% during the 1990 epidemic. Specimens from the first and last laboratory-confirmed cases were collected on 14 June and 26 September 1991, respectively. The presence of cholera was confirmed in all 5 development regions in the country. Contaminated public water supplies probably contributed to sustaining disease transmission, at least in urban areas.
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002771:Cholera / Q000453:epidemiology*; D003967:Diarrhea / Q000453:epidemiology*; D004196:Disease Outbreaks; D005759:Gastroenteritis / Q000453:epidemiology*; D006801:Humans; D007223:Infant; D008875:Middle Aged; D009390:Nepal / Q000453:epidemiology