title: An outbreak of El Tor cholera associated with a tribal funeral in Irian Jaya, Indonesia.
abstract: An outbreak of El Tor biotype cholera occurring in a rural village in Irian Jaya, Indonesia was evaluated for risk factors associated with death from cholera. Among those dying in the village during the epidemic, a significant association between membership in one of the five tribal groups in the village complex was associated with an elevated risk of suffering a cholera death (odds ratio = 5.9). Interviews with members of the decedents' families revealed a very strong association (odds ratio = 11.6) between risk of cholera death and having attended the two day funeral of a woman who died of a cholera-like illness a few days prior to an outbreak of cholera-like diarrheal disease in the village complex. Recent flooding may have contributed to the creation of an environment conducive to cholera transmission.
authors.affiliation: US Naval Medical Research Unit No. 2, Jakarta, Indonesia.
authors.forename: P T
authors.initials: PT
authors.lastname: Korthuis
authors.forename: T R
authors.initials: TR
authors.lastname: Jones
authors.forename: M
authors.initials: M
authors.lastname: Lesmana
authors.forename: S M
authors.initials: SM
authors.lastname: Clark
authors.forename: M
authors.initials: M
authors.lastname: Okoseray
authors.forename: G
authors.initials: G
authors.lastname: Ingkokusumo
authors.forename: F S
authors.initials: FS
authors.lastname: Wignall
mesh_terms: D002771:Cholera / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology / Q000401:mortality; D004196:Disease Outbreaks; D019353:Endemic Diseases; D004812:Epidemiologic Methods; D005006:Ethnicity; D005260:Female; D005655:Funeral Rites; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D012307:Risk Factors; D012621:Seasons; D012703:Serotyping; D011795:Surveys and Questionnaires; D014734:Vibrio cholerae / Q000145:classification / Q000302:isolation & purification*