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The Origin of the Haitian Cholera Outbreak Strain

Open access
Chin, Chen-Shan, Sorenson, Jon, Harris, Jason B., Robins, William P., Charles, Richelle C., Jean-Charles, Roger R., Bullard, James, Webster, Dale R., Kasarskis, Andrew, Peluso, Paul, Paxinos, Ellen E., Yamaichi, Yoshiharu, Calderwood, Stephen B., Mekalanos, John J., Schadt, Eric E., Waldor, Matthew K.·2011·New England Journal of Medicine

Abstract

BACKGROUND: Although cholera has been present in Latin America since 1991, it had not been epidemic in Haiti for at least 100 years. Recently, however, there has been a severe outbreak of cholera in Haiti. METHODS: We used third-generation single-molecule real-time DNA sequencing to determine the genome sequences of 2 clinical Vibrio cholerae isolates from the current outbreak in Haiti, 1 strain that caused cholera in Latin America in 1991, and 2 strains isolated in South Asia in 2002 and 2008. Using primary sequence data, we compared the genomes of these 5 strains and a set of previously obtained partial genomic sequences of 23 diverse strains of V. cholerae to assess the likely origin of the cholera outbreak in Haiti. RESULTS: Both single-nucleotide variations and the presence and structure of hypervariable chromosomal elements indicate that there is a close relationship between the Haitian isolates and variant V. cholerae El Tor O1 strains isolated in Bangladesh in 2002 and 2008. In contrast, analysis of genomic variation of the Haitian isolates reveals a more distant relationship with circulating South American isolates. CONCLUSIONS: The Haitian epidemic is probably the result of the introduction, through human activity, of a V. cholerae strain from a distant geographic source. (Funded by the National Institute of Allergy and Infectious Diseases and the Howard Hughes Medical Institute.).

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Metadata

Authors
Chin, C.-S., Sorenson, J., Harris, J. B., Robins, W. P., Charles, R. C., Jean-Charles, R. R., Bullard, J., Webster, D. R., Kasarskis, A., Peluso, P., Paxinos, E. E., Yamaichi, Y., Calderwood, S. B., Mekalanos, J. J., Schadt, E. E., & Waldor, M. K.
Venue
New England Journal of Medicine
Published
2011-01-06
Volume
364
Issue
1
Pages
33-42
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2169035256
Cited by
747
References
25
FWCI
47.24
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: The Origin of the Haitian Cholera Outbreak Strain. https://app.cochat.ai/papers/10.1056/nejmoa1012928
The paper
Chin, C.-S., Sorenson, J., Harris, J. B., Robins, W. P., Charles, R. C., Jean-Charles, R. R., Bullard, J., Webster, D. R., Kasarskis, A., Peluso, P., Paxinos, E. E., Yamaichi, Y., Calderwood, S. B., Mekalanos, J. J., Schadt, E. E., & Waldor, M. K. (2011). The Origin of the Haitian Cholera Outbreak Strain. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1012928

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.