Since the beginning of the cholera epidemic in October 2010, the Dominican Republic and Haiti have reported thousands of cholera cases and related deaths. Cases of cholera decreased in 2013 compared to 2012, although they continue to be reported throughout both countries. There have been increases in the number of cases during seasonal heavy rainfall in the months of May to July and September to October.
In Cuba, authorities continue to monitor suspected cholera cases following last year’s outbreak. Through surveillance activities, cholera has been confirmed in the provinces of Camagüey, Granma, Guantanamo, Havana and Santiago de Cuba. Cases reported in other municipalities were associated with these five provinces.
Mexico has reported cases of cholera in the Federal district and the state of Hidalgo. The country was affected by due to tropical cyclones, which have caused heavy rains, floods and landslides.
Cholera is an acute intestinal infection caused by the bacterium Vibrio cholerae. People usually become infected from drinking or eating contaminated water or food. It is associated with watery diarrhea and rapid dehydration, which can be life-threatening.

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