The findings in this report are subject to at least four limitations. First, medical record abstractions were completed for one half of EVALI patients in Indiana, and only one third were interviewed, which might result in selection bias and inaccurate estimates of patient characteristics and product use patterns. Second, preexisting conditions and details of medical care were not consistently documented in medical records.
In 2010, UNSMH’s soldiers from Nepal brought cholera to Haiti. Medical journals and other scientific sources have reported that despite its poor public health infrastructure and policies, there was no clinical evidence of cholera in Haiti before 2010. On October 21, 2010, the first case of Vibrio cholerae serogroup O1, serotype Ogawa, biotype El Tor was diagnosed in Haiti. On October 27, 2010, the Pan American Health Organization (PAHO) reported a total of 4,722 cholera cases and 303 deaths. By November 14, 2010, MSPP reported a daily average of 688 hospitalizations and 42 deaths; 19 of the deaths came from the Nord Department and 15 from the Artibonite Department.