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COCA Call: Extensively Drug-resistant Salmonella Typhi Infections Emerge Among Travelers to or from Pakistan-United States, 2016-2018

Typhoid fever is caused by Salmonella enterica serotype Typhi (Typhi). Typhi is an important public health problem in developing countries. The estimated global burden of Typhi is 12 to 27 million cases annually. During 2016-2018, an extensively drug-resistant (XDR) Salmonella Typhi strain-only susceptible to azithromycin and carbapenems-emerged in Pakistan. More than 5,300 cases have been …

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COCA Call: Clinical Update: Cholera Vaccine for Travelers

Cholera is a disease spread by drinking water or eating food contaminated with toxigenic Vibrio cholerae bacteria. Severe cholera is characterized by large amounts of watery diarrhea, often described as “rice-water stool” because it can have a pale, milky appearance. It can also be accompanied by nausea and vomiting. If untreated, the loss of fluid …

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COCA Call: 2018-2019 Influenza Season and Recommendations for Clinicians

Influenza activity in the United States is increasing and is expected to continue at elevated levels for several more weeks. Influenza A(H1N1)pdm09 viruses have been most common this season; influenza A(H3N2) and influenza B viruses are also circulating. In the southeastern part of the country, influenza A(H3N2) viruses have been most commonly reported this season. …

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