Louise Ivers

A centennial is a good time to reflect on history, and history reveals just how much progress has been made in the heterogeneous field of tropical medicine in the past one hundred years. However, the picture might look different if we start from the point of view of the Haitian poor. From that perspective, the rubric “tropical medicine,” coined to refer to a host of pathologies, has less to do with latitude than with persistent poverty.

Cholera is an acute watery diarrheal disease caused by infection with Vibrio cholerae. The disease has a high fatality rate when untreated and outbreaks of cholera have been increasing globally in the past decade, most recently in Haiti. We present the case of a 28-year-old Haitian male with a history of severe untreated mental health disorder that developed acute fatal watery diarrhea in mid-October 2010 in central Haiti after drinking from the local river. We believe he is the first or among the first cases of cholera in Haiti during the current epidemic.