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The massive magnitude 7.0 earthquake that hit Haiti on January 12, 2010, was followed 10 months later by onset of the largest cholera epidemic in recent history, with >768,831 cases and 9,113 deaths reported through the end of April 2016 (1). Although initial epidemic spikes were followed by a rapid decline in case numbers, cholera remains a critical public health problem for Haiti. Of immediate concern, the number of cases in the first 4 months of 2016 (close to 14,000 reported cases) exceeds the reported case numbers for the same period in 2014 and 2015 (1), consistent with the hypothesis that cholera in Haiti is becoming endemic, potentially with the establishment of environmental reservoirs (2,3).

Deadly River: Cholera and Cover-Up in Post-Earthquake Haiti