Laboratories in Honolulu confirm that the specimen sent from Lae Atoll contains Vibrio cholerae . This is the first time cholera has been laboratory-confirmed outside of Ebeye Island. The Ministry strongly recommends that travel to and from Lae Atoll be restricted. The cholera isolated from Ebeye patients is type Ogawa. This is the same type as in the FSM outbreak.
Total mortality is now six.
More than 350 cases of febrile illness have occurred in Palau since the beginning of September. There are 4 viruses that can cause dengue. Infection with one virus type confers long-term immunity against the same virus type, but only temporary or partial immunity against other virus types. A subsequent infection with another dengue virus type may carry a higher risk of dengue haemorrhagic fever. In the current outbreak, dengue type 1 has been identified in several cases.