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There certainly is a very real cholera risk in the poorest communities in the US.

Take, for example, the colonias in southwestern Texas, where ~400k people live in informal housing without access to basic infrastructure or services, and where diseases like cholera and dengue fever have far higher rates of incidence. These aren't all illegal immigrants or anything, either -- the Texas secretary of state reports 64.4% of Texan colonias residents are US citizens[1].

It's easy to assume there's no poverty that deep in this country when, by and large, our standard of living is better than most of the world, but unfortunately there really are places in the US to which the descriptor "third world" is applicable.

NYT has some good coverage of the conditions in the colonias, if you want to read more. Here's a start: http://www.nytimes.com/2011/07/10/us/10tthealth.html?_r=0

[1] http://www.sos.state.tx.us/border/colonias/faqs.shtml



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