“A year after the first cholera cases in decades were reported in Cuba, the country is still struggling with outbreaks in various provinces, health workers and residents told Reuters on Thursday,” the news agency reports. The disease first appeared on the island in July 2012, and “[l]ast week the Pan American Health Organization reported five confirmed cholera cases among travelers to the Caribbean island this summer, an Italian, two Venezuelans and two Chileans,” the first cases reported among tourists since the beginning of the outbreak, Reuters notes. “The Cuban government has yet to publicly respond to the reports and officials were not immediately available for comment,” according to the news agency (Frank, 8/22). On Tuesday, “[t]he United States … issued an advisory for travelers to Cuba,” recommending “visitors and U.S. citizens living on the island avoid untreated water, street food and under- or uncooked dishes such as ceviche,” the Associated Press reports (Orsi/Duran, 8/21).