Vibrio cholerae serogroup O139 Bengal, a novel strain with epidemic po
tential, completely displaced V. cholerae serogroup 01 in Calcutta in
January 1993, which was followed by an epidemic caused by V. cholerae
O139 in March-May 1993. From November 1992 to July 1993, 95.6% of 916
V. cholerae isolates submitted to the National Institute of Cholera an
d Enteric Diseases from 28 locations in India were confirmed as serogr
oup O139. As of July 1993, V. cholerae O139 had been isolated from 13
Indian states and a union territory, and large outbreaks of cholera ca
used by the O139 serogroup had occurred in several cities. The extent
of spread of V. cholerae O139 Bengal in India and its ability to swift
ly disseminate leaves little doubt that this is the beginning of the e
ighth pandemic of cholera.