Enterotoxigenic Escherichia coli, Vibrio cholerae O1, Campylobacter jejuni,
Salmonella species, and Shigella species are major causes of morbidity and
death in diarrheal disease. More recently recognized pathogens are V. chol
erae O139 and enterohemorrhagic E. coli. In addition to this, several presu
mptive virulence factors have been identified in diarrheagenic E. coli and
in other species. To confirm these as virulence factors we need good diagno
stic tools and good epidemiological studies. These are of vital importance
to create vaccines for diarrheal diseases.