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Editor's Note: The following is an excerpt from a chapter in Nathan Wolfe's new book: The Viral Storm: The Dawn of a New Pandemic Age (published October 11 by Times Books, an imprint of Henry Holt and Company, LLC. Copyright

BOSTON – The world has seen seven global cholera outbreaks since 1817, and the current one seems to have come to stay. Rising temperatures and a stubbornly persistent, toxic bacteria strain appear to have given the disease the upper hand. Public health officials are working on vaccines, struggling to improve sanitation in impoverished nations and grasping for ways to predict the outbreaks