Leonard Rogers'a göre, Haridwar Kumbh Mela'da bir kolera salgınının ardından salgın, Pencap, Afganistan, İran ve güney Rusya üzerinden Avrupa'ya yayıldı.[2][3]
Amerika Birleşik Devletleri'ndeki son kolera salgını 1910-1911'de Moltke vapurununNapoli'den New York'a enfekte insanları getirdiği zaman görüldü. Dikkatli sağlık yetkilileri, 19. yüzyılda karantina tesisi olarak inşa edilen Swinburne Adası'nda enfekte hastaları izole etti. Ada hastanesinde bir sağlık çalışanı da dahil olmak üzere 11 kişi öldü.[4][5][6]
^"Cholera's seven pandemics". Canadian Broadcasting Corporation. 2 Aralık 2008. 30 Mart 2018 tarihinde kaynağından arşivlendi. Erişim tarihi: 3 Ocak 2019. At the turn of the century, the sixth pandemic killed more than 800,000 in India before moving into the Middle East, northern Africa, Russia and parts of Europe. By 1923, cholera had receded from most of the world, although many cases were still present in India.
^The Boston Medical and Surgical Journal. Massachusetts Medical Society. 1911. 9 Eylül 2021 tarihinde kaynağından arşivlendi. Erişim tarihi: 9 Eylül 2021. In New York, up to July 22, there were eleven deaths from cholera, one of the victims being an employee at the hospital on Swinburne Island, who had been discharged. The tenth was a lad, seventeen years of age, who had been a steerage passenger on the steamship, Moltke. The plan has been adopted of taking cultures from the intestinal tracts of all persons held under observation at Quarantine, and in this way it was discovered that five of the 500 passengers of the Moltke and Perugia, although in excellent health at the time, were harboring cholera microbes.
^"More Cholera in Port". Washington Post. 10 Ekim 1910. 16 Aralık 2008 tarihinde kaynağından arşivlendi. Erişim tarihi: 11 Aralık 2008. A case of cholera developed today in the steerage of the Hamburg-American liner Moltke, which has been detained at quarantine as a possible cholera carrier since Monday last. Dr. A.H. Doty, health officer of the port, reported the case tonight with the additional information that another cholera patient from the Moltke is under treatment at Swinburne Island.