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The 1991 cholera outbreak in Lima, Peru, was primarily caused by the contamination of water supplies with the Vibrio cholerae bacterium, linked to inadequate sanitation and poor public health infrastructure. The outbreak was exacerbated by the El Niño phenomenon, which led to heavy rains and flooding, further contaminating water sources. Rapid urbanization and the influx of people into slums without proper sanitation facilities also contributed to the spread of the disease. This outbreak highlighted critical gaps in public health responses and infrastructure in the region.

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