At least 163 people have been affected in a new cholera outbreak in Cuba, says a health organization.
A report by the Pan-American Health Organisation (PAHO) was compiled with data provided by Cuban health authorities, Xinhua reported.
The new cases were detected in the western province of Havana, and eastern Santiago de Cuba and Camaguey.
Among the affected tourists, two each are from Germany, Chile, Spain and Venezuela, three are from Italy and one from the Netherlands.
Cuba had successfully eradicated the disease for five decades until new cases were detected again in August 2012, when three deaths and 417 cases of infection were registered, according to official figures.