However, the last documented outbreak in the United States was in 1911 (Mayo Clinic, 2011). Before then, there were a number of outbreaks, but none worse than the Second Cholera Pandemic of the mid-1800s. The pandemic began in India, and then swiftly spread across the globe via trade routes.
1 Retrieved October 7 2015 from http://www.acronymfinder.com/Not-Elsewhere-Specified-Or-Included-(trade-exports%2c-customs)-(NESOI).html. 2  APA style: NESOI.
uk â /ËpÉÉª.zÉnËpen Ëlet.Ér/ us â /ËpÉÉª.zÉnËpen ËletÌ¬.É/. âº a letter in which very unkind or unpleasant things are written about the person it is sent to, in order to offend or upset them. (Definition of âpoison-pen letterâ from the Cambridge Advanced Learner's Dictionary & Thesaurus Â© Cambridge University Press) Translations of âpoison-pen letterâ.