In the February issue, we gave
Roatan's CoCo View Resort a
thumbs down due to repeated turista
outbreaks among the guests --
and even the staff. In January,
Terry Evans, who runs CoCo View's
booking agency, Roatan Charter,
told Undercurrent, "The intestinal
problem occurring on the island
disappeared before it could be
identified or its source traced. We
have not had any problems recently
and have not heard of any new
occurrences from the other
hotels."
Since then, we've received
  more reports from folks who've
  suffered intestinal problems while
  at the resort -- some as recently as
  April -- Internet bulletin boards
  have many reports. Ron Queen
  (Fortuna, CA), estimates that 75
  percent of the guests were affected
  while he and his wife were at CoCo
  View last December. Another
  reader reported that "31 of 36
  divers were sick within two days.
  Intestinal sickness. Speaking with
  the bartender, I was informed this
  was an ongoing problem. My dive
  buddy was in bed for 18 hours
  only to venture to the bathroom."  
We called Evans again and
  told him that things looked even
  worse than originally reported. His
  response: "You've got a serious
  exaggeration." Evans maintained
  that on a recent visit, he had heard
  no reports of sickness other than
  "traveler's stomach." Incidents of
  this malady date back to 1982,
  when the resort was opened, he
  says. Evans claimed that "some
  kind of virus" was being passed
  around from October to January,
  which also affected other tour
  groups to Honduras. The last long
  duration of it happened in the '80s
  and early '90s.  
However, the virus defense is
  specious. Ernie Campbell, M.D., (www.scuba-doc.com) told us that
"The bacteria is most often enterotoxigenic
  Escherichia coli of fecal origin,
but other coliform bacteria
can cause the syndrome of 'traveler's
diarrhea.' All water has a certain
level of bacteria, even in this
country. Some people from other
countries visit here, and they get
'turista' because of the lack of resistance
to the local strain of the bacteria.
If the other resorts on Roatan
don't have the same level of 'turista,'
then one must deduce that
something must be wrong with the
sewage/water supply at CoCo
View." And Undercurrent rarely
receives reports of problems at
other Roatan or Bay Island resorts.
Co-owner Evelyn Evans has
  reportedly scheduled Honduran
  Health Department inspections
  twice since October, but no problems
  have been pinpointed. She
  has invited guests with restaurant
  experience to investigate the
  kitchen, again with no results.
  Terry Evans (who is not an owner)
  says that the entire kitchen staff
  rotates every two weeks, and anyone
who's ill is sent home. 
However, the problem may
  not be isolated to the kitchen.
  Some visitors have reported strong
  sewage odors in their cabins and
  by the resort's lagoon following
  heavy rains. This winter was the
  wettest rainy season since 1982
  (i.e., the resort's history). Evans
  claims, "They (the owners) have
  done everything I can think of and
  as far as I can tell, it's gone."
  However, he added, "It will come
  back; it comes to every resort."  
In defense of resort management,
  Evans said, "When there's a
  problem, they address it. CoCo
  View doesn't make money by making
  guests sick. I have no complaints
  on my desk other than in
  exit surveys. The staff discuss these
  surveys and respond to guests with
  complaints." However, Ron Queen says he never got a response when
he mentioned the problem on his
evaluation form.
The first step to solving a problem
  is admitting you have one.
  Based on what Evans told
  Undercurrent, we have to say that
  any future visit to CoCo View
should be considered a crap shoot! 
The study, published in the
  
  Journal of the British Medical Association, tracked 50,000 people
  who reported gastrointestinal
  infections and compared them
  with 500,000 people who did not.
  Dr. Kare Molbak, of the Danish
  Epidemiology Science Center in
  Copenhagen, said that infected
  people had more than double the
  risk of death over the course of a
  year. He said other studies had
  shown that these infections could
  cause a variety of complications,
  including dehydration, unnecessary
  surgery when abdominal pain
  was misdiagnosed, and the spread
  of the infection through the
  bloodstream. "Nearly all of these
  complications are treatable if
  patients seek early medical attention,''
  Dr. Molbak said. "Patients
  who think that they have got a
  severe food-born infection should
  seek medical treatment.''  
If any restaurant or hotel in
  the United States had a fraction of
  the gastrointestinal problems
  reported by the people who visit
  CoCo View, it would be shut down
  immediately.