The incidence of Vibrio cholerae in shellfish, sediment, and waters of California, Oregon, and Washington was determined during the summer of 1984. Samples from 24 distinct estuaries were analyzed qualitatively. V. cholerae non-Ol was found in 23 estuaries and in 44.6% of the 529 samples examined. V. cholerae 01 Inaba was isolated from water samples in Morro Bay, Calif. Vibrio mimicus was found in 2.3% of the samples. Cholera enterotoxin was not found in cell-free filtrates of the 100 isolates tested in the Y-1 mouse adrenal cell assay, but heat.labile cytotoxic activity was observed with 3% of the isolates. Members of the genus Vibrio have recently emerged as a substantial public health threat to consumers of seafood, particularly raw shellfish (4, 5, 8, 22-24, 28). The widespread distribution of Vibrio cholerae along the Atlantic and Gulf Coasts of the United States is well documented (6, 10, 11, 14, 15); however, determination of the incidence of V. cholerae on the U.S. West Coast has been limited to a few studies in Oregon (27) and California (17, 18), with no isolations from shellfish obtained from these waters. To date, there has been no systematic search for V. cholerae along the entire West Coast. The objective of the present study was to determine the incidence of V. cholerae in some of the many estuaries of this region. MATERIALS AND METHODS Sampling sites. Between June and October 1984, 261 sites were sampled in California, Oregon, and Washington (Fig. 1). 'Shellfish, sediment, and water samples were collected from estuaries listed in Table 1. Many sites were sampled daily for up to 4 days per estuary. Criteria for site selection included availability of shellfish, proximity to suspected pollution sources, classification according to the National Shellfish Sanitation Program, and hydrographical factors. The general strategy was to sample major freshwater sources of each estuary at the point of detectable salinity (21.0%o)