Cholera worldwide overview
Monthly update as of 29 October 2025
Since 2 May 2025 and as of 29 October 2025, 450 783 new cholera cases, including 5 642 new deaths, have been reported worldwide.
New cases have been reported from Afghanistan, Angola, Bangladesh, Burundi, Chad, Comoros, Congo, Côte D’Ivoire, Democratic Republic of The Congo, Ethiopia, Ghana, Haiti, India, Kenya, Mozambique, Myanmar/Burma, Namibia, Nepal, Nigeria, Pakistan, Philippines, Rwanda, Somalia, South Sudan, Sudan, Togo, Uganda, United Republic of Tanzania, Yemen, Zambia and Zimbabwe.
The five countries reporting most new cases are Afghanistan (123 416), Yemen (74 452), Sudan (62 315), South Sudan (53 602) and Democratic Republic of The Congo (46 832).
New deaths have been reported from Afghanistan, Angola, Burundi, Chad, Congo, Côte D’Ivoire, Democratic Republic of The Congo, Ethiopia, Haiti, India, Kenya, Mozambique, Namibia, Nigeria, Philippines, Somalia, South Sudan, Sudan, Uganda, United Republic of Tanzania, Yemen, Zambia and Zimbabwe.
The five countries reporting the most new deaths are Sudan (1 749), Democratic Republic of The Congo (1 507), South Sudan (862), Nigeria (468) and Angola (344)
Geographical distribution of cholera cases reported worldwide from August to October 2025
Summary
Since 1 January 2025 and as of 29 October 2025, 562 449 cholera cases, including 7 201 deaths, have been reported worldwide. In comparison, since 1 January 2024 and as of 29 October 2024, 462 096 cholera cases, including 3 434 deaths, were reported worldwide. Since the last update, new cases and new deaths have been reported from
Asia
Afghanistan: Since 17 March 2025 and as of 13 October 2025, 13 743 new cases, including four new deaths have been reported. Since 1 January 2025 and as of 13 October 2025, 143 068 cases, including 68 deaths have been reported. In comparison, in 2024 and as of 12 October 2024, 149 622 cases, including 72 deaths were reported.
Bangladesh: Since 24 February 2025 and as of 01 September 2025, 13 less cases have been reported. Since 1 January 2025 and as of 1 September 2025, 67 cases have been reported. In comparison, in 2024 and as of 21 October 2024, 278 cases were reported.
India: Since 28 April 2025 and as of 25 August 2025, 147 new cases, including four new deaths have been reported. Since 1 January 2025 and as of 25 August 2025, 1 389 cases, including five deaths have been reported. In comparison, in 2024 and as of 29 July 2024, 8 519 cases, including 43 deaths were reported.
Myanmar/Burma: Since 10 March 2025 and as of 13 October 2025, 50 new cases have been reported. Since 1 January 2025 and as of 13 October 2025, 2 259 cases have been reported. In comparison, in 2024 and as of 21 October 2024, 6 052 cases were reported.
Nepal: Since 3 March 2025 and as of 6 October 2025, 226 new cases have been reported. Since 1 January 2025 and as of 6 October 2025, 1 801 cases have been reported. In comparison, in 2024 and as of 23 September 2024, 95 cases were reported.
Pakistan: Since 10 February 2025 and as of 21 July 2025, 1 559 new cases have been reported. Since 1 January 2025 and as of 21 July 2025, 14 760 cases have been reported. In comparison, in 2024 and as of 7 October 2024, 65 995 cases were reported.
Philippines: Since 14 October 2023 and as of 30 June 2025, 357 new cases, including three new deaths have been reported. Since 1 January 2025 and as of 30 June 2025, 1 268 cases, including 13 deaths have been reported. In comparison, in 2024 and as of 29 October 2024, no cases were reported.
Yemen: Since 24 February 2025 and as of 13 October 2025, 8 185 new cases, including 14 new deaths have been reported. Since 1 January 2025 and as of 13 October 2025, 84 532 cases, including 230 deaths have been reported. In comparison, in 2024 and as of 9 September 2024, 36 404 cases, including 159 deaths were reported.
Thailand: In 2025, no updates have been reported.
Africa
Angola: Since 30 April 2025 and as of 27 October 2025, 2 011 new cases, including 17 new deaths have been reported. Since 1 January 2025 and as of 27 October 2025, 32 186 cases, including 849 deaths have been reported. In comparison, in 2024 and as of 29 October 2024, no cases were reported.
Burundi: Since 17 March 2025 and as of 27 October 2025, 458 new cases have been reported. Since 1 January 2025 and as of 27 October 2025, 2 030 cases, including six deaths have been reported. In comparison, in 2024 and as of 18 October 2024, 762 cases, including three deaths were reported.
Chad: Since 12 September 2019 and as of 27 October 2025, 105 new cases, including seven new deaths have been reported. Since 1 January 2025 and as of 27 October 2025, 2 853 cases, including 156 deaths have been reported. In comparison, in 2024 and as of 29 October 2024, no cases were reported.
Congo: Since 31 December 2023 and as of 27 October 2025, 621 new cases, including 46 new deaths have been reported. Since 1 January 2025 and as of 27 October 2025, 808 cases, including 67 deaths have been reported. In comparison, in 2024 and as of 29 October 2024, no cases were reported.
Côte D’Ivoire: Since 1 August 2017 and as of 11 August 2025, 450 new cases, including 13 new deaths have been reported. Since 1 January 2025 and as of 11 August 2025, 503 cases, including 20 deaths have been reported. In comparison, in 2024 and as of 29 October 2024, no cases were reported.
Democratic Republic of The Congo: Since 10 March 2025 and as of 27 October 2025, 26 294 new cases, including 1 010 new deaths have been reported. Since 1 January 2025 and as of 27 October 2025, 58 750 cases, including 1 747 deaths have been reported. In comparison, in 2024 and as of 06 October 2024, 25 200 cases, including 344 deaths were reported.
Ethiopia: Since 30 April 2025 and as of 27 October 2025, 166 new cases, including one new death has been reported. Since 1 January 2025 and as of 27 October 2025, 7 836 cases, including 74 deaths have been reported. In comparison, in 2024 and as of 26 October 2024, 25 383 cases, including 245 deaths were reported.
Ghana: Since 25 April 2025 and as of 27 October 2025, 103 new cases have been reported. Since 1 January 2025 and as of 27 October 2025, 2 870 cases, including 14 deaths have been reported. In comparison, in 2024 and as of 18 October 2024, 102 cases, including one death was reported.
Kenya: Since 30 April 2025 and as of 27 October 2025, 74 new cases have been reported. Since 1 January 2025 and as of 27 October 2025, 555 cases, including 25 deaths have been reported. In comparison, in 2024 and as of 9 August 2024, 300 cases, including three deaths were reported.
Mozambique: Since 30 April 2025 and as of 27 October 2025, 131 new cases, including one new death has been reported. Since 01 January 2025 and as of 27 October 2025, 4 551 cases, including 45 deaths have been reported. In comparison, in 2024 and as of 02 August 2024, 8 183 cases, including 17 deaths were reported.
Namibia: Since 2 March 2025 and as of 27 October 2025, 17 new cases, including one new death has been reported. Since 1 January 2025 and as of 27 October 2025, 18 cases, including one death has been reported. In comparison, in 2024 and as of 29 October 2024, no cases were reported.
Nigeria: Since 17 March 2025 and as of 27 October 2025, 21 564 new cases, including 262 new deaths have been reported. Since 1 January 2025 and as of 27 October 2025, 31 302 cases, including 496 deaths have been reported. In comparison, in 2024 and as of 6 October 2024, 10 837 cases, including 359 deaths were reported.
Rwanda: Since 4 April 2025 and as of 27 October 2025, 41 new cases have been reported. Since 1 January 2025 and as of 27 October 2025, 325 cases have been reported. In comparison, in 2024 and as of 29 October 2024, no cases were reported.
Somalia: Since 17 February 2025 and as of 29 October 2025, 588 new cases have been reported. Since 1 January 2025 and as of 29 October 2025, 8 072 cases, including nine deaths have been reported. In comparison, in 2024 and as of 18 October 2024, 19 640 cases, including 138 deaths were reported.
South Sudan: Since 17 March 2025 and as of 27 October 2025, 11 717 new cases, including 109 new deaths have been reported. Since 1 January 2025 and as of 27 October 2025, 78 781 cases, including 1 251 deaths have been reported. In comparison, in 2024 and as of 29 October 2024, no cases were reported.
Sudan: Since 30 April 2025 and as of 27 October 2025, 1 316 new cases, including 36 new deaths have been reported. Since 1 January 2025 and as of 27 October 2025, 70 883 cases, including 1 960 deaths have been reported. In comparison, in 2024 and as of 18 October 2024, 26 393 cases, including 635 deaths were reported.
Uganda: Since 3 March 2025 and as of 27 October 2025, 37 new cases, including two new deaths have been reported. Since 1 January 2025 and as of 27 October 2025, 136 cases, including three deaths have been reported. In comparison, in 2024 and as of 17 May 2024, 52 cases, including three deaths were reported.
United Republic of Tanzania: Since 17 March 2025 and as of 27 October 2025, 234 new cases, including six new deaths have been reported. Since 1 January 2025 and as of 27 October 2025, 4 063 cases, including 45 deaths have been reported. In comparison, in 2024 and as of 30 September 2024, 5 798 cases, including 97 deaths were reported.
Zambia: Since 15 April 2025 and as of 27 October 2025, 42 new cases, including one new death has been reported. Since 1 January 2025 and as of 27 October 2025, 505 cases, including 10 deaths have been reported. In comparison, in 2024 and as of 19 July 2024, 20 063 cases, including 612 deaths were reported.
Zimbabwe: Since 30 April 2025 and as of 27 October 2025, five new cases have been reported. Since 1 January 2025 and as of 27 October 2025, 606 cases, including 23 deaths have been reported. In comparison, in 2024 and as of 6 July 2024, 19 412 cases, including 386 deaths were reported.
In 2025, no updates have been reported by: Comoros, Malawi and Tog
America
Haiti: Since 7 April 2025 and as of 29 September 2025, 2 857 new cases, including 47 new deaths have been reported. Since 01 January 2025 and as of 29 September 2025, 5 353 cases, including 78 deaths have been reported. In comparison, in 2024 and as of 05 October 2024, 10 250 cases, including 145 deaths were reported.
ECDC assessment:
In 2025, cholera cases have continued to be reported in Africa and Asia, the Middle East and the Americas.
In this context, although the risk of cholera infection for travellers visiting these countries remains low, sporadic importation of cases to the EU/EEA is possible.
In the EU/EEA, cholera is rare and primarily associated with travel to endemic countries. Cholera reporting at the EU level is done on an annual basis, at the end of May for the year prior. In 2023, 12 confirmed cases were reported by five EU/EEA countries, while 29 were reported in 2022, two in 2021, and none in 2020. In 2019, 25 cases were reported in EU/EEA countries (including the United Kingdom). All cases had a travel history to cholera-affected areas.
According to the World Health Organization (WHO), vaccination should be considered for travellers at higher risk, such as emergency and relief workers who may be directly exposed. Vaccination is generally not recommended for other travellers. Travellers to cholera-endemic areas should seek advice from travel health clinics to assess their personal risk and apply precautionary sanitary and hygiene measures to prevent infection. Such measures can include drinking bottled water or water treated with chlorine, carefully washing fruit and vegetables with bottled or chlorinated water before consumption, regularly washing hands with soap, eating thoroughly cooked food, and avoiding the consumption of raw seafood products.
Actions:
ECDC continues to monitor cholera outbreaks globally through its epidemic intelligence activities in order to identify significant changes in epidemiology and provide timely updates to public health authorities. Reports are published on a monthly basis. The worldwide overview of cholera outbreaks is available on ECDC's website.
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Cholera
Cholera is an acute diarrhoeal infection caused by the bacterium Vibrio cholera of serogroups O1 or O139. Humans are the only relevant reservoir, even though Vibrios can survive for a long time in coastal waters contaminated by human excreta.