Cholera worldwide overview

Monthly update as of 26 August 2026

Since 27 July 2026 and as of 26 August 2026, 42 717 new cholera cases, including 257 new deaths, have been reported worldwide. 

New cases have been reported from: 

  • Afghanistan
  • Angola
  • Burundi
  • Cameroon
  • Central African Republic
  • Chad, Democratic Republic of The Congo
  • Haiti
  • Kenya
  • Malawi
  • Mozambique
  • Myanmar/Burma
  • Nigeria
  • Pakistan
  • Somalia
  • South Africa
  • South Sudan Sudan
  • Yemen.

The five countries reporting most cases are Nigeria (41 296), Angola (524), Somalia (489), Mozambique (319) and Chad (47). 

New deaths have been reported from Afghanistan, Angola, Burundi, Cameroon, Central African Republic, Chad, Democratic Republic of The Congo, Haiti, Mozambique, Nigeria, Somalia, South Sudan and Sudan. 

The five countries reporting most new deaths are Nigeria (242), Chad (9), Angola (4), Mozambique (1) and Somalia (1). 

In addition, 46 246 new cases were reported or collected retrospectively from before 27 July 2026. In the previous reporting period (22 June 2026 to 27 July 2026), 8 247 new cholera cases, including 326 new deaths, were reported worldwide. 

Since 1 January 2026 and as of 26 August 2026, 212 857 cholera cases, including 1 943 deaths, have been reported worldwide. 

In comparison, since 01 January 2025 and as of 26 August 2025, 338 340 cholera cases, including 4 324 deaths, were reported worldwide.

Countries with most cases
Nigeria, Angola, Somalia, Mozambique and Chad
Travel-related cases
Few reported each year in the EU/EEA
Vaccination for travellers at higher risk
is recommended, such as emergency and relief workers

Georgraphical distribution of cholera cases reported worldwide from June 2026 to August 2026

Georgraphical distribution of cholera cases reported worldwide from June 2026 to August 2026

Since the last update, new cases and new deaths have been reported from: 

Asia

Afghanistan
Since 15 June 2026 and as of 20 July 2026, 24 306 new cases, including 17 new deaths, have been reported. Since 1 January 2026 and as of 20 July 2026, 80 968 cases, including 45 deaths, have been reported. In comparison, in 2025 and as of 23 June 2025, 68 031 cases, including 26 deaths, were reported. 

Myanmar/Burma: 
Since 15 June 2026 and as of 22 June 2026, 15 new cases have been reported. Since 1 January 2026 and as of 22 June 2026, 272 cases have been reported. In comparison, in 2025 and as of 16 June 2025, 1 888 cases were reported. 

Pakistan
Since 18 May 2026 and as of 6 July 2026, 1 048 new cases have been reported. Since 1 January 2026 and as of 6 July 2026, 4 353 cases have been reported. In comparison, in 2025 and as of 21 July 2025, 14 760 cases were reported. 

Yemen: 
Since 8 June 2026 and as of 29 June 2026, 389 new cases have been reported. Since 1 January 2026 and as of 29 June 2026, 5 443 cases, including seven deaths, have been reported. In comparison, in 2025 and as of 23 June 2025, 41 510 cases, including 129 deaths, were reported. 

Since 22 June 2026, no updates have been reported by: India and Taiwan. 

Africa

Angola:
Since 12 July 2026 and as of 9 August 2026, 524 new cases, including four new deaths, have been reported. Since 1 January 2026 and as of 9 August 2026, 5 903 cases, including 120 deaths, have been reported. In comparison, in 2025 and as of 4 August 2025, 27 666 cases, including 773 deaths, were reported.

Burundi: 
Since 12 July 2026 and as of 09 August 2026, 40 new cases have been reported. Since 1 January 2026 and as of 9 August 2026, 1 578 cases, including four deaths, have been reported. In comparison, in 2025 and as of 8 July 2025, 217 cases were reported

Cameroon: 
Since 31 December 2025 and as of 12 July 2026, 331 new cases, including 12 new deaths, have been reported. Since 1 January 2026 and as of 12 July 2026, 331 cases, including 12 deaths, have been reported. In comparison, in 2025 and as of 27 July 2025, no cases were reported. 

Central African Republic: 
Since 12 July 2026 and as of 9 August 2026, two new cases have been reported. Since 1 January 2026 and as of 9 August 2026, 447 cases, including 36 deaths, have been reported. In comparison, in 2025 and as of 26 August 2025, no cases were reported. 

Chad: 
Since 12 July 2026 and as of 9 August 2026, 47 new cases, including nine new deaths have been reported. Since 1 January 2026 and as of 9 August 2026, 167 cases, including 13 deaths, have been reported. In comparison, in 2025 and as of 4 August 2025, 77 cases, including four deaths, were reported. 

Mozambique: 
Since 12 July 2026 and as of 09 August 2026, 319 new cases, including one new death, has been reported. Since 1 January 2026 and as of 9 August 2026, 7 698 cases, including 65 deaths, have been reported. In comparison, in 2025 and as of 4 August 2025, 4 167 cases, including 43 deaths, were reported. 

Nigeria: 
Since 12 July 2026 and as of 9 August 2026, 41 296 new cases, including 242 new deaths, have been reported. Since 1 January 2026 and as of 09 August 2026, 50 290 cases, including 338 deaths have been reported. In comparison, in 2025 and as of 25 August 2025, 9 738 cases, including 234 deaths, were reported.

Somalia: 
Since 12 July 2026 and as of 09 August 2026, 489 new cases, including one new death, has been reported. Since 1 January 2026 and as of 9 August 2026, 2 657 cases, including one death, has been reported. In comparison, in 2025 and as of 25 August 2025, 7 484 cases, including nine deaths, were reported. 

South Africa: 
Since 30 April 2024 and as of 13 July 2026, two new cases have been reported. Since 1 January 2026 and as of 13 July 2026, two cases have been reported. In comparison, in 2025 and as of 26 August 2025, no cases were reported. 

South Sudan: 
Since 12 July 2026 and as of 20 July 2026, 11 954 new cases, including 113 new deaths, have been reported. Since 1 January 2026 and as of 20 July 2026, 12 411 cases, including 119 deaths, have been reported. In comparison, in 2025 and as of 4 August 2025, 67 064 cases, including 1 142 deaths, were reported.

Since 27 July 2026, no updates have been reported by: Cameroon, Congo, Democratic Republic of The Congo, Ethiopia, Kenya, Malawi, Namibia, Rwanda, Sudan, United Republic of Tanzania, Zambia and Zimbabwe.

Americas

Haiti: 
Since 18 May 2026 and as of 8 June 2026, 113 new cases have been reported. Since 1 January 2026 and as of 8 June 2026, 642 cases, including two deaths, have been reported. In comparison, in 2025 and as of 23 June 2025, 2 496 cases, including 31 deaths, were reported.

ECDC assessment:

Cholera cases have continued to be reported in Africa and Asia, the Middle East, and the Americas.

In this context, although the likelihood 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. Since 2025, only events of locally acquired cholera cases are reported at the EU/EEA level; however, imported and locally acquired cholera cases are reported to the World Health Organization (WHO) on an annual basis. In 2024, 16 imported cases were reported by eight EU/EEA countries, while 12 were reported in 2023, 29 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.

Vaccination should be considered for travellers at higher risk of infection, 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 bacteria, TEM. © Science Photo Library

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.