Cholera worldwide overview

Monthly update as of 30 March 2026

Since 25 February 2026 and as of 30 March 2026, 17 723 new cholera cases, including 212 new deaths, have been reported worldwide. 

New cases have been reported from: 

  • Afghanistan, 
  • Angola, 
  • Burundi, 
  • Democratic Republic of the Congo, 
  • Haiti, 
  • India, 
  • Malawi, 
  • Mozambique, 
  • Myanmar/Burma, 
  • Namibia, 
  • Pakistan, 
  • Rwanda, 
  • Somalia, 
  • South Sudan, 
  • United Republic of Tanzania, 
  • Yemen, 
  • Zambia
  • Zimbabwe. 

The five countries reporting most cases are: 

  • Afghanistan (7 758), 
  • Democratic Republic of the Congo (5 775), 
  • Mozambique (2 496), 
  • South Sudan (455) 
  • Somalia (386). 

New deaths have been reported from:

  • Afghanistan, 
  • Angola, 
  • Democratic Republic of the Congo, 
  • Haiti, 
  • Mozambique, 
  • South Sudan, 
  • United Republic of Tanzania, 
  • Zambia and Zimbabwe. 

The five countries reporting most new deaths are:

  • Democratic Republic of the Congo (176), 
  • Mozambique (20), 
  • South Sudan (6), 
  • Angola (3) 
  • Afghanistan (2). 

In the previous reporting period (28 January to 25 February 2026), 24 009 new cholera cases, including 275 new deaths, were reported worldwide. In addition, 1 165 new cases were reported or collected retrospectively from before 25 February 2026. Since 1 January 2026 and as of 30 March 2026, 44 602 cholera cases, including 496 deaths, have been reported worldwide. In comparison, since 1 January 2025 and as of 30 March 2025, 95 191 cholera cases, including 1 188 deaths, were reported worldwide.

Countries with most cases
Afghanistan, Democratic Republic of the Congo, Mozambique, South Sudan, Somalia
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

Geographical distribution of cholera cases reported worldwide from January to March 2026

Geographical distribution of cholera cases reported worldwide from January to March 2026

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

Asia 

Afghanistan: 
Since 9 February 2026 and as of 16 March 2026, 7 758 new cases, including two new deaths, have been reported. Since 1 January 2026 and as of 16 March 2026, 17 218 cases, including six deaths, have been reported. In comparison, in 2025 and as of 17 March 2025, 19 652 cases, including eight deaths, were reported. 

India:
Since 28 December 2025 and as of 9 February 2026, 26 new cases have been reported. Since 1 January 2026 and as of 9 February 2026, 26 cases have been reported. In comparison, in 2025 and as of 3 March 2025, 93 cases were reported.

Myanmar/Burma: 
Since 9 February 2026 and as of 2 March 2026, 19 new cases have been reported. Since 1 January 2026 and as of 2 March 2026, 139 cases have been reported. In comparison, in 2025 and as of 10 March 2025, 1 004 cases were reported.

Pakistan: 
Since 19 January 2026 and as of 9 February 2026, 631 new cases have been reported. Since 1 January 2026 and as of 9 February 2026, 1 124 cases have been reported. In comparison, in 2025 and as of 10 February 2025, 4 038 cases were reported.

Yemen: 
Since 9 February 2026 and as of 16 February 2026, 296 new cases have been reported. Since 1 January 2026 and as of 16 February 2026, 1 922 cases, including one death, have been reported. In comparison, in 2025 and as of 24 February 2025, 10 080 cases, including 10 deaths were reported. 

Africa

Angola: 
Since 18 February 2026 and as of 23 March 2026, 192 new cases, including three new deaths, have been reported. Since 1 January 2026 and as of 23 March 2026, 390 cases, including nine deaths, have been reported. In comparison, in 2025 and as of 14 March 2025, 7 119 cases, including 258 deaths, were reported. 

Burundi: 
Since 18 February 2026 and as of 23 March 2026, 126 new cases have been reported. Since 1 January 2026 and as of 23 March 2026, 531 cases, including two deaths, have been reported. In comparison, in 2025 and as of 17 March 2025, 129 cases were reported. 

Democratic Republic of the Congo: 
Since 18 February 2026 and as of 23 March 2026, 5 775 new cases, including 176 new deaths, have been reported. Since 1 January 2026 and as of 23 March 2026, 15 100 cases, including 395 deaths, have been reported. In comparison, in 2025 and as of 10 March 2025, 11 918 cases, including 240 deaths, were reported.

Malawi: 
Since 18 February 2026 and as of 23 March 2026, 25 new cases have been reported. Since 1 January 2026 and as of 23 March 2026, 90 cases, including two deaths, have been reported. In comparison, in 2025 and as of 20 March 2025, 91 cases, including three deaths, were reported. 

Mozambique: 
Since 18 February 2026 and as of 23 March 2026, 2 496 new cases, including 20 new deaths, have been reported. Since 1 January 2026 and as of 23 March 2026, 5 659 cases, including 57 deaths, have been reported. In comparison, in 2025 and as of 3 February 2025, 64 cases were reported. 

Namibia: 
Since 18 February 2026 and as of 23 March 2026, 29 new cases have been reported. Since 1 January 2026 and as of 23 March 2026, 49 cases have been reported. In comparison, in 2025 and as of 2 March 2025, one case was reported. 

Rwanda: 
Since 31 December 2025 and as of 23 March 2026, 18 new cases have been reported. Since 1 January 2026 and as of 23 March 2026, 18 cases have been reported. In comparison, in 2025 and as of 30 March 2025, no cases were reported. 

Somalia: 
Since 18 February 2026 and as of 23 March 2026, 386 new cases have been reported. Since 1 January 2026 and as of 23 March 2026, 709 cases have been reported. In comparison, in 2025 and as of 17 February 2025, 1 409 cases, including one death were reported. 

South Sudan: Since 31 December 2025 and as of 23 March 2026, 455 new cases, including six new deaths have been reported. Since 1 January 2026 and as of 23 March 2026, 455 cases, including six deaths, have been reported. In comparison, in 2025 and as of 17 March 2025, 25 179 cases, including 389 deaths were reported. 

United Republic of Tanzania: 
Since 31 December 2025 and as of 23 March 2026, 113 new cases, including two new deaths, have been reported. Since 1 January 2026 and as of 23 March 2026, 113 cases, including two deaths, have been reported. In comparison, in 2025 and as of 17 March 2025, 2 085 cases, including 16 deaths were reported. 

Zambia: 
Since 18 February 2026 and as of 23 March 2026, 300 new cases, including two new deaths, have been reported. Since 1 January 2026 and as of 23 March 2026, 536 cases, including nine deaths, have been reported. In comparison, in 2025 and as of 3 March 2025, 315 cases, including nine deaths, were reported. 

Zimbabwe
Since 18 February 2026 and as of 23 March 2026, 31 new cases, including one new death, have been reported. Since 1 January 2026 and as of 23 March 2026, 36 cases, including two deaths, have been reported. In comparison, in 2025 and as of 12 March 2025, 248 cases, including seven deaths, were reported. Since 25 February 2026, no updates have been reported by: Ethiopia, Nigeria and Sudan. 

Americas

Haiti: 
Since 28 December 2025 and as of 16 February 2026, 212 new cases, including two new deaths, have been reported. Since 1 January 2026 and as of 16 February 2026, 212 cases, including two deaths, have been reported. In comparison, in 2025 and as of 5 January 2025, 369 cases, including 27 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.

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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.