Cholera worldwide overview

Situation update, 20 December 2019

Several countries in Africa, the Americas and Asia have reported cholera outbreaks. Major ongoing outbreaks are reported from the Democratic Republic of the Congo, Haiti and Yemen.

Since the last update on 29 November 2019, new cholera cases have been reported worldwide.

Countries reporting the majority of new cases since the previous update are: Yemen with 36 408 cases and nine deaths and DR Congo with 2 168 cases and 27 deaths.

Countries with most cases
Yemen, DR Congo
Few travel-related cases
reported each year in the EU/EEA
Vaccination for travellers at higher risk
is recommended, such as emergency and relief workers

Geographical distribution of new cholera cases reported worldwide between October to December 2019

Cholera cases reported worldwide, as of 17 December 2019
Cholera cases reported worldwide, as of 17 December 2019

Americas 

Haiti: In 2019 and as of 16 November, Haiti reported 681 cases including three deaths (CFR: 0.4%). This represents an increase of seven cases and no deaths since the previous CDTR update. According to a Unicef report, no confirmed cholera cases have been reported since February this year. In 2018, Haiti reported 3 777 cholera cases including 41 deaths (CFR: 1.1%). Since the beginning of the outbreak in 2010 and as of 9 November 2019, Haiti has reported 820 458 suspected cholera cases including 9 792 deaths (CFR: 1.2%). 

Africa

Cameroon: In 2019 and as of 5 December, Cameroon reported 1 071 cholera cases including 53 associated deaths (CFR: 5%). The outbreak is ongoing in North, Far North and South West regions.

DR Congo: In 2019 and as of 24 November, DR Congo reported 27 169 suspected cholera cases, including 472 deaths (CFR: 1.7%). This represents an increase of 2 168 cases and 27 deaths since the previous CDTR update. The majority of the recent cases reported in the country (85%) were notified in North and South Kivu, Haut Lomami, Haut Katanga and Tanganyika regions. In all 2018, 31 387 cases including 1 042 deaths were notified across the country.

Ethiopia: As of 8 December 2019 and since the beginning of the outbreak in April 2019, 2 089 cases including 21 associated deaths (CFR: 1%) have been reported in Ethiopia. These numbers represent an increase of 129 cases and no deaths since the previous CDTR update.

Kenya: In 2019 and as of 8 December, 4 886 cases including 37 associated deaths (CFR: 0.8%) have been reported. The outbreak continues active in Garissa, Nairobi, Turkana and Mandera counties. This represents an increase of 178 cases since the previous CDTR update.

Nigeria: From May 2019 and as of 9 December, Nigeria is reporting 895 cholera cases including 15 associated deaths (CFR: 1.7%). Among these cases, 206 were laboratory confirmed by culture. Cases have been reported in five regions: Andoni, Girei, Song, Yola North and Yola South. This represents an increase of 77 cases and 11 deaths since the previous CDTR update.

Somalia: As of 8 December 2019, WHO reported 9 258 suspected cholera cases including 48 associated deaths (CFR: 0.5%) since December 2017. This represent an increase of 387 cases and two deaths since the previous CDTR update.

Sudan: According to WHO, in 2019 and between August to 7 December, 343 cholera cases including 11 associated deaths (CFR: 3.2%) have been reported in Sudan. The regions affected are the Al Jazirah state, Blue Nile state, Khartoum state and Sennar state. This represent an increase of 11 cases and no deaths since the previous CDTR update.

Asia

Bangladesh: According to WHO, between 5 September to 16 November 2019, 147 cases of acute watery diarrhoea (AWD) have tested positive by cholera rapid diagnostic test or culture in Cox’s Bazar, in Bangladesh. In 2019 and as of 8 December, 180 332 AWD cases have been reported in the Cox’s Bazar. Following the events in the area, WHO has scheduled a mass vaccination campaign (OCV) in the refugee camp population and the host population scheduled to take place from 8 to 31 December this year and expected to reach 635 000 people.

India: According to the Indian National Centre for Disease Control, 53 cholera cases were reported in Haryana, India in October 2019.

Yemen: Since the beginning of the outbreak in 2017 and as of 13 December 2019, Yemen reported 2 226 610 suspected cholera cases and 3 761 deaths (CFR: 0.2%). This represent an increase of 36 408 cases and nine deaths since the last CDTR update.