Cholera worldwide overview
Monthly update as of 25 November 2025
Since 29 October 2025 and as of 25 November 2025, 15 394 new cholera cases, including 194 new deaths, have been reported worldwide.
New cases have been reported from Afghanistan, Angola, Burundi, Chad, Ethiopia, Kenya, Mozambique, Myanmar/Burma, Nepal, South Sudan and Sudan
The five countries reporting most cases are Afghanistan (10 781), Angola (2 493), Sudan (1 117), Burundi (567) and Ethiopia (413).
New deaths have been reported from Afghanistan, Angola, Burundi, Chad, Ethiopia, Kenya, Mozambique, South Sudan and Sudan. The five countries reporting most new deaths are Sudan (114), Angola (28), South Sudan (25), Chad (11) and Afghanistan (6).
Geographical distribution of cholera cases reported worldwide from September to November 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 13 October 2025 and as of 10 November 2025, 10 781 new cases, including six new deaths have been reported. Since 1 January 2025 and as of 10 November 2025, 153 849 cases, including 74 deaths have been reported. In comparison, in 2024, up to 9 November 2024, 160 794 cases, including 80 deaths were reported.
Myanmar/Burma
Since 13 October 2025 and as of 3 November 2025, 42 new cases have been reported. Since 1 January 2025 and as of 3 November 2025, 2 301 cases have been reported. In comparison, in 2024 and as of 11 November 2024, 7 498 cases were reported.
Nepal
Since 06 October 2025 and as of 17 November 2025, 217 new cases have been reported. Since 1 January 2025 and as of 17 November 2025, 2 018 cases have been reported. In comparison, in 2024 up to 23 September 2024, 95 cases were reported.
Africa
Angola
Since 27 October 2025 and as of 22 November 2025, 2 493 new cases, including 28 new deaths have been reported. Since 1 January 2025 and as of 22 November 2025, 34 679 cases, including 877 deaths have been reported. In comparison, in 2024 up to 25 November 2024, no cases were reported.
Burundi
Since 27 October 2025 and as of 22 November 2025, 567 new cases, including five new deaths have been reported. Since 1 January 2025 and as of 22 November 2025, 2 597 cases, including 11 deaths have been reported. In comparison, in 2024 up to 10 November 2024, 2 200 cases, including 12 deaths were reported.
Chad
Since 27 October 2025 and as of 22 November 2025, 235 new cases, including 11 new deaths have been reported. Since 1 January 2025 and as of 22 November 2025, 3 088 cases, including 167 deaths have been reported. In comparison, in 2024 up to 25 November 2024, no cases were reported.
Ethiopia
Since 27 October 2025 and as of 24 November 2025, 413 new cases, including three new deaths have been reported. Since 1 January 2025 and as of 24 November 2025, 8 249 cases, including 77 deaths have been reported. In comparison, in 2024 up to 26 October 2024, 25 383 cases, including 245 deaths were reported.
Kenya
Since 27 October 2025 and as of 22 November 2025, 111 new cases, including one new death has been reported. Since 1 January 2025 and as of 22 November 2025, 666 cases, including 26 deaths have been reported. In comparison, in 2024 up to 9 August 2024, 300 cases, including three deaths were reported.
Mozambique
Since 27 October 2025 and as of 22 November 2025, 165 new cases, including one new death has been reported. Since 1 January 2025 and as of 22 November 2025, 4 716 cases, including 46 deaths have been reported. In comparison, in 2024 up to 2 August 2024, 8 183 cases, including 17 deaths were reported.
South Sudan
Since 27 October 2025 and as of 22 November 2025, 747 less cases have been reported. Since 1 January 2025 and as of 22 November 2025, 78 034 cases, including 1 276 deaths have been reported. In comparison, in 2024 up to 18 November 2024, 114 cases, including two deaths were reported.
Sudan
Since 27 October 2025 and as of 22 November 2025, 1 117 new cases, including 114 new deaths have been reported. Since 1 January 2025 and as of 22 November 2025, 72 000 cases, including 2 074 deaths have been reported. In comparison, in 2024 up to 18 November 2024, 35 675 cases, including 794 deaths were reported.
No updates have been reported by Malawi to enable comparisons of cholera reporting in 2024 and 2025.
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.