Cholera worldwide overview
Monthly update as of 28 January 2026
Since 24 December 2025, and as of 28 January 2026, 11 965 new cholera cases, including 126 new deaths, have been reported worldwide.
New cases have been reported from Afghanistan, Angola, Burundi, Cameroon, Chad, Congo, Côte D’Ivoire, the Democratic Republic of the Congo, Ethiopia, Ghana, India, Kenya, Malawi, Mozambique, Myanmar/Burma, Namibia, Nepal, Nigeria, Pakistan, the Philippines, Somalia, South Sudan, Sudan, Yemen, Zambia, and Zimbabwe. These countries had all previously reported cholera cases during 2025.
The five countries reporting the most cases are:
- the Democratic Republic of the Congo (4 522),
- Afghanistan (3 029),
- Yemen (1 144),
- Mozambique (896), and
- India (878).
New deaths have been reported from Afghanistan, Angola, Burundi, Chad, Congo, Côte D’Ivoire, the Democratic Republic of the Congo, Ethiopia, India, Malawi, Mozambique, Namibia, Nigeria, the Philippines, South Sudan, Sudan, Yemen, Zambia, and Zimbabwe. These countries had all previously reported cholera deaths during 2025.
The five countries reporting the most new deaths are: the Democratic Republic of the Congo (89), the Philippines (14), India (6), Yemen (5), and Côte D’Ivoire (4).
In the previous reporting period (24 November 2025 to 24 December 2025), 30 611 new cholera cases, including 275 new deaths, were reported worldwide. In addition, 144 new cases were reported or collected retrospectively from before 24 December 2025. Since 1 January 2026, and as of 27 January 2026, 1 203 cholera cases, including seven deaths, have been reported in eight countries (Angola, Burundi, Ethiopia, Malawi, Mozambique, Namibia, Somalia, and Zambia).
No data are available on cases reported in other countries in 2026. In comparison, since 1 January 2025, and as of 27 January 2025, 10 043 cholera cases, including 32 deaths, were reported worldwide.
Geographical distribution of cholera cases reported worldwide from November 2025 to January 2026
Since the last update, new cases and new deaths have been reported from:
Asia
Afghanistan: Since 8 December 2025, and as of 28 December 2025, 3 029 new cases, including one new death, have been reported. Since 1 January 2025, and as of 28 December 2025, 164 820 cases, including 80 deaths, have been reported. In comparison, in 2024 and as of 28 December 2024, 175 262 cases, including 88 deaths, were reported.
India: Since 25 August 2025, and as of 28 December 2025, 878 new cases, including six new deaths, have been reported. Since 1 January 2025, and as of 28 December 2025, 2 267 cases, including 11 deaths, have been reported. In comparison, in 2024 and as of 11 November 2024, 11 140 cases, including 58 deaths, were reported.
Myanmar/Burma: Since 8 December 2025, and as of 28 December 2025, 12 new cases have been reported. Since 1 January 2025, and as of 28 December 2025, 2 390 cases have been reported. In comparison, in 2024 and as of 11 November 2024, 7 498 cases were reported.
Nepal: Since 6 October 2025, and as of 28 December 2025, 98 new cases have been reported. Since 1 January 2025, and as of 28 December 2025, 1 899 cases have been reported. In comparison, in 2024 and as of 23 September 2024, 95 cases were reported.
Pakistan: Since 17 November 2025, and as of 28 December 2025, 843 new cases have been reported. Since 1 January 2025, and as of 28 December 2025, 19 017 cases have been reported. In comparison, in 2024 and as of 30 December 2024, 77 785 cases were reported.
Philippines: Since 30 June 2025, and as of 28 December 2025, 183 new cases, including 14 new deaths, have been reported. Since 1 January 2025, and as of 28 December 2025, 1 451 cases, including 27 deaths, have been reported. In comparison, in 2024 and as of 31 December 2024, no cases were reported.
Yemen: Since 1 December 2025, and as of 28 December 2025, 1 144 new cases, including five new deaths, have been reported. Since 1 January 2025, and as of 28 December 2025, 93 496 cases, including 248 deaths, have been reported. In comparison, in 2024 and as of 23 December 2024, 260 552 cases, including 879 deaths were reported.
Since 24 December 2025, no updates have been reported by Bangladesh or Thailand.
Africa
Angola: Since 24 December 2025, and as of 27 January 2026, 152 new cases, including two new deaths, have been reported. Since 1 January 2026, and as of 27 January 2026, 152 cases, including two deaths, have been reported. In comparison, in 2025 and as of 28 January 2025, no cases were reported.
Burundi: Since 24 December 2025, and as of 27 January 2026, 23 new cases have been reported. Since 1 January 2026, and as of 27 January 2026, 23 cases have been reported. In comparison, in 2025 and as of 28 January 2025, no cases were reported.
Côte D’Ivoire: Since 11 August 2025, and as of 31 December 2025, 53 new cases, including four new deaths, have been reported. Since 1 January 2025, and as of 31 December 2025, 556 cases, including 24 deaths, have been reported. In comparison, in 2024 and as of 31 December 2024, no cases were reported.
Democratic Republic of the Congo: Since 24 December 2025, and as of 31 December 2025, 4 522 new cases, including 89 new deaths, have been reported. Since 1 January 2025, and as of 31 December 2025, 71 646 cases, including 2 028 deaths, have been reported. In comparison, in 2024 and as of 18 November 2024, 28 618 cases, including 385 deaths were reported.
Ethiopia: Since 24 December 2025, and as of 27 January 2026, 15 new cases have been reported. Since 1 January 2026, and as of 27 January 2026, 15 cases have been reported. In comparison, in 2025 and as of 28 January 2025, no cases were reported.
Malawi: Since 11 December 2025, and as of 27 January 2026, 12 new cases, including two new deaths, have been reported. Since 1 January 2026, and as of 27 January 2026, 12 cases, including two deaths, have been reported. In comparison, in 2025 and as of 28 January 2025, no cases were reported.
Mozambique: Since 24 December 2025, and as of 27 January 2026, 896 new cases, including three new deaths, have been reported. Since 1 January 2026 and as of 27 January 2026, 896 cases, including three deaths, have been reported. In comparison, in 2025 and as of 28 January 2025, no cases were reported.
Namibia: Since 24 December 2025, and as of 27 January 2026, 18 new cases have been reported. Since 1 January 2026, and as of 27 January 2026, 18 cases have been reported. In comparison, in 2025 and as of 28 January 2025, no cases were reported.
Somalia: Since 24 December 2025, and as of 27 January 2026, 82 new cases have been reported. Since 1 January 2026, and as of 27 January 2026, 82 cases have been reported. In comparison, in 2025 and as of 20 January 2025, 777 cases, including 1 death was reported.
Zambia: Since 24 December 2025, and as of 27 January 2026, five new cases have been reported. Since 1 January 2026, and as of 27 January 2026, 5 cases have been reported. In comparison, in 2025 and as of 28 January 2025, no cases were reported.
Since 24 December 2025, no updates have been reported by Cameroon, Chad, Comoros, Congo, Ghana, Kenya, Nigeria, Rwanda, South Sudan, Sudan, Togo, Uganda, United Republic of Tanzania, or Zimbabwe.
Americas
No new cases or new deaths have been reported.
ECDC assessment:
Cholera cases have continued to be reported in Africa and Asia, the Middle East, and the America.
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.