Key facts
- Since 1 January 2026 and as of 27 October 2026, 291 272 cholera cases, including 2 471 deaths, have been reported worldwide.
- Since 28 September 2026 and as of 27 October 2026, 42 136 new cholera cases, including 501 new deaths, have been reported worldwide.
- The five countries reporting the highest number of new cases between 26 August and 28 September 2026 are Nigeria (20 263), Democratic Republic of the Congo (9 236), South Sudan (7 226), Cameroon (2 381) and Burundi (737).
- The five countries reporting the highest number of new deaths in the same reporting period are Democratic Republic of the Congo (288), Nigeria (114), Cameroon (67), Zambia (18) and Yemen (7).
- Cholera cases have continued to be reported in Africa, Asia, the Middle East and the Americas. The risk of cholera infection for travellers visiting these countries remains low, even though sporadic importation of cases to the EU/EEA is possible.
Overview
Update
Since 28 September 2026 and as of 27 October 2026, 42 136 new cholera cases, including 501 new deaths, have been reported worldwide.
New cases have been reported from Angola, Burundi, Cameroon, Democratic Republic of the Congo, Mozambique, Nigeria, Rwanda, Somalia, South Sudan, Yemen and Zambia.
The five countries reporting the highest number of new cases are Nigeria (20 263), Democratic Republic of the Congo (9 236), South Sudan (7 226), Cameroon (2 381) and Burundi (737).
New deaths have been reported from Angola, Burundi, Cameroon, Democratic Republic of the Congo, Nigeria, Yemen and Zambia.
The five countries reporting the highest number of new deaths are Democratic Republic of the Congo (288), Nigeria (114), Cameroon (67), Zambia (18) and Yemen (7).
In the previous reporting period (26 August to 28 September 2026), 46 153 new cholera cases, including 140 new deaths, were reported worldwide.
Since 1 January 2026 and as of 27 October 2026, 291 272 cholera cases, including 2 471 deaths, have been reported worldwide. In comparison, since 1 January 2025 and as of 27 October 2025, 496 907 cholera cases, including 5 703 deaths, were reported worldwide.
Since the last update, new cases and new deaths have been reported from:
Africa:
Angola: Since 13 September 2026 and as of 11 October 2026, 289 new cases, including five new deaths, have been reported. Since 1 January 2026 and as of 11 October 2026, 6 940 cases, including 132 deaths, have been reported. In comparison, in 2025 and as of 27 October 2025, 32 186 cases, including 849 deaths were reported.
Burundi: Since 13 September 2026 and as of 11 October 2026, 737 new cases, including two new deaths, have been reported. Since 1 January 2026 and as of 11 October 2026, 2 315 cases, including six deaths, have been reported. In comparison, in 2025 and as of 27 October 2025, 2 030 cases, including six deaths, were reported.
Cameroon: Since 13 September 2026 and as of 11 October 2026, 2 381 new cases, including 67 new deaths, have been reported. Since 1 January 2026 and as of 11 October 2026, 2 712 cases, including 79 deaths, have been reported. In comparison, in 2025 and as of 27 October 2025, no cases were reported.
Democratic Republic of The Congo: Since 13 September 2026 and as of 11 October 2026, 9 236 new cases, including 288 new deaths, have been reported. Since 1 January 2026 and as of 11 October 2026, 50 923 cases, including 1 338 deaths, have been reported. In comparison, in 2025 and as of 27 October 2025, 58 750 cases, including 1 747 deaths, were reported.
Mozambique: Since 13 September 2026 and as of 11 October 2026, 78 new cases have been reported. Since 1 January 2026 and as of 11 October 2026, 7 892 cases, including 66 deaths, have been reported. In comparison, in 2025 and as of 27 October 2025, 4 551 cases, including 45 deaths, were reported.
Nigeria: Since 13 September 2026 and as of 11 October 2026, 20 263 new cases, including 114 new deaths, have been reported. Since 1 January 2026 and as of 11 October 2026, 70 553 cases, including 452 deaths, have been reported. In comparison, in 2025 and as of 27 October 2025, 21 302 cases, including 496 deaths, were reported.
Rwanda: Since 13 September 2026 and as of 11 October 2026, 365 new cases have been reported. Since 1 January 2026 and as of 11 October 2026, 394 cases have been reported. In comparison, in 2025 and as of 27 October 2025, 325 cases were reported.
Somalia: Since 13 September 2026 and as of 11 October 2026, 156 new cases have been reported. Since 1 January 2026 and as of 11 October 2026, 2 934 cases, including one death, have been reported. In comparison, in 2025 and as of 25 August 2025, 7 484 cases, including nine deaths, were reported.
South Sudan: Since 13 September 2026 and as of 11 October 2026, 7 226 new cases have been reported. Since 1 January 2026 and as of 11 October 2026, 7 683 cases have been reported. In comparison, in 2025 and as of 27 October 2025, 76 781 cases, including 1 251 deaths, were reported.
Zambia: Since 13 September 2026 and as of 11 October 2026, 699 new cases, including 18 new deaths, have been reported. Since 1 January 2026 and as of 11 October 2026, 1 773 cases, including 37 deaths, have been reported. In comparison, in 2025 and as of 27 October 2025, 505 cases, including 10 deaths, were reported.
Since 28 September 2026, no updates have been reported by: Central African Republic, Chad, Congo, Ethiopia, Kenya, Malawi, Namibia, South Africa, Sudan, United Republic of Tanzania and Zimbabwe.
Asia:
Yemen: Since 07 September 2026 and as of 13 October 2026, 706 new cases, including seven new deaths, have been reported. Since 1 January 2026 and as of 13 October 2026, 8 034 cases, including 27 deaths, have been reported. In comparison, in 2025 and as of 13 October 2025, 84 532 cases, including 230 deaths, were reported.
Since 28 September 2026, no updates have been reported by: Afghanistan, Bangladesh, India, Myanmar/Burma, Pakistan, Taiwan or China.
Americas:
Since 28 September 2026, no updates have been reported by: Haiti.
Data presented in this report originate from several sources, both official public health authorities and non-official sources, such as the media. Case definitions, testing strategies and surveillance systems vary between countries. In addition, data completeness and levels of under-reporting vary between countries. All data should therefore be interpreted with caution. For details on the epidemiological situation and more information regarding the case definitions in use, refer to the original sources.
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.
