This rapid risk assessment assesses the potential risk for European travellers to Cuba after an outbreak of cholera in the Granma Province of the country.
On 4 July 2012, Germany reported a third case where an injecting drug user had died of anthrax. This last case is of cutaneus anthrax. Microbiological investigations suggest that the strain in the first 2012 cases is identical or almost identical to the strain from the 2009-2010 cases.
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.
ECDC has issued a risk assessment on cholera transmission related to travel to the Dominican Republic after two cases have been detected in tourists returning to the UK and Germany from resorts in the Punta Cana area of the Dominican Republic.