According to WHO’s regional office and regional health authorities, more than 70 cases of cholera have been reported since late July 2024. This figure represents a three-fold increase over the average incidence, with the majority of cases occurring in the Maritime Region. Alarmingly, the outbreak has yet to peak, and the case fatality rate stands at 11%. This rate suggests issues with risk management, indicating that the actual case burden may be higher than currently reported.
Despite the rising case numbers, the risk to travelers remains minimal. However, it is advisable for aid and refugee workers, as well as medically vulnerable individuals, to consider cholera vaccination before heading to affected areas. Travelers visiting friends and relatives in these regions should also think about getting vaccinated to enhance their protection.
Regardless of vaccination status, all travelers should adhere to strict food and beverage precautions, as well as maintain rigorous hand hygiene practices, which include frequent and thorough handwashing. Additionally, it is recommended that travelers carry empiric antibiotic therapy, such as azithromycin, and oral rehydration solution (ORS) for self-treatment should they experience any moderate-to-severe diarrhea.