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Cholera continues to be transmitted in African countries.
Angola 
has reported 895 cases (15 deaths) from December 2017 to 08 April 2018. Cabinda and Uige provinces are affected.
Cameroon reported a new outbreak of cholera on 24 May 2018 on the border with Nigeria. So far, three cases including one confirmed case have been reported in Mayo-Oulo.
Democratic Republic of the Congo reported 70 829 cholera cases (1 551 deaths) from January 2017 to 15 April 2018.
Kenya has reported 8 010 cases from January 2017 to 7 May 2018. This is an increase of 1 532 cholera cases since 24 April 2018.
Malawi has reported 929 cases (30 deaths) from 01 January to 29 April 2018, an increase of 40 cases since 24 April 2018.
Nigeria has reported 1 874 suspected cholera cases including 47 deaths from 01 January to 27 May 2018. Most cases have been reported in Borno, Adamawa and Yobe States. There have been 1 006 cases (28 deaths) since 24 April 2018.
Somalia has reported 3 280 cases of cholera and acute watery diarrhoea (21 deaths) from December 2017 to 13 May 2018. The areas affected are Beletweyne, Banadir, Kismayo, Jowhar, Bulo barde and Afgoye.
Tanzania has reported 2 105 cholera cases (44 deaths) from 01 January to 20 May 2018.This is an increase of 660 cases (21 deaths) since 24 April 2018. Zanzibar has reported no cholera cases since 11 July 2017.
Uganda declared a new cholera outbreak was declared on 15 February 2018. Most of those affected were displaced refugees from DR Congo in Hoima district. 2 169 cases (46 deaths) have been reported as of 30 April 2018. This is an increase of 78 cases (2 deaths) since 24 April 2018. A new outbreak of cholera was declared in Amudat district on 01 May 2018.
Zambia has reported 5 721 cholera cases (113 deaths) from 04 October 2017 to 15 April 2018. This is an increase of 281 cases (4 deaths) since 24 April 2018. Most cases are in Lusaka city.
Zimbabwe has reported 62 cases (3 deaths) from 07 April to 16 May 2018 in Stoneridge, a suburbe of Harare.
Cholera is rare in travellers. Mild cases may present as travellers' diarrhoea.
All travellers should be given advice on maintaining good food, water and hand hygiene, see traveller's diarrhoea, safe eating and drinking and water purification.
Travellers should be advised on basic steps in self - treating diarrhoea, particularly maintaining hydration.
Vaccination should be considered under the following circumstances and is dependant on the individual risk assessment:
Volunteers/aid workers/medical personnel in disaster relief situations where cholera outbreaks likely.
Those travelling to work in slums/refugee camps, areas affected by natural disasters, or countries experiencing cholera outbreaks (see current notes on the country concerned).
For further information see Cholera.
