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TRAVAX Cholera Recommendations Updated

05 August 2019

The Travel and International Health team have carried out a revision of cholera recommendations for all TRAVAX country pages. This resulted in 8 countries having a cholera recommendation removed and 3 countries having a cholera recommendation added. See individual country pages.

Countries most at risk for cholera are mainly in Africa and Asia. Outbreaks can occur in other areas affected by floods and natural disasters. See outbreaks for the most up to date information.

The mainstay of prevention of cholera continues to be through care with food and water hygiene and good hand hygiene practices. Cholera vaccine may be considered for:

  • humanitarian aid workers in affected areas
  • those working in refugee camps or slums
  • travellers visisting areas currently affected by a cholera outbreak, if unable to take effective precuations with water.

References

1. WHO (2017). Cholera vaccines: WHO Position paper August 2017. Weekly Epidemiological Report. Available here.

2. Ali M, Nelson A, Lopez A, Sack D (2015). Updated Global Burden of Cholera in Endemic Countries. PLoS Negl Trop Dis; 9 (6), Available here.