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On 25 May 2016, the Ecuador IHR National Focal Point reported the confirmation of a cholera case in a 57 year old person, with an underlying clinical condition, from the city of Machala in the province of El Oro. No other suspected cases were found and there was no increase registered of acute diarrheal disease at local or the national level. Nonetheless the investigation continues. The last autochthonous case of cholera was registered in Ecuador in 2004.
Cholera is a low risk for most travellers. Travellers to outbreak areas who will be mixing closely with the local population and cannot ensure safe drinking water can be immunised against cholera. A high standard of food/water precautions and personal hygiene should be maintained whenever possible.
