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The Ministry of Health of the Dominican Republic 
(in Spanish) reported 122 cholera cases (four deaths) in 2017. Transmission is ongoing but declining, with the total for 2017 being about 10% of the total recorded for 2016.
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.
