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The World Health Organisation’s Eastern Medterranean Regional Office 
reports continuing cholera transmission in Yemen. The case total from 27 April 2017 to 20 May 2018 is 1 100 720 suspected cases (2 291 deaths), with 1119 confirmed cases.
At the present time, the rate of new cases is highest in the governorates of Amran, Al Mahwit, Al Dhale’e, Dhamar and Sana’a. Twenty-nine percent of cases are children ages under 5 years old.
Cases of cholera have been reported by 155 districts (out of 305 affected districts) in the last 3 weeks, but 150 districts have reported no suspected cases in the same period.
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.
