A widespread cholera outbreak continues globally, with over 28 countries reporting cases since January 2025. The most affected regions include Africa (17 countries), the Eastern Mediterranean (6 countries), and Southeast Asia (5 countries). Four countries currently reporting higher-than-usual cholera activity are:
Angola: Over 24,800 cases since January mainly affecting Luanda, Benguela, and Bengo. Outbreak has peaked; trend is stable.
Democratic Republic of the Congo: Over 26,500 cases widespread, especially in Haut-Katanga, Haut-Lomami, Nord Kivu, South Kivu, and Tanganyika. Outbreak is still growing.
South Sudan: Over 49,400 cases nationwide. Outbreak has peaked; case numbers declining.
Sudan: Over 14,300 cases nationwide. Outbreak past peak but cases are increasing again.
Cholera remains a concern in regions with limited healthcare access or conflict, including Burundi, Mozambique, Syria, the Palestinian Territories, and Yemen.
Advice for Travelers
Risk for routine travelers remains low. However, cholera vaccination is recommended for aid workers, medically vulnerable individuals, and those visiting friends and relatives in outbreak areas. All travelers should maintain strict food and water safety, practice good hand hygiene, and consider carrying oral rehydration salts (ORS) and azithromycin for self-treatment in case of moderate or severe diarrhea.
