31 Oct 2022 | 11:18 PM UTC
Malawi: Elevated cholera activity reported nationwide through October
Elevated cholera activity reported nationwide in Malawi through October, especially in Nkhata Bay District. Use food and water precautions.
Event
Malawian health authorities have reported 6,056 cholera cases March 3-Oct. 31 across all three regions of the country. This outbreak is the largest reported in Malawi in the past 20 years. Nkhata Bay District is the most affected (1,128 cases and 31 deaths), followed by Nkhotakota (811 cases and 40 deaths), Rumphi (783 cases and 13 deaths), and Blantyre (650 cases and 26 deaths). As of Oct. 31, officials have reported 183 cholera-related deaths, leading to a case fatality rate of 3 percent. This report reflects the most complete data available as of Oct. 31.
Context
Cholera is endemic to the country's Northern Region (Chitipa and Karonga districts) and Southern Region. Malawi reported two cases of cholera in 2021, three in 2020, 29 in 2019, and 812 in 2018. The Ministry of Health is currently making efforts to curb the spread of the disease, including through vaccination campaigns and contact tracing. Communities that lack access to safe drinking water and proper sanitation are at an increased risk of spreading the disease.
Cholera is transmitted directly through food or water contaminated with fecal material from an infected person. Most infected people develop no symptoms or only mild diarrhea. However, approximately one in 10 infected people develop severe cholera, which causes symptoms including profuse, watery diarrhea, vomiting, rapid heart rate, low blood pressure, muscle cramps, restlessness, or irritability. Symptoms typically appear two or three days after exposure but can develop up to five days after exposure. Individuals with severe cholera can develop acute renal failure, severe electrolyte imbalances, and coma. If left untreated, these can lead to shock and rapid death.
Advice
Consult a travel medicine provider regarding cholera vaccination before traveling to the country. Practice strict food and water precautions. Seek immediate medical attention if symptoms develop within a week of being in areas of high cholera transmission.
