15 Nov 2023 | 10:06 AM UTC
Sudan: Elevated cholera activity reported in multiple areas, especially Al Qadarif State, through November /update 2
Elevated cholera activity reported in multiple areas in Sudan, especially Al Qadarif State, through November. Use food, water precautions.
Sudanese health authorities have reported elevated cholera activity in multiple areas, with an additional 1,068 suspected cases reported Oct. 17-Nov. 9, bringing the total case count to 2,525 suspected cases (33 confirmed cases) since Sept. 25. Al Qadarif (1,243 cases) is the most affected state, followed by Aj Jazirah (501 cases), Khartoum (403 cases), South Kordofan (346 cases), Kassala (23 cases), and Sennar (9 cases). Surveillance is ongoing in affected and high-risk areas to identify and address risk factors. Local health authorities are coordinating efforts to scale up access to clean water and sanitation facilities in affected areas. This report represents the most complete data available as of Nov. 15.
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.
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.
