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16 Jan 2024 | 09:27 AM UTC

Zimbabwe: Elevated cholera activity reported in multiple areas through January

Elevated cholera activity reported in multiple areas in Zimbabwe through January. Use food and water precautions.

Informational

Health authorities have reported elevated cholera activity in multiple areas in Zimbabwe, with a total of 16,815 cases (2,019 confirmed) reported as of Jan. 10. This is compared to the 135 cases reported in Zimbabwe for 2022. Cholera cases have been reported in all 10 of Zimbabwe’s provinces, with Harare, Manicaland, and Masvingo being most affected, accounting for more than 89 percent of reported cases. 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 Jan. 16.

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.

The current cholera outbreak in Zimbabwe has been ongoing since Feb. 12, 2023, when one case was reported from the town of Chegutu, Mashonaland West Province. Following a decline in disease activity, cases began to surge in November 2023. Health officials have attributed the surge to poor sanitation, contaminated water supplies, mass gatherings, cross-border mobility, and the onset of the rainy season. Zimbabwean health officials reported 135 cases of cholera in 2022 and 10,671 cases in the 2018-2019 outbreak.

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.