14 May 2024 | 02:28 PM UTC
Mayotte: Confirmed cholera activity reported in multiple areas, especially Koungou, in May /update 1
Confirmed cholera activity reported in multiple areas in Mayotte, especially Koungou, in May. Use strict food and water precautions.
Health officials have reported confirmed cholera activity in multiple areas in Mayotte, with 78 cases reported from March 18-May 13. These are the first cholera cases recorded in Mayotte since 2000. Koungou is the most affected, accounting for the majority of locally acquired cases. M'tsangamouji has also reported one locally acquired case. Mayotte's Regional Health Agency stated that testing and vaccination operations are ongoing, and a second cholera unit has been opened at a medical center. This report represents the most up-to-date information as of May 14.
Consult a travel medicine provider before departure regarding cholera vaccination. Practice strict food and water precautions. Seek immediate medical attention if symptoms develop within a week of being in affected areas.
The first case of cholera was identified on March 18, as an individual arriving from Anjouan, Comoros, where an outbreak has been ongoing since the start of the year. 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 2-3 days after exposure, but can develop up to 5 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.