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04 Jun 2024 | 02:23 PM UTC

Mayotte: Confirmed cholera activity reported in multiple areas, especially Koungou, in early June /update 2

Confirmed cholera activity reported in multiple areas in Mayotte, especially Koungou, in early June. Use strict food and water precautions.

Informational

Health officials have reported confirmed cholera activity in multiple areas in Mayotte, with an additional 60 cases reported from May 14-June 3, bringing the total case count to 138 cases since March 18. These are the first cholera cases recorded in Mayotte since 2000. Koungou (71 cases) is the most affected, followed by M'tsangamouji (16 cases) and Passamainty (12 cases). Mayotte's Regional Health Agency has strengthened health monitoring and implemented screening and diagnosis of people entering the territory, as well as control measures around each diagnosed case. This report represents the most up-to-date information as of June 4.

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 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.