28 Sep 2022 | 02:34 PM UTC
Syria: Cholera outbreak ongoing nationwide through September
Elevated cholera activity reported in Syria, especially in northern governorates, through September. Use food and water precautions.
Event
Syrian health authorities reported a cholera outbreak on Sept. 10. They have recorded 5,973 suspected cases nationwide Aug. 25-Sept. 23. At least 364 cases have been confirmed as cholera. Most cases have been reported in the Aleppo, Deir-ez-Zor, and Al-Hasakeh governorates. At least 36 cholera-associated deaths have been reported as of Sept. 23. This represents the most complete data available as of Sept. 28.
Context
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.
Advice
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.
