Syria: Cholera outbreak ongoing nationwide through October /update 1

Event

Syrian health authorities continue to report elevated cholera activity with at least 20,014 suspected cases reported nationwide between Aug. 25-Oct. 15. This includes at least 989 confirmed cases. Most cases have been reported in Deir-ez-Zor Governate (10,960 suspected cases), followed by Ar-Raqqa (4,519 suspected cases), Aleppo (3,091 suspected cases), and Al-Hasakeh (1,017 suspected cases) governorates. At least 75 cholera-associated deaths have been reported as of Oct. 15. This represents the most complete data available as of Oct. 26.

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.