Cholera travel vaccination advice updated

The list of countries for which cholera vaccination may be advisable for high-risk travellers has been updated by the National Travel Health Network and Centre (NaTHNaC).

Travellers should practise strict food and water hygiene to minimise the risk of cholera. | SCIENCE PHOTO LIBRARY
Travellers should practise strict food and water hygiene to minimise the risk of cholera. | SCIENCE PHOTO LIBRARY

Travel to the following countries may pose a risk of cholera infection. Immunisation can be considered for humanitarian aid workers and travellers with remote itineraries in areas of cholera outbreaks, who have limited access to safe water and medical care.

Africa: Angola, Benin, Botswana, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Cote d'Ivoire, Democratic Republic of Congo, Djibouti, Ethiopia, Equatorial Guinea, Eritrea, Gabon, Gambia, Ghana, Guinea, Guinea Bissau, Kenya, Lesotho, Liberia, Malawi, Mali, Mauritania, Mozambique, Namibia,  Niger, Nigeria, Rwanda, Senegal, Sierra Leone, Somalia, South Africa, South Sudan, Sudan, Swaziland, Uganda, Tanzania, Zambia and Zimbabwe

Asia: Afghanistan, Bangladesh, Bhutan, Cambodia, India, Indonesia, Indonesia (Bali and Borneo), Laos, Malaysia, Malaysia (Borneo), Myanmar, Nepal, Pakistan, Papua New Guinea, Philippines, Tajikistan, Thailand and Vietnam

Middle East: Iran, Iraq and Yemen

The Americas: Cuba, Dominican Republic, Haiti and Mexico

Cholera vaccination is no longer recommended for travel to China, Comoros, Sao Tome and Principe, Tibet or Ukraine.

Cholera is considered a potential risk to travellers if a country has reported ≥100 cases to the WHO in at least 3 out of 5 years (2008 to 2012 inclusive), or an outbreak of ≥1000 cases to the WHO in at least one year (2008 to 2012 inclusive).

The updated country-specific recommendations will appear in the June quarterly print issue of MIMS. Full travel vaccination and malaria prophylaxis guidance by country can be found on the MIMS travel pages.

Patient factsheet on cholera

Follow MIMS on Twitter

Register or Subscribe to MIMS

GPs can get MIMS print & online and GPonline for free when they register online – take 2 minutes, and make sure you get your free MIMS access! If you're not a GP, you can subscribe to MIMS for full access.

Register or subscribe

MIMS bulletins

News and updates straight to your inbox.

Prescribing Update: Fortnightly news bulletin
Urgent prescribing updates
Spotlight: Disease-themed monthly round-up

Sign me up

MIMS Dermatology

Read the latest issue online exclusively on MIMS Learning.

Read MIMS Dermatology

Mobile apps

MIMS: access the full drug database and quick-reference tables on the go

MIMS Diagnosis and Management: concise information on signs and symptoms, investigations and diseases

Promo Image

Clinical calculators

Handy calculators and conversions for primary care.