Cholera Outbreak in Ethiopia Linked to Cases in the UK and Germany

Cholera cases in the UK and Germany are linked to an ongoing outbreak in Ethiopia, where high transmission rates have been reported since August 2022. Although the risk is minimal for most travelers, vaccination is advised for high-risk groups. Precautions regarding food and water hygiene are crucial, and medical help should be sought promptly for symptoms post-travel.

Cholera, caused by the Vibrio cholerae bacteria, presents severe diarrhoea and can be fatal. Although cholera is not a risk in the UK, cases have appeared among returning travelers. Vaccines are available but recommended only for particular groups. The outbreak in Ethiopia began on 27 August 2022, with over 58,000 cases and 726 deaths reported since then.

In March 2025, the UK reported four cases of cholera linked to Ethiopia, stemming from travel to the Amhara region and consumption of holy water from the Bermel Giorgis holy well. Three UK travelers and a fourth individual who ingested the water experienced symptoms shortly after. Similarly, Germany reported three cases of cholera related to Ethiopian travel, with affected individuals consuming the same holy water brought back from the trip.

For most travelers, choleral risk remains low, with only 2-3 cases per million. However, high-risk groups, such as humanitarian workers and those in outbreak areas, should consider vaccination. Travelers should ensure all vaccinations are updated and take precautions with food and water hygiene during their trips.

Before traveling, it is essential to check advisories on the TravelHealthPro website, consult health professionals about vaccination if at risk, and ensure routine vaccines are up to date. While traveling, avoid drinking from untreated water sources and know the location of healthcare facilities. Upon returning, seek medical attention for severe diarrhoea or dehydration.

Health professionals should evaluate travelers’ cholera risk based on specific destinations. They should offer the cholera vaccine to those at increased risk and remain vigilant for cholera symptoms in patients with recent travel history. Testing and microbiology referrals are critical for diagnosing cholera effectively.

Cholera cases in the UK and Germany have been linked to travel to Ethiopia, highlighting ongoing outbreak concerns. While the risk for most travelers is low, specific populations should consider vaccination. Travelers must adhere to hygiene practices and seek medical care upon returning with symptoms. Health professionals are encouraged to stay informed and vigilant regarding cholera risks. This situation underscores the need for continuous awareness and readiness to manage cholera effectively.

Original Source: travelhealthpro.org.uk