According to Rwanda’s Ministry of Health, more than 17 cases of cholera (including 8 laboratory-confirmed cases) have been reported since mid-January 2026 in Rusizi and Nyamasheke districts, Western Province. Cholera vaccination should be considered for aid and refugee workers and medically vulnerable persons going to affected areas and for travelers visiting friends and relatives in these areas. Travelers, regardless of vaccination status, should observe strict food and beverage precautions and hand hygiene (frequent, thorough handwashing) and carry empiric antibiotic therapy and oral rehydration solution (ORS) for self-treatment if any moderate-to-severe diarrhea develops. Travelers who develop watery diarrhea should ensure adequate intake of clean water and avoid high sugar beverages. In case of severe, watery diarrhea, oral rehydration (ideally with an ORS) should be considered if oral fluids are tolerated.
