CDC considers the countries below to have areas of active cholera transmission. For information about the cholera transmission level and where it occurs in a country, check the cholera section on each country's destination page.
- Africa: Burundi, Cameroon, Comoros, Democratic Republic of the Congo, Ethiopia, Kenya, Malawi, Mayotte, Mozambique, Nigeria, Republic of the Congo, Somalia, South Africa, Sudan, Uganda, Tanzania, Zambia, Zimbabwe
- Asia: Afghanistan, Bangladesh, India, Pakistan, Philippines
- Middle East: Iraq, Syria, Yemen
- Americas: Dominican Republic, Haiti
Cholera in travelers is extremely rare but can occur among people visiting friends or family, healthcare workers, and response workers in outbreak settings. These groups may take longer trips and have limited safe food and water access. In areas with cholera outbreaks, travelers should avoid unsafe food and water and wash their hands often to help prevent cholera.
Source: CDC, September 2024. This list changes, so check the current CDC cholera page (opens in a new tab) and the CDC destination pages (opens in a new tab) before you travel.
Do you need a cholera vaccine? We carry the Vaxchora cholera vaccine ($395) at our Midtown East clinic and can tell you at your $95 pre-travel consultation whether it makes sense for your trip. Recent alerts: Mozambique (March 2026), Rwanda (March 2026), and Nepal (August 2024). See all vaccines and prices.
Planning a trip? A pre-travel consultation covers the vaccines, medications, and current health alerts for your itinerary. Book online (opens in a new tab) or call (212) 734-3000.