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.