Cholera Cases in the United Kingdom and Germany Linked to Ethiopian Outbreak
Cholera cases in the UK and Germany have been linked to an outbreak in Ethiopia, which began in August 2022 and has reported significant case numbers. Travellers to cholera-affected areas must consider vaccinations, and strict hygiene practices are recommended. Medical attention is crucial for symptoms post-travel. Health professionals should be proactive in managing potential cholera cases among returning travellers.
Cholera is a severe infection characterized by potent diarrhoea, primarily caused by ingesting food or water contaminated with the Vibrio cholerae bacteria. Although cholera is no longer a threat within the United Kingdom, instances arise among returning travellers. In the UK, cholera vaccines are available but recommended only under specific travel circumstances.
An ongoing cholera outbreak in Ethiopia originated on 27 August 2022. By 3 March 2025, Ethiopia had reported 223 cases and four deaths for the year. Cumulatively, since the outbreak’s inception, the nation has documented a total of 58,381 cases and 726 deaths related to cholera.
On 7 March 2025, the UK confirmed four cases of cholera, all linked to travel to Ethiopia. Among those affected, three UK travellers had recently visited Amhara and consumed water from the Bermel Giorgis holy well. Additionally, a fourth individual, who did not travel, fell ill after drinking holy water brought back by one of the travellers.
Germany also reported three cholera cases on 27 February 2025, linked to two German individuals who returned from Ethiopia in January. They, along with a non-traveller, consumed holy water taken from Bermel Giorgis and exhibited cholera symptoms shortly thereafter, necessitating hospital treatment.
For the general travelling public, the risk of cholera remains low, with only two to three cases occurring per million travellers. Nevertheless, specific groups may warrant vaccination, including humanitarian aid workers and individuals visiting areas with cholera outbreaks.
Prior to travel, individuals are advised to review destination-specific cholera risks via the TravelHealthPro website and schedule consultations with healthcare professionals regarding vaccination. During their journey, travellers should adhere strictly to food and water hygiene protocols. Upon returning, immediate medical advice should be sought if symptoms of severe diarrhoea or dehydration are experienced, particularly after visiting cholera-endemic regions.
Healthcare providers should counsel patients on destination-related cholera risks and encourage vaccination for those with heightened exposure. Physicians must remain vigilant for cholera cases in returning travellers and arrange laboratory assessments promptly when such symptoms occur, ensuring the proper identification of Vibrio cholerae strains.
In conclusion, cholera remains a serious health concern linked to travel, particularly from regions with ongoing outbreaks such as Ethiopia. Continued vigilance among travellers and health professionals is essential to minimize risks, facilitate timely vaccinations for at-risk individuals, and ensure rapid treatment for symptoms indicative of cholera. Public health advisories play a crucial role in maintaining awareness and safeguarding health in relation to travel-associated diseases.
Original Source: travelhealthpro.org.uk
