Cholera cases have been reported in the UK and Germany, linked to travel in Ethiopia. An ongoing cholera outbreak began in Ethiopia on 27 August 2022, causing thousands of infections. Travellers to affected areas are advised to practice hygiene and consider vaccination if at high risk. Immediate medical advice is crucial for those returning with symptoms.
Cholera is a serious infectious disease that leads to severe diarrhoea and can be life-threatening. It is transmitted primarily through contaminated food or water, particularly the bacterium Vibrio cholerae. Although cholera is no longer a widespread issue in the United Kingdom, sporadic cases do occur among travellers returning from affected regions. In the UK, cholera vaccinations are available but are recommended only for select populations.
An outbreak of cholera began in Ethiopia on 27 August 2022. By 3 March 2025, Ethiopia had reported 223 cases and four deaths for that year alone, with a total of 58,381 cases and 726 deaths linked to this outbreak since its onset. Recent data indicates that cholera cases in the UK have been traced back to travel in Ethiopia.
On 7 March 2025, the UK reported four cases of cholera identified in mid-February 2025, all tracing back to recent travel to Ethiopia. Three individuals had visited Ethiopia, specifically the Amhara region, with one having been to the Bermel Giorgis holy well. A fourth case arose when a person ingested holy water brought back by a returning traveler.
Germany reported three cases of cholera on 27 February 2025, connected to similar travel circumstances in Ethiopia. Two German nationals retrieved a bottle of holy water from the Bermel Giorgis holy well and consumed it upon returning, leading to severe illness confirmed in the following days. All individuals required hospital treatment after presenting cholera symptoms.
Cholera risk for most travellers remains low, typically estimated at two to three cases per million. However, those designated as high-risk, including humanitarian workers or individuals traveling to endemic areas with limited access to safe water, may benefit from vaccination after a thorough risk assessment.
Prior to travel, individuals are encouraged to consult TravelHealthPro’s Country Information pages regarding cholera risks at their destination. Those at risk should seek advice regarding cholera vaccines and ensure all other vaccinations are current. Good hygiene practices should be maintained while abroad, especially regarding food and water consumption.
Upon returning from affected areas, travellers should seek immediate medical advice if they experience severe watery diarrhoea, vomiting, or signs of dehydration, informing health professionals of their recent travel history. Health care providers are advised to assess travellers showing severe diarrhoeal symptoms for cholera and collect appropriate samples for testing if needed.
In summary, cholera cases have recently emerged in the UK and Germany, linked to Ethiopian travel. The ongoing cholera outbreak in Ethiopia emphasizes the importance of health precautions for travellers, including vaccination for high-risk individuals. Travellers should remain vigilant regarding food and water hygiene and seek medical assistance promptly upon experiencing symptoms. Continued awareness and public health communication are crucial in maintaining safety and health in relation to cholera.
Original Source: travelhealthpro.org.uk
