Roadmap Strategy to Reduce Deaths from Cholera Launched

Cholera kills an estimated 95 000 people and affects 2.9 million more every year. Urgent action is needed to protect communities, prevent transmission and control outbreaks.

Cholera still affects at least 47 countries across the globe, resulting in an estimated 2.9 million cases and 95,000 deaths per year worldwide.

Worldwide, 844 million people still lack access to even a basic drinking water source, more than 2 billion drink water from sources that are faecally contaminated, and 2.4 billion are without basic sanitation facilities, exposing them to a range of water-related diseases including cholera.

The Global Task Force on Cholera Control (GTFCC), a diverse network of more than 50 UN and international agencies, academic institutions, and NGOs that supports countries affected by the disease will on Wednesday launch a new strategy to reduce deaths from cholera by 90 percent by 2030.

The new plan dubbed ‘Ending Cholera: A Global Roadmap to 2030’, recognizes that cholera spreads in endemic “hotspots” were predictable outbreaks of the disease occur year after year.

Cholera “hotspots” are specific and relatively small areas where the cholera burden is most concentrated. Cholera hotspots play a central role in the spread of the disease to other regions or areas. In Africa alone, 40 to 80 million people live in cholera hotspots.

The Global Roadmap aims to align resources, share best practice and strengthen partnerships between affected countries, donors and international agencies. It underscores the need for a coordinated approach to cholera control with country-level planning for early detection and response to outbreaks. By implementing the Roadmap, up to 20 affected countries could eliminate cholera by 2030.

“WHO is proud to be part of this new joint initiative to stop deaths from cholera. The disease takes its greatest toll on the poor and the vulnerable – this is quite unacceptable. This roadmap is the best way we have to bring this to an end,” said Dr. Tedros Adhanom Ghebreyesus, Director-General of WHO.

“Every death from cholera is preventable with the tools available today, including the use of the Oral Cholera Vaccine and improved access to basic safe water, sanitation and hygiene as set out in the Roadmap,” said Dr. Tedros Adhanom Gebreyesus. “This is a disease of inequity that affects the poorest and most vulnerable. It is unacceptable that nearly two decades of the 21st century, cholera continues to destroy livelihoods and cripple economies. We must act together. And we must act now.”

According to the World Health Organization (WHO), Cholera can be controlled with a multi-sectoral approach— including basic water, sanitation, and hygiene (WASH) services, and oral cholera vaccines (OCV). Ending cholera is a moral obligation and an important achievement in its own right, and it is also critical to achieving the Sustainable Development Goals (SDGs).

Advances in the provision of water sanitation and hygiene (WASH) services have made Europe and North America cholera-free for several decades.

Today, although access to WASH is recognized as a basic human right by the United Nations, over 2 billion people worldwide still lack access to safe water and are potentially at risk of cholera. Weak health systems and low early detection capacity further contribute to the rapid spread of outbreaks.

Cholera disproportionally impacts communities already burdened by conflict, lack of infrastructure, poor health systems, and malnutrition. Protecting these communities before cholera strikes are significantly more cost-effective than continually responding to outbreaks.

The introduction of the oral cholera vaccine has been a game-changer in the battle to control cholera, bridging the gap between emergency response and longer-term control. Two WHO-approved oral cholera vaccines are now available and individuals can be fully vaccinated for just US$6 per person, protecting them from the disease for up to three years.

The Global Roadmap provides an effective mechanism to synchronize the efforts of countries, donors, and technical partners. It underscores the need for a multi-sectoral approach to cholera control with country-level planning for early detection and response to outbreaks.

By strengthening WASH in endemic “hotspots”, cholera outbreaks can be prevented. By detecting cholera outbreaks early, and responding immediately, large-scale uncontrolled outbreaks like the one observed in Yemen can be avoided – even in crisis situations.