Cholera Cases Linked to Travel from Ethiopia in the UK and Germany

Cholera cases linked to Ethiopia have been reported in the UK and Germany. The ongoing outbreak in Ethiopia has led to significant fatalities, prompting health warnings for travelers. Individuals at higher risk should consider vaccination, and travelers must practice strict hygiene. Health professionals are urged to educate about cholera risks and manage cases effectively.

Cholera, a severe diarrheal infection caused by Vibrio cholerae, presents a potential health risk primarily through contaminated food and water. Although cholera is no longer prevalent in the United Kingdom, sporadic cases among returning travelers have been reported. Vaccines are available but are selectively recommended for specific travelers based on their circumstances.

Ethiopia has been experiencing an ongoing cholera outbreak since August 27, 2022, with a total of 223 cases and four fatalities reported in 2025 alone. Cumulatively, since the outbreak began, 58,381 cases and 726 deaths have occurred in the country, raising significant public health concerns.

On March 7, 2025, the UK health authorities confirmed four cases of cholera linked to recent travel to Ethiopia. Three travelers, two of whom visited the Amhara region, consumed holy water from the Bermel Giorgis well before falling ill. A fourth individual, who did not travel, developed symptoms after ingesting holy water brought back by one of the returning travelers.

Similarly, Germany reported three cholera cases on February 27, 2025, with connections to Ethiopian travel. Two German tourists brought back holy water collected from the same well and shared it with a non-traveling acquaintance, leading to symptoms of cholera within days of consumption.

The likelihood of cholera affecting most travelers remains low, estimated at two to three cases per million travelers. Higher-risk travelers, including humanitarian workers and those visiting areas with cholera outbreaks, should consider the cholera vaccine following a risk assessment.

Prior to traveling, individuals should consult the TravelHealthPro website for destination-specific cholera risks and discuss vaccination options with healthcare professionals. While abroad, maintaining proper food and water hygiene is crucial, and travelers should avoid consuming water from untreated sources. After returning, immediate medical advice is paramount for anyone exhibiting severe diarrhea and signs of dehydration following a visit to a cholera-affected area.

Healthcare professionals are advised to provide guidance on cholera risks specific to travelers’ destinations and encourage vaccination for those at increased risk. Suspicion of cholera should prompt thorough investigations, with stool samples sent for testing and confirmation to ensure an effective public health response.

In summary, cholera remains a significant health concern in areas experiencing outbreaks, such as Ethiopia. The UK and Germany have reported cases linked to travel to these regions, underscoring the importance of preventive measures. Travelers should be aware of their risk, consider vaccination where appropriate, and adhere to hygiene protocols. Health professionals play a critical role in educating and monitoring those returning from affected areas to mitigate the spread of cholera.

Original Source: travelhealthpro.org.uk