The World Health Organization (WHO) announced today's preliminary 2023 data, indicating that the number of cholera cases reported this year has surpassed that recorded in 2022.
As of December 7, 2023, over 610,000 cholera cases and 3,500 related deaths have been reported by 29 countries.
The WHO confirmed that given the extensive number of outbreaks, their widespread distribution, and the current shortage of oral cholera vaccines (OCV), the WHO continues to assess the risk at the global level as very high.
At the end of November 2023, around 65 million OCV doses have been requested, with 45% being approved and allocated to 12 countries.
The global OCV stockpile is 4.5 million doses, available but not yet allocated.
There are three WHO pre-qualified OCVs: Dukoral®, Shanchol™, and Euvichol®.
In the current outbreak context, only one-dose courses have been validated and implemented in these reactive campaigns, says the WHO.
Since the beginning of 2023, 24 reactive vaccination campaigns have been implemented in 12 countries facing cholera outbreaks: Ethiopia (4), Mozambique (4), Kenya (3), Somalia (2), Northwest Syria (2), Cameroon (2), Sudan (2), the Dominican Republic (1), Democratic Republic of Congo (DRC) (1), Haiti (1), Malawi (1), and Zambia (1).
From an OCV availability perspective, the U.S. Food and Drug Administration recommends OCV for specific conditions in countries undergoing outbreaks.
However, vaccination against cholera is not generally recommended because most U.S. travelers do not visit cholera outbreaks.
In August 2023, the U.S. Centers for Disease Control and Prevention published Cholera Vaccine Recommendations, highlighting the Vaxchora® vaccine.
All OCVs require two doses for complete protection against cholera for up to three years, while a single dose provides short-term protection.














