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The Journal of the Royal Society for the Promotion of Health
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Cholera: a continuous epidemic in Africa

A Naidoo

Health Services Research, BlueCross BlueShield of Tennessee, 801 Pine Street, Chattanooga, TN 37402-2555, USA

K Patric

BlueCross BlueShield of Tennessee, 801 Pine Street, Chattanooga, TN 37402-2555, USA

Cholera continues to plague many parts of the world, but has largely been concentrated in Africa, which contributes more than 80% of the total cases worldwide.

Natural disasters, like the 2000 floods in Mozambique and the volcanic eruption in the Democratic Republic of the Congo in 2002, generally lead to new outbreaks of the disease. The refugee problem in many countries throughout the world also causes potential threats for disease outbreaks. Case fatality rates are high, and we are not anywhere near curbing new cholera epidemics, especially in Africa. It is thus imperative to renew discussions about the nature of this deadly disease, its treatment, measures for prevention and control, modes of transmission, its physical, social and economic impact, and potential solutions.

Key Words: Cholera • dehydration • diarrhoea • interregional solution • prevention • symptoms • treatment

The Journal of the Royal Society for the Promotion of Health, Vol. 122, No. 2, 89-94 (2002)
DOI: 10.1177/146642400212200209
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