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Abstract

In February 2025, public health agencies in Germany and the United Kingdom (UK) reported four cases of domestically acquired cholera caused by consumption of holy water imported from Ethiopia, and a further three cases in travellers to Ethiopia. Multidrug-resistant O1, linked to recent outbreaks in Eastern and Middle Africa, was detected in clinical specimens and the holy water. In cholera-endemic regions, visitors should drink potable water and should not bring bottled water back from their travels.

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/content/10.2807/1560-7917.ES.2025.30.14.2500234
2025-04-10
2025-04-12
/content/10.2807/1560-7917.ES.2025.30.14.2500234
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References

  1. World Health Organization (WHO). Weekly bulletin on outbreaks and other emergencies week 9: 24 February – 2 March 2025. WHO: Geneva; 2 Mar 2025. Available from: https://iris.who.int/bitstream/handle/10665/380693/OEW9-240202032025.pdf)
  2. World Health Organization (WHO). WHO ramps up cholera response efforts in Ethiopia’s Gambella Region. WHO: Geneva; 12 Mar 2025. Available from: https://www.afro.who.int/countries/ethiopia/news/who-ramps-cholera-response-efforts-ethiopias-gambella-region?country=30&name=Ethiopia
  3. United Nations Office for the Coordination of Humanitarian Affairs (OCHA). Ethiopia - Cholera outbreak (DG ECHO, UN OCHA, WHO) (ECHO Daily Flash of 06 February 2025). OCHA: Geneva; 6 Feb 2025. Available from: https://reliefweb.int/report/ethiopia/ethiopia-cholera-outbreak-dg-echo-un-ocha-who-echo-daily-flash-06-february-2025
  4. Rouard C, Collet L, Njamkepo E, Jenkins C, Sacheli R, Benoit-Cattin T, et al. Long-distance spread of a highly drug-resistant epidemic cholera strain. N Engl J Med. 2024;391(23):2271-3.  https://doi.org/10.1056/NEJMc2408761  PMID: 39665659 
  5. Nair S, Barker CR, Patel V, Poh CY, Ribeca P, Greig D, et al. Highly drug resistant Vibrio cholerae harbouring blaPER-7 isolated from travellers returning to England. J Antimicrob Chemother. 2025; (Forthcoming).
  6. Lassalle F, Al-Shalali S, Al-Hakimi M, Njamkepo E, Bashir IM, Dorman MJ, et al. Genomic epidemiology reveals multidrug resistant plasmid spread between Vibrio cholerae lineages in Yemen. Nat Microbiol. 2023;8(10):1787-98.  https://doi.org/10.1038/s41564-023-01472-1  PMID: 37770747 
  7. Mboowa G, Matteson NL, Tanui CK, Kasonde M, Kamwiziku GK, Akanbi OA, et al. Multicountry genomic analysis underscores regional cholera spread in Africa. medRxiv2024 https://doi.org/10.1101/2024.11.15.24317392 
  8. Rouard C, Greig DR, Tauhid T, Dupke S, Njamkepo E, Amato E, et al. Genomic analysis of Vibrio cholerae O1 isolates from cholera cases, Europe, 2022. Euro Surveill. 2024;29(36):2400069.  https://doi.org/10.2807/1560-7917.ES.2024.29.36.2400069  PMID: 39239731 
  9. Stout RC, Feasey N, Péchayre M, Thomson N, Chilima BZ. Time to invest in cholera. EClinicalMedicine. 2025;80:103044.  https://doi.org/10.1016/j.eclinm.2024.103044  PMID: 39896879 
  10. Schürmann D, Ebert N, Kampf D, Baumann B, Frei U, Suttorp N. Domestic cholera in Germany associated with fresh fish imported from Nigeria. Eur J Clin Microbiol Infect Dis. 2002;21(11):827-8.  https://doi.org/10.1007/s10096-002-0832-z  PMID: 12461596 
  11. Global Task Force on Cholera Control (GTFCC). Interim Technical Note - Use of antibiotics for the treatment and control of cholera. Geneva: GTFCC; 2022. Available from: https://www.gtfcc.org/wp-content/uploads/2019/10/gtfcc-technical-note-on-use-of-antibiotics-for-the-treatment-of-cholera-1.pdf
  12. Harris JB, LaRocque RC, Qadri F, Ryan ET, Calderwood SB. Cholera. Lancet. 2012;379(9835):2466-76.  https://doi.org/10.1016/S0140-6736(12)60436-X  PMID: 22748592 
  13. Resolve to Save Lives. Enhanced situational awareness: taking action to stop outbreaks before they begin in Ethiopia. Resolve to Save Lives: New York. [Accessed: 7 Apr 2025]. Available from: https://resolvetosavelives.org/about/success-stories/enhanced-situational-awareness-taking-action-to-stop-outbreaks-before-they-begin-in-ethiopia
  14. Mashe T, Domman D, Tarupiwa A, Manangazira P, Phiri I, Masunda K, et al. Highly resistant cholera outbreak strain in Zimbabwe. N Engl J Med. 2020;383(7):687-9.  https://doi.org/10.1056/NEJMc2004773  PMID: 32786196 
  15. Dinede G, Abagero A, Tolosa T. Cholera outbreak in Addis Ababa, Ethiopia: A case-control study. PLoS One. 2020;15(7):e0235440.  https://doi.org/10.1371/journal.pone.0235440  PMID: 32614915 
  16. Berhe TM, Fikadu Y, Sahle T, Hailegebireal AH, Eanga S, Ketema T, et al. Existence of cholera outbreak, challenges, and way forward on public health interventions to control cholera outbreak in Guraghe Zones, southern Ethiopia, 2023. Front Public Health. 2024;12:1355613.  https://doi.org/10.3389/fpubh.2024.1355613  PMID: 38859897 
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