Cholera Cases in the UK and Germany Connected to Ethiopian Outbreak

Cholera cases linked to travel in Ethiopia have been reported in the UK and Germany. A choleral outbreak in Ethiopia has resulted in numerous cases and fatalities since 2022. Specific vaccination and hygiene recommendations exist for travellers, especially those at higher risk. Immediate medical attention is urged for symptomatic individuals returning from affected countries.

Recent cholera cases reported in the United Kingdom and Germany have been traced back to Ethiopia. Cholera, caused by the bacteria Vibrio cholerae, leads to severe diarrhoea and can be fatal. Although cholera is no longer endemic in the UK, it has been observed in returning travellers. Vaccinations are available in the UK but are suggested only for specific groups of travellers.

Ethiopia has been experiencing a cholera outbreak since August 27, 2022, with 223 cases and four deaths reported in 2025 alone. Cumulatively, since the outbreak began, there have been 58,381 cases and 726 deaths in Ethiopia, underscoring the severity of the situation.

On March 7, 2025, the UK reported four confirmed cholera cases, all linked to recent travel to Ethiopia. Three travellers visited Amhara and had consumed holy water from the Bermel Giorgis holy well. A fourth individual fell ill after consuming holy water brought back by one of the travellers.

Similarly, Germany noted three cholera cases on February 27, 2025, associated with travel to Ethiopia. German travellers also consumed holy water from the Bermel Giorgis holy well upon their return. All individuals subsequently exhibited cholera symptoms and required hospital treatment.

For most travellers, cholera risk remains low, with only a few cases reported per million travellers. However, certain groups, including humanitarian aid workers and those visiting affected areas, may consider vaccination based on a risk assessment.

Prior to travelling, individuals should review TravelHealthPro’s Country Information and consult healthcare providers for vaccination advice. During travel, it is essential to maintain good hygiene practices, especially regarding food and water consumption.

Upon returning from cholera-affected regions, immediate medical advice should be sought if experiencing severe symptoms, especially severe watery diarrhoea or dehydration.

Health professionals should be diligent in advising travellers of specific cholera risks and consider offering the cholera vaccine to individuals at heightened risk of exposure. Prompt testing and reporting of suspected cases are crucial to managing this infectious disease effectively.

Cholera cases in the UK and Germany associated with travel to Ethiopia illustrate the ongoing health risk posed by this diarrhoeal disease. With a significant outbreak in Ethiopia and confirmed cases in these European countries, it is critical for travellers and health professionals to be vigilant. Preventative measures, including vaccinations for at-risk individuals and adherence to hygiene practices, are vital to mitigate the spread of cholera. Immediate medical consultation is advised for anyone exhibiting symptoms following travel to affected areas.

Original Source: travelhealthpro.org.uk