Do I need a Cholera Vaccination?

Cholera is spread through drinking contaminated water . It can also be caught through eating contaminated shellfish or food. Cholera is present in many countries in Africa, India, South East Asia and some countries in South America and the Caribbean. Click here to see a map of countries reporting Cholera  in 2009.

Am I at risk?

Cholera in travellers is rare and vaccination is not normally required. However, if you are working in slum regions or refugee camps in countries with cholera outbreaks your doctor or nurse may recommend you have the cholera vaccine before your trip. Having access to clean drinking water and avoiding contaminated food is essential to avoid getting infected with cholera.

Cholera Vaccination

The Cholera vaccine is given orally and two doses are required. You need a second dose 1-6 weeks after the first dose has been administered. You should not eat or drink for 1 hour before or 1 hour after having the vaccination. The vaccine is suitable for adults and children aged 2 years and over. A booster is required every 2 years if you are at continued risk of exposure to cholera.
Side effects: most people tolerate the vaccine very well, common side effects reported are headaches and stomach upsets.

Tips for avoiding contaminated food and water

• Ensure you only drink clean water. Boiled water or bottled water is fine but check the seals to ensure it has not been filled with tap water.
• Clean your teeth with bottled or boiled water.
• Canned drinks and hot drinks are usually ok to drink.
• Avoid ice in your drinks.
• Consider using a sterilising agent such as chlorine if you are unsure if the water is safe or not.
• Eat only well cooked fresh food.
• Avoid left over or reheated foods
• Avoid salads that may have been washed in contaminated water.
• Never drink unpasteurised milk
• Avoid ice cream, if made from unpasteurised milk.
• Wash your hands regularly or use an alcohol hand gel.