Africa: Cholera Outbreak in West and Central Africa Poses Crisis for Children

Africa: Cholera Outbreak in West and Central Africa Poses Crisis for Children


Some 80,000 children are estimated to be at high risk of cholera in West and Central Africa as the rainy season begins across the region, the UN Children’s Fund (UNICEF) said on Wednesday.

“The heavy rains, widespread flooding, and the high level of displacement are all fuelling the risk of cholera transmission and putting the lives of children at risk,” said UNICEF Regional Director for West and Central Africa, Gilles Fagninou.

Cholera is an acute diarrheal infection caused by consuming food or water contaminated with bacteria. The disease can be treated with oral rehydration solution and antibiotics, but it can be fatal within hours if untreated.

Young children are particularly vulnerable to cholera due to factors such as poor hygiene, inadequate sanitation and access to safe water, and a greater risk of severe dehydration.

Regional hotspots

Active outbreaks in the hotspots of the Democratic Republic of the Congo (DRC) and Nigeria are fuelling the risk of cross-border transmission to neighbouring countries.

The DRC is the hardest-hit country in the region, reporting more than 38,000 cases and 951 deaths in July.

Children under five now account for nearly 26 per cent of cases in the DRC, and without stronger containment measures, they may face the worst cholera crisis since 2017.

The situation in capital Kinshasa is particularly critical, as intense rainfall and widespread flooding have caused cases to surge sharply over the past four weeks. Straining an already overwhelmed healthcare system, the city is now facing an alarming case fatality rate of 8 per cent.

Nigeria is the second most affected country in the region, with 3,109 suspected cholera cases and 86 deaths as of the end of June. Cholera is endemic in the country, where major outbreaks have reoccurred in recent years.