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Cameroon Cholera Factsheet


Cholera was first reported in Cameroon in 1971. Since 1990, there have been large outbreaks in 1991, 1996, 1998, 2004, 2010 and 2011. The overall yearly trend shows an increase in size over time.Between 2004 and 2013, epidemiological surveillance reported 46,172 cases with 1,817 fatalities (high case fatality rate ≈ 3.9%).Main outbreaks were reported in the north in Far North and North regions and in the south of the country in the Littoral region which hosts the economic capital Douala.The country is affected by cross-border outbreaks, especially along its borders with Chad and Nigeria.

Le choléra est apparu pour la première fois au Cameroun en 1971. Depuis 1990, des épidémies importantes ont été enregistrées notamment en 1991, 1996, 1998, 2004, 2010 et 2011. La tendance générale montre une augmentation annuelle du nombre de cas (Fig. 1). Entre 2004 et 2013, la surveillance épidémiologique a notifié 46 172 cas avec 1 817 décès, soit un taux de létalité élevé de 3,9 %1. Les principales épidémies ont été enregistrées dans le nord, dans les régions du Nord et de l’Extrême Nord et dans le sud du pays dans la région du Littoral qui abrite la capitale économique Douala (Fig. 2 et Tab. I). Le pays est touché par des épidémies transfrontalières, en particulier le
long de ses frontières avec le Tchad et le Nigeria.


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Strategic recommendations
Outbreak onset and cross-border spread frequently occur in the regions of Far North, North, Southwest and Littoral (Douala). High-risk cholera regions are located on a corridor where outbreaks spread from and to neighbouring countries, mainly Nigeria and Chad, highlighting the importance of cross-border activities8 (Fig. 2). In those regions, preparedness and response plans should be developed and implemented including:

  1. strengthening early detection and rapid response systems of which community based surveillance and cross-border alert;
  2. setting up coordination mechanisms across the sectors and borders;
  3. building capacity on outbreak management;
  4. targeted pre-positioning of supplies and
  5. preparing communications messages and plans. Because of the high CFR, training on outbreak management and pre-positioning of supplies are highly recommended, especially in the Far North region.


Go to the country page to continue reading about cholera in Cameroun / Pour lire davantage sur le Cameroun, rendez-vous à la page pays : Cameroun

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