Cholera Platform

Against cholera

UNICEF Cholera factsheet

Benin Cholera Factsheet


Cholera was first reported in Benin in 1970. Since 1990, there have been large outbreaks in 1991, 1996 and 2001. The overall yearly trend shows a decrease in size over time.Between 2004 and 2013, epidemiological surveillance reported 5,432 cases with 48 fatalities (case fatality rate ≈ 0.9%).Main outbreaks were reported in the four coastal departe­ments: Littoral, Atlantique, Oueme and Mono.The country is affected by cross-border outbreaks from Nigeria and Togo, especially along the Guinean coast.


High-risk cholera areas along the coastline are located on corridors where outbreaks spread from and to neighbouring countries Togo, Nigeria and Ghana (Tab. II). Particularly, it should be noted that northern departments bordering Niger can also be affected by cholera outbreaks spreading alongside the Niger River. This highlights the importance of cross-border activities for coastal regions and communes bordering River Niger.

In coastal departments, 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 (Tab. II).

Sustainable Water, Sanitation and Hygiene activities should be a priority in communes regularly affected with long outbreaks (Tab. II, Type 1). An integrated WASH-Epidemiology study has been conducted by UNICEF in 2014 and proposes long-term programmatic responses in Type 1 cholera hotspots6. Concrete actions should be undertaken in communities located on the lakeside (So-Ava) and at Kraké (Seme-Kpodji) 1) to improve access to water (construction/rehabilitation of water points), public latrines, and treatment of drinking water (social marketing approach), 2) to strengthen prevention against cholera and change high risk practices (proximity and media awareness campaigns).


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