Cholera Platform

Against cholera

UNICEF Cholera factsheet

Côte d'Ivoire Cholera Factsheet


Cholera was first reported in Ivory Coast in 1970. Since 1990, there have been large outbreaks in 1995, 2001 and 2002 with comparatively small outbreaks reported in the past 10 years (Fig. 1). Between 2002 and 2013, epidemiological surveillance reported 7,573 cases with 272 fatalities (high case fatality rate ≈ 3.6%)1. Main outbreaks were reported in the coastal region of Lagunes, with nearly 70% of all cases (Tab. I). The country is affected by cross-border outbreaks, especially in Abidjan and along the borders with Ghana and Liberia.


High-risk cholera areas along the coastline are located on a corridor where outbreaks spread from and to neighbouring countries Ghana and Liberia, highlighting the importance of cross-border activities5 (Fig. 2 and Tab. II). Establishing of a cross-border early warning system in the coastal districts along the Gulf of Guinea from Ghana to Guinea-Bissau through the surveillance of migrant fishermen’s movements is essential5. In regularly affected 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 (Tab. II). Sustainable Water, Sanitation and Hygiene activities should be a priority in districts regularly affected and with a high duration (Tab. II, Type 1). There is a need for multidisciplinary studies to identify long-term programmatic responses in Type I and Type II Hotspots. (Tab. II).

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