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Cholera, a disease that was almost eradicated in a certain country, is now experiencing a resurgence.

 In southern Africa, Malawi had successfully nearly eradicated cholera, recording only two cases in 2021. However, over the past 11 months, the country has seen a surge in cholera cases, with more than 900 deaths reported. Patients are now filling up hospitals and tents, with medical staff struggling to keep up with the number of sick individuals.


A mother stood by her son as he was treated for cholera by nurses in a tent where patients are isolated from the general patient population at the Bwaila District hospital in Lilongwe, Malawi.

This sudden resurgence of the disease serves as a warning to other countries that have progressed in fighting cholera, as a lack of access to clean water and proper sanitation can still lead to outbreaks. The cause of the outbreak in Malawi is attributed to a combination of factors, including destructive storms, the disruptions caused by the coronavirus pandemic, rapid urbanization, and a decrease in population immunity.

Malawi, a southern African country, had significantly eradicated cholera, with only two cases reported in 2021. However, the country has seen a drastic increase in cholera cases and deaths in the past 11 months, with over 900 fatalities reported. Hospitals and tents are overcrowded with patients, and medical staff is struggling to keep up with the high number of cases.

The situation is dire, with patients arriving in wheelchairs and many suffering on the floor due to the lack of beds. Medical staff are overwhelmed, and hospitals are running low on basic supplies such as gloves and intravenous fluids. Emergency cholera tents have been set up across the country, but they are also struggling to keep up with the number of patients.

The relatives of Nambewe Chisankha retrieved her body from a temporary morgue at the Bwaila District hospital in Lilongwe. Nambewe Chisankha, who was in her 50s, was the first person in her village to pass away from cholera.

The cholera outbreak in Malawi serves as a warning to other countries that have made progress in fighting the disease. Despite the country's efforts to vaccinate millions against cholera and improve access to clean water and sanitation, the outbreak has spread to all 29 of Malawi's administrative districts, affecting the entire population of 20 million people.

The cause of the outbreak is believed to be a combination of factors, including destructive storms, disruptions caused by the coronavirus pandemic, rapid urbanization, and a decrease in population immunity. The government has issued an open plea for donations of basic medical and sanitation supplies to help contain the spread of the disease.

This sudden resurgence of cholera in Malawi highlights the ongoing need for access to clean water and proper sanitation and the importance of continued efforts to combat the disease, even in countries that have made progress in eradicating it.


A well in the Mtandile township, the United Nations estimates that around one-third of Malawi's population lacks clean drinking water.

Additionally, the government has implemented various measures to control the spread of the disease, such as closing schools, shutting down food vendors, and increasing public education campaigns on preventing and treating cholera. However, the situation remains challenging as many people, especially those in rural areas or living in poverty, lack access to proper healthcare and have limited means to prevent or treat the disease.

International organizations such as the World Health Organization and UNICEF have also stepped in to assist the country in controlling the outbreak and providing essential medical supplies and equipment. However, more must be done to provide long-term solutions to prevent future outbreaks. This includes providing sustainable access to clean water and sanitation, improving the country's healthcare infrastructure, and training more medical staff.

At Kamkodole Primary School in Mtandile township, Headmistress Precious Banda discusses cholera and hygiene with the students.

The cholera outbreak in Malawi is a stark reminder of the importance of sustained efforts to combat the disease and the ongoing need to address poverty and inadequate infrastructure in low-income countries. Without addressing these underlying issues, the fight against cholera and other waterborne diseases will continue to be complicated.

Furthermore, the outbreak also highlights the vulnerability of low-income countries to public health crises and the need for better preparedness and response mechanisms. The cholera outbreak in Malawi is not an isolated incident, and similar outbreaks have been reported in other African countries. Therefore, it is essential for the government and international organizations to work together to develop a comprehensive strategy to prevent and respond to cholera and other waterborne diseases.

Students washing their hands with chlorinated water.



This strategy should include measures such as investing in better water and sanitation infrastructure, strengthening disease surveillance and response systems, and providing training and support to healthcare workers. Additionally, it is important to invest in community-based approaches that target the most vulnerable populations and address the underlying socio-economic factors contributing to cholera's spread.

In conclusion, the cholera outbreak in Malawi serves as a reminder of the ongoing need to combat waterborne diseases, particularly in low-income countries. It highlights the importance of addressing poverty, inadequate infrastructure, and lack of clean water and sanitation access. It also emphasizes better preparedness and response mechanisms to prevent and control future outbreaks.

It is also important to note that a comprehensive approach to cholera control should include not only addressing the immediate needs, such as providing treatment and supplies but also working towards long-term solutions, such as improving access to clean water and sanitation, investing in disease surveillance and response systems, and strengthening healthcare infrastructure. This will ensure that the country can respond effectively to the current outbreak and be better prepared to prevent and control future outbreaks.

Another important aspect of cholera control is ensuring that vulnerable populations, such as those living in poverty or remote areas, have access to information and resources to protect themselves from the disease. This includes providing education on the causes and prevention of cholera and ensuring that these populations have access to clean water and sanitation.

In conclusion, the cholera outbreak in Malawi highlights the ongoing need for sustained efforts to combat waterborne diseases, particularly in low-income countries. It is important for the government, international organizations, and the broader community to work together to address the underlying socio-economic factors that contribute to the spread of cholera and other waterborne diseases. This includes investing in better infrastructure, strengthening disease surveillance and response systems, and providing education and resources to vulnerable populations.

Moreover, it is also crucial to support the affected communities and individuals during and after an outbreak. This includes providing medical care and treatment to those infected and support and assistance to families who have lost loved ones to the disease. This can include financial assistance, counseling, and other forms of support.

Additionally, it is important to work towards empowering communities to take charge of their health and well-being. This includes providing training and resources for communities to identify and report potential outbreaks and education on how to prevent and control the spread of cholera and other waterborne diseases.

It is also essential to address the broader issues of inequality and poverty that contribute to the spread of cholera and other waterborne diseases. This includes investing in economic development, providing access to education, and working toward social and political stability.


To keep human waste away from drinking and washing water, which is crucial for preventing cholera, residents of Mtandile township are doing their laundry


In conclusion, the cholera outbreak in Malawi serves as a reminder that the fight against waterborne diseases is ongoing and requires sustained efforts from all sectors of society. It is important to address the underlying socio-economic factors that contribute to the spread of cholera and other waterborne diseases and provide medical care and support to affected communities and individuals. Furthermore, it is crucial to work towards empowering communities to take charge of their own health and well-being and address broader issues of inequality and poverty.



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