dukoral ad intestine

Cholera is an intestinal infection caused by eating or drinking contaminated food or water.  Symptoms include acute onset of watery diarrhea and rapid dehydration ; these symptoms can be life threatening.

A cholera epidemic has been occurring since October 2010 in the Dominican and Haiti.  Although cases have decreased in 2013 compared to 2012 they continue to be reported an increase during seasons with heavy rain.

No new cases have been reported in Cuba since August 2013 however the situation continues to be monitored for suspected cases.

Heavy rain and floods in 2013 in Mexico caused an increase of reported cholera cases in Mexico City, states of Hildalgo, San Luis Potosi and Veracruz.

Travellers to these areas are recommended to seek travel health advise a minimum of 4-6 weeks prior to travel to learn about safe food and water practices.  There is a vaccine to help protect you against cholera and e-coli, it is called Dukoral.  To learn more visit the Nova Travel Health and Immunization Clinic!

If you develop severe diarrhea and/or vomiting while travelling or once you return home, seek medical attention.  To prevent dehydration use  oral rehydration salts.



Thousands of cases of cholera and related deaths have been reported since the epidemic began in October 2010 in the Dominican Republic and Haiti.  Cases of cholera have decreased in 2013 versus 2012 however they continue to be reported and increase during seasons of heavy rainfall.

Cuba Health Authorities have confirmed cholera in the provinces of Camaguey, Granma, Guantanamo, Havana and Santiago de Cuba.  Suspected cases continue to be monitored following the cholera outbreak in 2012.

Health authorities in Mexico have reported cases of cholera in the Distrito Federal (2 cases) and in Hidalgo State (8 cases) since August 2013.  The country was infected due to heavy rains, floods and landslides.

The Public Health Agency of Canada recommends travelers to these areas practice extreme care in hygiene and safe food and water practices.

For further information on Cholera and travelers diarrhea and the vaccine (Dukoral) that can help protect you, please visit a travel health provider a minimum of 4-6 weeks prior to departure (if possible).  The Nova Travel Clinic offers vaccinations, education and prevention methods as well as prescriptions for antibiotics for self treatment if travelers diarrhea occurs.