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.