Vaccine production must be ramped up, according to the expert committee. In 2022 there were more than twice as many cases as in the previous year.

More vaccine doses were requested between 2021 and 2023 than in the entire previous decade combined. The most severely affected are the Democratic Republic of Congo, Ethiopia, Haiti, Somalia, Sudan, Syria, Zambia and Zimbabwe. Acute intestinal infection is transmitted through food and water contaminated with feces containing the Vibrio cholerae bacterium.