Bulletin of the World Health Organization

The global burden of cholera

Mohammad Ali, Anna Lena Lopez, Young Ae You, Young Eun Kim, Binod Sah, Brian Maskery & John Clemens

Volume 90, Number 3, March 2012, 209-218A

Table 3. Summary of cholera cases and deaths reported in the literature, by date, country and World Health Organization (WHO) mortality stratum

Year/Date Country WHO stratum Cholera cases Deaths CFR (%) Variancea Weight (1/variance) Reference Estimated CFR by WHO region Per capita total expenditure on health (PPP dollars)27
Oct 1994–Jan 1995 Guinea-Bissau AFR-D 1 169 43 3.68 0.30 3.30 12 3.8 106
Jan 1996–Dec 1996 Nigeria 1 384 92 6.65 0.45 2.23 13
Jun 1997–Mar 1998 Kenya AFR-E 14 275 547 3.83 0.03 38.74 28 3.8 146
Nov 2003–Feb 2004 Zambia 4 343 154 3.55 0.08 12.70 29
Aug 1990–Dec 1990 Malawi 1 931 68 3.52 0.18 5.68 30
Aug 2005 Islamic Republic of Iran EMR-B 560 7 1.28 0.20 4.96 31 1.3 689
15 Oct 2008 Iraq EMR-D 500 8 1.60 0.31 3.18 32 3.2 68
24 Jul 1994 Yemen EMR-D 150 17 11.33 6.70 0.15 33
5 Feb 2007 Somalia EMR-D 110 15 13.64 10.71 0.09 34
21 Apr 2006 Sudan EMR-D 5 369 180 3.35 0.06 16.57 35
Sep 1991–Nov 1991 Bangladesh SEAR-D 210 265–235 810 8 410–9 432 4.00 0.00 580.86 36 3.0 90
2002–2006 India SEAR-D 164 100 705 0.31 0.00 207.11 3745
SEAR-B 1.0 161
WPR-B 1.0 199

AFR-D, African Region, stratum D; AFR-E, African Region, stratum E; CFR, case-fatality rate; EMR-B, Eastern Mediterranean Region, stratum B; EMR-D, Eastern Mediterranean Region, stratum D; PPP, purchasing power parity; SEAR-B, South-East Asia Region, stratum B; SEAR-D, South-East Asia Region, stratum D; WPR-B, Western Pacific Region, stratum B.

a Variance = [CFR × (100 − CFR)] divided by the number of cholera cases.