EPI-WIN digest 59 - Community Protection for Cholera: Risk Communication and Community engagement (RCCE)

Overview

Cholera remains a significant global public health threat, closely linked to inequality and inadequate social and economic development. Since 2021, the world has seen a surge in cholera cases. As of late June 2025, over 287,000 cases and more than 3,100 deaths have been reported globally across 28 countries. Countries currently designated as being in an "acute crisis" include the Democratic Republic of the Congo (DRC), South Sudan, Sudan, and Yemen.

Outbreaks are often fueled by heavy rains, flooding, conflict, overcrowding in displacement sites, and lack of access to clean water. Access to safe water, basic sanitation, and hygiene (WASH) is essential to prevent and control cholera. Communities play a critical role – they need to know how they can access these, what services are available and what they need to do. Community awareness about cholera, its spread and symptoms and prompt action can prevent the spread of the disease and save lives.

Lessons from recent responses highlight that technical interventions must be coupled with strong risk communication and community engagement. Community involvement is critical for building trust, sharing information, and ensuring that solutions are culturally appropriate and effective.

WHO's response to the global cholera crisis is structured around key pillars, including case management, surveillance, vaccination, and the critical integration of WASH, Infection Prevention and Control (IPC), and Risk Communication and Community Engagement (RCCE).