Cholera in Niger Republic: An Analysis of National Surveillance Data, 1991 - 2015

Background: Cholera is an infectious disease caused by a gram negative bacteria, Vibrio cholerae. It was found for the first time in Niger during year 1970 and continues to occur as an issue of major public health importance. Objectives: This study aimed at more accurately defining the burden of cholera in Niger. Methods: Cholera surveillance data from the direction of epidemy surveillance and response reported to the Niger ministry of public health and the world health organization were reviewed and analyzed to determine trends in cholera disease. Results: Of Niger’s 8 regions or states, 7 were very active in reporting cases each year between 1991 and 2015. Globally, cholera cases and deaths were 26,835 and 1,430, respectively (CFR = 5.3%). Conclusions: Taken together, the epidemiological trends of cholera in Niger showed annual increase in frequency and length of outbreaks during the 21 years under review. To successfully reduce the burden of cholera outbreaks in Niger, concerted efforts by the government and non-government organizations as development partners through longterm investments are urgently needed to strengthen preventive measures for early detection and confirmation of cases, followed by a well-coordinated, timely, and effective response.