A global health crisis has been unfolding in recent years, with cholera outbreaks claiming thousands of lives across 32 countries. The disease, which can be prevented through safe water and sanitation, is on the rise due to conflict, poverty, and inequality. Despite being a preventable disease, cholera persists as leaders fail to act with urgency.
The global response to cholera has been hampered by inadequate funding for vaccines. Only one manufacturer, EUBiologics in South Korea, produces cholera vaccines at the scale needed for mass vaccination campaigns. As a result, a global vaccine stockpile is being depleted rapidly, with over 49 million doses distributed so far this year.
The World Health Organization (WHO) and partners have established a continental cholera emergency response plan, which aims to provide rapid access to vaccines in emergencies. However, the stockpile is regularly below the recommended threshold of having 5 million doses ready to respond to outbreaks at any time.
To stretch supplies further, the WHO suspended the standard two-dose vaccination regimen in favor of a single dose. While this has provided temporary relief, demand shows no signs of abating, and supply must increase.
Efforts to expand vaccine production in Africa are underway, with Zambia signing a memorandum of understanding with China's Jijia Medical Technology Company to establish a cholera vaccine-production facility. However, rigorous quality assurance and clinical trials will be required before any locally manufactured doses can be approved by the WHO and deployed in mass vaccination campaigns.
Ultimately, stopping cholera is not a scientific or medical challenge but a political one. Poverty, inequality, conflict, and displacement persist, and addressing these underlying issues is crucial to preventing and responding to outbreaks of this disease.
Hakainde Hichilema, president of Zambia, and Tedros Adhanom Ghebreyesus, director general of the WHO, highlight the urgent need for governments to invest in safe drinking water and sanitation. By addressing these fundamental issues, we can prevent cholera outbreaks and bring this historical disease to an end.
The question remains: why have leaders failed to act with the urgency and commitment needed to consign cholera to history? What steps will be taken to address the root causes of poverty, inequality, and conflict that fuel the spread of this disease? The time for action is now.
The global response to cholera has been hampered by inadequate funding for vaccines. Only one manufacturer, EUBiologics in South Korea, produces cholera vaccines at the scale needed for mass vaccination campaigns. As a result, a global vaccine stockpile is being depleted rapidly, with over 49 million doses distributed so far this year.
The World Health Organization (WHO) and partners have established a continental cholera emergency response plan, which aims to provide rapid access to vaccines in emergencies. However, the stockpile is regularly below the recommended threshold of having 5 million doses ready to respond to outbreaks at any time.
To stretch supplies further, the WHO suspended the standard two-dose vaccination regimen in favor of a single dose. While this has provided temporary relief, demand shows no signs of abating, and supply must increase.
Efforts to expand vaccine production in Africa are underway, with Zambia signing a memorandum of understanding with China's Jijia Medical Technology Company to establish a cholera vaccine-production facility. However, rigorous quality assurance and clinical trials will be required before any locally manufactured doses can be approved by the WHO and deployed in mass vaccination campaigns.
Ultimately, stopping cholera is not a scientific or medical challenge but a political one. Poverty, inequality, conflict, and displacement persist, and addressing these underlying issues is crucial to preventing and responding to outbreaks of this disease.
Hakainde Hichilema, president of Zambia, and Tedros Adhanom Ghebreyesus, director general of the WHO, highlight the urgent need for governments to invest in safe drinking water and sanitation. By addressing these fundamental issues, we can prevent cholera outbreaks and bring this historical disease to an end.
The question remains: why have leaders failed to act with the urgency and commitment needed to consign cholera to history? What steps will be taken to address the root causes of poverty, inequality, and conflict that fuel the spread of this disease? The time for action is now.