Which factors contribute to the lack of global reporting of cases of cholera?

Updated: Feb 03, 2021
  • Author: Sajeev Handa, MBBCh, BAO, LRCSI, LRCPI; Chief Editor: Russell W Steele, MD  more...
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The number of patients with cholera worldwide is uncertain because most cases go unreported. Likely contributory factors are as follows:

  • Most cases occur in remote areas of developing countries where definitive diagnosis is not possible

  • Reporting systems often are nonexistent in such areas

  • The stigma of cholera, which has direct adverse effects on commercial trade and tourism, discourages reporting

  • Many countries with endemic cholera do not report at all

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