Cholera in England: what to know

Cholera is uncommon in England, but it can be brought back after exposure to contaminated food or water in another country. Sudden watery diarrhoea, vomiting, thirst, dizziness, or reduced urination should be taken seriously, particularly after recent travel or contact with someone who is ill. These symptoms can have other causes, so a clinician may arrange testing rather than relying on symptoms alone.

Tell the healthcare service about travel and possible exposures before arriving. This helps staff plan assessment and reduce the chance of spread. Do not handle food for other people while unwell.

Contact a healthcare professional promptly and explain the diarrhoea, vomiting, fluid intake, urine output, travel history, and timing. Start Oral Rehydration Therapy in small, frequent sips if the person can swallow. Wash hands thoroughly with soap and water, clean toilet surfaces, keep towels separate, and follow local clinical instructions about testing and staying away from work or school.

Seek urgent help for fainting, confusion, severe weakness, inability to drink, repeated vomiting, very little urine, or rapidly continuing watery diarrhoea. Children, older adults, pregnant people, and those with long-term conditions should be assessed early. IV Fluid Therapy may be needed when dehydration is severe or oral fluids cannot replace losses.

Ask whether you need a stool test, how to protect household members, when it is safe to return to normal activities, and which local service should review worsening symptoms.