It gets even worst in Africa, due to years of under development and sheer corruption. Many countries in the continent still don't have access to clean portable water. Most people rely on rivers and streams as their major source of drinking and cooking waters. Most times, this water sources are extremely contaminated by waste products and oil spillage.
Acute illiteracy and superstition among the locals makes them drink this waters even when it is smelly and extremely dirty.
Hence, Cholera transmission is closely linked to inadequate access to clean water and sanitation facilities. Typical at-risk areas include peri-urban slums, and camps for internally displaced persons or refugees, where minimum requirements of clean water and sanitation are not been met.
Facts about cholera/dirty water
(1). Researchers have estimated that each year there are 1.3 million to 4.0 million cases of cholera, and 21 000 to 143 000 deaths worldwide due to cholera (1).
(2). One source on country specific incidence rates for Africa, adjusting for underreporting, estimates 1,341,080 cases and 160,930 deaths (52.6 % of 2,548,227 estimated cases and 79.6 % of 209,216 estimated deaths worldwide
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