|Event:|| EP Epidemic|
|Country:|| BDI Burundi|
|Date (YMD):|| 2019-6-1|
|Comments:|| On 5 June 2019, the Ministry of Public Health and the Fight Against AIDS of Burundi notified WHO of an outbreak of cholera. The outbreak reportedly began on 1 June 2019 with the initial seven cases reported from Bujumbura Mairie (5 cases) and Cibitoke (2 cases) provinces. One of the case-patients was a Burundian national residing in Uvira Health Zone, South Kivu Province in Democratic Republic of the Congo where an active outbreak of cholera has been ongoing. It is unclear whether this case-patient contracted the disease in Democratic Republic of the Congo before travelling to Burundi. Of the stool samples collected from all seven case-patients, four cultured Vibrio cholerae Ogawa at the National Reference Laboratory of the National Institute of Public Health in Bujumbura.
Since then, the outbreak has spread to a third province, Bubanza, which began reporting cases on 12 September 2019. From 1 June to 22 September 2019, a total of 648 cases with 5 deaths (case fatality ratio 0.8%) were reported from Bujumbura Mairie (461 cases with 4 deaths), Cibitoke (167 cases with zero deaths) and Bubanza (20 cases with 1 death) provinces. Of 46 stool samples tested, 69.5% (32) cultured V. cholerae Ogawa.
The outbreak peaked in Bujumbura Mairie Province on 14 September 2019 when 18 cases were reported. Since then, the trend has been declining in both Bujumbura Mairie and Cibitoke provinces.|