Cholera hits Madagascar for the first time ever.
The Mahajanga Province of Madagascar has reported an outbreak of cholera, with 380 cases and 26 deaths so far. There are also unconfirmed reports of cases in the south. This is the first time cholera has affected Madagascar. Generally, the risk to travellers is low, but the outbreak does highlight the need for care with food and water hygiene. Make sure you boil or purify water or, better still, stick to the bottled stuff (but check the seal is intact). It's best to avoid food from street vendors. Food served piping hot is generally safer than raw or undercooked meat. The World Health Organisation does not recommend cholera immunisation.