Cholera Outbreaks: Malawi’s Battle Against Contaminated Water: A Scoping Review


Authors : Gibson Mphemvu; George Chikondi Samu; Noreen Clara Ng’ambi; Sellina Samu

Volume/Issue : Volume 10 - 2025, Issue 11 - November


Google Scholar : https://tinyurl.com/whdzfpy8

Scribd : https://tinyurl.com/4sx98nds

DOI : https://doi.org/10.38124/ijisrt/25nov1106

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Cholera outbreaks pose a significant public health challenge in Malawi, where contaminated water sources contribute to the spread of this deadly disease. Focusing on the public health crisis, the paper examines the factors contributing to recurrent outbreaks, including inadequate sanitation infrastructure and limited access to clean water. It also analyzes the efforts taken by different stakeholders to mitigate the impact through improved water management strategies, community education, and international collaborations. This paper underscores the need for sustainable solutions to break the continuing cycle of cholera epidemics in Malawi, emphasizing the intersection of health, water quality, and socio-economic challenges. The study reveals a sharp increase in cholera cases in 2022 and 2023, with regions having poor water infrastructure, such as Blantyre and Mangochi, reporting the highest number of cases. The case fatality rate (CFR) remained above the World Health Organization’s emergency threshold of 1%, highlighting the severity of the outbreaks. Contaminated water sources, inadequate sanitation facilities, and poor hygiene practices were identified as major drivers of cholera transmission. To address these challenges, the paper recommends a multi-sectoral approach involving surveillance, laboratory support, clinical care, water, sanitation, and hygiene (WASH) interventions, social mobilization, and the use of oral cholera vaccines (OCV) among high-risk populations. Additionally, improving water sanitation infrastructure and promoting community awareness about hygiene practices are crucial steps. The paper also emphasizes the need for effective urban planning to prioritize public health in rapidly urbanizing areas. Cholera outbreaks in Malawi are a serious public health issue requiring collaborative efforts from government agencies, NGOs, and local communities. The findings highlight the urgent need for comprehensive interventions to combat contaminated water sources and protect public health.

Keywords : Cholera Outbreaks Malawi, Water Contamination, Public Health emergency, Oral Cholera Vaccine (OCV), Water Sanitation, and Hygiene (WASH).

References :

  1. Africa Press, 2023. Cholera cases close to 20,000 in worst outbreak in 10 years. Malawi. URL https://www.africa-press.net/malawi/all-news/cholera-cases-close-to-20000-in-worst-outbreak-in-10-years (accessed 2.2.25).
  2. Bisani, L., 2018. Cholera outbreak spreading Malawi 24 | Latest News from Malawi. Malawi 24. URL https://malawi24.com/2018/01/06/cholera-outbreak-spreading/ (accessed 2.2.25).
  3. CDC, 2024. Cholera Response in Malawi [WWW Document]. Glob. Health. URL https://archive.cdc.gov/www_cdc_gov/global-health/impact/cholera-response-malawi.html (accessed 2.2.25).
  4. Govt. of Malawi, 2020. Malawi: Cholera Season Update - Malawi | ReliefWeb [WWW Document]. URL https://reliefweb.int/report/malawi/malawi-cholera-season-update (accessed 2.2.25).
  5. IFRC, 2022. Malawi: Cholera Outbreak - Emergency Plan of Action (EPoA), DREF Operation n° MDRMW017 - Malawi | ReliefWeb [WWW Document]. URL https://reliefweb.int/report/malawi/malawi-cholera-outbreak-emergency-plan-action-epoa-dref-operation-ndeg-mdrmw017 (accessed 2.1.25).
  6. Khonje, A., Metcalf, C.A., Diggle, E., Mlozowa, D., Jere, C., Akesson, A., Corbet, T., Chimanga, Z., 2012. Cholera outbreak in districts around Lake Chilwa, Malawi: lessons learned. Malawi Med. J. J. Med. Assoc. Malawi 24, 29–33.
  7. Partners in Health, 2022. Research: Household Coverage by Health Workers Increases Access To Care, Treatment  | Partners In Health [WWW Document]. URL https://www.pih.org/article/research-household-coverage-health-workers-increases-access-care-treatment (accessed 2.1.25).
  8. Penjani, P., 2021. Cholera cases continue to rise. Public Health Inst. Malawi. URL https://phim.health.gov.mw/cholera-cases-continue-to-rise/ (accessed 2.2.25).
  9. Relief Web, 2023. Malawi: Cholera Outbreak - Mar 2022 | ReliefWeb [WWW Document]. URL https://reliefweb.int/disaster/ep-2022-000298-mwi (accessed 2.1.25).
  10. Relief Web, 2022. Malawi: Cholera Outbreak - Dec 2015 | ReliefWeb [WWW Document]. URL https://reliefweb.int/disaster/ep-2015-000184-mwi (accessed 2.2.25).
  11. Ritter, R., Nkhwalingwa, N., Anthonj, C., Kistemann, T., 2022. Coping with ill-health while lacking access to health care: Acceptability of health service provision in rural Malawi – a qualitative study. Glob. Health Action 15, 2062174. https://doi.org/10.1080/16549716.2022.2062174
  12. Semu, A., 2020. No cholera case reported in Malawi’s 2019/2020 season. Maravi Post. URL https://www.maravipost.com/no-cholera-case-reported-in-malawis-2019-2020-season/ (accessed 2.2.25).
  13. UNICEF, 2023a. Responding to the Cholera outbreak in Malawi | UNICEF Malawi [WWW Document]. URL https://www.unicef.org/malawi/responding-cholera-outbreak-malawi (accessed 2.2.25).
  14. UNICEF, 2023b. Action against cholera | UNICEF Malawi [WWW Document]. URL https://www.unicef.org/malawi/reports/action-against-cholera (accessed 2.1.25).
  15. UNICEF, 2022. UNICEF Malawi Humanitarian Situation Report, June to July 2022 - Malawi | ReliefWeb [WWW Document]. URL https://reliefweb.int/report/malawi/unicef-malawi-humanitarian-situation-report-june-july-2022 (accessed 2.1.25).
  16. UNICEF, WHO, 2022. UNICEF and WHO step up efforts to contain Cholera in Malawi and call for additional funds and support - Malawi | ReliefWeb [WWW Document]. URL https://reliefweb.int/report/malawi/unicef-and-who-step-efforts-contain-cholera-malawi-and-call-additional-funds-and-support (accessed 2.1.25).
  17. WHO, 2023a. Global Outbreak Alert and Response Network (GOARN) Strategy 2022-2026, 1st ed. ed. World Health Organization, Geneva.
  18. WHO, 2023b. Cholera - Malawi [WWW Document]. URL https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON435 (accessed 2.1.25).
  19. WHO, 2022a. Cholera – Global situation [WWW Document]. URL https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON426 (accessed 2.1.25).
  20. WHO, 2022b. Shortage of cholera vaccines leads to temporary suspension of two-dose strategy, as cases rise worldwide [WWW Document]. URL https://www.who.int/news/item/19-10-2022-shortage-of-cholera-vaccines-leads-to-temporary-suspension-of-two-dose-strategy--as-cases-rise-worldwide (accessed 2.1.25).

Cholera outbreaks pose a significant public health challenge in Malawi, where contaminated water sources contribute to the spread of this deadly disease. Focusing on the public health crisis, the paper examines the factors contributing to recurrent outbreaks, including inadequate sanitation infrastructure and limited access to clean water. It also analyzes the efforts taken by different stakeholders to mitigate the impact through improved water management strategies, community education, and international collaborations. This paper underscores the need for sustainable solutions to break the continuing cycle of cholera epidemics in Malawi, emphasizing the intersection of health, water quality, and socio-economic challenges. The study reveals a sharp increase in cholera cases in 2022 and 2023, with regions having poor water infrastructure, such as Blantyre and Mangochi, reporting the highest number of cases. The case fatality rate (CFR) remained above the World Health Organization’s emergency threshold of 1%, highlighting the severity of the outbreaks. Contaminated water sources, inadequate sanitation facilities, and poor hygiene practices were identified as major drivers of cholera transmission. To address these challenges, the paper recommends a multi-sectoral approach involving surveillance, laboratory support, clinical care, water, sanitation, and hygiene (WASH) interventions, social mobilization, and the use of oral cholera vaccines (OCV) among high-risk populations. Additionally, improving water sanitation infrastructure and promoting community awareness about hygiene practices are crucial steps. The paper also emphasizes the need for effective urban planning to prioritize public health in rapidly urbanizing areas. Cholera outbreaks in Malawi are a serious public health issue requiring collaborative efforts from government agencies, NGOs, and local communities. The findings highlight the urgent need for comprehensive interventions to combat contaminated water sources and protect public health.

Keywords : Cholera Outbreaks Malawi, Water Contamination, Public Health emergency, Oral Cholera Vaccine (OCV), Water Sanitation, and Hygiene (WASH).

CALL FOR PAPERS


Paper Submission Last Date
31 - January - 2026

Video Explanation for Published paper

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe