Cholera Crisis Worsens in DRC as Children Face Deadly Risks

A child receives treatment at a cholera clinic in the DRC, where clean water is scarce and healthcare even scarcer.

The Democratic Republic of Congo (DRC) is grappling with one of its worst cholera outbreaks in recent history, exposing deep systemic cracks in public health, water infrastructure, and humanitarian response, leaving its youngest citizens in peril.

On April 3, 2025, the United Nations issued a stark warning: a fast-spreading cholera outbreak in the southern province of Tanganyika was placing thousands at grave risk. As of that date, 9 out of 11 health zones in the province were affected, with over 1,450 confirmed cases and 27 deaths—a six-fold increase compared to the previous year.

By early June, the outbreak had spread far beyond Tanganyika. The World Health Organization (WHO) reported 29,392 suspected cholera cases and 620 deaths nationwide, making this the worst outbreak in the country in six years. Most alarmingly, children, especially those under five, are dying in disproportionate numbers due to weakened immune systems, chronic malnutrition, and an almost total collapse of access to clean water and sanitation in many areas.

A recent Instagram post from the WHO underscored the scale of response efforts: “To tackle the rise in #cholera cases & deaths in #DRCongo, WHO is mobilizing resources for the hardest-hit areas: emergency beds, free medical care, and deployment of over 7,000 community health workers.”

Cholera is an acute diarrheal infection caused by ingesting food or water contaminated with the Vibrio cholerae bacterium. It is entirely preventable and highly treatable. So why is it still killing hundreds in a single outbreak?

“The reason cholera has persisted is that we have not addressed poverty to the level that we should,” said Dr. Anita Zaidi, director of the Enteric and Diarrheal Diseases program at the Gates Foundation.

The answer lies not in the biology of the disease but in the fragile reality of life in eastern DRC. In provinces like Tanganyika, North Kivu, and South Kivu—already scarred by decades of armed conflict, mass displacement, and collapsing infrastructure—the cholera bacterium finds ideal conditions to spread.

A 2024 study on cholera risk in Goma found that the lack of water infrastructure forced communities to rely on unsafe sources like Lake Kivu, the small Lake Vert, and the Mubambiro River, which are often contaminated with human waste.

In the most affected areas, only 20 percent of residents have access to safe drinking water. Healthcare infrastructure is threadbare, with limited beds, medicine, and trained personnel to handle waves of acute cases. Years of humanitarian funding cuts have only worsened the situation, especially for women and children.

Between July 2024 and June 2025, nearly 4.5 million children under five are expected to suffer from acute malnutrition in the DRC, 1.4 million of whom are experiencing severe acute malnutrition. Cholera, which causes rapid dehydration and can be fatal within hours, is especially deadly in malnourished children. With their immune systems already compromised, even the smallest lapse in hydration or care can become fatal.

Still, field efforts are outpaced by the scale of the emergency. In 2017, the Global Task Force on Cholera Control (GTFCC) launched the “Ending Cholera: A Global Roadmap to 2030”, aiming to eliminate the disease from 20 countries, including the DRC.

The strategy emphasized early detection, integrated prevention (clean water, sanitation, vaccination), and international coordination. But with only five years left before 2030, the roadmap’s vision is faltering in the DRC. In 2023, the DRC recommitted to cholera elimination, as documented by the WHO, but outbreaks have only worsened.

A Doctors Without Borders emergency response in Lomera, South Kivu, highlights the impact of unmanaged gold rushes, poor sanitation, and overburdened clinics—creating a perfect storm for cholera transmission.Efforts by the UN and NGOs have ramped up in recent months. Oral Cholera Vaccines (OCVs) are being deployed in hotspots.

Emergency treatment centres are being established. Supplies are arriving, albeit slowly. But a true resolution requires structural investments in safe water infrastructure, consistent healthcare access, and conflict stabilization.

More importantly, child-focused solutions must be prioritised. In a recent peer-reviewed article, Congolese researcher Aymar Akilimali called for dedicated paediatric cholera wards in eastern DRC, noting that most children have no access to tailored emergency care even during active outbreaks.

He also stated that “a community-based and multisectoral response must be implemented, including an anti-cholera vaccination campaign, a budgeted response plan with involved partners, as well as the development of national cholera control plans, epidemiological surveillance, risk communication on cholera, community awareness, and social mobilization.”

The cholera outbreak in the DRC is not just a public health crisis—it is a humanitarian failure. It is a warning signal of what happens when decades of conflict, poverty, and weak governance go unaddressed. As 2030 approaches, the question isn’t whether we can end cholera; it’s whether we’re willing to invest in the lives of those most at risk of it.