Cholera risk in Juba

Cholera Prevention Guide for Juba

Risk Score: 67/100 (High Risk)

CHOLERA is an acute diarrheal illness caused by infection with Vibrio cholerae bacteria. It spreads through contaminated water and food. Symptoms include severe watery diarrhea, vomiting, and dehydration that can become life-threatening within hours without treatment.

LOCAL RISK FACTORS IN JUBA

Juba faces elevated cholera risk due to limited clean water access, especially in areas relying on the Nile and untreated borehole water. Overcrowded living conditions in settlements like Protection of Civilians sites and informal neighborhoods accelerate spread. Seasonal flooding contaminates water sources, and inconsistent waste management allows sewage to mix with drinking water supplies. Open defecation remains common in peri-urban areas, and markets with poor food handling practices create additional exposure routes.

PREVENTION STEPS

1. Treat all drinking water. Boil water for at least one minute or use chlorine purification tablets before drinking, cooking, or brushing teeth. Store treated water in clean, covered containers and avoid dipping hands or cups directly into storage vessels.

2. Wash hands thoroughly with soap and clean water after using the latrine, before eating, and after handling waste. If soap is unavailable, use ash as an alternative scrubbing agent.

3. Avoid raw or undercooked food. Eat food that is freshly cooked and served hot. Wash fruits and vegetables with treated water, and avoid street food where hygiene conditions are unknown.

4. Use designated latrines and keep them at least 30 meters from water sources. Never defecate near rivers, boreholes, or wells.

5. If someone in your household develops severe diarrhea, begin oral rehydration immediately using clean water, salt, and sugar, and seek treatment at the nearest health facility without delay. Cholera is treatable with prompt rehydration therapy.