From Outbreak to Containment: How Ghana Beat the 2024 Cholera Surge

“I came here with severe diarrhea and vomiting and was told I had cholera. I was very weak but was quickly put on treatment by the doctors and nurses, and now I am well enough to go back home”, said Yaa, her voice soft but filled with gratitude.

Yaa was one of the fortunate ones. For many others, the story ended in heartbreak.

When cholera broke out in Ghana in August 2024, it swept rapidly across communities, leaving families grieving, lives lost, and the health system under immense strain. Within weeks, the outbreak had affected five regions. As the waterborne disease spread through contaminated food and water, treatment centres were overwhelmed. In some areas, patients arrived too late to be saved. Entire households mourned loved ones, and communities were left anxious and exposed.

It was a stark reminder of the devastating impact of infectious diseases—especially in settings where access to clean water, sanitation, and timely healthcare remains a challenge. The outbreak tested the limits of Ghana’s health system and underscored the need for rapid, coordinated action.

Cholera is a preventable, yet potentially deadly disease caused by consuming water or food contaminated with Vibrio cholerae. It causes severe diarrhea and vomiting, often leading to dehydration and, without prompt treatment, death. The 2024 outbreak escalated quickly, revealing gaps in emergency preparedness, surveillance, and case management.

Faced with this public health emergency, Ghana’s Ministry of Health worked swiftly to mobilize resources, partners, and frontline workers. A coordinated national response was initiated, with the World Health Organization (WHO) providing critical technical, financial, and logistical support to reinforce national efforts.

Photo @Abdul-Lahie Abdul-Rahim Naa/ WHOGhana
One of the first priorities was strengthening coordination. WHO supported the activation of national and regional Public Health Emergency Operation Centres and contributed to the development of the National Cholera Outbreak Preparedness and Response Plan. These efforts enabled government ministries, health agencies, and partners to align their interventions and share information in real time.
Photo @Abdul-Lahie Abdul-Rahim Naa/ WHOGhana
Efforts on the ground focused on scaling up key response pillars. Surveillance systems were enhanced through training of field teams to identify and report cases swiftly and trace contacts effectively. WHO supplied diagnostic kits to support laboratory confirmation and monitor disease trends. Health facilities received essential supplies such as rehydration fluids, medicines, and job aids to guide the management of cholera cases.
Photo @Abdul-Lahie Abdul-Rahim Naa/ WHOGhana
To ensure health workers were equipped to manage the outbreak, training was organized on case detection, infection prevention, and risk communication. At the community level, targeted public education and engagement campaigns promoted vital preventive practices—handwashing with soap, safe food preparation, and water purification—especially in high-risk areas.
Photo @Abdul-Lahie Abdul-Rahim Naa/ WHOGhana
Yet, the pivotal moment in the outbreak response came with the introduction of the Oral Cholera Vaccine (OCV). With WHO’s guidance, the Ghana Health Service successfully applied for and received 1.8 million doses of the vaccine. These were deployed in five rounds of vaccination campaigns across 11 high-risk districts in three regions. The result was a remarkable 96.8% coverage rate—followed by a rapid decline in new infections.
Photo @Abdul-Lahie Abdul-Rahim Naa/ WHOGhana
Dr. Amugi, Deputy Director of Public Health in the Western Region, described the OCV as a game changer.
“We were in the middle of an outbreak that was escalating. Following the OCV campaign, we saw a drastic decline in the number of cases and the eventual break in the chain of transmission”, she noted.

The coordinated response, driven by government leadership and supported by health partners including WHO, proved effective. The outbreak was contained, and notably, the case fatality rate remained below the 1% emergency threshold. This was a strong indicator of the quality care provided in treatment centers across the country.
Photo @Abdul-Lahie Abdul-Rahim Naa/ WHOGhana
Dr. Frank Lule, Officer in Charge at WHO Ghana, commended the collective effort that brought the outbreak under control.
“This was a result of strong government leadership, dedicated health workers, and active collaboration with communities and partners. It’s a reminder that working together saves lives,” he said.
Beyond stopping the outbreak, the response also strengthened Ghana’s public health systems. It improved surveillance, emergency coordination, and community awareness—laying a stronger foundation for future preparedness. In affected communities, people became more aware of early symptoms, hygiene practices, and the importance of seeking timely care.

While the outbreak has been contained, the experience highlights a critical lesson: preventing cholera requires sustained investment in water, sanitation, hygiene infrastructure, and public health systems. The Ministry of Health and partners continue to prioritize long-term solutions that address the root causes of cholera outbreaks.
The support provided by WHO during the response was made possible through contributions from the International Coordinating Group, Gavi, the Government of Germany, and the Contingency Fund for Emergencies.

As Ghana looks ahead, the fight against cholera—and other health emergencies—will depend on the same ingredients that helped bring this outbreak under control: coordination, community engagement, and a shared commitment to saving lives.

For Additional Information or to Request Interviews, Please contact:
Abdul-Lahie Abdul-Rahim Naa
Communications Officer
WHO Ghana Country Office
Email: abdullahiea@who.int
Tel: +233 20 196 2393