Cholera in Lagos State, Nigeria

Background: Cholera continues to pose a significant public health challenge in Nigeria, particularly in Lagos, where rapid urbanization, inadequate sanitation, and climatic variability converge to heighten vulnerability. This study reviews recent cholera outbreaks in Lagos through a One Health perspective, emphasizing their implications, intersectoral drivers, and existing response gaps. Methods: A systematic review was conducted using 48 articles published between 2013 and 2024, retrieved from PubMed, Google Scholar, and official sources such as the Center for Disease Control and Prevention (CDC) and the World Health Organization (WHO). Search terms included "Cholera," "Lagos," "Nigeria," and "One Health." Eligible studies addressed human, animal, and environmental determinants of cholera transmission and control. Results: The review identified 401 cholera cases and 21 deaths in Lagos State in 2024, and three reported cases in 2025. Cholera imposes substantial physical, psychological, and economic burdens. Physically, approximately one in 10 Lagosians may experience adverse health effects, ranging from dehydration to multi-organ complications. Psychologically, fear of infection and crisis conditions contribute to stress, anxiety, and stigma. Economically, cholera generates high direct and indirect costs across households, the health system, government, and the wider economy. Recurring outbreaks are strongly associated with inadequate Water, Sanitation, and Hygiene (WASH) infrastructure, high population density, environmental contamination, and limited laboratory capacity. Conclusion: Effective public health interventions are essential to mitigate cholera outbreaks in Lagos, preventing increased transmission, mortality, and economic disruption. Persistent outbreaks highlight the absence of a coordinated One Health policy in the state. Integrating human, animal, and environmental surveillance within a unified framework is critical to achieving Nigeria's cholera elimination targets by 2030

Cholera · Hygiene · Outbreak · Population · Population health · Psychological intervention · Public health · Public health interventions · Child Nutrition and Water Access · Vibrio bacteria research studies · Viral Infections and Outbreaks Research

• Effect of washing hands with soap on diarrhoea risk in the community

  Open Access•Val Curtis, Sandy Cairncro et al.•The Lancet Infectious Diseases•2003

  Incluir item

• The PRISMA 2020 statement

  Open Access•Matthew J Page, Joanne E McKenzie et al.•Systematic Reviews•2021

  Incluir item

• Cholera outbreak trends in Nigeria

  Open Access•Stanley Chinedu Eneh, Stanley Eneh et al.•Frontiers in Public Health•2024

  Incluir item

• The multi-sectorial emergency response to a cholera outbreak in Internally Displaced Persons camps in Borno State, Nigeria, 2017

  Open Access•Moise Chi Ngwa, Wondimagegnehu Alemu et al.•BMJ Global Health•2020

  Incluir item

• Cholera in the Time of Minustah

  Open Access•Susan A Bartel, Georgia Fraulin et al.•International Journal of…•2022

  Incluir item

• Enablers and barriers to implementing cholera interventions in Nigeria

  Open Access•Kelly Elimian, Karin Diaconu et al.•Health Policy and Planning•2024

  Incluir item

• Solid Waste and Water Quality Management Models for Sagarmatha National Park and Buffer Zone, Nepal

  Open Access•Emanuela Chiara Manfredi, Bastian Flury et al.•Mountain Research and Development•2010

  Incluir item

• The Cholera Stigma and the Challenge of Interdisciplinary Epistemology

  Christine Hamlin•Science as Culture•2012

  Incluir item

• Setting up an early warning system for epidemic-prone diseases in Darfur

  Open Access•Augusto Pinto, Mubarak Saeed et al.•Disasters•2005

  Incluir item