The year 2018 was marked by a stable situation of low transmission throughout the country; it was as a result of effective medical case management, epidemiological surveillance, laboratory capacity and community response activities. The lowest numbers of annual suspected cholera cases and deaths have been recorded since the beginning of the epidemic in 2010. The annual total numbers are 3,786 suspected cases and 41 deaths, which represents a respective decrease of 72% and 74% compared to 2017. An incidence rate of 0.03% was reached at the end of the year, exceeding the target of less than 0.1% set for end of 2018 according to the medium-term phase of the National Plan for the Elimination of Cholera in Haiti (2013-2022).
This significant progress so far is to be considered with great caution. As long as cholera is circulating on the Haitian territory, an upsurge and expansion of the epidemic is possible. Therefore, a well-functioning surveillance system, medical case management and rapid response capacity remain essential. All associated strengthening and response activities need to remain funded in order to reach the elimination of the epidemic.