Routine cholera vaccination of travellers is not recommended. The risk to travellers is very low, despite cholera being endemic in some countries that Australians visit. Ensuring access to safe food and water is far more important than vaccination to prevent cholera.

Cholera vaccination is recommended for travellers who have a high risk of exposure to cholera. These include humanitarian aid workers deployed to regions where there is endemic cholera or an outbreak of cholera.

Cholera vaccination is recommended for people travelling to areas where cholera exists who have a higher risk of acquiring diarrhoeal disease because of a medical condition. An example is people with achlorhydria.

Cholera vaccination is also recommended for people travelling to areas where cholera exists who have a higher risk of severe or complicated diarrhoeal disease. These include people with:

  • poorly controlled or complicated diabetes
  • inflammatory bowel disease
  • HIV or other immunocompromising conditions
  • significant cardiovascular disease

No countries require vaccination against cholera before entry.

See also Vaccination for international travellers.

Children 2–6 years of age

Children aged 2–6 years are recommended to receive 3 doses of cholera vaccine.

The interval between each dose is 1–6 weeks. If the previous dose was more than 6 weeks ago, restart the primary course.

If there is an ongoing risk of cholera, a single booster dose is recommended 6 months after finishing the primary course. If the interval between primary immunisation and the booster dose is more than 6 months, repeat the primary course.

Adults and children ≥6 years of age

Adults and children aged ≥6 years are recommended to receive 2 doses of cholera vaccine.

The interval between each dose is 1–6 weeks. If the 2nd dose is more than 6 weeks after the 1st dose, restart the primary course.

If there is an ongoing risk of cholera, a single booster dose is recommended up to 2 years after finishing the primary course. If the interval between primary immunisation and the booster dose is more than 2 years, repeat the primary course.

Page history

Last updated: 
5 June 2018
Last reviewed: 
5 June 2018