The insidious return of cholera in the Eastern Mediterranean Region, Lebanon and Syria: a worrying signal! Past, present, and future forthcoming

Introduction: War, hunger, and disease continue to decimate the populations of many countries in the world. Owing to conflicts, environmental instability and natural disasters, many people, especially the poorest, fall victim to epidemic diseases. One such disease, cholera, began to spread again in 2022, striking Lebanon and Syria, countries that have experienced serious social troubles for years. The return of cholera immediately alarmed the scientific community, which is now making every effort, most notably by implementing a major vaccination campaign, to prevent this disease from becoming endemic in these two countries, thus making them a reservoir for its potential spread in the Eastern Mediterranean Region. Discussion: Cholera is a disease that draws its strength from poor hygiene, primitive sanitation and the consumption of contaminated water and food. From the 19th Century onwards, its spread was facilitated by overcrowded housing and lack of hygiene, which became commonplace features of urban life. Method: In outlining the spread of cholera in Lebanon and Syria, the authors raise the question of the possible resurgence of epidemic cholera, especially in the light of the consequences of the devastating earthquake that hit the border area between Turkey and Syria last February. Conclusion: These events have had a devastating effect on the population, destroying, among other things, the few existing health facilities and aggravating the already difficult living conditions of millions of people who, owing to the ongoing war, have been living for years in makeshift settlements, bereft of water, sanitation and any form of health care.