Malawi cholera outbreak: consequences of under-investment in water in Africa

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The cholera outbreak in Malawi exposes Africa's water under-investment – it highlights the critical need for increased investment in water infrastructure across the continent.

Healthcare workers move a body from a makeshift mortuary at a cholera treatment centre at Bwaila district hospital in Lilongwe in February. Photograph: Fredrik Lerneryd/AFP/Getty Imagesarch 2023 marked a year since Malawi began its battle against the worst cholera outbreak in decades.

These statistics belie a more fragile infrastructure that has been decimated by a series of tropical cyclones that have killed hundreds of people and destroyed property, including water, sanitationWater quality in Malawi has long been a concern, especially in high-density urban areas.

There is a need for the Malawi government to strive for balance and sustain functionality of water and sanitation facilities which may require a greater investment than the current 0.081% of GDP. Improving access to clean drinking water and sanitation is a sure way to improving the health of nations and preventing the spread of communicable diseases such as cholera.

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