[Correspondence] Cholera in Nepal: policy priorities and regional lessons

Cholera has been endemic in Nepal for more than a century, with outbreaks recorded as early as 1885.1 Far from being an episodic crisis, it reappears almost every monsoon season, fuelled by fragile infrastructure and climate variability. The 2009 outbreak in Jajarkot highlighted systemic weaknesses in the response to outbreaks, and the 2010 Haiti epidemic was molecularly linked to Nepalese strains.2 These episodes give a clear warning: failures in local control can trigger global health emergencies.