The word cholera doesn’t strike much fear in countries with vaccines and clean water. However a Zimbabwe cholera outbreak is serious, often killing within hours. Cholera is a bacterial disease contracted by ingesting contaminated water or food. It is prevalent in places with poor sanitation, unclean water, and inadequate hygiene. Symptoms of acute watery diarrhoea, vomiting and leg cramps appear within two or three days of infection, leading to severe dehydration and shock. Unless fluids are replaced quickly, death occurs within hours. In the week beginning 9 July there has been a spike in cases and a spread of outbreaks in known hotspot areas in Harare Province. Robust response measures, particularly for strengthening surveillance, risk communication, case management, and provision of clean water, sanitation, and hygiene services are urgently needed to control the outbreaks On 28 June 3,000+ cases were reported: updated totals are not currently available.