Yikes! What's lurking in Siera-Leone's water? The top 5 water-borne diseases you need to know about
- A
- Feb 8
- 3 min read
Access to clean water is a treasure that not everyone enjoys. In Sierra Leone, a nation celebrated for its vibrant culture and breathtaking landscapes, water-borne diseases pose a serious health risk. These diseases can lurk in contaminated water sources, jeopardizing the well-being of individuals and communities. Know the facts as we explore the top five water-borne diseases that you must be aware of in Sierra Leone.
1. Cholera
Cholera is one of the most infamous water-borne diseases in Sierra Leone. Caused by the bacterium Vibrio cholerae, it spreads through contaminated food and water. In 2012, there were over 20,000 reported cases of cholera in the country, highlighting the severity of its impact.
Symptoms include severe diarrhea, vomiting, and rapid dehydration, which can lead to death without swift treatment. Outbreaks often increase during the rainy season, creating a cycle of infection that strains healthcare facilities.
Preventive measures like boiling water, using purification tablets, and public education focusing on sanitation practices are critical in combating cholera. Communities can significantly reduce the risk of infection by implementing these strategies.
2. Typhoid Fever
Typhoid fever continues to be a pressing health issue in Sierra Leone, largely due to the Salmonella enterica bacteria. The World Health Organization (WHO) estimates that about 11 million cases occur globally every year, particularly in regions with inadequate water quality.
Symptoms of typhoid include prolonged fever, fatigue, and gastrointestinal problems. Individuals can become infected through contaminated food and beverages. Vaccination, alongside improved sanitation and routine testing of water sources, can effectively decrease the risk. Conducting regular health education sessions can further empower communities to take accountability for their health.
3. Guinea Worm Disease
While alarming in name, Guinea worm disease arises from a parasite found in contaminated water. The disease has shown a dramatic decline: in the 1980s, there were nearly 3.5 million cases globally, but strict preventive measures have reduced that number significantly. As of 2021, only a handful of cases were reported.
The infection begins when individuals drink unfiltered water containing larvae. Over time, these larvae develop into long, painful worms that can exit through the skin. To prevent this disease, filtering drinking water and community education are crucial. Efforts to eliminate Guinea worm disease highlight the power of education and public health initiatives.
4. Schistosomiasis
More commonly known as bilharzia, schistosomiasis is caused by parasitic worms found in freshwater sources. The parasitic life cycle involves snails, which act as hosts. Infection occurs via skin contact with contaminated water.
The symptoms may include abdominal pain, diarrhea, and blood in urine or stool. Long-term consequences can result in severe health issues, including liver damage. The WHO estimates that over 240 million people are infected globally, making preventive education vital. Avoiding contact with freshwater, enhancing sanitation measures, and providing medical treatment can help mitigate risks.
5. Hepatitis A
Hepatitis A is a viral infection impacting liver function and is often contracted from consuming contaminated food and water. It is a significant challenge in areas with poor sanitation. According to WHO data, there are an estimated 1.5 million new cases of Hepatitis A worldwide each year.
Symptoms range from mild, flu-like signs to severe liver inflammation with symptoms such as jaundice and abdominal pain. Vaccination plays a crucial role in prevention, especially for visitors to Sierra Leone. Promoting hygiene, including consistent hand-washing and only drinking treated water, is essential for community health.

Moving Forward
Water-borne diseases remain a considerable challenge in Sierra Leone, affecting countless lives. Understanding these ailments—what causes them and how to prevent them—is vital. Advocacy for improved sanitation infrastructure and health education is essential for real change.
Awareness is the first step to prevention. By staying informed and proactive, both locals and visitors can join the fight against these diseases. Safe access to clean water is not merely a necessity—it is a fundamental human right. Together, we can enhance our health and cherish the natural beauty Sierra Leone has to offer without fear.




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