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自1961年发生全球性第7次霍乱大流行以来，许多国家特别是发展中国家发生了地方性或流行性霍乱，虽然向WHO报告的病例数和死亡数有参考价值，但不足以正确地反映其程度，因许多病例和死亡者未作出确诊，且普遍存在漏报或不报。有些国家卫生组织不健全，不掌握真实发病数字，例如，孟加拉国近年虽有为数不少的发病，但WHO每年公布的统计数字中却未见报告；赞比亚1983年登记的233例患者也未见于1983年全球霍乱疫情报告中。受染国家往往不愿宣布发生霍乱病例，受威胁的国家往往采取过分的措施。过分的措施或对本病的恐惧，势必助长受染国家掩盖或少报感染程度；未受染国家更加怀疑来自这些国家的交通和旅游者，应用更过分的措施，如此造成恶性循环。因此，不夸张地说，关于霍乱的国际卫生规则已遭到失败。
Since the seventh global cholera epidemic in 1961, endemic or epidemic cholera occurred in many countries, especially in developing countries. Although the number of reported cases and deaths to the WHO is of a reference value, it is not enough to correctly reflect The extent, because many cases and deaths were not diagnosed, and omissions or omissions. In some countries, WHO is not sound enough to know the actual number of cases. For example, although there are a large number of incidences in Bangladesh in recent years, no statistics have been reported by WHO every year. 233 cases of Zambia were registered in 1983 1983 global cholera epidemic report. Infected countries are often reluctant to declare cases of cholera and threatened countries often resort to excessive measures. Excessive measures or the fear of this disease will inevitably encourage affected countries to cover up or underreport their levels of infection. Unaccountable countries are even more suspicious of more excessive measures being taken by traffic and tourists from these countries, thus creating a vicious cycle. It is therefore not an exaggeration to say that the international health rules on cholera have failed.