Health in the Democratic Republic of the Congo use is widely accepted if the cost of the vaccine is free. However, the limited supply of OCV can be expensive (approximately $3.70 USD), limiting its widespread use. A final preventive measure to assist in prevention, controlling and treating cholera would be the use of a national database such as IDSR//International Health Regulation. The database would allow the countries to communicate and collaborate on outbreaks, treatment, and preventive measures. This would assist in eliminating or reducing cross-border transmission outbreaks. There have been 10 outbreaks of the Ebola virus disease in the Democratic Republic of the Congo. Additionally, hemorrhagic fever, polio,
21st century Madagascar plague outbreaks in the capital Antananarivo there were two confirmed cases, including one death. On 4 November 2014, the Ministry of Health of Madagascar reported the outbreak to the World Health Organization. A more recent outbreak of plague in Madagascar began in August 2017 and expanded rapidly, with about two-thirds of cases transmitted person-to-person as pneumonic plague, the most dangerous form of the disease. The death toll of 124 by 20 October exceeded that of previous outbreaks. More than half of cases have been recorded in the capital of Antananarivo and the main port of Toamasina, the largest cities in Madagascar. Nine