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,
African swine fever virus reported in some Caribbean islands, including Hispaniola (Dominican Republic). Major outbreaks of ASF in Africa are regularly reported to the World Organisation for Animal Health (previously called "L'office international des épizooties"). ASFV first occurred in Europe in 1957, when it was introduced in Portugal. From there, it spread to Spain and France. Although concerted efforts to eradicte ASFV were undertaken, such as widespread culling and the construction of modern farming facilities, the disease was only eradicated in the 1990s. Outside Africa, an outbreak occurred at the beginning of 2007 in Georgia, and subsequently spread to Armenia, Azerbaijan, Iran, Russia, and