In the case study of the Cholera Epidemic in Goma, Zaire in 1994, several risk factors for this severe diarrheal disease were pointed out. Which of the following would be considered risk factors for any outbreak of cholera? (Select all that apply)

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Cholera is a waterborne disease primarily spread through contaminated water sources. Lack of clean drinking water (A) and fecal pollution of drinking water (B) directly contribute to the spread of cholera by providing a medium for the cholera bacteria to thrive and be ingested by humans. Overcrowded refugee camps (C) and the absence of latrines (D) exacerbate these conditions by increasing the likelihood of water contamination and making it difficult to maintain hygiene, thereby increasing the risk of cholera outbreaks.

In the Case Study of the Cholera Epidemic in Goma