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The pathogen has caused seven pandemics in history, with contaminated water identified as the infection source. Seasonal outbreaks, claiming approximately 21,000\u2013143,000 lives yearly, are facilitated by contaminated water environments. This systematic review, therefore, determined the prevalence of\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>V. cholerae<\/jats:italic>\n                    <\/jats:styled-content>\n                    in water environments. A comprehensive literature search was conducted in PubMed, Web of Science, and SCOPUS. After the screening process, 87 articles were included in our study. RStudio version 4.3.3 was used in conducting our meta\u2010analysis with the data subjected to the random\u2010effects model. The included articles were from 38 countries, which spanned 6 continents. The prevalences of\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>V. cholerae<\/jats:italic>\n                    <\/jats:styled-content>\n                    in water environments were as follows: drinking water (15.69%), untreated sewage (57.26%), treated sewage (95.18%), surface water (41.95%), groundwater (26.23%), and others (20.81%). Continental prevalence revealed the following: Australia (85.00%), North America (66.60%), Africa (42.07), South America (39.32%), Asia (29.28%), and Europe (24.48%). There is a high prevalence of\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>V. cholerae<\/jats:italic>\n                    <\/jats:styled-content>\n                    in water environments. More effective water treatment methods are needed to drastically reduce its prevalence to insignificant levels, especially in treated drinking water.\n                  <\/jats:p>","DOI":"10.1111\/1758-2229.70103","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T03:27:05Z","timestamp":1748489225000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["<scp>\n                      <i>Vibrio cholerae<\/i>\n                    <\/scp>\n                    in Water Environments: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6946-4423","authenticated-orcid":false,"given":"Aaron","family":"Awere\u2010Duodu","sequence":"first","affiliation":[{"name":"Department of Medical Microbiology University of Ghana Medical School  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onyansaniba 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