With just two cholera cases reported in 2011, Guinea escaped an epidemic in West and Central Africa that infected 85,000 people and killed 2,500 in the first 10 months of 2011. Luck, as well as targeted prevention efforts on the part of aid agencies and the government brought this about, specialists told IRIN, but a far deeper countrywide overhaul of the water and sanitation system is needed to diminish the likelihood of future outbreaks.