ReliefWeb: Updates by Country 01.05.2024 15:10 Countries: Burundi, Cameroon, Comoros, Congo, Democratic Republic of the Congo, Eswatini, Ethiopia, Kenya, Malawi, Mozambique, Nigeria, South Africa, South Sudan, Togo, Uganda, United Republic of Tanzania, Zambia, Zimbabwe Source: World Health Organization Please refer to the attached file. The cholera outbreak in the WHO African Region has affected 18 countries over the last two years. Six countries are categorized as being in acute crisis , though there has been sustained decrease in weekly case incidence in Zambia and Zimbabwe. The southern region of the continent, now in the rainy season, is experiencing resurging outbreaks. The increase in rainfall levels is causing floods and landslides in communities. This raises the risk of outbreaks in countries that have not reported new confirmed cases. The seasonality of cholera outbreaks is an issue for countries to consider. They need to improve preparedness and readiness, heighten surveillance, and scale up preventive and control measures in communities and around border crossings. This will prevent outbreaks, engender early response and reduce cross-border transmission. In Epidemiologic week 14 of 2024, seven countries- Comoros, Ethiopia, Malawi, Mozambique, United Republic of Tanzania, Zambia and Zimbabwe- reported a total of 1 740 new cases. Transmission is currently active in 14 countries. In 2024, Comoros confirmed an outbreak linked to cross-border transmission. Since the beginning of the year 2024, the number of cholera cases and deaths reported to the WHO Regional Office for Africa as of 7 April was 67 073 and 1 302 deaths, respectively, with a case-fatality ratio of 1.9%. The Democratic Republic of the Congo, Ethiopia, Mozambique, Zambia and Zimbabwe account for 94.3% of the total cases and 95.5% of total deaths this year. As of 7 April 2024, a cumulative total of 353,604 cholera cases, including 6 412 deaths , have been reported since 1 January 2022. The Democratic Republic of the Congo, Ethiopia, Malawi, Mozambique, and Zimbabwe accounts for 73.9% of the cumulative cases and 64.3% of all cumulative deaths reported.

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