Publications

The cholera outbreak in the WHO African Region has affected 17 countries over the last two years. The trend across the region is being closely monitored with increment in cases observed especially in the southern region of the continent now in the rainy season with outbreaks now resurging. The increase in rainfall levels is now increasing floods in communities and landslides. The seasonality of cholera outbreaks are issues for countries to consider and there is need to enhance preparedness and readiness, heighten surveillance and institute preventive and control measures in communities and around border crossings to prevent and mitigate cross border transmission.

In Epidemiologic week 52, eight countries Burundi, Democratic Republic of the Congo, Ethiopia, Malawi, Mozambique, United Republic of Tanzania, Zambia and Zimbabwe reported a total of 4 452 new cases. Transmission is currently active in 12 countries with no recent report of new cases from Eswatini (last case reported April 18), Republic of the Congo (last case reported 26 July), South Sudan (last case reported May 16), South Africa (last case reported 16 July) and Uganda (last case reported 1 September 2023).

Since 1 January 2022, a cumulative total of 284 488 cholera cases have been reported to the WHO Regional Office for Africa (AFRO), including 5 043 deaths with a case fatality ratio (CFR) of 1.8% as of 31 December 2023. Democratic Republic of the Congo, Ethiopia, Malawi, Mozambique, and Nigeria account for 79.9% (227 437) of the cumulative cases and 75.8% (3 821) of all cumulative deaths reported.