Africa CDC Weekly Event Based Surveillance Report, July 2023

Update to event:
Since the beginning of this year, 163,970 cases (81,637 confirmed; 82,333 suspected) and 2,583 deaths (case fatalityratio [CFR]: 1.6%) of cholera were reported from 16 African Union (AU) Member States (MS): Burundi (536 cases; 9deaths), Cameroon (19,489; 463), Democratic Republic of Congo (23,513; 138), Eswatini (2; 0), Ethiopia (14,835;172), Kenya (8,566; 140), Malawi (42,862; 1,259), Mozambique (33,461; 141), Nigeria (2,052; 79), Somalia (11,469;30), South Africa (1,074; 47), South Sudan (1,471; 2), Tanzania (87; 3), Uganda (25; 7), Zambia (757; 14) andZimbabwe (3,771; 80). This week, 3,677 new cases and 21 new deaths of cholera were reported from 10 AU MS:Cameroon, Ethiopia, Kenya, Malawi, Mozambique, Nigeria, Somalia, South Africa, Uganda and Zimbabwe.

Cameroon: Since last update (21 July 2023), the Ministry of Health (MoH) reported 103 new cases (3 confirmed;100 suspected) and no new deaths of cholera. Cumulatively 19,489 cases (1,890 confirmed; 17,599 suspected) and463 deaths (CFR: 2.4%) of cholera have been reported from Cameroon. The outbreak is active in 19 health districtsin four regions (Centre, Littoral, Southern and West).

Ethiopia: Since the last update (21 July 2023), the Ethiopia Public Health Institute (EPHI) reported 2,323 newsuspected cases and 13 new deaths of cholera. Cumulatively, 14,835 (26 confirmed; 14,809 suspected) and 172deaths (CFR: 1.2%) have been reported from Ethiopia. The outbreak is active in five of 14 regions in Ethiopia(Amhara, Oromia, Sidama, SNPP and Somali).

Kenya: Since the last update (21 July 2023), the MoH reported 11 new suspected cases and no new death ofcholera. This is an 83% decrease in the number of new cases reported compared to the last report. Cumulatively,8,566 cases (1,816 confirmed; 6,750 suspected) and 140 deaths (CFR: 1.6%) were reported from 26 of the 47counties in Kenya. Garissa, Mandera and Nairobi counties account for 61% of the total cases reported to date. Thirty-three percent of the cases are children below 10 years.

Malawi: Since the last update (21 July 2023), the MoH reported 4 new confirmed cases and one new death (CFR:25%) of cholera from eight districts. Cumulatively, 42,862 confirmed cases and 1,259 deaths (CFR: 2.9%) have beenreported from all 29 districts in Malawi.

Mozambique: Since the last update (21 July 2023), the MoH reported 106 new confirmed cases and no newdeaths of cholera. Cumulatively, 33,641 confirmed cases and 141 deaths (CFR: 0.4%) have been reported from 10 ofthe 11 provinces.

Nigeria: Since the last update (30 June 2023), the Nigeria Centre for Disease Control (NCDC) reported 423 newsuspected cases and no new deaths of cholera from eight states of the country. Cumulatively, 2,052 cases (102confirmed; 1,950 suspected) and 79 deaths (CFR: 3.8%) have been reported from 24 of the 36 states and federalcapital territory. Of all suspected cases, 51% are males.