426 new cholera cases and 9 deaths were reported during the third week of January 2024, bringing the cumulative figure since the beginning of the year to 1,401 cases and 18 deaths. The 1.3% case fatality ratio (CFR) is above the WHO emergency threshold (≥1%). Most cases were reported in Hirshabelle State, which suffered massive flooding from October to December 2023. Suspected cases reported also in Somaliland.
In Hirshabelle State, DG ECHO-supported partner Save the Children reports a total of 1,247 cases, with 2.3% CFR. Of these, 806 (65%) were categorised as severe, 419 (34%) as moderate, and 22 (2%) with some level of dehydration. Children under five make up 62% of the affected patients. 1,803 measles cases were also reported, including 3 deaths. 75% of the cases are children under five.
Driving factors for the reported outbreaks are poor WASH and health infrastructure – further weakened by the recent floods -, low service capacity and displacement to sites without adequate facilities. WHO, through the Ministry of Health, is planning to provide oral cholera vaccines to 480,000 people in the most at-risk districts.

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