Mozambique, Malawi, Zimbabwe: Cholera Situation (As of 19 March 2015)
While no new cholera cases have been reported in Zimbabwe over the past week and there is an overall downward trend in the number of new cases in Mozambique, there is an upward trend in Malawi: 57 new cases were reported between 13 and 19 March, compared to the previous week which saw 31 new cases. The districts of Nsanje (32 new cases) and Chikwawa (21 new cases) remain the most affected. While this upward trend indicates a need for strengthened prevention, the fact that no new deaths have been reported in March indicates effective case management.
The outbreak in Malawi is also of a much smaller scale than that in Mozambique. For example, in Zambezia Province, the one Mozambican province where there has been an upward trend, 364 new cases have been reported over the past week, compared to 148 cases for the entire Malawi since cholera spread from Tete Province in Mozambique to Nsanje district in Malawi in early February. Hotspots also remain, and with two new districts reporting cases in Zambezia Province in Mozambique, the risk of new and worsening outbreaks remains high in all surrounding areas.