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Highlights
• Somalia has had uninterrupted cholera transmission in 29 droughtaffected districts since 2022 and in Banadir region since the drought of 2017.
• During week 36, 167 new suspected cases with two associated deaths were reported from 29 drought-affected districts. The number of new cases reduced by 24% in all districts and by 51% in Belethawa in the past two weeks. (Table 1).
• Since epidemiological week 1 of 2023, a total of 13069 suspected cases of cholera including 33 associated deaths (CFR 02%) were reported from 29 districts of Somalia.
• The overall case fatality rate (CFR) of 0.3% reported from 29 drought-affected districts is below the emergency threshold of ≥1%, however the CFR in Burhakaba is 1.1% which is higher than the threshold.
• Since epidemiological week 1, 2023 a cumulative attack rate (CAR) of 292 cases per 100 000 population was reported. Belethawa (2940 cases per 100,000), Afmadow (1036 cases per 100,000 Dolow (1437 cases per 100,000) and Daynile (877 cases per 100,000) have reported the highest CAR amongst all the affected districts (Table 2).
• Of the 1863 stool samples collected since epidemiological week 1 2023, 556 (29.8%) samples tested positive by Rapid Diagnostic Kit (RDT) while 188 (10.0%) stool samples were tested positive for Vibrio cholerae 01 serotype Ogawa.
• WHO and health partners implemented re-active single dose oral cholera vaccination campaign in which 535789 (90.8%) of the targeted populations were vaccinated in five districts bordering Kenya and Ethiopia in Jubaland state.