Whole of Syria Cholera Outbreak Situation Report no. 10 Issued 18 December 2022

Epidemiological Overview

Between 25 August and 10 December, 61,671 suspected cholera cases (AWD) have been reported from all 14 governorates with 100 attributed deaths at a case fatality rate of 0.2%.

While there is a reported decrease in suspected cholera cases in some areas, particularly in NES (Deir Ez-Zor and Raqqa), the overall cumulative cases continue to increase. During this reporting period, 4,792 new suspected cases have been reported across the different parts of the country. Some parts of NWS such as Afrin are reporting an increase in suspected cases (71%) compared to the previous week.

Of the 4,352 samples tested with rapid diagnostic tests, 1,868 have tested positive. The overall proportion of RDT-positive cases is 42.9%. To date, 2,881 stool samples have been cultured, of which 818 have tested positive for Vibrio Cholera. The positivity rate is 28.3%.

A total of 5,037 suspected cases and 7 associated deaths have been reported from IDP camps in NES and NWS. The newest death is related to Ata’a camp in Ma’arat Tamsrin of Idleb governorate

The most affected governorates are:

• Deir Ez-Zor (20,103 suspected cases)

• Idleb (14,142 suspected cases)

• Raqqa (12,818 suspected cases)

• Aleppo (11,617 suspected cases