What happened, where and when?

On December 6, 2023, the first suspected cholera outbreak was reported in the Maroodijeh region of Somaliland, subsequently spreading to other regions. Acute Watery Diarrhoea (AWD)/cholera cases have been identified in two regions of Northern Somalia, specifically in the Awdal and Hargeisa regions of Somaliland. As of February 5, there have been 474 reported cases with nine fatalities. The Ministry of Health and Development reported a Case Fatality Ratio (CFR) of 1.9 percent, exceeding the World Health Organization's emergency threshold of ≥1 percent.

Since December 2023, cholera outbreak cases in Somaliland have been increasing based on the Ministry of Health and Development's regular updates on Acute Watery Diarrhoea (AWD) investigations.