Highlights

• Somalia has had uninterrupted cholera transmission in 29 drought- affected districts since 2022 and in Banadir region since the drought of 2017.

• During week 35, 221 new suspected cases with one associated death were reported from 29 drought-affected districts. A new cholera outbreak was confirmed in Burhakaba district of southwest state in week 34. (Table 1).

• Since epidemiological week 1 of 2023, a total of 12902 suspected cases of cholera including 31 associated deaths (CFR 02%) were reported from 29 districts of Somalia.

• The overall case fatality rate (CFR) of 0.2% reported from 29 drought-affected districts is below the emergency threshold of ≥1%.