Four hard-hit countries—South Sudan, Angola, the DR Congo, and Sudan—account for about 90% of cases.
Cases are declining in some hot spot countries, as officials warns that nations outside Africa are still reporting imported cases.
A 3-year-old girl from Mexico recently hospitalized with H5N1 avian flu has died from her infection.
Children ages 6 to 14 years represent 23% of the cases.
Cholera deaths also declined, but a new outbreak in Angola is showing signs of escalation, the WHO said.
Researchers say the strain, which is resistant to 2 of the 3 antibiotics recommended for treating cholera, appears to be spreading in East Africa.
Countries reporting the latest outbreaks are Iraq, Lebanon, and South Sudan.
Along with the effects from flooding, the outbreak area is seeing an influx of people fleeing conflict in neighboring Sudan.
Global cholera deaths in 2024 are up 126% compared with 2023.
The analysis also found high levels of community deaths in some countries, which highlights serious gaps in treatment.
