Cholera cases are still on the rise in Africa, with four high-burden countries—especially South Sudan and Angola—accounting for about 90% of cases in the most recent reporting week, a top official from the Africa Centre for Disease Control and Prevention (Africa CDC) said today at a weekly briefing.
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"The cholera situation is still of great concern," Ngashi Ngongo, MD, PhD, MPH, who leads Africa CDC's mpox incident management team, told reporters. For the most recent week, 3,781 cases were reported, up just over 9% for the previous week. Also, 103 people died from their infection, an increase of 78% from the week before.
Severe crisis requires regional, coordinated response
South Sudan has the highest incidence, followed by Angola. The Democratic Republic of the Congo (DRC) and Sudan round out the four hardest-hit countries.
In Angola, where nearly 18,000 cases have been reported this year, males make up just over half of cases, and children younger than 15 years old are the most affected age-group, Ngongo said. Cases showed a slight decline last week but remain high, and nearly one third of deaths occurred outside of hospital settings.
The outbreaks in Angola, South Sudan, and the DRC signify a severe crisis, and Ngongo said the cholera situation needs an African regional coordinated response, similar to that for mpox, to curb the spread.