Kenya has the highest number of Cholera Cases in Rural Areas

A report by Unicef says that almost half of the countries in Eastern and Southern Africa region (ESAR) have been affected by cholera outbreaks since the beginning of 2019. More than 8,258 cholera / AWD cases including 29 deaths have been reported in 10 countries in the region, with an average Case Fatality Rate of 0.4%, since the beginning of 2019. These countries include; Angola, Burundi, Kenya, Malawi, Mozambique, Tanzania, Somalia, Uganda, Zambia, and Zimbabwe.

Cyclone Idai hit Mozambique and Zimbabwe in March 2019 and since then cholera cases rapidly increased. Reports indicated that there were more than 1,000 cases of cholera in the port city Beira, Mozambique, and one confirmed death. That’s more than a doubling of cases — and that number was expected to rise, reported.

It is further stated that when cholera starts spreading, it can be difficult to control. Outbreaks usually happen when a country’s health, hygiene, and water systems break down — and that’s why they can appear after a natural disaster or amid a humanitarian crisis.

Mozambique accounts for 69.5% (5,656) of the total caseload reported this year, followed by Kenya at 16.3% (1,350).

Overall, more cholera cases emerge from urban areas (77.6%; 5,711) as compared to rural areas (22.4%; 1,648).

Of the total number of cases reported in urban areas (5,711), Mozambique accounts for the majority (92.65%; 5,291), followed by Kenya (5.22%; 298), Uganda (0.93%; 53), Tanzania (0.84%; 48), Angola (0.33%; 19), Malawi (0.02%; 1) and Zimbabwe (0.02%; 1). All cases reported in Uganda (53) and Angola (19) emerged from urban areas. Apart from Mozambique, Uganda, and Angola; collectively, the remaining four countries (Kenya, Zimbabwe, Tanzania, and Malawi) have more cholera cases emerging from rural areas (78.7%; 1,283) as compared to urban areas (21.3%; 348).