More than 24,897 cholera / AWD cases and 354 deaths (Case Fatality Rate, 1.4%) have been reported in 10 out of 21 countries of Eastern and Southern Africa Region (ESAR) since the beginning of 2018. These countries include; Angola, Kenya, Malawi, Mozambique, Rwanda, Somalia, Tanzania, Uganda, Zambia and Zimbabwe. Somalia accounts for 23.8% of the total case load reported this year.