Low coverage of sanitation, the use of unsafe water sources and deteriorating condition of water and sanitation facilities in urban centers were the major causes of the cholera outbreak in 2008/09. As a reult of Government and development partners efforts, improvements to water supply systems have been made. As a result, 59 of the cases of cholera have been confirmed as of April 2010 compared to over 97 817 in 2009.
Provision of water treatment chemicals to 20 urban centers has ensured the provision of treated water supply during the potential period of cholera outbreak and the impact is fewer cholera cases this year compared to the cholera outbreak last year. Distribution of NFIs prior cholera outbreak and hygiene education also contributed in prevention of cholera outbreak. Boreholes provided in urban centers are major alternative source of water for urban population when there is breakdown in city water supply. Having access to safe water source makes a big difference during cholera outbreak.