Action against cholera

UNICEF Malawi Response Plan

A child recieving the oral cholera vaccine in Chikwawa district
UNICEF Malawi/2022


On 3 March 2022, after the first confirmed case in Machinga, the Ministry of Health in Malawi declared a cholera outbreak. As of 9 November 2022, cumulatively, 7,626 cholera cases (225 active) had been registered, with 219 deaths, representing a high case-fatality ratio of 2.9 per cent (the expected percentage is less than 1 per cent). From these cases, 1,631 children were infected, with 28 deaths. As of 9 November 2022, all 29 administrative health districts in the country had been affected.

To date, all 29 had reported cases, with Nkhata Bay reporting most of these (1,263 cases, 36 deaths), followed by Mangochi (980 cases, 19 deaths), Nkhotakota (929 cases, 42 deaths), Rumphi (894 cases, 16 deaths), Karonga (666 cases, 14 deaths), Blantyre (662 cases, 26 deaths), Salima (700 cases, 18 deaths), Mzimba North (448 cases, 2 deaths), Nsanje (297 cases, 14 deaths), Chikwawa (217 cases, four deaths) and Neno (188 cases, four deaths).

There was a 33.5 per cent increase in the number of cases in October (2,434 cases) compared to September (1,823 cases).

In early December 2022, the government declared the cholera outbreak a public health emergency.

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