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  • Comoros - Cholera outbreak 2024

    Translation Google

    Comoros: A cholera epidemic introduced by a ship from Tanzania

    The arrival in Moroni of a boat from Tanzania on January 30, with a dead man on board as well as several others showing suspicious signs, raised fears of a reintroduction of cholera in Grande Comore. This has now been confirmed by the Comorian authorities since yesterday.

    Written by NP – Saturday February 3, 2024 at 10:07 a.m.

    Did the Comorian authorities apply quarantine measures on a ship suspected of carrying a crew affected by the cholera epidemic raging in certain East African countries? The question is undoubtedly on everyone's lips in Moroni, where a rumor has long circulated according to which the boat docked without first declaring a worrying health situation, with one man dead and another sick.

    “We are in the process of investigating and we are closely monitoring the members of the crew ,” declared Thursday, February 1, the Director General of Health of the Comoros archipelago, Dr. Saindou Ben Ali Mbae, report our colleagues at The Comoros Gazette .


    Finally, the Ministry of Health officially declared a cholera epidemic in Comoros on Friday, February 2. The samples tested were positive and the people isolated. The authorities ask the population to respect a few rules such as washing their hands, cooking their food thoroughly and drinking clean water.

    The population and travelers are invited to report “at the slightest symptom” and strict health instructions have been issued by the authorities. Still according to La Gazette des Comoros , the last Cholera epidemic in the archipelago dates back to 2007 and would have involved 1,500 cases, with around twenty deaths recorded.

    According to a press release from the Comorian Ministry of Health dated February 1, it was in fact several people on the crew who presented “suspicious signs” . Around ten African countries are currently affected by the cholera epidemic according to the latest census from the World Health Organization (WHO).

    L'arrivée à Moroni d'un bateau en provenance de Tanzanie le 30 janvier dernier, avec à son bord un homme mort ainsi que plusieurs autres présentant des signes suspects, a fait craindre une réintroduction du choléra en Grande Comore. C'est à présent chose confirmée par les autorités comoriennes depuis hier.


    ---------------------------------------------
    1 d ·

    Thursday February 1, 2024 | Press release
    Today, the Director General of Health Doctor Saindou Ben Ali Mbaé held a press briefing.





    Image translated with Google:

    Click image for larger version  Name:	image.png Views:	1 Size:	1.38 MB ID:	985251

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    Ministère de la Santé, Union des Comores
    1h

    The Director General of Health and the Director of Disease Control answered questions from journalists this afternoon during a press conference organized by the Ministry of Health on the epidemiological situation of cholera in the Comoros.

    Here is the content of the message delivered to the press by the DGS.

    Image translated with Google:

    Click image for larger version  Name:	image.png Views:	1 Size:	1.24 MB ID:	985250​...

  • #2
    Translation Google

    Fight against cholera in the Comoros I “The challenge is to ensure that there are no indigenous cases”

    Health |05/02/2024- Adabi Soilihi Natidja

    Health authorities declared an epidemic in the country since Friday. They reassured the population of the monitoring and care of patients, specifying that they are doing everything to trace the other passengers who have still not been found.

    After the Minister of Health Loub Yacout Zaidou declared, on Friday February 2, the cholera epidemic in the Union of the Comoros, a crisis meeting which she co-chaired with the Secretary General of the Government was held the next day Saturday in the morning. The objective being to reassess the management system for this epidemic. At the end of the day, a press conference followed.

    The Director General of Health, Doctor Saindou Ben Ali Mbae said that all the essential pillars of preparation and response to epidemics have been reactivated through the establishment of different committees for care, prevention and infection control, logistics, risk communication and community engagement, surveillance and laboratory. “We unfortunately deplore two deaths,” regretted the Director General of Health, stressing that “to date, five patients are being treated at Chri de Sambakuni and two others are being cared for in Mohéli.” And to rejoice in the fact that “patients respond well to treatment and their health improves”.

    “Passengers not yet found”

    According to him, the investigation teams are continuing their research and monitoring the state of health of the rest of the passengers and crew members who have also received preventive treatment. “In fact, the patients and sick people treated are all passengers on the Watsoif Safari boat, which arrived from Tanzania on Tuesday January 30. It carried 14 crew members and 11 passengers on board. A crew member died before docking at the port of Moroni,” explained the national director of disease control, Doctor Naouirou M'hadji, indicating that the rest of the crew is receiving preventive treatment and the boat is being repaired. spray every day. And continues: “A passenger of Anjouanese origin died at El-Maarouf hospital. Two others are currently in Mohéli because when they arrived, they did not show any signs. However, they were able to be traced and are being treated, as well as those who took the boat with them. Of the remaining eight passengers, three are Tanzanians. We are on the trail of the remaining passengers, from Ngazidja.”

    At the same time, Doctor Naouirou M'hadji clarified that the epidemic is already present in the country, "but the challenge is to ensure that there are no indigenous cases." And added: "The problem with cholera is that the person can carry the disease, although it does not develop in his body, he can contaminate it to other people."Finally, the Director General of Health formulated the government's commitment and involvement in the eradication of this epidemic in the country.



    -------------------------------------------------------------

    Comoros: two people died of cholera

    LINFO.RE – created on 02/5/2024 at 1:29 p.m. – updated on 02/5/2024 at 1:29 p.m. - Editorial staff

    After the detection of cases of cholera in the Comoros, the Malagasy authorities took the decision to close the borders of the Big Island to Comorian nationals. For its part, Mayotte remains on guard by strengthening surveillance.


    WHO informed of the situation
    The emergence of a cholera epidemic in the Comoros was officially declared after the detection of six cases among the crew and passengers of a boat from Tanzania. One casualty was reported during the trip and another after arrival. The Comoros Minister of Health informed the World Health Organization (WHO) of the epidemic situation, thus triggering an immediate response.

    Neighboring islands react
    After the confirmation of these two victims, the Comorian authorities then decided to strengthen border controls. For its part, Madagascar reacted by closing its borders to travelers from the Comoros , mainly with regard to boat trips, because there are currently no more air connections between the two countries. As for Mayotte, the Regional Health Agency announced the strengthening of surveillance, while emphasizing that no cases have been detected in the department so far. Vigilance is required to contain the spread of cholera and avoid possible spread to other regions.

    Is the worst to be feared?
    The seriousness of the situation is accentuated by the fact that the boat's passengers had already dispersed throughout the country before health authorities detected the presence of cholera . This contagious disease is spread by ingesting bacteria present in contaminated water or food, introduced by an infected person. Cholera can cause severe diarrhea, sometimes hemorrhagic, and potentially fatal dehydration if not treated quickly.

    Après la détection de cas de choléra aux Comores, les autorités malgaches ont pris la décision de fermer les frontières de la Grande Ile aux ressortissants comoriens. De son côté, Mayotte reste sur ses garde en renforçant la surveillance.


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    • #3
      Translation Google

      Four new cases recorded

      02/06/2024
      Andjouza Abouhair

      The country recorded four new cases of cholera this Sunday, February 4. Eleven patients are hospitalized, including ten treated at the Sambakuni site. Of this batch, two health workers were contaminated.

      The cholera epidemic which has resurfaced in the country has already caused two deaths and 4 new infections, health authorities announced this Sunday, February 4. The country has 11 cases in medical centers including 10 patients treated in the Sambakouni treatment site (5 crew members, 2 passengers, 1 contact case and 2 health personnel). According to our information, four of the patients are in good shape and will be able to return to their respective homes shortly without any risk of contamination.

      Our source tells us that for the two deaths, one died in the boat and the other was seriously ill.
      ...

      Le pays a enregistré quatre nouveaux cas de choléra ce dimanche 04 février. Onze patients sont hospitalisés, dont dix pris en charge au site de Sambakuni. Sur ce lot, deux agents de santé ont été contaminés.

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      • #4
        Translation Google

        Fight against Cholera I The government calls for the involvement of Ulemas in raising awareness

        Society |02/08/2024- Adabi Soilihi Natidja

        The ulama responded favorably to the government's request to give sermons to help fight this disease.
        ...
        On the occasion, the Director General of Health, Doctor Saindou Ben Ali Mbae, shared the state of the epidemic in the country. “Until this morning, there were only eight patients at the Sambakuni Regional Hospital. Three of them returned home around 8:30 a.m. and according to the doctors who took care of them, two others could return by the end of the day. The patient in Mohéli responds well to treatment,” he explained.

        Doctor Saindou Ben Ali Mbae reassured the population that they were able to trace all the passengers who were on board the Tanzanian boat Wastoi Safari, also indicating that apart from a few contact cases, all the active cases were people who had taken the boat which docked at the port of Moroni on Tuesday January 30. For his part, the Secretary General of the Ministry of Health, Doctor Aboubacar Said Anli, expressed the government's commitment to the rapid eradication of this epidemic in the country, before it causes more victims. To date, only two deaths have been reported, according to the Ministry of Health.

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        • #5

          bump this

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          • #6
            Translation Google

            Comoros: A 15-year-old teenager dies of cholera, 48 cases recorded in February

            After two deaths due to cholera at the beginning of February, a third victim was reported this Thursday in the Comoros.

            Written by Lauria DIVEKI
            Published on 02/15/2024 at 7:37 p.m.

            Admitted on Wednesday February 14 to the emergency room of El-Maarouf hospital located in Moroni, a 15-year-old teenager died from the cholera epidemic currently raging in the Comoros, said the Comorian Ministry of Health.

            According to local authorities, the first two deaths in February are linked to the arrival of a boat from Tanzania. In total, 48 cases are recorded.

            4 regions at risk

            From February 1 to 14 alone, 11 cases were confirmed by the Comorian Ministry of Health. According to him, the number of cases affected by cholera is increasing in Grande Comore, and especially in the central district of Moroni.

            Among the regions at risk of transmission of the disease are: the health district of Fomboni, Mitsamihouli-Mboudé and that of Mbadjini-Est.



            ------------------------------------------------

            A third death due to cholera in the Comoros, the victim is a 15-year-old teenager


            In the Comoros, a third death due to cholera has been reported, after the first two already confirmed at the beginning of February. The victim is a 15-year-old teenager admitted Wednesday to the emergency room of El-Maarouf hospital in Moroni.

            Harry Amourani with Faïza Soulé Youssouf • Published on February 15, 2024 at 3:39 p.m., updated February 15, 2024 at 3:42 p.m.

            The Comorian Ministry of Health announces a third death due to cholera in its latest report on the evolution of the epidemic.

            According to information from our correspondent on site, the victim is a 15-year-old teenager who was urgently admitted on the afternoon of Wednesday February 14 to the El-Maarouf national hospital center in Moroni.

            The disease arrived by boat

            According to local authorities, 48 ​​cases of cholera have been recorded since the beginning of February. The first two confirmed deaths are linked to the arrival in the Comoros of a boat from Tanzania.

            Six people were immediately hospitalized among the ship's 13 crew members and 11 passengers, and two of them died.

            An increasing number of cases

            According to the Comorian Ministry of Health, a total of 11 imported cases were confirmed from February 1 to 14, while the first indigenous cases were reported since February 4.

            According to the latest situation report, the number of cholera cases is increasing in Grande Comore, especially in the Center district where the capital Moroni is located.

            To date, four regions are considered to be at risk of transmission of the disease: three in Grande Comore and one in Mohéli, namely the Center district, the Mbadjini-Est health district, and the Mitsamihouli-Mboudé health district respectively. , and the Fomboni health district.


            Aux Comores, un troisième décès dû au choléra est à déplorer, après les deux premiers déjà confirmés au début de ce mois de février. La victime est un adolescent de 15 ans admis mercredi aux urgences de l'hôpital El-Maarouf, à Moroni.

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            • #7
              Translation Google

              Ministère de la Santé, Union des Comores
              11h ·​

              EPIDEMIOLOGICAL SITUATION AS OF FEBRUARY 17, 2024 IN THE COMOROS ARCHIPELAGO:
              ----------------------------------------------------------
              - 67 confirmed cases in total since the official declaration of the cholera epidemic including 12 new cases,

              - 46 Patients are declared cured of cholera,

              - 16 Patients are treated in the treatment sites,

              - 05 Deaths since the start of the disease including a new community death of a 10-year-old girl on February 17, 2024,

              - 50% (16/30) bed occupancy rate (daily) at the Samba site,

              - 66% (67/10) positivity rate,
              ...

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              • #8
                Translation Google

                Comoros: 3 children have died of cholera since last Wednesday

                Cholera continues to spread in Greater Comoros. 3 children died in the space of a week. The epidemic arrived on a boat from Tanzania, it seems to be spreading among the population

                Bruno Minas • Published on February 19, 2024 at 8:41 a.m.

                Last Wednesday a 15-year-old boy could not be saved by the hospital doctors, his condition was too degraded. The next day, Thursday, a 4-year-old child died, and on Saturday it was the turn of a 10-year-old girl. This brings the number of deaths since the start of the epidemic to 5. Before the weekend there were 69 cases recorded by the Ministry of Health; however 46 were declared cured.

                The health authorities initially thought they had brought the epidemic under control, limited only to the boat's passengers and their relatives. Cholera is now circulating among the population. Schools must be disinfected and equipped for children to wash their hands.
                ...
                In Mayotte, we are preparing. A response plan must be announced tomorrow Tuesday February 20 by the prefecture and the ARS.

                Le choléra continue de se répandre en grande Comore. 3 enfants en sont morts en l’espace d’une semaine. L’épidémie est arrivée par un bateau en provenance de Tanzanie, elle semble se répandre dans la population

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                • #9
                  Translation Google

                  Ministry of Health, Union of the Comoros
                  1 d ·

                  EPIDEMIOLOGICAL SITUATION AS OF FEBRUARY 18, 2024

                  -----------------------------------------------------------------
                  - 83 confirmed cases in total since the declaration of the Cholera epidemic including 16 new cases,
                  - 55 Patients are declared cured of Cholera,
                  - 22 Patients are treated in the treatment sites,
                  - 06 Deaths since the start of the epidemic including a new community death of a male individual aged 25 years old on February 18, 2024,
                  - 73.3% (22/30) bed occupancy rate (daily) at the Samba site,
                  - 68.5% (83/121) positivity rate,
                  - 20 Cases per 100,000 Population Attack Rate in Ngazidja
                  Press officer: FST
                  Apparently “Cholera is angry”
                  Let’s apply preventive measures! Above all, let's always keep our hands clean!
                  ----------------------------------------------

                  Ministry of Health, Union of the Comoros
                  4h ·
                  EPIDEMIOLOGICAL SITUATION AS OF FEBRUARY 19, 2024

                  -----------------------------------------------
                  - 90 Cases have been confirmed in total since the declaration of the epidemic including 16 new Cases,
                  - 61 Patients are declared cured of Cholera,
                  - 23 Patients are treated in the treatment sites,
                  - 06 Deaths since the advent of the disease,
                  - 76.6% (23/30) bed occupancy rate (daily) at the Samba site,
                  - 61.6% (90/45) positivity rate,
                  - 22 Cases per 100,000 inhabitants Attack rate in Ngazidja.
                  Press officer: FST
                  Cholera is a serious and fatal disease!
                  Let's apply hygiene measures!

                  ...https://www.facebook.com/p/Minist%C3...0064152692176/

                  Comment


                  • #10
                    Translation Google

                    Ministry of Health, Union of the Comoros
                    3h ·

                    EPIDEMIOLOGICAL SITUATION AS OF FEBRUARY 20, 2024
                    ----------------------------------------------------------------------
                    - 98 confirmed cases in total since the declaration of the cholera epidemic including 8 new cases,

                    - 72 Patients declared cured of Cholera,

                    - 20 Patients are treated in the treatment sites,

                    - 06 Death since the start of the disease,

                    - 76.6% (20/30) bed occupancy rate (daily) at the Samba site,

                    - 61.6% (90/145) positivity rate,

                    - 22 Cases per 100,000 Population Attack Rate in Ngazidja.

                    Press officer: FST

                    The signs of Cholera are:

                    - Vomiting,
                    - Watery/faecal diarrhea,
                    - Abdominal pain,
                    - General fatigue.

                    ...https://www.facebook.com/p/Minist%C3...0064152692176/

                    Comment


                    • #11
                      Translation Google

                      More than 100 cases of cholera confirmed in Comoros

                      French.news.cn | 2024-02-23 at 02:23

                      MORONI, Feb. 22 (Xinhua) -- The number of confirmed cholera cases in Comoros climbs to 105, with seven new cases recorded, according to official data released Thursday by the Comorian Ministry of Health.

                      No new deaths have been attributed to the disease, bringing the death toll to six since the start of the epidemic, the source adds.

                      77 patients have been declared cured of the disease so far, while 22 others are currently being treated at treatment sites. At the Samba treatment site, in the north of the archipelago, the bed occupancy rate reached 73%.

                      The Ministry of Health encourages continued vigilance and compliance with preventive measures to contain the spread of the epidemic.

                      “We welcome three to five patients per day at the start of the epidemic in early February, reaching 15 people per day since February 10,” lamented Ceyedi Ben Said, doctor in the neurological department of El Maarouf hospital, Moroni.

                      The increase in cases is favored by the lack of hygiene observed in homes, he explained.

                      All costs of caring for patients are covered by the State, he added. END



                      ------------------------------------------------------------------

                      Cholera epidemic

                      Suspension of the maritime link between Comoros and Madagascar

                      Friday February 23 | Mandimbisoa R.

                      Passenger ships from the Comoros are temporarily banned from entering Madagascar due to the spread of cholera in the region. The Malagasy government has suspended maritime traffic linking the two destinations until the outbreak is brought under control, while allowing ships carrying strategic goods to dock with crew remaining on board.

                      Preventive measures have been taken, such as chemo-prophylactic treatments for air arrivals from countries affected by cholera, notably at Mahajanga airport. With 105 confirmed cases and 6 deaths in Comoros, the WHO reports a sharp increase in cholera in Africa, mainly in Eastern and Southern Africa.

                      In Madagascar, cholera has not yet been detected, but the country is preparing for its possible arrival. Recent floods have increased the risks of spread, highlighting hygiene challenges with poor access to drinking water and precarious sanitation practices. The Ministry of Health has deployed tests and medicines across the island to treat the disease should it occur.


                      Les navires à passagers en provenance des Comores sont temporairement interdits d'entrée à Madagascar en raison de la propagation du choléra dans la région. Le gouvernement malgache a suspendu le…

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                      • #12
                        Translation Google

                        Cholera epidemic: Authorities faced with the disbelief of the population

                        By Editorial team - February 24, 2024

                        While the Comoros have been facing a cholera epidemic since February 2 which has left 6 dead, the authorities have had to deal with rumors which deny the very existence of the disease. They called on artists to help them raise awareness.

                        Declared on February 2, the cholera epidemic continues to progress in the Comoros. So far, there have been 6 deaths and 110 confirmed cases. If the disease is confined to Grande Comore, the largest and most populated island in the archipelago with some 410,000 inhabitants, the public authorities must deal with Comorians who refute the existence of the disease.

                        It is in this context that the Ministry of Health yesterday invited renowned artists and opinion leaders to help “cut the chain of transmission”. “We are overwhelmed by rumors, our communications teams are out of breath,” admitted Nadjime-Dine Youssouf Mbechezi, advisor to the Minister of Health, Loub Yakout Zaidou.

                        In fact, on social networks, Internet users do not hesitate to write that the disease “  is the worst way to distract public opinion” from the post-electoral crisis which followed the disputed re-election of President Azali Assoumani last January. by the opposition. The regime is also accused of wanting to do “cholera business because it is financially strapped  ”.

                        Moroni, epicenter of disease

                        Salim Ali Amir, the best-known singer in the archipelago, who is currently preparing his 13th album, proposed “  a song and an awareness caravan  ” in the regions affected by the disease. Of the seven districts in Grande Comore, four are affected by the epidemic. Moroni, capital of more than 100,000 inhabitants, is the epicenter of cholera, with several outbreaks in different neighborhoods. 20 schools are affected. “  The situation is far from being under control”, breathes this agent of the Ministry of Health, who still thinks “that it is not impossible to reverse the trend  ”.

                        Still, while waiting for song and awareness caravan, the inhabitants of Moroni continue to doubt the existence of the disease.

                        Like here, in Volovolo, the largest market in the archipelago, located north of the capital. “  I don't believe in the existence of the disease  ,” declared Mohamed Abdou, a thirty-year-old spice seller. Not far from there is Mhadjou Sultan, butcher. “  This is not the first cholera epidemic to hit the country, however during previous episodes, a system was put in place. For example, at all entrances to the market there was a bucket of chlorinated water with which everyone was required to wash their hands, which is not currently the case. Which does not help to be aware of the existence of the disease  ,” regretted our interlocutor.

                        It should be noted that according to the National Water Exploitation and Distribution Company (Sonede), 29% of the population of the archipelago (Grande Comore, Anjouan and Mohéli) have access to drinking water, but other reliable interlocutors consider this figure “exaggerated”. However, it is through the ingestion of contaminated water or products that the disease is transmitted. The disease broke out in the Comoros via a cargo ship from Tanzania on January 30, a country where cholera is endemic.

                        The first two deaths recorded were passengers on this ship. More than 69% of patients are men. Since its accession to independence in 1975, this is the 5th time that the country, which currently has more than 800,000 inhabitants, has been confronted with vibrio cholera, the bacteria responsible for cholera. “The first episode in 1975 caused more than 1,000 deaths while in 2007, there were none,” said Ben Aboubacar Faouzouz, epidemiologist.

                        Faïza SOULÉ YOUSSOUF

                        Alors que les Comores sont confrontées à une épidémie de choléra depuis le 2 février qui a fait 6 morts, les autorités doivent faire face à des rumeurs qui nient l’existence même de la maladie. Elles ont fait appel à des artistes pour les aider à sensibiliser la population.

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                        • #13


                          24m ·

                          EPIDEMIOLOGICAL SITUATION AS OF FEBRUARY 25, 2024
                          ------------------------------------------------------------------
                          - 119 confirmed cases in total since the declaration of the epidemic including 2 new cases,

                          - 104 Patients are declared cured of Cholera,

                          - 09 Patients are treated in the treatment sites,

                          - 06 Deaths since the start of the epidemic,

                          - 87% (104/119) healing rate,

                          - 52% (119/228) positivity rate,

                          - 30% (09/30) bed occupancy rate (daily) at the Samba site,

                          - 29 Cases per 100,000 Population Attack Rate in Ngazidja.
                          Press officer: FST

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                          • #14
                            bump this

                            Comment


                            • #15
                              Translation Google

                              Comoros: a 16-year-old boy dies of cholera at Moroni hospital

                              A Comorian teenager died of cholera on Wednesday February 28, 2024, at El-Maarouf hospital. This tragedy is believed to be due to a negative test during his transfer, hence late treatment which proved fatal.

                              Fabrice Floch • Published on March 1, 2024 at 1:29 p.m.
                              '
                              A seventh death due to cholera was recorded Thursday by the Ministry of Health. The 16-year-old was admitted to El-Maarouf hospital. Unfortunately, the transfer was delayed following a negative test at the Samba health center.

                              The Secretary General of Health of the Comoros explained the causes of this tragedy: “He had cholera, which is why he was admitted to Samba. At the time of his transfer, his test was negative. He was taken to the center of treatment. His condition was deteriorating, he was admitted late to El-Maarouf hospital for ionic disorders, but it was too late", specifies La Gazette des Comoros .

                              The epidemic is slowing down

                              According to the latest statistics collected by the ministry, now 110 patients have recovered and no new cases have been reported. Nine patients are hospitalized. The authorities do not want to declare victory too quickly.

                              Despite free care, many patients still refuse to go to health centers. The first symptoms are not enough to convince them. To remedy this difficulty, the authorities have launched a communication campaign. The media, doctors, religious leaders and artists were invited to participate in the dissemination of prevention messages.

                              For the moment, the islands of Mohéli and Anjouan have not been affected by this cholera epidemic.

                              Un adolescent comorien est décédé du choléra, mercredi 28 février 2024, à l’hôpital El-Maarouf. Cette tragédie serait due à un test négatif lors de son transfert, d’où une prise en charge tardive qui s’est avérée fatale.

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