Comoros - Cholera outbreak 2024

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Cholera I death of a patient at the Military Health Service

Health |03/14/2024- Nourina Abdoul-Djabar

Officials refused to communicate with the media. However, an anonymous official confirmed to us that the man died of cholera.

The events took place on the morning of Monday March 11 at the Moroni military health service. According to a member of his family, the man from Ndzuani was buried in Moroni because, according to doctors, he died of cholera.

“Doctors concluded that he died of cholera, and we were unable to recover the body,” he said. While cholera patients are generally transferred to the dedicated Samba Kouni center, the deceased patient was hospitalized at the Army Health Service.

On Tuesday, we went there to get more information. Officials refused to communicate with the media. However, an anonymous official confirmed to us that the man died of cholera. “I don’t know why he wasn’t transferred to Samba,” he added.

Contacted by us, the Secretary General of the Ministry of Health, Dr Aboubacar Said Anli, directed us to another official, Doctor Faouzouz, whom we unfortunately were not able to contact. In the end, no official commented on the matter.

Nourina Abdoul-Djabar

https://alwatwan.net/sante/choléra-i-décès-d’un-patient-au-service-de-santé-militaire.html

 

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Cholera: an alarming situation with rapid spread in Ndzuani

Health |03/20/2024-

Cholera continues to spread rapidly. From February 1 to March 17, 319 positive cases were confirmed by the rapid diagnostic test (RDT), resulting in 12 deaths. Men are more affected than women, representing 64% of cases compared to 36% for the latter. The age group most affected is 20 to 24 years old, with the highest number of cumulative cases.

The cholera situation is particularly worrying in Ndzuani, with a recent explosion of cases. According to the regional director of Health, Doctor Ansuffoudine Mohamed, who referred to an assessment published on Sunday March 17, there are 126 cumulative cases, including 92 recoveries, 35 active cases and one community death. The majority of cases (120) are concentrated in Mutsamudu district, with a few cases in Wani and Tsembehou districts. The most affected neighborhoods in Mutsamudu are Moimoi, Mdjipviya, Pagee and Chiwe. The doctor stressed the importance for the population to redouble their efforts in terms of hygiene and respect for barrier gestures to effectively fight against this so-called “dirty hands” disease. He also warned of the risk of spread to other areas, calling for “increased vigilance”.

A ministerial note published on Monday March 18 indicates that after a month of fighting the epidemic, the country reached the highest peak of the disease in week 11 of the year 2024. Cholera cases are now distributed over the three islands. In Ndzuani and Mwali, where there were initially only a few reported cases, the outbreak spread. In Ngazidja, six districts are affected, particularly the central district and the town of Moroni. Outbreaks are recorded in the districts of Hankunu, Sanfil, Basha, Badjanani, Naziko and Coulée. In Mwali, two districts are affected, namely Fomboni and Niumashuwa. In Ndzuani, three districts out of seven are currently affected.

Strengthening “barrier gestures”

A trend has been maintained since the start of the epidemic: a predominance of men, with 64% of cases, and a concentration of cases in the age group of 20 to 24, followed by the age groups of 14 to 19 years old and from 0 to 4 years old. However, it is children under 15 who are most vulnerable to this epidemic.

The epidemiologist in charge of surveillance, Doctor Faouzouz Ben Aboubacar, expressed his concern about the significant neglect of barrier gestures by the population with the arrival of Ramadan. He noted that picnics and large festivities were organized without any consideration for the health situation, and without applying the necessary hygiene measures to avoid any contamination. “It was especially at the start of the month of Ramadan that we saw an explosion in cholera cases. We are observing strong resistance from the population to go to health facilities,” he said.

Faced with this situation, the Ministry of Health, Solidarity, Social Protection and Gender Promotion rapidly intensified its response efforts. First of all, he was forced to replace the experts from the WHO (World Health Organization) who were providing reinforcements to coordinate the response. Then, he stressed the need to continue raising awareness in order to reduce late patient consultations, to follow the care kits sent by Unicef, to organize the sending of cholera samples for sequencing, and to train teams in different districts. He insisted on these points after noting numerous shortcomings in health measures.

https://alwatwan.net/sante/choléra-...te-avec-une-propagation-rapide-à-ndzuani.html

 

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11 new cases of cholera today in the Comoros

by D.Hamza | 22 Mar 2024 | International , Health

In a press release published on March 22, 2024, the Ministry of Health, Solidarity, Social Protection and Gender Promotion of the Comoros reports encouraging developments in the cholera epidemic affecting the Union of Comoros.

On the day of March 22, 11 new cases of cholera were recorded , while 23 additional people were declared cured . No deaths have been reported for this same period, keeping the total number of deaths at 12 since the start of the epidemic.

The total cholera cases now stand at 456, including 11 imported cases, with 415 recoveries. The island census indicates that Ngazidja recorded 4 new cases, bringing its total to 237, with 219 recoveries. Ndzouani has 6 new cases for a total of 174, with 156 people recovered. Mwali, for its part, presents 1 new case for a total of 45, with 40 recoveries. The number of active cases, that is to say still under treatment or monitoring, is 29 across the Union.

The Ministry highlights the absence of new deaths linked to cholera as of March 22, 2024 and urges the population to go to the hospital as soon as the first symptoms appear to avoid serious complications that can lead to death. A call is also made for rigorous compliance with preventive measures to stem the spread of the disease.

These data demonstrate the concerted efforts of health authorities and the population to contain the cholera epidemic, and the downward trend in the number of active cases is a positive sign towards controlling this health crisis. However, vigilance remains necessary to maintain this favorable dynamic and protect public health.

https://gazeti.fr/11-nouveaux-cas-de-cholera-aujourdhui-aux-comores/

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Ministry of Health, Union of the Comoros​

3h ·

EPIDEMIOLOGICAL SITUATION AS OF MARCH 22, 2024.

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Ministère de la Santé, Union des Comores
1d ·​

EPIDEMIOLOGICAL SITUATION AS OF MARCH 25 TO 27, 2024
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- 857 suspected cases (Tested by RDT) including 549 cumulative cases positive by RDT and 58 confirmed by culture at the national reference laboratory of El-maarouf,

- 69 new Cases recorded during the period of March 25-27, 2024,

- 493 Patients are declared cured of Cholera,

- 40 Patients are treated in the treatment sites,

- 16 deaths are recorded including 2 new community deaths (1 in Mwali and 1 in Ndzuwani),

- 64% (549/857) of positivity rate by RDT,

- 2.9% fatality rate,

- 66 Cases per 100,000 Population Attack Rate in Comoros

(Mwali: TA= 114;
Ngazidja : TA= 63
and Ndzuwani : TA= 63 )

Press officer: FST​​

https://www.facebook.com/permalink....RrwmHoq3u9smBTbEEP5wQGJtRl&id=100064152692176

 

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Comoros: one death from cholera recorded Tuesday April 2, 2024

Fabrice Floch • Published on April 3, 2024 at 1:59 p.m., updated April 3, 2024 at 2:06 p.m.

A third victim was recorded this Tuesday, April 2, 2024, in Mohéli. The smallest island in the archipelago is hard hit by this epidemic. Local health authorities count 93 positive cases in the Fomboni 3 sector, including three deaths. The commune of Mlédjélé is a cluster.

Located in the heart of Mohéli, it is relatively far from health centers. A distance which delays the arrival of patients, complicates treatment and greatly reduces the success of medication.

...https://la1ere.francetvinfo.fr/reun...ra-enregistre-mardi-2-avril-2024-1477400.html

 

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Comoros: four deaths and 83 new cases of cholera in one week

The latest official report from the Comoros health services shows four deaths and 83 patients affected by cholera. Tuesday April 9, 2024, the Ministry recorded 26 deaths, 995 positive tests and 837 cured citizens. According to the latest statistics, the islands of Anjouan and Mohéli are the most affected, while the cholera epidemic is declining on Grande Comores.

Fabrice Floch • Published on April 10, 2024 at 2:25 p.m.

If on Grande Comore, the cholera epidemic seems to be declining, while the other two islands are still hard hit.

The trend, already observed at the beginning of the month, is confirmed with 4 deaths and 69 new cases detected in Anjouan.

In Mohéli, it is still too early to rejoice, but an improvement seems to be taking shape. There are no deaths and only 10 new cases. Be careful, however, Mohéli is the smallest and least populated of the three lands of the archipelago, Habariza Comoros tells us .

Grande Comore on the right track

On Grande Comore, only four new cases were recorded. This is encouraging, but also an invitation to caution. The bacteria has not been eradicated and the risk exists if released.

...https://la1ere.francetvinfo.fr/reun...ux-cas-de-cholera-en-une-semaine-1479284.html

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Ministère de la Santé, Union des Comores
1d ·

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https://www.facebook.com/permalink....fwbhHtf2Aaaw61CEieKZvkgCNl&id=100064152692176

 

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Ministère de la Santé, Union des Comores
34m​

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https://www.facebook.com/permalink.php?story_fbid=821672666647816&id=100064152692176

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Cholera causes school closures in Anjouan

Date: April 15, 2024 in: News , Health

Cholera continues to progress in Anjouan. In the Domoni region, schools, from kindergarten to middle school, will close this Monday until further notice. Traders in the covered market in the town of Domoni are also suffering the consequences of cholera. They are asked to wash their products before putting them on sale. There is concern about the increase in the number of cholera cases in Anjouan which unfortunately risks having repercussions in Mayotte. It is important to respect hygiene measures by washing your hands and consuming drinking water for drinking and cooking.


https://www.linfokwezi.fr/le-cholera-provoque-la-fermeture-decoles-a-anjouan/

 

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366 new cases of cholera in four days in Comoros

The cholera epidemic has intensified in recent days in the Comoros. 336 new cases were detected and eight deaths recorded in four days, notably on the island of Anjouan.

Raphaël Cann • Published on April 17, 2024 at 11:03 a.m.

The cholera epidemic is intensifying in the Comoros. 366 cases have been detected and eight deaths have been recorded in four days since Sunday April 14. In total: more than 1,700 cases and 43 deaths have been recorded since the start of the epidemic on February 2. Two thirds of cases were detected on the island of Anjouan although the disease arrived there later, at the beginning of March . The spread of the epidemic, however, remains stable in Grande Comore and Mohéli with around ten cases detected daily in recent weeks.

In Anjouan, health kits were distributed by Unicef ​​to allow certain patients to receive treatment at home and reserve hospitals for the most serious cases. However, the authorities lack the resources to ensure the disinfection of the homes and surroundings of the many contaminated patients. In some neighborhoods, residents do it themselves with the means at hand, water and bleach.

https://la1ere.francetvinfo.fr/mayo...lera-en-quatre-jours-aux-comores-1481105.html

 

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Cholera epidemic in the Comoros: two water treatment units sent from Reunion

Since February 2, the Comoros have been facing a cholera epidemic which has already claimed 45 lives. In order to slow the spread of the epidemic, the Indian Ocean Regional Intervention Platform (Piroi) sent two water treatment units.

Written by Clicanoo
Published on 04/19/2024 at 10:38

The Union of the Comoros has been affected since February 2, 2024 by a Cholera epidemic which continues to worsen. On April 17, 1,855 cases were recorded by health authorities in the country. The island of Anjouan is particularly impacted with 1,237 cases recorded. There have also been 45 deaths since the start of the epidemic. In Mayotte, a first case of cholera was confirmed on March 18, 2024. There have been 10 cases on the island to date.

Reduce the spread of the epidemic

The three Comorian islands are now impacted, particularly Anjouan where more than 200 cases were recorded in 72 hours. The island has been designated as a priority area for intervention in view of this outbreak of cholera cases and the risks of the disease spreading.

To stop this spread, the International Federation of the Red Cross (IFRC) launched a first emergency fund (DREF) on February 20, in order to provide support to the Comorian Red Crescent (CRCo) allowing it to intervene quickly to the population.

200 volunteers

More than 200 Comorian Red Crescent volunteers are involved in this operation. The French Red Cross delegation in Moroni also provides support to the CRCo through its health system strengthening program. At the end of February, a first mission by 4 PIROI team members specializing in health, water, hygiene and sanitation (WASH) and logistics made it possible to improve infection prevention and control within the Samba-Kouni cholera treatment center.

Faced with the spread of the epidemic to all three Comorian islands, particularly in Anjouan, a Humanitarian Emergency Response Team (ERU) composed of 6 specialists was deployed by the French Red Cross (CRF), with the support from the Canadian Red Cross and the Norwegian Red Cross, in order to strengthen the treatment centers. This ERU deployment is supported by the Crisis and Support Center (CDCS) of the Ministry for Europe and Foreign Affairs. The IFRC also deployed an operations coordinator at the beginning of April for an initial period of three months.

Water fit for consumption

In order to reduce the spread of the epidemic, at the request of the CRCo, PIROI is deploying two water treatment units (UTE) from its regional warehouse in Reunion Island to the island of Anjouan, seriously affected by the epidemic. In fact, contaminated water taken directly from the river by the population is used for drinking purposes but also for hygiene purposes, which promotes the transmission of the disease. The provision of these UTEs will make it possible to provide clean water for consumption, reducing the risk of contamination.

The system will be supplemented by distribution points (flexible storage tanks and tap ramps) positioned within the communities. Two water treatment experts will be mobilized to support Comorian Red Crescent volunteers.
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https://www.clicanoo.re/article/soc...-de-traitement-de-leau-envoyees-de-la-reunion

 

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Ministry of Health, Union of the Comoros​

1 day ·​

​CHOLERA
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EPIDEMIOLOGICAL SITUATION AS OF APRIL 25, 2024.

On the island of Anjouan, since March 3, the Cholera epidemic has been raging regularly.
Should we cross our fingers?
Together, let's truly mobilize for a response to the response by improving access to drinking or bleached water and hygiene measures!
This is a common fight and not that of one party for another.
By mobilizing for prevention, we can certainly save our lives and those of those around us!
Press officer: FSTOUMANI​

https://www.facebook.com/permalink....ifa8amxu5f7l&id=100064152692176&locale=fr_FR​

 

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Ministry of Health, Union of the Comoros​

14h · ​

​CHOLERA
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EPIDEMIOLOGICAL SITUATION AS OF APRIL 27, 2024.

Already 63 cases of death. This is very worrying! Comoros, we are a country with a small number of inhabitants. Let's not cross our fingers!
Cholera, this highly contagious and deadly disease, will soon have to pack up to go to its place of departure.

For this, the Ministry of Health and its various partners, mobilized to raise awareness, recommend that the entire Comorian population continue to regularly respect prevention measures.

May Allah protect us!

Press officer: FSTOUMANI

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https://www.facebook.com/permalink.php?story_fbid=pfbid0jCduZwVW1twyQqbvVRr URm6Gv82wPWpxicHa9WE7xfJn9vuWHfk9yX6jCs1CvDhNl&id= 100064152692176

 

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Comoros: cholera kills 82 amid heavy flooding

The updated assessment by the epidemic surveillance unit worries health and political authorities. Tuesday April 30 was marked by the death of ten people on the island of Anjouan, the highest death toll recorded since February 4, the date on which cholera was officially declared in the Comoros. The country must also face a tropical storm in the coming days.

Kemba
May 2, 2024

The cholera epidemic is getting worse in Anjouan

Cholera is claiming victims in the Comoros. The latest epidemiological bulletin reports 82 deaths across the archipelago. We learned of “ 247 new cases of cholera, 380 new recoveries, 04 new deaths ” in the single day of Wednesday, May 1 , after the terrible toll of ten deaths recorded on Tuesday, April 30 on the island of Anjouan, which accounts for the highest number of casualties, 63 in total, out of 82 deaths. There were around fifteen victims in Grande-Comore and 4 in Mohéli.

3,950 cases recorded since February 4

“ Since the start of the fight against the cholera epidemic, the country recorded the largest peak of the disease in week S15 of the year 2024 with 409 cases of the disease and 15 community deaths. This peak could be linked to the mobility of the population, without respect for control measures at the end of the month of Ramadan and the day of the Eid festival, especially on the island of Ndzuwani ", (Anjouan) , explains a detailed note from the Ministry of Health.

The Comorian authorities have mobilized teams to fight the disease which seem to limit the damage since a significant number of cases have been treated, i.e. 3,620 people cured out of a total of 3,950 cases recorded in the different health districts since February 4, the date when cholera was officially declared in the Comoros. A few days ago, the authorities suggested reinforced restrictive measures “ by May 10 if the situation does not stabilize ”.

The unit in charge of anti-cholera surveillance notes " the efforts made" to contain the epidemic but notes " a lack of electrolytes and solutes in the CTCs, insufficient human resources for the management of cases, investigations of confirmed cases and follow-up of contacts of confirmed cases especially in Anjouan, insufficient means of travel for the supervision of activities " but also " the lack of an ionogram device at the Samba laboratory ", the health center which hosts cholera patients in Grande-Comore.

Solidarity in favor of flood victims

She also reports the “ denial of the population accompanied by late consultations, insufficient sprayers for PCI in the islands, insufficient DLM for public places, a delay in filling on Kobo of the BDD on the notification of cases in Mohéli and Anjouan and a lack of premises at the port for surveillance agents at entry points to Ngazidja” , Grande Comore . Teams from Civil Security and the Red Crescent mobilized to lend health workers a helping hand. The newspaper Al-watwan speaks of " current weather conditions which do not help the situation " by repeating the words of Doctor Ibrahim Salim who believes, in the newspaper, that " bad weather contributes to the spread of the cholera bacteria, and the “The hospital is overwhelmed.”


President Azali in a disaster zone

The situation is complicated because the archipelago has also faced heavy flooding while a tropical storm is predicted " in the coming days", according to a press release from the General Directorate of Civil Security, based on information from meteorological services. Teams are on alert to help those affected by the probable floods. “This tropical storm could specifically affect the north of Ngazidja and the coasts of the northeast of Ndzuani, which would cause heavy rain and winds of around 45 km/h. In accordance with the country's emergency plan, this situation does not give rise to a state of alert ,” indicates this press release published yesterday, Wednesday, May 1 .

Now is the time for great vigilance for cholera and solidarity with those affected by the floods. President Azali Assoumani, returning from a trip to Kenya, immediately went to the disaster areas, accompanied by his wife, Ambari Darouech and numerous ministers. Representatives of the IMF and the World Bank, alongside the Minister of Finance, Mze Abdou Mohamed Chanfiou, also visited the victims in a heavily impacted locality. The Malagasy company TELMA as well as volunteers provide them with help.

ASKemba, Moroni

https://lejournaldemayotte.yt/2024/...deces-dans-un-contexte-de-fortes-inondations/

 

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Spread of cholera in Mwali I The town of Ndrondroni quarantined

Health |05/06/2024- Antufati Soidri

This measure comes following the “emergency measures to combat cholera”, decided by the Fomboni prefecture since May 1.

The town of Ndrondroni, epicenter of the cholera epidemic on the island of Mwali, has just been placed in quarantine. The decision was taken and implemented by the Island Coordination to Fight Cholera (which brings together the health authorities, the gendarmerie and civil security) this Saturday, May 4. This measure comes following the “emergency measures to combat cholera”, decided by the Fomboni prefecture since May 1.

It is in fact established that of the 380 cholera patients admitted to Mwali health structures, 360 come from the Mledjele region, mainly from the town of Ndrondroni. However, significant efforts have been made to treat the sick and fight against the transmission of the bacteria. This includes disinfecting homes, raising awareness and mobilizing communities for behavior change. However, the island coordinator for the fight against cholera, Doctor Hassanaly Abdoulanziz, deplores "the lack of community commitment". It must be said that following recent bad weather leading to flooding at the Fomboni market, where sellers expose food to the ground, increased risks are identified. Furthermore, the mobility of people between cities and islands has caused an increase in cases of the disease on the island. This is why urgent measures have been taken to limit its spread.

The coordinator therefore called on the population to carry out an operation to bring the Fomboni market up to standard on Sunday, May 5, in collaboration with civil security, the gendarmerie, the various health services and community associations, in order to carry out a major clean-up. . Note that on Friday, May 3, 12 new cases were recorded, with 12 new cured cases and 53 active cases at the Fomboni hospital center.

https://alwatwan.net/sante/propagat...-ville-de-ndrondroni-mise-en-quarantaine.html

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Ministère de la Santé, Union des Comoros
19 hours ·

EPIDÉMIE DU CHOLÉRA​

SITUATION EN DATE DU 5 MAI 2024.​

Attaché de presse : FSTOUMANI​

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Source: https://reliefweb.int/report/comoros/comoros-cholera-outbreak-dref-operational-update-mdrkm011


Comoros Cholera Outbreak - DREF Operational Update (MDRKM011)
Format Situation Report
Source IFRC
Posted 10 May 2024
Originally published 10 May 2024

Description of the Event

Date when the trigger was met

2024-04-23

What happened, where and when?

Following confirmed tests, the Comoros Ministry of Health declared a cholera epidemic on February 2, 2024, at 8 p.m. local time. A Cholera Treatment Center (CTC) was activated in Samba to treat cholera cases (hospital on the outskirts of Moroni). This was confirmed by the Dar Es Alam Laboratory and reaffirmed by the Comoros Ministry of Health. Eleven weeks after the first cholera case was confirmed, the number of cases continues to increase (with 132 cases by end of February, 655 cases by end of March and 2,319 by 21st April 2024), and the outbreak has now spread to the three islands. The Government of Comoros decided to intensify response efforts, therefore the Comoros Red Crescent Society which has been actively involved since the beginning of the outbreak, will also extend the scope of its response and operation timeframe to ensure a contribution to the epidemic response in proportion to its scale.

As of April 21st, a total of 2,319 cases had been reported (437 in Ngadzidja, 1608 in Ndzuani and 274 in Mweli). A total of 55 deaths had been reported by then with case fatality rate of 2,4% (3 out of 4 deaths happening in the community). It's worth noting that the islands of the Comoros are referred to interchangeably by different names. For instance, Anjouan is also known as Ndzuani.​..

 

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Ministry of Health, Union of the Comoros
10 p.m. ·

CHOLERA OUTBREAK​

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SITUATION AS OF MAY 12, 2024.​

4 New Deaths on the island of Anjouan today.​

Press officer: FSTOUMANI​

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Ministry of Health, Union of the Comoros
23 h ·​

CHOLERA OUTBREAK
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SITUATION AS OF MAY 16, 2024.
A new case of death on the island of Anjouan.
Press officer: FSTOUMANI​

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Ministry of Health, Union of the Comoros​

4 p.m.​

​CHOLERA OUTBREAK
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SITUATION AS OF MAY 20, 2024.
3 new cases of death on the island of Anjouan.
Press officer: FSTOUMANI​

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Ministry of Health, Union of the Comoros
5h​

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​CHOLERA OUTBREAK​

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SITUATION AS OF MAY 26, 2024.​

Press officer: FSTOUMANI​

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https://www.facebook.com/permalink....C6P9Z67e7NsikFEFZst8nJnW3l&id=100064152692176





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