Overview

• Africa CDC reports 205,000 cholera cases across 23 African countries in 2025, with the fatality rate rising to 2.1% from 1.9% last year.
• Seasonal rains are contaminating wells and surface sources, exposing more than 80,000 children in West and Central Africa to high infection risk, UNICEF warns.
• Only half of the 54 million oral cholera vaccine doses needed are available, leaving millions without immunization protection.
• Severe sanitation deficits persist, with just 16% of South Sudan’s population and 35% in Sudan having reliable access to clean water or facilities.
• Violence in eastern DR Congo and Sudan continues to block relief teams, and recent donor withdrawals have created critical funding shortfalls.