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On 15 August 2017, the Ministry of Health of Chad notified WHO of a suspected cholera outbreak in Koukou District, Sila Region in the south-east of the country (bordering Sudan). The outbreak first emerged on 14-15 August 2017 when the local health facility (Tioro Health Centre) reported a cluster of 50 cases of acute watery diarrhoea including 13 deaths (case fatality rate 26%) from Marena, a remote village in Koukou District. Subsequently, suspected cases have been reported by the Dogdoré Health Centre (receiving cases from Dabanalaye and Hilé Hussein villages) since 19 August 2017, and most recently from the GozAmir and Koukou Urbain (Quartier Habilé) health centres since 4 September 2017. As of 5 September 2017, 206 cholera cases including 25 deaths (case fatality rate 12.1%) have been reported across Koukou district. Marena (133 cases) and Dogdoré (64 cases) are currently the worst affected regions. The situation in Goz-Amir (2 cases) and Koukou Urbain (1 case) are also being monitored closely.
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