Death rates from cholera outbreaks in Sudan and Nigeria have soared to three times the global average, putting thousands of children at risk. Conflict and flooding are hampering access to treatment, according to Save the Children.
In Sudan, the Case Fatality Rate (CFR) is 3.1%, while Nigeria’s is 2.9%, both far exceeding the global standard of 1%. These countries, along with others in West, Central, and East Africa, have experienced unprecedented flooding, and exacerbated by climate change. Over 4.4 million people in West and Central Africa and more than 2 million in Eastern Africa have been affected by floods in 2024.
Flooding, contaminated water, and poor sewage systems have fueled the cholera outbreaks, with children under the age of five being the most affected. In Sudan, from July 22 to September 29, more than 17,600 cases and 546 deaths were reported. Nearly 80% of hospitals are non-functional due to conflict, leaving many without essential medical care. In Nigeria, flooding has displaced millions, with 450 cases and 32 deaths confirmed by October 1, and children making up 37% of cases.
Save the Children is working in both countries to treat cholera, provide clean water, and distribute medical supplies. The organization is urging governments and donors to act quickly to prevent further deaths.
Mohamed Abdiladif, Interim Country Director in Sudan, stressed the urgent need for medical supplies as malnutrition and a failing healthcare system worsen the crisis. Duncan Harvey, Country Director in Nigeria, highlighted the preventability of cholera with proper infrastructure, calling for immediate action to save lives.
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