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<!DOCTYPE html>     <html class="no-js" lang="en">  <head><META http-equiv="Content-Type" content="text/html; charset=UTF-8"> <meta content="text/html; charset=UTF-8" http-equiv="Content-Type"> <meta content="IE=edge,chrome=1" http-equiv="X-UA-Compatible"> <meta content="width=device-width,initial-scale=1" name="viewport"> <link rel="shortcut icon" href="/themes/Mirage2PAHO/images/favicon.ico"> <link rel="apple-touch-icon" href="/themes/Mirage2PAHO/images/apple-touch-icon.png"> <meta name="Generator" content="DSpace 6.4-SNAPSHOT"> <link href="/themes/Mirage2PAHO/styles/main.css" rel="stylesheet"> <link type="application/opensearchdescription+xml" rel="search" href="https://iris.paho.org:443/open-search/description.xml" title="DSpace"> <script> //Clear default text of empty text areas on focus function tFocus(element) { if (element.value == ' '){element.value='';} } //Clear default text of empty text areas on submit function tSubmit(form) { var defaultedElements = document.getElementsByTagName("textarea"); for (var i=0; i != defaultedElements.length; i++){ if (defaultedElements[i].value == ' '){ defaultedElements[i].value='';}} } //Disable pressing 'enter' key to submit a form (otherwise pressing 'enter' causes a submission to start over) function disableEnterKey(e) { var key; if(window.event) key = window.event.keyCode; //Internet Explorer else key = e.which; //Firefox and Netscape if(key == 13) //if "Enter" pressed, then disable! return false; else return true; } </script><script src="/themes/Mirage2PAHO/vendor/modernizr/modernizr.js"> </script><script crossorigin="anonymous" src="https://kit.fontawesome.com/20eac3219c.js"></script> <title>Cholera Outbreak in Haiti and Dominican Republic. Situation Report, n.8 (8 December 2022)</title> <link rel="schema.DCTERMS" href="http://purl.org/dc/terms/" /> <link rel="schema.DC" href="http://purl.org/dc/elements/1.1/" /> <meta name="DCTERMS.dateAccepted" content="2024" scheme="DCTERMS.W3CDTF" /> <meta name="DCTERMS.available" content="2024" scheme="DCTERMS.W3CDTF" /> <meta name="DCTERMS.issued" content="202" scheme="DCTERMS.W3CDTF" /> <meta name="DC.identifier" content="https://iris.paho.org/handle/10665.2/60408" scheme="DCTERMS.URI" /> <meta name="DCTERMS.abstract" content="In Haiti, confirmed cholera cases are reported in new areas of the capital and in additional departments. As of 6 December 2022, the Department of Epidemiology, Laboratories, and Research (DELR) confirmed 1,193 cases of cholera in eight departments. 943 (79%) of confirmed cases were reported in the Ouest Department. 13,672 suspected cases have been reported in all 10 departments in the country since the first 2 cholera cases were reported on 2 October. In the Dominican Republic, two new cholera cases were confirmed on 7 December by the Ministry of Health in the city of Santo Domingo, bringing the total number of confirmed cases to 4 in the country since October 2022. In Haiti, high levels of insecurity and limited access to fuel continue to be the major challenges in the response to the cholera outbreak. In Haiti, PAHO/WHO continues to support the Ministry of Health (Ministère de la Santé Publique et de la Population – MSPP) and partners, including: Technical and logistical support to field investigations in all departments to identify suspected cases and collect samples for laboratory analysis. Distribution of 49 tons of essential medicines and medical supplies to Cholera Treatment Centers (CTCs) and Health Directorates in all departments. Training of additional Community Health Workers (ASCP) in the Ouest and Centre Departments, including in preparation for the upcoming vaccination campaign. Technical and financial support for the training and development of the communication strategy for the upcoming cholera vaccination campaign. In the Dominican Republic, PAHO/WHO continues to support the Ministry of Health in monitoring and investigating alerts, including through the donation of Rapid Diagnostic Tests, and in implementing prevention activities through risk communication and community engagement." xml:lang="en_US" /> <meta name="DC.language" content="en" xml:lang="en_US" scheme="DCTERMS.RFC1766" /> <meta name="DC.publisher" content="PAHO" xml:lang="en_US" /> <meta name="DC.subject" content="Cholera" xml:lang="en_US" /> <meta name="DC.subject" content="Vibrio cholerae" xml:lang="en_US" /> <meta name="DC.subject" content="Epidemiologic Surveillance" xml:lang="en_US" /> <meta name="DC.subject" content="Disease Outbreaks" xml:lang="en_US" /> <meta name="DC.subject" content="Emergencies" xml:lang="en_US" /> <meta name="DC.subject" content="Haiti" xml:lang="en_US" /> <meta name="DC.subject" content="Dominican Republic" xml:lang="en_US" /> <meta name="DC.title" content="Cholera Outbreak in Haiti and Dominican Republic. Situation Report, n.8 (8 December 2022)" xml:lang="en_US" /> <meta name="DC.type" content="Newsletters" xml:lang="en_US" /> <meta name="DC.rights" content="Pan American Health Organization" xml:lang="en_US" /> <meta name="DC.contributor" content="Pan American Health Organization" xml:lang="en_US" /> <meta name="DC.relation" content="PAHO Epidemiological Updates" /> <meta name="DC.relation" content="Actualizaciones Epidemiológicas OPS" /> <meta content="Cholera; Vibrio cholerae; Epidemiologic Surveillance; Disease Outbreaks; Emergencies; Haiti; Dominican Republic; Newsletters" name="citation_keywords"> <meta content="Cholera Outbreak in Haiti and Dominican Republic. Situation Report, n.8 (8 December 2022)" name="citation_title"> <meta content="PAHO" name="citation_publisher"> <meta content="en" name="citation_language"> <meta content="Pan American Health Organization" name="citation_author"> <meta content="https://iris.paho.org/bitstream/10665.2/60408/1/SitRepCholeraHaiti_8Dec22_eng.pdf" name="citation_pdf_url"> <meta content="202" name="citation_date"> <meta content="https://iris.paho.org/handle/10665.2/60408" name="citation_abstract_html_url"> </head><body> <header> <div role="navigation" class="navbar navbar-default navbar-static-top"> <div class="container"> <div class="navbar-header"> <button data-toggle="offcanvas" class="navbar-toggle" type="button"><span class="sr-only">Toggle navigation</span><span class="icon-bar"></span><span class="icon-bar"></span><span class="icon-bar"></span></button><a class="navbar-brand" href="/"><img src="/themes/Mirage2PAHO/images/logo_en.png" class="img-responsive"></a> <div class="navbar-header pull-right visible-xs hidden-sm hidden-md hidden-lg"> <ul class="nav nav-pills pull-left "> <li class="dropdown" id="ds-language-selection-xs"> <button data-toggle="dropdown" class="dropdown-toggle navbar-toggle navbar-link" role="button" href="#" id="language-dropdown-toggle-xs"><b aria-hidden="true" class="visible-xs glyphicon glyphicon-globe"></b></button> <ul data-no-collapse="true" aria-labelledby="language-dropdown-toggle-xs" role="menu" class="dropdown-menu pull-right"> <li role="presentation"> <a href="https://iris.paho.org:443/handle/10665.2/60408?locale-attribute=es">español</a> </li> <li role="presentation" class="disabled"> <a href="https://iris.paho.org:443/handle/10665.2/60408?locale-attribute=en">English</a> </li> <li role="presentation"> <a href="https://iris.paho.org:443/handle/10665.2/60408?locale-attribute=pt">português</a> </li> </ul> </li> <li> <form method="get" action="/login" style="display: inline"> <button class="navbar-toggle navbar-link"><b aria-hidden="true" class="visible-xs glyphicon glyphicon-user"></b></button> </form> </li> </ul> </div> </div> <div class="navbar-header pull-right hidden-xs"> <ul class="nav navbar-nav pull-left"> <li class="dropdown" id="ds-language-selection"> <a data-toggle="dropdown" class="dropdown-toggle" role="button" href="#" id="language-dropdown-toggle"><span class="hidden-xs">English <b class="caret"></b></span></a> <ul data-no-collapse="true" aria-labelledby="language-dropdown-toggle" role="menu" class="dropdown-menu pull-right"> <li role="presentation"> <a href="?locale-attribute=es">español</a> </li> <li role="presentation" class="disabled"> <a href="?locale-attribute=en">English</a> </li> <li role="presentation"> <a href="?locale-attribute=pt">português</a> </li> </ul> </li> </ul> <ul class="nav navbar-nav pull-left"> <li></li> </ul> <button type="button" class="navbar-toggle visible-sm" data-toggle="offcanvas"><span class="sr-only">Toggle navigation</span><span class="icon-bar"></span><span class="icon-bar"></span><span class="icon-bar"></span></button> </div> </div> </div> </header> <div class="container"> <div class="row"> <div class="btop" id="franjahead"> <div class="container"> <div class="row row-centered"> <div class="col-xs-12 col-md-12 bbottom hidden-xs" id="BarraSuperior"> <ul class="nav navbar-nav bartopleft hidden-xs"> <li> <a href="/">IRIS PAHO Home</a> </li> </ul> <ul class="nav navbar-nav bartop"> <li class="nvisible-xs"> <a target="_blank" href="https://www.paho.org">PAHO website</a> </li> <li> <a href="/#indexes">Indexes</a> </li> <li> <a href="/community-list">All Collections</a> </li> <li> <a target="_blank" href="https://www.paho.org/hq/index.php?option=com_content&view=article&id=14914:repositorio-institucional-de-la-ops-politica-general&Itemid=72446&lang=en">About IRIS</a> </li> <li> <a target="_blank" href="https://www.paho.org/hq/index.php?option=com_content&view=article&id=12314:paho-institutional-repository&Itemid=42066&lang=en">Institutional Memory</a> </li> <li> <a href="/contact">Contact</a> </li> </ul> </div> </div> </div> </div> </div> </div> <div class="hidden" id="no-js-warning-wrapper"> <div id="no-js-warning"> <div class="notice failure">JavaScript is disabled for your browser. Some features of this site may not work without it.</div> </div> </div> <div class="container" id="main-container"> <div class="row row-offcanvas row-offcanvas-right"> <div class="horizontal-slider clearfix"> <div class="col-xs-12 col-sm-12 col-md-9 main-content"> <div class="hidden-print"> <div class="container"> <div class="row"> <div class="col-xs-12"> <div class="dropdown visible-xs"> <a data-toggle="dropdown" class="dropdown-toggle" role="button" href="#" id="trail-dropdown-toggle">View Item <b class="caret"></b></a> <ul aria-labelledby="trail-dropdown-toggle" role="menu" class="dropdown-menu"> <li role="presentation"> <a role="menuitem" href="/"><i aria-hidden="true" class="glyphicon glyphicon-home"></i>  IRIS PAHO Home</a> </li> <li role="presentation"> <a role="menuitem" href="/handle/10665.2/1">1.PAHO Headquarters / Sede de la OPS</a> </li> <li role="presentation"> <a role="menuitem" href="/handle/10665.2/3021">Scientific Journals and Newsletters / Revistas Científicas y Boletines</a> </li> <li role="presentation"> <a role="menuitem" href="/handle/10665.2/50483">Epidemiological Updates</a> </li> <li role="presentation" class="disabled"> <a href="#" role="menuitem">View Item</a> </li> </ul> </div> <ul class="crumbs"> <li> <i aria-hidden="true" class="glyphicon glyphicon-home"></i>  <a href="/">IRIS PAHO Home</a> </li> <li> <a href="/handle/10665.2/1">1.PAHO Headquarters / Sede de la OPS</a> </li> <li> <a href="/handle/10665.2/3021">Scientific Journals and Newsletters / Revistas Científicas y Boletines</a> </li> <li> <a href="/handle/10665.2/50483">Epidemiological Updates</a> </li> <li class="active">View Item</li> </ul> </div> </div> </div> </div> <div> <div id="aspect_artifactbrowser_ItemViewer_div_item-view" class="ds-static-div primary">  <script src="//platform-api.sharethis.com/js/sharethis.js#property=598be57fd85a710012ca4ced&product=inline-share-buttons" type="text/javascript"></script> <div class="item-summary-view-metadata"> <h2 class="page-header first-page-header">Cholera Outbreak in Haiti and Dominican Republic. Situation Report, n.8 (8 December 2022)</h2> <div class="row"> <div class="col-sm-4"> <div class="row"> <div class="col-xs-6 col-sm-12"> <div class="thumbnail"> <img alt="Thumbnail" class="img-thumbnail" src="/bitstream/handle/10665.2/60408/SitRepCholeraHaiti_8Dec22_eng.pdf.jpg?sequence=4&isAllowed=y"></div> </div> <div class="col-xs-6 col-sm-12"> <div class="item-page-field-wrapper table word-break"> <h5>View/<wbr></wbr>Open</h5> <div> <a href="/bitstream/handle/10665.2/60408/SitRepCholeraHaiti_8Dec22_eng.pdf?sequence=1&isAllowed=y" target="_blank"><i aria-hidden="true" class="glyphicon glyphicon-file"></i> English; 5 pages (1.383Mb)</a> </div> </div> </div> <div class="col-xs-6 col-sm-12 item-view-export-buttons"> <div class="btn-group sort-export-menu"> <button data-toggle="dropdown" class="btn btn-default dropdown-toggle export-button" type="button"><span aria-hidden="true" class="fa fa-quote-left"></span><span class="citation-export-text hidden-xs">Cite</span></button> <ul role="menu" class="dropdown-menu"> <li class="global-citations gear-head dropdown-header">Global styles</li> <li class="global-citation citation-style"> <a href="6"><span class="glyphicon glyphicon-ok btn-xs active invisible"></span>WHO</a> </li> <li class="global-citation citation-style"> <a href="5"><span class="glyphicon glyphicon-ok btn-xs active invisible"></span>Chicago</a> </li> <li class="global-citation citation-style"> <a href="4"><span class="glyphicon glyphicon-ok btn-xs active invisible"></span>Elsevier Vancouver</a> </li> <li class="global-citation citation-style"> <a href="3"><span class="glyphicon glyphicon-ok btn-xs active invisible"></span>Elsevier Harvard</a> </li> <li class="single-search divider"></li> <li> <a data-target="#itemCitationHelpModal" data-toggle="modal" id="item-citation-help" href="#"><span class="glyphicon glyphicon-ok btn-xs active invisible"></span>Help</a> </li> </ul> </div> <div class="item-export"> <button data-toggle="dropdown" class="btn btn-default dropdown-toggle export-button item-export-button" type="button"><span aria-hidden="true" class="glyphicon glyphicon-share"></span><span class="hidden-xs export-text">Export</span><span class="hidden-xs processing-text hidden">xmlui.dri2xhtml.METS-1.0.processing</span></button> <ul role="menu" class="dropdown-menu"> <li class="export-format"> <a href="https://iris.paho.org/discover/export?format=csv&singleItemid=c9ec8b5c-571f-4487-a2c6-dee0ca058216&handle=10665.2/60408"><span class="glyphicon glyphicon-ok btn-xs active invisible"></span>CSV</a> </li> <li class="export-format"> <a href="https://iris.paho.org/discover/export?format=refman&singleItemid=c9ec8b5c-571f-4487-a2c6-dee0ca058216&handle=10665.2/60408"><span class="glyphicon glyphicon-ok btn-xs active invisible"></span>RIS (Refman)</a> </li> </ul> </div> </div> <div class="sharethis-inline-share-buttons"></div> <div class="col-xs-6 col-sm-12"></div> <div class="col-xs-6 col-sm-12"> <button class="view-statistics-button btn btn-default"><a href="/handle/10665.2/60408/statistics">View Usage Statistics</a></button> </div> </div> <div class="simple-item-view-date word-break item-page-field-wrapper table"> <h5>Date</h5>202</div> <div class="simple-item-view-authors item-page-field-wrapper table"> <h5>Author</h5> <div> <a href="../../browse?value=Pan American Health Organization&type=author">Pan American Health Organization</a> </div> </div> <div class="simple-item-view-show-full item-page-field-wrapper table"> <h5>Metadata</h5> <a href="/handle/10665.2/60408?show=full">Show full item record</a> </div> </div> <div class="col-sm-8"> <div class="simple-item-view-description item-page-field-wrapper table"> <h5 class="visible-xs">Abstract</h5> <div>In Haiti, confirmed cholera cases are reported in new areas of the capital and in additional departments. As of 6 December 2022, the Department of Epidemiology, Laboratories, and Research (DELR) confirmed 1,193 cases of cholera in eight departments. 943 (79%) of confirmed cases were reported in the Ouest Department. 13,672 suspected cases have been reported in all 10 departments in the country since the first 2 cholera cases were reported on 2 October. In the Dominican Republic, two new cholera cases were confirmed on 7 December by the Ministry of Health in the city of Santo Domingo, bringing the total number of confirmed cases to 4 in the country since October 2022. In Haiti, high levels of insecurity and limited access to fuel continue to be the major challenges in the response to the cholera outbreak. In Haiti, PAHO/WHO continues to support the Ministry of Health (Ministère de la Santé Publique et de la Population – MSPP) and partners, including: Technical and logistical support to field investigations in all departments to identify suspected cases and collect samples for laboratory analysis. Distribution of 49 tons of essential medicines and medical supplies to Cholera Treatment Centers (CTCs) and Health Directorates in all departments. Training of additional Community Health Workers (ASCP) in the Ouest and Centre Departments, including in preparation for the upcoming vaccination campaign. Technical and financial support for the training and development of the communication strategy for the upcoming cholera vaccination campaign. In the Dominican Republic, PAHO/WHO continues to support the Ministry of Health in monitoring and investigating alerts, including through the donation of Rapid Diagnostic Tests, and in implementing prevention activities through risk communication and community engagement.</div> </div> <div class="simple-item-view-description item-page-field-wrapper table"> <h5>Pages</h5> <div>5 p.</div> </div> <div class="simple-item-view-description item-page-field-wrapper table"> <h5>Subject</h5> <div> <a href="../../browse?value=Cholera&type=subject">Cholera</a>; <a href="../../browse?value=Vibrio cholerae&type=subject">Vibrio cholerae</a>; <a href="../../browse?value=Epidemiologic Surveillance&type=subject">Epidemiologic Surveillance</a>; <a href="../../browse?value=Disease Outbreaks&type=subject">Disease Outbreaks</a>; <a href="../../browse?value=Emergencies&type=subject">Emergencies</a>; <a href="../../browse?value=Haiti&type=subject">Haiti</a>; <a href="../../browse?value=Dominican Republic&type=subject">Dominican Republic</a> </div> </div> <div class="simple-item-view-uri item-page-field-wrapper table"> <h5>URI</h5> <span><a href="https://iris.paho.org/handle/10665.2/60408">https://iris.paho.org/handle/10665.2/60408</a></span> </div> <div class="simple-item-view-collections item-page-field-wrapper table"> <h5>Collections</h5> <ul class="ds-referenceSet-list">  <li> <a href="/handle/10665.2/50483">Epidemiological Updates</a> </li> </ul> </div> </div> </div> </div> <p id="com_atmire_app_xmlui_aspect_citations_ItemCitationTransformer_p_hidden-fields" class="ds-paragraph hidden"> <input id="com_atmire_app_xmlui_aspect_citations_ItemCitationTransformer_field_citation-export-base" class="ds-hidden-field form-control" name="citation-export-base" type="hidden" value="https://iris.paho.org/discover/citation-export?itemUuid=c9ec8b5c-571f-4487-a2c6-dee0ca058216"> </p> </div> <div id="aspect_discovery_RelatedItems_div_item-related-container" class="ds-static-div"> <h2 class="ds-div-head page-header">Related items</h2> <div id="aspect_discovery_RelatedItems_div_item-related" class="ds-static-div secondary related"> <p class="ds-paragraph">Showing items related by title, author, creator and subject.</p> <ul class="ds-artifact-list list-unstyled">  <li class="ds-artifact-item odd"> <div class="item-wrapper row"> <div class="col-sm-3 hidden-xs"> <div class="thumbnail artifact-preview"> <a href="/handle/10665.2/60406" class="image-link"><img alt="Thumbnail" class="img-responsive" src="/bitstream/handle/10665.2/60406/SitRepCholeraHaiti_22Dec22_eng.pdf.jpg?sequence=4&isAllowed=y"></a> </div> </div> <div class="col-sm-9"> <div class="col-sm-11 col-xs-11 artifact-description browse-export-feature"> <div class="artifact-title"> <a href="/handle/10665.2/60406">Cholera Outbreak in Haiti and Dominican Republic. Situation Report, n.10 (22 December 2022)</a><span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft_id=https%3A%2F%2Firis.paho.org%2Fhandle%2F10665.2%2F60406&rfr_id=info%3Asid%2Fdspace.org%3Arepository&rft.publisher=United+States&rft.publisher=Washington%2C+D.C.&rft.source=US1.1&rft.contributor=Health+Emergencies+%28PHE%29"> </span> </div> <div class="artifact-info"> <span class="author">Pan American Health Organization; Health Emergencies (PHE)</span> <span class="publisher-date">(<span class="publisher">PAHOUnited StatesWashington, D.C.</span>, <span class="date">2022</span>)</span> </div> <div class="artifact-abstract">In Haiti, as of 20 December 2022, the Department of Epidemiology, Laboratories, and Research (DELR) reports 18,469 suspected cholera cases in all 10 departments of the country since the first cases were reported on 2 ...</div> </div> </div> </div> </li>  <li class="ds-artifact-item even"> <div class="item-wrapper row"> <div class="col-sm-3 hidden-xs"> <div class="thumbnail artifact-preview"> <a href="/handle/10665.2/60407" class="image-link"><img alt="Thumbnail" class="img-responsive" src="/bitstream/handle/10665.2/60407/SitRepCholeraHaiti_16Dec22_eng.pdf.jpg?sequence=4&isAllowed=y"></a> </div> </div> <div class="col-sm-9"> <div class="col-sm-11 col-xs-11 artifact-description browse-export-feature"> <div class="artifact-title"> <a href="/handle/10665.2/60407">Cholera Outbreak in Haiti and Dominican Republic. Situation Report, n.9 (16 December 2022)</a><span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft_id=https%3A%2F%2Firis.paho.org%2Fhandle%2F10665.2%2F60407&rfr_id=info%3Asid%2Fdspace.org%3Arepository&rft.publisher=United+States&rft.publisher=Washington%2C+D.C.&rft.source=US1.1&rft.contributor=Health+Emergencies+%28PHE%29"> </span> </div> <div class="artifact-info"> <span class="author">Pan American Health Organization; Health Emergencies (PHE)</span> <span class="publisher-date">(<span class="publisher">PAHOUnited StatesWashington, D.C.</span>, <span class="date">2022</span>)</span> </div> <div class="artifact-abstract">In Haiti, confirmed cholera cases are reported in new areas of the capital and in additional departments. As of 14 December 2022, the Department of Epidemiology, Laboratories, and Research (DELR) confirmed 1,291 cases of ...</div> </div> </div> </div> </li>  <li class="ds-artifact-item odd"> <div class="item-wrapper row"> <div class="col-sm-3 hidden-xs"> <div class="thumbnail artifact-preview"> <a href="/handle/10665.2/60404" class="image-link"><img alt="Thumbnail" class="img-responsive" src="/bitstream/handle/10665.2/60404/SitRepCholeraHaiti_20Jan23_eng.pdf.jpg?sequence=4&isAllowed=y"></a> </div> </div> <div class="col-sm-9"> <div class="col-sm-11 col-xs-11 artifact-description browse-export-feature"> <div class="artifact-title"> <a href="/handle/10665.2/60404">Cholera Outbreak in Haiti and Dominican Republic. Situation Report, n.12 (20 January 2023)</a><span class="Z3988" title="ctx_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft_id=https%3A%2F%2Firis.paho.org%2Fhandle%2F10665.2%2F60404&rfr_id=info%3Asid%2Fdspace.org%3Arepository&rft.publisher=United+States&rft.publisher=Washington%2C+D.C.&rft.source=US1.1&rft.contributor=Health+Emergencies+%28PHE%29"> </span> </div> <div class="artifact-info"> <span class="author">Pan American Health Organization; Health Emergencies (PHE)</span> <span class="publisher-date">(<span class="publisher">PAHOUnited StatesWashington, D.C.</span>, <span class="date">2023</span>)</span> </div> <div class="artifact-abstract">In Haiti, as of 16 of January 2023, the Department of Epidemiology, Laboratories, and Research (DELR) reports 24,451 suspected cholera cases in all 10 departments of the country. 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