Zambia: ZMB: Epidemic – 08-2026 – Cholera outbreak (2026-09-30)

Country: Zambia Sources: International Federation of Red Cross and Red Crescent Societies, Zambia Red Cross Society Please refer to the attached file. Description The cholera outbreak is placing significant pressure on the health system and affected populations. The outbreak has increased the demand for cholera case management, surveillance, laboratory testing, emergency response and WASH services. As of 29 September 2026, seven districts across five provinces had reported 304 cases, including 62 laboratory-confirmed cases, with 35 patients receiving treatment and 11 reported deaths. The response has therefore required health workers and emergency teams to strengthen active case finding, laboratory testing, rapid response and treatment services in affected districts. The affected population is experiencing increased illness and mortality, while communities remain exposed to risks associated with unsafe water, sanitation and possible contamination of water sources. The response has required the provision of safe water and household chlorine, water-quality monitoring, super-chlorination of shallow wells, disinfection and establishment of oral rehydration and treatment points. Secondary effects include delays in seeking treatment, which are contributing to community deaths. Of the 11 deaths reported, eight (8) occurred in the community and three in health facilities, with the Ministry identifying the community deaths as an indication of delayed treatment-seeking. The outbreak also creates additional demands on health workers, facilities, logistics and response resources, potentially affecting the capacity to maintain routine health services while responding to the outbreak. At household level, affected families may face additional burdens associated with illness, caregiving, accessing treatment and obtaining safe water and sanitation supplies. The outbreak also has social and behavioural effects, including the potential for stigma and discrimination against affected individuals and families. Continued transmission increases the need for sustained risk communication, community engagement and health education to promote safe water use, handwashing, sanitation, early treatment and prompt reporting of suspected cases. The Ministry has emphasised the involvement of community leaders, churches, civil society, media and other influencers in ensuring consistent and accurate information reaches affected communities.

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