Please refer to the attached file. Highlights Almost 690K people have been reached with life-saving health services in 227 townships in Myanmar between 1 July and 30 September 2026. An additional 126K people were reached in townships that are excluded from the 2026 HNRP. In spite of ongoing rains, cholera/Acute Watery Diarrhoea (AWD) cases show a decreasing trend. Continued monitoring is needed to avoid resurgence of cases. 1. 4M doses of Oral Cholera Vaccines (OCV) were administered in downtown townships in Yangon, while the OCV campaign in Sittwe township is severely hampered by intensified fighting, with 74% of the 300K doses of OCV administered. Widespread flooding and landslides in Ayeyarwady, Tanintharyi, and Yangon caused displacement and damage, increasing the risk of landmine incidents due to moving Explosive Ordnances (EO). Floods also resulting in increase in malaria and dengue cases, especially in endemic areas in Karenni, Tanintharyi, Kachin, Chin and Sagaing. Partners continue to report severe shortages in supplies, especially bednets – Between 1 January and 30 October 2026, 118 attacks on health care were reported by Insecurity Insight, compared to 62 verified incidents by WHO’s Surveillance System for Attacks on Health Care (SSA). The majority of attacks are recorded from Sagaing, followed by Rakhine.



