Please refer to the attached file. EARLY ACTION PROTOCOL ACTIVATION Activation Overview The Cameroon Red Cross (CRC) activated its cholera Early Action Protocol (EAP) following flooding in the city of Douala, Littoral Region. On the night of 11 September 2026, heavy rainfall caused flooding in several neighbourhoods of Douala, particularly Bonamoussadi (Sable Banya and Denver) and Makèpè Missokè. The floods affected communities and several water, sanitation and hygiene facilities, increasing the risk of contamination of water sources and exposure to waterborne diseases, particularly cholera. Field assessments conducted by Cameroon Red Cross volunteers identified approximately 500 affected households, representing nearly 2, 300 people, as well as latrines/pits and water supply sources affected by the floods. Stagnant water, high population density, poor housing conditions in some areas and the ongoing rainy season further increase health risks. Following analysis of the data collected and monitoring of the trigger criteria defined in the cholera EAP, the threshold for the first trigger was considered to have been reached on 18 September 2026. This led the Cameroon Red Cross to activate the cholera EAP in Bangué Health District, Douala, Littoral Region. Anticipatory actions will be implemented over three months to reduce communities’ exposure to cholera and limit the potential consequences of a possible outbreak.



