166 cholera cases and 19 deaths have been recorded in CAR as of 21 August. The government declared an outbreak on 10 August, although cholera was first detected on 27 July in Mourou-Fleuve village, Ndjoukou subprefecture of Kemo, located along the Oubangui River, 100km from the capital Bangui. The outbreak has since spread to Damara subprefecture (Ombella Mpoko) and to at least four arrondissements in Bangui.
Most of the affected are located along the Oubangui River, which serves as the borer with DRC. Road access to these communities is very limited due to the rainy season.