1,489 cholera cases (including 26 deaths) have been reported in Maradi region since 15 July. After showing signs of improvement in early August, the outbreak intensified after 10 August. More than 930 cases, including at least 19 deaths, have been reported since 11 August. The outbreak was initially contained in Madarounfa department but has now spread to the heavily populated city of Maradi, the capital of Maradi region. Heavy rainfall and floods in the area have affected more than 20,000 people and are exacerbating the risk of contamination.