Chad: Cholera Outbreak - Jun 2026

On 16 June, the Ministry of Public Health and Prevention declared a cholera outbreak in Karal health district, Haraz-al-Biar department (bordering the Lac province and the far-northern Cameroon region), an area hosting more than 30,000 displaced people. Laboratory tests confirmed Vibrio cholerae O1 Ogawa, with 16 cases and one death reported. ([OCHA, 23 Jun 2026](https://reliefweb.int/node/4217493))

As of 23 June, the cholera outbreak in Karal health district, Hadjer Lamis Province, had affected three of the district's 14 health areas. A total of 52 suspected and probable cases, including 9 laboratory-confirmed cases and one death, had been reported. The outbreak remains localized but the risk of further spread is high due to poor water, sanitation and hygiene conditions, the onset of the rainy season, the proximity of the newly affected area to an internally displaced persons site, and shortages of cholera rapid diagnostic tests in the 11 health areas that have not yet reported cases. ([Croix-Rouge du Tchad, 24 Jun 2026](https://reliefweb.int/node/4217808))

As of 29 June, the cholera outbreak in Karal health district had resulted in at least 13 deaths. Health authorities and humanitarian partners continued case management, epidemiological surveillance, household disinfection, community awareness and preparations for an oral cholera vaccination campaign. ([OCHA, 30 Jun 2026](https://reliefweb.int/node/4218619))

By 16 August, the cholera outbreak had spread from Hadjer-Lamis Province to N’Djamena and Lac Province. Laboratory-confirmed cases had been detected in six health districts, while 14 health areas and 65 villages or neighbourhoods had reported at least one case. Nationwide, 484 cases and 21 deaths had been recorded, including 11 community deaths, giving a case fatality rate of 4.3 per cent. Lac Province had become the main area of active transmission, with 218 cases and eight deaths. The Ministry of Public Health and Prevention received 1,924,650 doses of o