As of May 31st, 2023, there was a cumulative of more than 30,000 confirmed cases and 131 deaths from the cholera outbreak. Eleven provinces have now reported cases in more than 45 Districts according to the Ministry of Health.

Current hotspots in the country (according to reported cases) include Beira, Nhamatanda, and Marromeu in Sofala province, Quelimane in Zambezia province, Chimoio in Manica province and Memba and Nacala Porto in Nampula.

The 2 landings of Tropical Cyclone Freddy, on February 28 and March 12, 2023, have greatly affected the country and exacerbated the cholera situation. Extensive flooding has left families homeless, affected water supplies, and reduced access to many communities.
The city of Quelimane experienced a rapid increase of cholera cases and admissions to CTCs with a mortality rate reached the 0.6%. Reports are now coming in of cholera cases in other Districts in Zambezia, namely Nicoadala, Maganja da Costa, Namacurra, and Inhassunge.

In Quelimane, there have been reported 12,133 confirmed cases of cholera and 33 deaths. The CTCs in Quelimane have admitted 4,581 patients, stretching available resources. Reports coming in are that CTCs are overcrowded and control of family members is a challenge due to a lack of human resources. The crowding of CTCs and presence of family members will exacerbate the spread of cholera.

With the impacts of TC Freddy, resources are stretched and there are reports of demonstrations at Partners`distributions with communities claiming that the selection process is not equal. Oral Rehydration Points have been vandalized with community members voicing concerns of cholera cases increasing in locations of the Oral Rehydration Points. Based on this assessment, there is a large need for Community Engagement and Accountability (CEA) to spread cholera awareness, safe health and hygiene practices, and to involve community in decision making.

Maputo City has reported Cholera cases (8) and deaths (2), skipped days, but the volunteers have been activated to develop sensitization activities directly in the zones with identified cases, these volunteers received health training before, and 15 of them participated in these actions for a period of 15 days.
3 districts in Nampula, namely Nacala Porto, Memba and Nampula city, are involving 95 Volunteers, (20 in Nacala Porto, 15 in Memba and 60 in the city of Nampula). Activities are on health promotion at community level, distribution of chlorine and soap to patients after being discharged, spraying in patients' and surrounding houses, and participating in coordination meetings with other NGOs.

At HQ the team is preparing new delivery of chlorine to provinces in need.
Procurement processes within Cholera DREF are done, except for the chlorine due to lack of supply in the country. Considering that some provinces are requesting for this item, IFRC is still pushing the NS to distribute the chlorine they have stocked.
At HQ levels a proposal for Manica Province response actions has been presented to Swedish RC for fundraising.