There have been more than a thousand cases of cholera in Chad since the first case was registered on 14 August. The epidemic, officially declared on 18 September, started in the Sila region bordering Sudan and shifted southward to the Salamat region. MSF moved its emergency response activities to Salamat in mid-October as the epidemic evolved. At the peak of the epidemic in Salamat’s Am Timan district, more than half of patients arrived at the MSF cholera treatment centre (CTC) severely dehydrated. Most patients appeared to have drawn water from untreated sources as they worked in nearby fields.The need to raise awareness about getting quick treatment and preventing the waterborne disease became clear.