Since mid-July, MSF has been responding to a cholera epidemic across four regions in Niger. As of 14 September, the epidemic declared on 9 August by the Nigerien Ministry of Public Health has led to 4283 cases and 144 deaths across six of the country’s eight regions - Zinder, Maradi, Dosso, Tahoua, Tillaberi and Niamey. Maradi is currently the worst affect one, with 2381 reported cholera cases.

In addition to increased epidemiological surveillance in the regions where it works, MSF started its emergency response mid-July in the region of Zinder, after the first cholera cases were reported in Magaria hospital. The quick spread of cholera clusters throughout the country motivated MSF to scale up its support in Tahoua, Niamey and Maradi regions. In these four regions, MSF has set up 15 cholera treatment centres and units, installed oral rehydration points in villages, and supported several local health authorities with logistics and medical supplies. Since the beginning of its intervention, MSF teams have cared for more than 1770 patients. Additionally, MSF also keeps implementing awareness-raising among communities regarding surveillance and preventive measures, such as washing hands and food, and the disinfection of water points and homes. As complementary action MSF remains ready to support the health authorities for a vaccination campaign in the most affected areas.

Cholera first appeared in Niger in 1971 and is endemic in several regions of the country as well as in neighbouring countries. The last cholera epidemic took place in 2018, with 3824 cases and 78 deaths. Niger is located in an area particularly exposed to the effects of climate change, coupled with a poor water treatment and drainage system, especially in rural areas.