In January 2025, MSF opened an emergency response in Bouth, Mayom, to respond to the heavy scalation of cholera cases in an area where no other health actors are. MSF supported with the vaccination of over 20,000 people, which had a great impact on the cholera outbreak and closed the emergency response. Nevertheless, due to the nature of Mayom (hard-to-reach area, with no health actors in place) the need of the population continue to be dire.