Cholera Response in Sudan ltpgtCholera cases reported initially from South Kordofan states in 19th July 2023 and continue to be reported up to 28th August 2023, in total (419) suspected cases has been reported including (8) deaths, confirmation was carried using RDTs that revealed two positive from Dalling locality, Due to insecurity along the road between Kadogli to other states, acting partner who are supporting SMOH failed to move, collected sample to NPHL for further confirmation which was not even operational at that time,  syndromic approach was used to respond to uninterruptedly reported cases, since 28th August no more cases reported from SK. On 27th Augus 2023 First suspected AWD/Cholera case was reported from Algalabat  Alshargiya locality (Doka) Gadarif state, the reported cases were cluster in Khatir village (border with Ethiopia), and one case approached the PHC center in Mahala village, since then other localities in Gadarif are continuing to report Cholera cases, total of 11 localities from Gadarif reported 2122 suspected cases including 50 deaths with 2.4CFR. then Khartoum state, Gazira, Kassala, Sinnar, RS, WN, BN, RN, NS and NK are reported 587, 1863, 71,155, 140, 3848, 1685, 3, 71 and 13 cases respectively, in total 10449 suspected cases, 288 deaths with 2.8% CFR, 10 states, and 61 localities are responding to current Cholera outbreak.  ltbrgtOn 26th Sept the federal minster of health officially declared Cholera outbreaks in Gadarif after the vibrio isolated in the NPHL in Port Sudan. Cases confirmed by RDT, further isolation was not secured for sample from Sharq Alnile locality because of sample transportation movement challenges. the initial confirmation made by Cholera RDTs provided by WHO to all 18 states of Sudan including Khartoum states.  Syndromic approach was used to diagnose and treat cases after exhaustion of Cholera RDT in Khartoum, and restriction of supplies delivery by MI, rumor of community deaths has been observed, failure of RRT movement due to insecurity is affecting contact tracing and further sample collection and transportation in some states particularly the RSF controlled areas. more RDTs were secured from previous CERF allocation that meeting the current needs at Cholera potential states and those states actively reporting Cholera cases. this allocation WHO emergency program through its strong presence in all States of Sudan, will secure the required supplies for the expected cases of Cholera as per the epidemiological calculation made by WHO epidemiologist and FMOH surveillance unit, total of 57000 cases are expected to be reported initially, but because of changing in security situation and observed massive displacement from Gazira, WN, sinnar, Khartoum and NK, this number might not be reached. due to increased geography and imposed curfew in many states public and RRT movement for outbreak investigation, contact tracing was affected, because of remarkable reduction in cases during the last 7 weeks WHO is planning to amend the supplies part to include some supplies relevant to the upcoming rainy season which will contribute to support facilities run by both SMOH  and partners to work as sentinel site to report any potential cases of AWD as well as to work as observatory services delivery points, in addtion to ensuring we have enough RDTs to monitor disease related to rainy season Dengue and Cholera RDTs will be procured for cover 11 states across Sudan including Darfur and Khartoum states.ltbrgtlt/pgt