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Since January 2007, limited access to safe drinking water and poor sanitation and hygiene conditions have led to a surge in diarrhea and cholera cases in Djibouti, primarily affecting Djibouti city and nearby Dikhil and Tadjourah districts, according to the Government of Djibouti Ministry of Health (MOH). Three surges in reported cases of diarrhea and cholera in January, April, and September have drained the existing resources of local government and relief agencies to adequately respond. The MOH reports more than 1,000 diarrhea cases since early September and over 40 new cases reported per day.

On November 20, U.S. Ambassador W. Stuart Symington declared a disaster due to the growing incidence of diarrhea and cholera in Djibouti city and Dikhil and Tadjourah districts. In response, USAID/OFDA is providing $100,000 to the U.N. Children’s Fund (UNICEF) to provide medical supplies and facilitate an intensive health, sanitation, and hygiene campaign to prevent the further spread of diarrhea diseases.