<p>Ninety-two cases (66 males, 26 females) were identified, with four fatalities (4.3%). Males had a higher attack rate (2.4 per 1,000) than females (1.6 per 1,000). Suftu Kebele was the most affected area (AR=41 per 1,000). The outbreak began after an individual returned from cholera-affected Mandera, Kenya, on February 2, 2023. The Dawa River, used for drinking and domestic purposes, was a major source of contamination due to open defecation and other activities. Using untreated river water significantly increased cholera risk (AOR = 20, 95% CI 5.2-73).</p>