<p>We conducted active case searches using case definition of any person residing within the Monsesema with history of diarrhea, abdominal pain, fever, headache and general body weakness from 27th November 2022. Verbal autopsy was done for the dead. We collected data on demographics, signs and symptoms, date of onset, treatment, and current status of the cases using a questionnaire. Water samples were taken for microbiological analysis. Data were analyzed descriptively.</p>