<p>Objective: I suggest including the objective of determining the source of the outbreak so that intervention can be appropriately implemented.</p><p>Methods: It would have been good to collect water samples from the Kivu Lake and present the results of the sampled water so that you can make the proper linkage.</p><p>Public Health Significance: Indicate what is being done to ensure that the water from the Lake is safe, is there any alternative source of water provided to the community?</p>