<p>A total of 549 cases were identified with 0.7% case fatality. Children &lt;5 years accounted for 50 % of the cases. Sixty-seven (12%) cases resulted in hospital admissions. Thirty-seven stool samples were collected, and multiple pathogens were with 14 (38%) samples isolating more than one pathogen. Most detected pathogens are rotavirus (27%), shigella spp. (21%), norovirus GII (21%), norovirus GI (18%). Water sample results detected E. coli and coliform species. The quality of water treatment processes and water supply to the communities were affected by power outages. Factors associated with admission were &lt;1 year (AOR: 6.89, CI:1.79- 26.60, p=0.005), 1-5 years (AOR:4.21, CI:1.07- 16.51, p=0.039), ≥65 years (AOR:7.86, CI:1.69- 36.39, p=0.008), residing in Armburg (AOR:16.75, CI:1.65-170.43, p=0.017) loose diarrhoea (AOR:6.74, CI:2.24- 20.51, p=0.001), nausea &amp; vomiting (AOR:1.95, CI:1.03- 3.70, p=0.042), antibiotics administration (AOR:4.49 CI:1.82- 11.06, p=0.001).</p>