From July 27 to 28, 2022, 105 cases were recorded of which a 14-month-old baby died. Sixty-nine percent (72/105) were females. The median age was 12 years (range :165 years). Fifty-eight percent (61/105) of the cases were school pupils. Of the total cases, 61% developed generalized body weakness, 51% vomiting, and 43% nausea. Ninety-seven cases and 97 controls were enrolled in the study. The odds of eating birthday cake were four times higher among cases than controls (odds ratio 4; 95% CI: 1.89, 8.58). The cake had the highest attack rate (AR = 3.1) followed by ginger beer (AR = 2.9). At the multivariate level, eating cake was significantly associated with food poisoning (aOR =7.3; 95% CI 3.68,14.33). However, the environmental and food samples were not tested due to a lack of capacity.