<p>We identified 148 case-patients (8 confirmed, 140 suspected) of whom 5 (CFR=3.4%) died. All the case-patients presented with skin lesions (itching, swelling or ulcer). Most 84 (57%) of the case-patients were females and 81(55%) were ≤10 years old. Median age of case-patients was 9 (range: 0.25-70) years. Of the nine affected payams (sub-counties), Waralel had the highest attack rate (130.9/100,000 population). Most 126 (85%) of the case-patients were from households keeping livestock and 134 (91%) reported eating meat of dead livestock from unknown cause. None of the owned livestock were vaccinated.</p>