<p>The likely index case occurred on March 17, 2023, and a total of 312 cases were line listed with a fatality rate of 8.3%. The median age of cases was one year, ranging from 3 months to 80 years, males comprised 54.5% (170/312) and the most affected age group were ≤5 years at 75.3%(235/312). Kisauni sub-county was the most affected contributing 35.3%(110/312) of the cases. Diarrhea and vomiting were the most common symptoms in all cases. Only 48% of the cases had received rotavirus vaccination. Rotavirus tests were performed on 53 samples, with 41.5% (22/53) testing positive, and of the 56 samples tested for cholera, 16.1% (9/56) tested positive (vibrio cholerae serotype ogawa). Adenovirus(n=1), cryptosporidium(n=1), campylobacter(n=1), and norovirus(n=1) were also isolated.</p>