<p>Of the 43 cases interviewed, (79%) were males. Median age was 25 years (range 2 - 75 years). Majority of cases (40%) belonged to age group 20-30 years. Majority of cases were fishermen (44%). Of the 11 stool samples tested in the laboratory, (91%) were positive for Vibrio cholerae 0139 and fresh feces were seen on ground in the fishing communities. Only (50%) of the interviewed health workers reported to receive formal training on cholera diagnosis. The following were identified risk factors for cholera transmission in Salima; sex (male/female), OR= 7.8, 95% CI=2.96–20.70, p= &lt;0.001, history of eating out, OR=2.86, 95% CI=1.19–6.85, p= 0.018, occupation (being a fisherman), OR=3.0, 95% CI=1.16–7.73, p= 0.021 and physical contact with a cholera case, OR=7.25, 95% CI= 2.39–21.96, p=0.001.</p>