

In a public notice dated October 6, 2025, Kajiado Director of Public Health Samson Saigulu said the county has activated its emergency services and heightened its preparedness in case of a spill over of cases.
“Following a confirmed cholera outbreak in the neighbouring Narok County, the Kajiado County Public Emergency Operations Centre (PHEOC) is hereby placed on alert mode to enhance early detection, preparedness, and response measures aimed at preventing the spread of cholera into our county,” Saigulu said.
The county health boss has directed all hospital facilities in the region to implement a couple of measures aimed at handling suspected cases.
The first measure of enhanced surveillance is to intensify active case search for any case presenting with acute diarrhea at both the facility and community level, and ensure timely reporting of all suspected cases through IDSR and DHIS2 channels, and immediate notification to the county EOC.
The second measure involves case management, where officers have been directed to verify the availability of ORS, IV fluids, rapid cholera diagnostic kit, and treatment supplies in all health facilities. The health facilities are also required to prepare cholera treatment/isolation centres areas where possible.
The third measure of Water, Sanitation and Hygiene (WASH) is to conduct quality water monitoring and chlorination of communal water sources, intensify public health education and hygiene promotion targeting high-risk populations, including food handlers and border communities.
The fourth step to communication and coordination has tasked sub-county public health officers to activate local public health emergency teams to provide daily situation updates to the county EOC.
The final measure has been listed as strengthening multi-sectoral collaboration with partners, local administration, and WASH stakeholders.
“Let’s maintain a high level of vigilance and ensure rapid response to any suspected cases to safeguard our communities from cholera transmission,” Saigilu’s memo Re: CGK/Public Health/1/2025/Vol.1/328 concludes.
On Monday, four people were reported dead while 15 others are struggling for their lives in the hospital after an outbreak of Cholera in parts of Trans Mara West Sub-County, Narok County.
Following the disease outbreak, the Department of Health and Sanitation in Narok County has banned food hawking in all trading centers and towns in the county.
While confirming the outbreak, Narok County Director of Health Dr Francis Kiio said the four dead are three adults and a child from Kilgoris Central, Lolgorian, and Shakoe wards.
He said the first suspected cases of acute watery diarrhea were reported on September 29 this year at Trans Mara West Sub-County Hospital, where eight (8) of the cases were registered on the said date.
Laboratory testing conducted at the Trans Mara West Sub-County Hospital and Walter Reed Kericho laboratory confirmed the patients were suffering from Cholera.
20 patients were treated and discharged from the hospital, with Community Health Promoters (CHPs) now moving from village to village to sensitise the residents of the outbreak.
Dr Kiio confirmed that they have been working with health partners to contain the disease, adding that they have been able to distribute personal protective equipment and water treatment commodities to the affected locations.
The medic called on residents to ensure regular washing of hands with clean water, drink treated water, and handle their food properly to contain the deadly and highly contagious disease.