"This report summarizes the situation as of 9 September 2024. Situation Overview Yangon According to the ministerial authorities for health: As of 25 August 2024, a total of 3 421 hospitalized cases of acute watery diarrhea (AWD) including 160 cases with severe dehydration were reported in Yangon Region, since 24 June 2024. Since week 31 (starting on 28 July 2024) more than 400 hospitalized AWD cases have been reported every week, with a total of 464 hospitalized AWD cases reported in the week 34 (19 – 25 August 2024). No new cases with severe dehydration were reported after 4 August 2024. Overall situation in Yangon According to the ministerial authorities, 154 severe cases and 15 deaths were reported among 3 421 cases between 24 June and 8 August (causes of 15 deaths were uncertain and may not be linked to severe AWD/cholera), while there were no reports of severe case and death after 8 August. Clinicians at hospitals also suggested that patients are no longer presenting with severe dehydration and/or shock in the recent weeks, while severe cases were more common in early period of the outbreak. At the same time, information from open sources suggested an increase of cases is again observed in some townships, including some cases with severe outcomes. As such it is important for all the stakeholders to continue making efforts to interrupt transmission and reduce morbidity and mortality. Rakhine According to the ministerial authorities for health, from 4 to 25 August 2024, a total of 235 hospitalized AWD cases including 63 cases with severe dehydration were reported in Sittwe, Rakhine. According to the early warning and response systems (EWARS) supported by the Health Cluster in Myanmar: In the epidemiological week 36 (1 – 7 September 2024), a total of 47 AWD cases were recorded, including 20 cases with severe dehydration. This is 87% decrease compared the week 35 (25 – 31 August 2024). Prior to this decline, approximately 300 or more AWD cases had been reported for five consecutive weeks (week 31 to week 35, or 28 July – 3 August 2024). However, the number of the AWD cases with severe dehydration remains stable, raging between 20 to 30 cases in the past three weeks (week 34 to 36). Out of 48 AWD cases with severe dehydration in the weeks 35 and 36 (25 August - 7 September), six cases (12.5%) were children under the age of five, and 42 cases were aged 5 years and older. There was no decrease in the overall number of medical consultations. The reason for the sudden decline in AWD cases in the week 36 is uncertain..."