Southern African countries hit hard by tropical Cyclone Freddy are reeling from disease outbreaks, with health services stretched to the limit, the World Health Organization (WHO) said on Thursday.

The devastation caused by the cyclone in Madagascar, Malawi and Mozambique has increased the spread of cholera and malaria, as well as malnutrition.

Meanwhile, more than 300 health facilities have been destroyed or flooded in the three countries, limiting health care access.

The cyclone’s destruction increased public health risks including a surge in the spread of cholera, malaria, malnutrition, COVID-19, and other vaccine-treatable diseases.

WHO said that Malawi was still in the midst of its “worst-ever” cholera outbreak, although cases are declining. In Mozambique, cholera cases have more than doubled over the past week, to almost 2,400.

“With a double landfall in less than a month, the impact of Cyclone Freddy is immense and deepfelt”, said Dr Matshidiso Moeti, World Health Organization (WHO) Regional Director for Africa.

“While we work to understand the full extent of the devastation, our priority is to ensure that affected communities and families receive health assistance for immediate needs as well as to limit the risks of water-borne diseases and other infections spreading,”