The newly created Terekeka state has been hit by the surge in new cholera cases, taking the highest mortality cases, according to the humanitarian bulletin. The cholera outbreak, which began in June, has now reached three thousand one hundred and forty-five cases with forty-four deaths by mid-November. Communities along the River Nile are worst affected and account for 91 percent of reported cholera cases, according to the UN Office for the Coordination of Humanitarian Affairs or OCHA’s report. A total of 2,874 cases and all 44 deaths from the outbreak were reported from Awerial, Duk, Fangak, Juba, Leer, Pageri, Pigi and Terekeka, Juba has the highest number of cases making 63 percent of the total, while Terekeka has the highest death cases, according to the humanitarian bulletin. It said new cases continue to be reported in Bentiu Protection of Civilians site, with 24 cases recorded in Rubkona County in the week up to November 17. The office of the United Nations for coordination of humanitarian affairs (OCHA), which prepares the report, says more cases were reported mostly among infants and new arrivals from Leer, Mayendit, Koch, Panyijiar and Guit who missed cholera vaccination campaign in 2015. It further added that Health organizations are supporting the Ministry of Health to respond to the outbreak and investigate and treat suspected cases.