Since the last situation report on the multi-country outbreak of cholera was published on 4 August 2023 (covering data reported until 15 of July), and as of 15 August 2023, three new outbreaks of cholera and/or Acute Watery Diarrhoea were reported from Uganda, Sudan, and the Republic of the Congo. In total, 28 countries have reported cases since the beginning of 2023. The WHO African Region remains the most affected region with 16 countries reporting cholera cases since the beginning of the year. The overall capacity to respond to the multiple and simultaneous outbreaks continues to be strained due to the global lack of resources, including shortages of the oral cholera vaccine and cholera supplies, as well as overstretched public health and medical personnel, who are dealing with multiple parallel disease outbreaks and other health emergencies. Based on the large number of outbreaks and their geographic expansion, as well as a lack of vaccines and other resources, WHO continues to assess the risk at global level as very high.