In Kenya, drought conditions that are expected to persist into 2018 have left 3.4 million people severely food insecure and an estimated 500,000 people without access to water. An estimated 482,882 children require treatment for acute malnutrition, including 104,614 who are suffering from severe acute malnutrition (SAM). Eighty-eight per cent of these children are from 23 arid and semi-arid counties. 3 Drought conditions have led to declines in school attendance and school participation and rising dropout rates. Flash floods, inter-communal conflicts and doctors' and nurses' strikes have disrupted health services and undermined emergency response capacity. Disease outbreaks continue to threaten child survival. In 2017, 3,518 cholera cases and 66 deaths were reported—a case fatality rate of 1.9 per cent
