CNN reports (with additional material form Reuters) that rains related to ENSO have triggered a cholera outbreak in Kenya, Uganda, and Somalia. Zanzibar has had over 600 hospital cases of cholera in the last three weeks, with 118 dead. Over 20 are dead in Mogadishu, Somalia. Cholera in Nairobi slums have killed more than 30, as well as 50 in eastern coastal Kenya and two dozen in western Kenya. A nurses' strike compounds problems in Kenya.