Cyclone Kenneth crashed into the province of Cabo Delgado on Thursday last week, flattening entire villages with winds of up to 280 kph (174 mph) and killing at least 41 people.

Fourteen cases of cholera have been detected, 11 of which are in the port town of Pemba and three in the district of Mecufi, the provincial health director, Anastacia Lidimba, told local television station STV.

Kenneth struck while Mozambique was still struggling to deal with the impact of Cyclone Idai, which hammered the country’s central region just six weeks earlier.

Idai destroyed the port city of Beira and caused devastating floods and leaving health officials and international aid agencies battling cholera. The cyclone killed more 1,000 people across Mozambique, Malawi and Zimbabwe.

The World Health Organization said earlier at least 188,676 people were in need of health assistance or were at risk of disease with 17 health facilities damaged and the number expected to increase as inaccessible areas open up.

This is the first time on record that two powerful storms had hit the southern African country in such a short space of time wrecking homes, flattening villages and destroying crops.

(Reporting by Emma Rumney; Writing Tanisha Heiberg; Editing by Andrew Heavens and Alison Williams) DM