Dubai: The Saudi-led coalition fighting in Yemen said on Friday an announcement by the International Committee of the Red Cross that cholera cases in the country had reached one million suspected cases was exaggerated.

“It is nearly impossible to accurately determine whether the suspected cases are cholera or simple diarrhoea,” a statement by the spokesperson for the coalition said.

Yemen, one of the Arab world’s poorest countries, is embroiled in a proxy war between the Iran-backed Al Houthi armed movement and a US-backed military coalition headed by Saudi Arabia.

Cholera flared up in April and spread rapidly, killing 2,227 people but the death rate has since fallen dramatically.

The ICRC said on Wednesday said there were one million suspected cases.

A new wave of cholera is expected in March or April.

Yemen’s health system has virtually collapsed, with health workers unpaid for a year, although the WHO gives incentive payments for cholera work.

Saudi Arabia said on Wednesday it would allow the Al Houthi-controlled port of Hodeidah, vital for aid, to stay open for a month despite complaints that the militants are using the port to smuggle in weapons from Iran and hijacking critical aid meant for civilians.

The coalition spokesperson also said Al Houthis were suspicious of vaccination drives and do not readily allow humanitarian aid and workers into their territory and “even loot food and medical supplies.”