Authorities in Yala Local Government Area, Cross River State, Nigeria, have expressed concern over a significant rise in open defecation, with an estimated 88,000 residents currently practicing it. This represents a reversal of progress made since 2018, when Yala was initially declared open defecation free. The resurgence is raising fears of a potential epidemic due to unsanitary conditions and increased risk of disease transmission. Local officials have issued an alarm, highlighting the urgent need for intervention to address the issue. The cause of the backsliding is currently under investigation, but factors may include lack of sustained access to sanitation facilities and behavioral changes. The LGA is expected to implement renewed public health campaigns and infrastructure improvements to regain open defecation free status. This situation underscores the fragility of sanitation gains and the ongoing challenges in achieving sustainable hygiene practices.