Following the recent detection of wild poliovirus in Nigeria, Ministers of Health from Cameroon, Central African Republic, Chad, Niger and Nigeria have declared the polio outbreak in Nigeria as a public health emergency for countries of the Lake Chad basin. The declaration, coming out of the 66th session of the WHO Regional Committee for the African Region, demonstrates commitment from governments across the region to bolster momentum in the fight against the virus. (Global Polio Eradication Initiative, 29 Aug 2016)
Nigeria has mobilized its immunization forces and will look to take heed of four key lessons earned during almost three decades of anti-polio efforts: 1) establishing and sustaining trust is critical to the success of eradication campaigns; 2) frequent, independent monitoring and evaluation are key to tracking the progress of an intervention and making modifications; 3) holding all actors accountable is essential to pushing an intervention forward and; and 4) contextualized health initiatives are key in fighting polio and other diseases. These lessons will reinforce a cohesive, multilateral strategy that builds on past successes to secure a polio-free Nigeria. (Center for Global Development, 16 Nov 2016)
The coverage data of the 5th polio outbreak response from early December reports more than 90 per cent polio vaccination coverage in the 81% of the Local Government Areas (LGAs) surveyed in Borno state. The 6th polio campaign in Borno state (between 16 -19 December) took place in 24 of the 27 LGAs in Borno state (except Marte, Abadam and Mobbar) and in all the 17 LGAs in Yobe State. (UNICEF, 21 Dec 2016)
No new cases of wild poliovirus type 1 (WPV1) were reported in the past week. The total number of WPV1 cases for 2016 remains four and no cases have been reported in 2017. The most recent case had onset of paralysis on 21 August in Monguno Local Government Area (LGA), Borno. (Global Polio Eradication Initiative, 19 Apr 2017)
1. Dans sa lettre datée du 25 janvier 2017, le Président du Conseil de sécurité a informé le Secrétaire général que le Conseil avait décidé de dépêcher une mission dans la région du bassin du lac Tchad (Cameroun, Tchad, Niger et Nigéria) du 1er au 7 mars 2017. La mission était codirigée par les Représentants permanents de la France, du Sénégal et du Royaume -Uni. On trouvera dans les annexes I et II la composition de la mission et l’énoncé de son mandat.
1. In his letter dated 25 January 2017, the President of the Security Council informed the Secretary-General that the Council had decided to send a mission to the Lake Chad Basin region (Cameroon, Chad, Niger and Nigeria) from 1 to 7 March 2017. The mission was led jointly by the Permanent Representatives of France, Senegal and the United Kingdom of Great Britain and Northern Ireland. The composition of the mission and its terms of reference are set out in annexes I and II to the present report.
The World Health Assembly (WHA) is meeting this week in Geneva, Switzerland. Ministers of Health and public health professionals from around the world are discussing global public health issues, including the global drive to eradicate polio. The Global Polio Eradication Initiative (GPEI) secretariat has prepared a status report, which will inform the discussions by Member States.
GENEVA—The World Health Assembly today made decisions relating to polio, the Pandemic Influenza Preparedness Framework, and the health workforce.
Polio staff in Nigeria have contributed emergency response expertise in Sokoto State
In early May 2017, polio programme staff from across Nigeria joined efforts to combat a meningitis outbreak in Sokoto, providing support and expertise in outbreak response to help Sokoto State in controlling the outbreak.
Almost 200 WHO polio officers worked with state and national government agencies and other partners to plan and implement a state-wide vaccination campaign aimed at reaching almost 800 000 young people at risk of contracting the disease.
WHO Country Representative, Nigeria, Dr. Wondi Alemu visited hard-to-reach areas in Yobe and in Borno state including Kukarieta and Ngamdu in order to personally appreciate the critical conditions of the affected population.
WHO provided technical support for the vaccination of 185 201 persons aged 9 – 15years with Men A vaccine and more than 5000 aged 2-8years with Pentavalent in Yobe state.
Trained 80 clinicians, laboratory scientists and nurses in Borno and Yobe states on CSM diagnosis and case management.
The World Health Assembly (WHA) is meeting next week in Geneva, Switzerland. Ministers of Health and public health professionals from around the world will convene to discuss global public health issues, including the global drive to eradicate polio. Delegates are anticipated to review current status against each of the four objectives of the Polio Endgame Plan, including reviewing a report requested by the Executive Board (EB) in January 2017 on issues related to transition planning.
An upsurge of violence has been reported in some areas in central Borno State and at the border between Niger and Nigeria. This increase in casualties hampers the provision of humanitarian assistance.
Clashes between Ex-Seleka Coalition and UPC fighters continue to threaten the security in the prefectures of Ouaka, Haute Kotto and Mbomou.
The meningitis campaign held in March reached a coverage rate of 90.5%. The second round is schedule from 8-10 May and will be targeting 1,611,438 people aged 1 to 29 years old in three regions.
The preparation of the second round of “Lac Chad Polio Outbreak campaign” is ongoing. This campaign will be targeting four health regions for 474,160 children aged 0-59 months.
As of 15 April 2017, 10.3% ($109 million) of the 2017 Humanitarian Response Plan (HRP) had been funded for North-East Nigeria. Over $120 million was also received outside the 2017 HRP, according to the Financial Tracking System. Additional funding is urgently required to continue to scale up the humanitarian response;
Due to critical funding shortages, Food Security partners started experiencing a pipeline break, forcing organisations to provide only half rations to beneficiaries;
Humanitarian partners in Nigeria are preparing contingency plans for the possible return of around 75,000 Nigerian refugees from Cameroon. Incidents of forceful returns continue to be reported despite an agreement signed in March by Cameroon, Nigeria and UNHCR on voluntary repatriation. In Banki town, the military recently reported that around 1,000 people arrived every week from neighbouring Cameroon and warned that the small border town was being overwhelmed by the influx.
Around 17 million people live in the affected areas across the four Lake Chad basin countries. The number of displaced people has tripled over the last two years. Most of the displaced families are sheltered by communities that count among the world’s poorest and most vulnerable. Food insecurity and malnutrition have reached critical levels.
CENTRAL AFRICAN REPUBLIC
AID GROUPS SUSPEND WORK OVER INSECURITY