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 was four. Nigeria continues to implement emergency outbreak response, both in response to the detected WPV1 strain and circulating vaccine-derived poliovirus type 2 (cVDPV2) strains affecting the country. (WHO, 5 Feb 2017)
Aucun cas de Polio n’a été enregistré au Tchad depuis près de cinq ans. Toutefois, les risques de réintroduction et de propagation de la maladie persistent.
N’Djamena, 25 Mars 2017 – Du 25 au 28 mars 2017, le Ministère de la Santé Publique, en étroite collaboration avec l'UNICEF et l'OMS, lance une campagne de vaccination contre la Poliomyélite ciblant 4,2 millions d’enfants entre 0 et 5 ans dans l’objectif de son éradication totale au Tchad.
The security situation remained calm, despite some incidents related to inter-communal tensions or acts allegedly perpetrated by armed elements.
Two multisector assessments in the return areas of women and children having allegedly surrendered highlighted many vulnerabilities and the likely return of nearly 40,000 people in the southern part of Bol canton.
New displacements to Koulkime and Kousserie were reported, caused by a feeling of insecurity among the population.
Avec l’intensification de la riposte régionale d’urgence à la flambée, 116 millions d’enfants vont être vaccinés sur tout le continent
23 mars 2017 – Genève/Brazzaville/New York/Dakar : Plus de 190 000 vaccinateurs dans 13 pays d’Afrique de l’Ouest et d’Afrique centrale vont vacciner plus de 116 millions d’enfants la semaine prochaine pour faire disparaître le dernier bastion de la poliomyélite sur ce continent.
La situation sécuritaire est restée calme, malgré quelques incidents liés à des tensions intercommunautaires ou des actes d’éléments armés.
Deux évaluations multisectorielles dans les zones de retour des femmes et enfants en situation de reddition ont souligné de nombreuses vulnérabilités et les retours probables de près de 40 000 personnes au sud du canton de Bol.
De nouveaux déplacements vers Koulkime et Kousserie, causés par un sentiment d’insécurité des populations, ont été rapportés.
Polio this week as of 22 March 2017
From 25 to 28 March, synchronised polio campaigns will take place across 13 counties in west and central Africa including Nigeria, Chad, Cameroon, Guinea, Mali and Niger. Over 190 000 vaccinators will immunize more than 116 million children over the course of the campaigns. Summary of newly-reported viruses this week: No new WPV or cVDPV positives were reported this week.
116 million children to be immunized from coast to coast across the continent, as regional emergency outbreak response intensifies
23 March 2017 – Geneva/Brazzaville/New York/Dakar: More than 190 000 polio vaccinators in 13 countries across west and central Africa will immunize more than 116 million children over the next week, to tackle the last remaining stronghold of polio on the continent.
The eight-year conflict in Nigeria’s northeast has created a deepening humanitarian crisis. Boko Haram violence and military operations continue to affect millions of people across the region. Nearly 1.9 million people have been forced to flee their homes; more than half of these people are children. Currently 5.1 million people are estimated in urgent need of food assistance in Borno, Adamawa and Yobe states.
The United Nations International Children Education Fund (UNICEF) has renewed its commitment to support the Nigerian health sector towards improving maternal and child health, strengthening immunization and revitalization of Primary Healthcare system in the country.
The Deputy Executive Director, Programme, UNICEF, Mr. Omar Abdi made this known while meeting with the Hon Minister of Health Prof. Isacc Adewole in Abuja.
On 14 March 2017, the 2017/8 Health Sector strategy was presented in Abuja to the donor and wider community by WHO on behalf of the Health Sector with support from representatives of Borno State Ministry of Health and health sector partners. The strategy has been informed by and supports the MOH NE Health Sector Response Plan, the HRP 2017,
State MOH Health Sector Operations Plans and health sector partner strategies.
Summary of newly-reported viruses this week (see country-specific sections below for further details): Pakistan – one WPV1 case, six WPV1 positive environmental samples.
Yemen and Syria have both carried out polio immunization campaigns as part of ongoing efforts to protect children affected by conflict.
Background & Context:
Damasak is the head town of Mobbar LGA, in the North-East Nigerian, state of Borno. It is located near the confluence of the Yobe River and Komadugu Gana River, adjoining the border with Niger 34km from Diffa in Niger and 3km between Damasak and the border with Niger.
Civilians have been caught between unresponsive governments and the violence of Boko Haram. This must change.
While the Boko Haram-sparked humanitarian crisis raging in the Lake Chad Basin has largely been overlooked outside of the region, recent high-level efforts have sought to change that.
Polio immunization activities are empowering over 200 000 disadvantaged women in Nigeria.
Over the years, the Polio Eradication Initiative has been a vehicle for the empowerment of Nigerian women economically and socially. In recent times, this positive development has gained more impact with the timely and direct disbursement of funds for payment of vaccination personnel allowances down to grassroots level.
A case of Lassa fever was reported on 28 February 2017 in Borno’s capital Maiduguri.
UNICEF’s multi-sectoral team conducted a joint mission with WFP to Monguno in the frame of the Rapid Response Mechanism from 20-25 February 2017.
In Borno, 114 cases of measles were reported in UNICEF supported health facilities across Borno, Yobe and Adamawa, mostly among children who had not been vaccinated against measles and new arrivals.
The Special Representative of the Secretary-General and Head of the United Nations Office for West Africa and the Sahel (UNOWAS), Mohamed Ibn Chambas, strongly condemns January 31st 2017’ deadly attack against a United Nations Technical Monitoring Team that was conducting a field mission along the border of Nigeria and Cameroon in the vicinity of Hosere Jongbi, near Kontcha, Cameroon, as part of the Cameroon-Nigeria Mixed Commission (CNMC) mandate.
In Borno, IDPs are increasingly moving out of Maiduguri to the newly accessible LGAs, mainly to safe towns and villages. It is paramount to scale up response in the areas of return.
Populations in isolated and inaccessible areas of Northeast Nigeria may be facing extreme food security situation (IPC Phase 5).
So far in 2017, more than 8,596 children with severe acute malnutrition (SAM) were treated in Borno and Yobe States.
Facts & Figures
- Most populous African country with over 188 million inhabitants
- 1.9 million people displaced in Nigeria (IOM)
- 169 000 refugees in Niger, Chad and Cameroon (UNHCR)
- Registered returnees: over 136.000 (UNHCR)
- 5.1 million people facing a food security crisis in northern Nigeria (OCHA, Humanitarian Response)
- European Commission humanitarian aid: Over €124 million since 2014
Health sector funding requirements for 2017
(health partners including WHO)
• Cameroon: US$ 11 646 815
• Chad: US$ 10 669 960
• Niger: US$ 9 000 243
• Nigeria US$ 93 827 598
Total: US$ 125 144 616
Beneficiaries targeted by health partners in 2017
In the Lake Chad Basin, health partners will target more than 8.2 million people in 2017. These include:
• Cameroon 767 000
• Chad 233 000
• Niger 325 000
• Nigeria 6 900 000
by Dr Rick Brennan, WHO Director of Emergency Operations
Oslo, Norway 24 February 2017
As several speakers have noted today, while there are enormous food security, nutrition and protection dimensions to the crisis in the Lake Chad Region, this is also a public health crisis, with rates of death, malnutrition and disease rarely seen over the past 20 years.