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 World Health Organization 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. With the support of UNICEF and partners, the emergency polio vaccination covered 22 LGAs vaccinating more than one million five hundred children under five years of age including those in IDP camps. Data received so far from this round indicate 81% of targeted children vaccinated during the campaign. Around 265 children were immunized against polio, measles and were provided with Vitamin A. UNICEF facilitated access to Giwa barracks detention facilities and 560 children were immunized with polio vaccines. (UNICEF, 21 Dec 2016.)
Faits saillants :
Nouvelle épidémie de rougeole à Poli ;
Riposte à l’épidémie de Mora en préparation;
Poursuite de la riposte aux cas de PVS de Borno au Nigéria ;
Les 10 Districts de santé du pays ayant enregistré les taux de décès maternels les plus élevés en 2016.
ÉPIDÉMIES ENREGISTRÉES DANS LE PAYS
EPIDEMIES DE ROUGEOLE
Deux épidémies sont en cours dans les districts de santé (DS) de Mora (Extrême Nord) et Poli (Nord).
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 8-14 January 2016 and includes updates on Legionnaires' disease, Zika virus and seasonal influenza.
2016 was a year of challenges and upheaval across the globe. The ongoing migration and refugee crisis has uprooted nearly 50 million children worldwide, leaving them vulnerable to violence and exploitation. Conflict and natural hazards continue to take a toll on children, with nearly 1 in 4 living in areas affected by crisis.
A mass vaccination campaign to protect more than 4 million children (4 766 214) against a measles outbreak in conflict-affected states in north-eastern Nigeria is planned to start this week.
The two-week campaign, which starts on 13 January, will target all children aged from 6 months to 10 years in accessible areas in Borno, Yobe and Adamawa States.
Summary of newly-reported viruses this week (see country-specific section below for further details): Pakistan: one circulating vaccine-derived poliovirus type 2 (cVDPV2) isolated from an acute flaccid paralysis (AFP) case; three positive environmental samples (two wild poliovirus type 1 – WPV1, and one cVDPV2).
159,819 children under 5 with severe acute malnutrition (SAM) have been admitted to therapeutic feeding programmes, with a recovery rate of 86 per cent.
In 2016, 4.2 million people were reached with primary health care services through UNICEF-supported Government-run health centres and clinics in both IDP camps and affected communities.
Humanitarian needs increased over 2016 as people, particularly in recently accessible areas, face a growing food and nutrition crisis. Response operations for the Food Security Sector has increased substantially with plans to reach 1 million people in the three most affected states in North East Nigeria with food interventions in the month of December alone. With 77 per cent of the IDPs living among host communities, response efforts will also focus on people living in host communities - both IDPs and the community itself.
Despite incidents reported in Kaiga-Kindjiria area, the security situation remains relatively calm in the Lake region. A decrease in incidents has coincided with the surrender of elements associated with armed groups in recent weeks.
Results from the most recent national SMART survey indicate an 11.2% prevalence of global acute malnutrition (GAM). 153,738 children with severe acute malnutrition (SAM) have been admitted and treated in nutritional units so far in 2016, reaching 79% of the annual target.
La stratégie de réponse cible 1,2 million de personnes – soit 41% des 2,9 millions de personnes dans le besoin – avec pour priorités de sauver des vies et de répondre aux besoins aigus et chroniques des populations les plus vulnérables. Elle couvre 4 régions prioritaires (Adamaoua, Est, Extrême-Nord et Nord) et nécessite 310 millions USD afin de répondre aux besoins les plus urgents.
The response plan targets 1.2 million people – 41 per cent of the 2.9 million people in need - with the priorities of saving lives and addressing the acute and chronic needs of the most vulnerable populations. Covering four priority regions (Adamawa, East, Far North and North), the plan requires US$310 million to respond to the most urgent needs
PRÉFACE PAR LE COORDONNATEUR HUMANITAIRE
Pour la quatrième année consécutive, le Cameroun lance son Plan de Réponse Humanitaire pour les personnes vulnérables en raison des conflits, de l’insécurité alimentaire, de la malnutrition, des catastrophes naturelles et des épidémies. Depuis 2014, les besoins humanitaires s’intensifient dans les quatre régions prioritaires et surtout à l’Extrême-Nord du pays.
BESOINS HUMANITAIRES ET CHIFFRES CLÉ
15 security incidents were registered in Diffa in November, including two attacks by ex-Boko Haram on health centers (N’Garwa Koura and N’Galewa, where one worker was killed), and one attack on Wor (15 km South-East of Guagam) where three people were killed. The attacks caused a movement of around 1,200 households towards 3 spontaneous sites.
2016 RRM/NFI support (UNICEF/IRC) was provided to 5,999 households. 1,610 households were assisted with NFI kits in Karkarwa in November.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals about active public health threats. This issue covers the period 25-31 December 2016 and includes updates on polio, influenza A(H7N9) in China and Zika virus.
In 2016 to date, 35 children have been paralyzed due to wild poliovirus, fewer than in any preceding year. However, eradication requires reaching zero. Poliovirus survives in a limited number of places, with decreasing genetic diversity; the eradication programme continues to intensify its efforts to reach every child.
153,936 children under 5 with severe acute malnutrition (SAM) have been admitted to therapeutic feeding programmes with a recovery rate of 86 per cent.
In 2016, so far, 4.06 million people have been reached with primary health care services through UNICEF-supported, Government-run health centres and clinics in both IDP camps and affected communities.
Health sector funding requirements for 2017
US$ 93.8 million (health partners including WHO)
WHO funding requirements for 2017
Beneficiaries targeted by health partners in 2017
Health partners will target 5.9 million people in 2017. These include: 4.2 million people in host communities;
1.7 million internally displaced people (IDPs); 54% of the targeted population are female and 59% are children.
NEW YORK, 13 December 2016 – “The violent conflict in northeast Nigeria has left children severely malnourished and at risk of death.
“In the three worst-affected states of Borno, Yobe and Adamawa, farming has been disrupted and crops destroyed, food reserves depleted and often pillaged, and livestock killed or abandoned.
“In Borno, where the fighting has been most brutal, 75 per cent of the water and sanitation infrastructure and 30 per cent of all health facilities have been either destroyed, looted or damaged.
Ce rapport a été produit par OCHA en collaboration avec les partenaires humanitaires et concerne les vagues de déplacements internes depuis le 21 juillet 2015. Il est publié par OCHA Tchad et couvre la période du 1 er au 30 novembre 2016. Le prochain rapport sera publié vers le 10 janvier 2017.
La situation sécuritaire est restée calme en novembre, aucun incident n’ayant été rapporté.
L’accès humanitaire est limité dans certaines zones par la montée des eaux du lac.
• 140,475 children under 5 with severe acute malnutrition (SAM) have been admitted to therapeutic feeding programmes with a recovery rate of 86 per cent.
• In 2016, so far, 3.9 million people have been reached with primary health care services through UNICEF-supported, Government-run health centres and clinics in both IDP camps and affected communities.