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)
Polio this week as of 19 July 2017
The number of cases of Hepatitis E has doubled in Ngala and Damasak; and it has slightly increased in Monguno compared to the previous epidemiological reporting weeks. A total number of 42 blood samples were positive out of 66 (64%).
In Ngala camp MSF-Swiss has completed an isolation unit for pregnant women & newborn with Hepatitis-E.
UNICEF and FHI-360 clinics are managing the increasing caseload of HEV infected patients. Case management training is planned for clinicians
Among many women who brought their children to the WHO-supported mobile team for free healthcare services was Aisha, a 29-year-old mother of 6. Keeping her children healthy is a top priority. However, she lives in Ngandu, a remote village located in Kaga, Borno state, Nigeria, which for several years was cut off from regular health services due to conflict.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. WHO AFRO is currently monitoring 37 events: three Grade 3, six Grade 2, seven Grade 1, and 21 ungraded events.
Polio this week as of 12 July 2017
At the G20 Head of State Summit in Hamburg, Germany, last weekend, leaders acknowledged the efforts to eradicate and committed to completing the job of polio eradication. More.
Journal of Infectious Diseases publishes supplement of articles on polio endgame and legacy implementation lessons learned and best practices. More.
PREVENTION OF CHOLERA OUTBREAKS
I: Safe Water Use and General Hygiene Practices
Sokoto, 10 July 2017 - Paramount rulers under the umbrella body, Northern Traditional Leaders Committee on Primary Health Care (NTLC), are determined to continue with their role of mass mobilization and community engagement to boost population immunity and improve health indicators in the region.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. WHO AFRO is currently monitoring 39 events: three Grade 3, six Grade 2, six Grade 1, and 24 ungraded events.
This week’s edition covers key ongoing events in the region, including the grade 3 humanitarian crises in South Sudan and Ethiopia and outbreaks of hepatitis E in the Lake Chad Basin (Chad, Niger and Nigeria), malaria in Burundi, dengue fever in Côte d’Ivoire, and visceral leishmaniasis in Kenya.
Sokoto, 08 July 2017 - Governors, Legislators, the Sultan of Sokoto, Government functionaries and Development partners on 8th July 2017 converged in Sokoto state to flag-off the July 2017 round of Sub-National Immunization Days (IPDs) campaign. The symbolic occasion was a unique opportunity to demonstrate collective commitment in the final battle against the poliovirus in Nigeria.
Weekly country updates as of 4 July 2017
No new wild poliovirus type 1 (WPV1) cases were reported in the past week. The total number of WPV1 cases for 2017 remains four. The most recent WPV1 case had onset of paralysis on 16 April from Nawzad district, Hilmand province.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 41 events: three Grade 3, seven Grade 2, six Grade 1, and twenty five ungraded events.
357 Index of countries/areas
357 Index, Volume 92, 2017,
359 WHO Alliance for the Global Elimination of Trachoma by 2020: progress report on elimination of trachoma, 2014–2016
357 Index des pays/zones
357 Index, Volume 92, 2017,
359 Alliance mondiale de l’OMS pour l’élimination du trachome d’ici 2020: Rapport de situation sur l’élimination du trachome (2014-2016)
Nasarawa, 27 June 2017 - The Nasarawa State Primary Healthcare Development Agency (NAPHDA) has adopted instruments of World Health Organization (WHO) accountability framework to improve efficiency of the health workforce and instill a culture that makes personnel highly responsible. The framework, which rewards outstanding performance, also sanctions staff members with dwindling outcomes.
Standard case definition for case detection- focus on Cholera
In the Epi-week ending 25th June 2017, the Cholera outbreak in Kwara state continued with a total of 1,429 suspected cases reported as at 20th June 2017. Nine cases out of this have been laboratory confirmed. Ten deaths have been recorded so far, with a case fatality rate (CFR) of 0.69%. The number of affected Local Government Areas (LGAs) still remains four.
The Korea Foundation for International Healthcare is supporting efforts to improve surveillance in one of the last remaining strongholds of the poliovirus.
Surveillance is one of the central pillars of polio eradication. Disease detectives globally are constantly on the alert to find every last virus because without in depth knowledge on where it is, polio cannot be stopped. In northern Nigeria, one of the last remaining places on earth where polio continues to paralyse children, the eradication programme is always on the lookout.
Preparing to respond to a Cholera Outbreak
Nigeria usually experiences outbreaks of Cholera during the rainy season. These outbreaks usually span from May up until September or October yearly. During these months, the country records high rainfalls, sometimes leading to an overflow of sewage systems and subsequent breakdown in overall hygiene standards. Furthermore, poor access to potable water and crowded living conditions are highlighted as contributory factors to the start and spread of a cholera outbreak.
2,334,000 People in needs
148 Million USD Total Estimated budget
31 Million USD for preparedness
117 Million USD For response