From 4 January to 23 September 2016, a total of 3,905 suspected cases of measles have been reported in four conflict affected states: 846 in Borno, 2,510 in Yobe, 273 in Adamawa and 276 cases in Gombe state. Of these, 129 cases were laboratory confirmed. (Nigeria Health Cluster, 4 Oct 2016)
Following the harmonization of the available data from the Early Warning and Response System (EWARS), IDP camp surveillance data from State Primary Health Care Development Agency (SPHCDA), Health sector partners and Integrated Diseases Surveillance and Response (ISDR), it was concluded that there is an ongoing measles outbreak in Borno State afflicting camp and non-camp populations.
The Borno State Ministry of Health (BSMOH) is already conducting a reactive vaccination campaign with the support of partners, targeting 18 IDP camps. So far, 35,742 children have been vaccinated in six camps. This campaign however is inadequate to interrupt the transmission of measles across the state, as it does not involve the host communities nor other settlements and IDP camps where measles cases have also been reported. As the BSMOH is expanding the present campaign to include all accessible estimated 2.3 million children aged six months to 15 years in the state without prejudice to the national measles campaign, a request for support (including vaccines and logistics) have been communicated to the Federal MoH. This expanded campaign was planned to take place from 27–30 November 2016. (Nigeria Health Cluster, 20 Nov 2016)
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 started on 13 January 2017. The Borno State Ministry of Health, with support from WHO and partners, has already vaccinated more than 83,000 children aged 6 months to 15 years living in camps for IDPs (internally displaced people) where measles cases had been reported. These campaigns have started to show results, with a reduction of measles cases around the camps. (WHO, 12 Jan 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. (UNICEF, 28 Feb 2017)
UNICEF and its partners supported the measles vaccination of 421,890 children during the reporting period. (UNICEF, 15 Mar 2017)
From the 21-27 March 2017, a total of 3,160 new IDP arrived in Dikwa,
Bama, Jere, Kala/Balge, Ngala and Nganzai seeking protection and better living conditions in these local government areas (LGA) capitals.
The Borno State has declared the end of the outbreak of Lassa fever seen on 28th February 2017 while intensifying surveillance systems to identify any further outbreaks. The patient is now stable and was discharged.
highlights that 1,832,743 IDPs (326,010 households) remain displaced in the six North-East affected states of Nigeria. Population movements in Borno State (IDPs leaving Maiduguri Metropolitan Council (MMC) to other LGAs and returnees coming from Niger and Cameroon) indicate a rapid rise in numbers of people moving to the newly accessible areas.
Years of insurgency and counterinsurgency operations have resulted in the displacement of approximately 1.9 million people and created a food and nutrition crisis in Nigeria’s northeast. The worst-affected local government areas of northeast Nigeria are facing Emergency (IPC Phase 4) food security conditions and Global Acute Malnutrition (GAM) levels above emergency threshold.
Despite security challenges in Borno state, more than 14,000 volunteers were deployed to vaccinate 1.9 million children under 5-years old against wild poliovirus. The exercise, which is the first nationwide campaign against polio this year, took place from 25 to 29 March 2017. WHO and partners have trained 1,817 house-to-house, 410 fixed posts and 362 transit teams in addition to 150 health camps across 206 wards in all local government areas (LGAs) except Abadam and Marte due to insecurity.
More than 50,000 people risk famine in Nigeria’s north-eastern Adamawa, Borno and Yobe states between June and August. Some 5.2 million people are projected to suffer severe food scarcity, a third of them will face “emergency” levels of hunger.
Timely and effective agricultural support is required to see families and communities in the region’s conflict-hit areas through the upcoming lean season. Planting is expected to start in May.
In the reporting week:
o There were 271 new cases of Acute Flaccid Paralysis (AFP) reported. None was confirmed as Polio. The last reported case of Polio in Nigeria was in August 2016. Active case search for AFP is being intensified as Nigeria has assiduously reinvigorated its efforts to eradicate Polio.
o One new suspected case of Cholera was reported. No death was reported.
In Diffa region, the security situation remained volatile in January and February 2017, due to the continuous attacks of Boko Haram. Humanitarian needs continue to raise in all sectors. At the end of February, according to official figures, Diffa hosted 242,541 IDPs, refugees and returning Nigeriens.
• According to the latest Cadre Harmonisé (CH) report released in March, more than 50,000 people could experience famine-like conditions across the three most affected states of the North-East region from June to August;
• While humanitarian partners have scaled up emergency response in all sectors, gaps remain and new needs continue to emerge in outlying areas due to population movements and returns;
Emergency Primary Health Care (PHC) services reached 917,329 people in the three most affected states in Northeast Nigeria; and UNICEF and its partners supported the measles vaccination of 421,890 children during the reporting period.
This weekly update focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 34 events, two Grade 3, six Grade 2, two Grade 1, and 24 ungraded events.
This week, two new events have been reported: meningitis outbreak in Cameroon and cholera outbreak in Malawi.
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.
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.
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.
More than 4,500 people are displaced by Boko Haram attacks in Nigeria’s Chibok locality in Borno state.
Military operations displaced almost 15,000 people between 27 January and 10 February in the northeast of Nigeria.
WFP is scaling up assistance through cash transfers and voucher distributions to provide affected communities in Chad with sustainable solutions.
Food insecurity: 257,000 people are facing a food crisis (IPC Phases 3-5). Food insecurity is at extreme levels.
Nutrition: Extreme levels of food insecurity exacerbated malnutrition rates, especially among children under five.
Protection: Concerns include abduction, indiscriminate killing, arbitrary detention of suspected BH members, and recruitment of children by both Boko Haram and security forces.
Livelihood: Lack of livelihood opportunities further impoverish IDPs and host communities and prevent returns.
Almost US$458 million has been pledged to fund the Humanitarian Response Plan (HRP) for 2017, and almost $214 million for 2018 and beyond.
The Nigeria Humanitarian Fund is launched: a pooled fund to be managed in-country. The first allocation is expected in the second quarter of 2017. UN agencies and non-governmental organisations (NGOs) are both eligible for funding, for activities prioritised at local level.
Borno SMOH in northeast Nigeria has recorded its first Lassa fever outbreak in almost five decades. The last confirmed outbreak of the deadly disease was in 1969. On 22nd February, an alert was received at the WHO field office in Maiduguri about a suspected case of Viral Haemorrhagic Fever (VHF) detected at the Umaru Shehu Hospital. The laboratory confirmation for Lassa fever was reported on the 27th Feb 2017.