As of 19 March 2017, a total of 1,407 suspected cases of meningitis and 211 deaths have been reported from 40 local government areas in five states of Nigeria since December 2016. Zamfara, Katsina and Sokoto account for 89% of these cases. (WHO, 24 Mar 2017)
As at April 3, 2017, a total of 2,997 suspected cases of CSM have been reported in 16 States in Nigeria, of which 146 have been laboratory-confirmed. Unfortunately, 336 deaths have also been recorded...A total of 500,000 doses of Meningitis C vaccines have been distributed to some of the affected States for immediate outbreak response vaccination. An additional 823,970 doses of Meningitis C vaccines are expected from the UK to support vaccination activities in other affected States. The Emergency Operations Centre will support State-wide vaccination campaign which starts in Zamfara State on Wednesday the 5th of April, 2017. (Govt, 4 Apr 2017)
The number of new cases of suspected meningitis being reported has begun to decline as outbreak control measures take effect. A total of 628 new cases were reported in week 16 versus 1,935 in week 15 and 2,127 in week 14. The cumulative number of suspected cases recorded in Nigeria throughout the outbreak period is now 9,646 and 839 deaths from 43 Local Government Areas in 23 states. (Govt, 26 Apr 2017)
Health sector is supporting the State Ministry of Health and State Primary Health Care Agency in Adamawa, Borno and Yobe states to lead the preparedness process for cerebro-spinal meningitis epidemic, which is a looming threat in the region. A draft epidemic preparedness and response plan has been prepared for North-East Nigeria. As of April 13, 2017, a total of 5,695 suspected cases have been reported; included 221 (4%) laboratory confirmed cases; and 611 deaths (WHO, Gov't Nigeria, Health Cluster, 30 Apr 2017.)
The meningitis outbreak situation in Nigeria is gradually improving. During week 18 (week ending 7 May 2017), the four most affected states of Zamfara, Sokoto, Katsina and Kebbi observed reduction in the weekly caseload and deaths. (WHO, 12 May 2017)
Dozens of hospitals have been hit by airstrikes since February 2017 - the Idlib governorate, where a recent chemical attack killed 89, has been particularly affected.
Many hospitals have stopped being functioning due to damage and health care personnel being killed or fleeing - putting an additional strain on the health system.
Some of those injured in the chemical in Idlib attack had to be transferred to hospitals in Turkey for treatment.
3,959 cases of meningitis, 181 laboratory confirmed, resulting in 438 deaths have been reported as of 5 April. While 19 states have reported outbreaks, 97% of reported cases are in six states: Katsina, Kebbi, Niger, Sokoto, Yobe, and Zamfara. Meningitis serotype C, or NmC, is responsible for 83% of laboratory confirmed cases and is severely undervaccinated in the affected areas. Additionally, vaccines for NmC is very costly at USD 50 per dose. Both this cost and local health capacity has limited response thus far.
DE FORTES PLUIES TUENT TROIS PERSONNES ET DÉTRUISENT DES MAISONS
De fortes pluies dans la région de Mandoul, au sud, ont tué trois personnes et ont endommagé plus de 180 maisons. Une équipe du Service aux affaires sociales du pays se trouve dans la région pour évaluer les dégâts et fournir de l'aide. L’aide alimentaire et aux moyens de subsistance, ainsi que les abris sont les principaux besoins.
LE FEU DÉTRUIT UN SITE DE DÉPLACÉS À KAGA BANDORO
HEAVY RAINS KILL THREE, WRECK HOUSES
Recent heavy rains in southern Mandoul region killed three people and damaged more than 180 houses. A team from the country’s Social Affairs Services is in the region to assess the damage and provide assistance. Food, shelter and livelihood assistance are the main needs.
Central Africa Republic
FIRE DESTROYS IDP SITE IN KAGA BANDORO
Reactive vaccination campaign started on the 5th of April 2017 in Zamfara State with massive turnout in all the targeted communities
A joint team of NCDC, NPHCDA and partners is supporting the reactive vaccination campaign and outbreak response in Zamfara State
Meningitis outbreaks are currently reported in 19 States with five States mostly affected (Zamfara, Katsina, Kebbi and Sokoto in the North-West zone and Niger in the North-Central zone of Nigeria)
In response to the recent outbreak of Meningitis C in some States in Nigeria, the National Primary Health Care Development Agency (NPHCDA) and the Nigeria Centre for Disease Cosntrol (NCDC) in support to the Zamfara State Government, has commenced a mass vaccination exercise. The campaign started on the 6th of April 2017 in the eight most affected Local Government Areas in Zamfara State, and will continue until April 9, 2017. The campaign targets 300,000 persons aged 2 – 29 years. More campaigns are planned in other States in the near future.
• Meningitis outbreaks are currently reported in five States (Zamfara, Katsina, Kebbi, Niger and Sokoto) in Northwest and Northcentral zones of Nigeria
• The most common serotype is Neisseria Meningitidis serotype C (Nm C); 83% of samples tested
• As of 3rd April 2017, a total of 2,997 cases with 336 deaths have been reported with 146 of cases being laboratory confirmed.
100,000 NOUVEAUX DEPLACES DEPUIS SEPTEMBRE 2016
De nouveaux affrontements entre groupes armés ont entraîné une recrudescence de la violence et de nouveaux déplacements dans les préfectures de la Ouaka au centre, de la Haute Kotto à l'est et de Mbomou dans le sud-est. Les évaluations des besoins sont en cours. De septembre 2016 à février 2017, 100 000 personnes nouvellement déplacées ont été enregistrées à travers le pays.
CENTRAL AFRICAN REPUBLIC
100,000 NEWLY DISPLACED SINCE SEPTEMBER 2016
Fresh clashes between armed groups led to an upsurge of violence and new displacements in the prefectures of Ouaka in the centre, Haute Kotto in the east, and Mbomou in the southeast. Needs assessments are ongoing. From September 2016 to February 2017, 100,000 newly displaced persons were registered across the country.
1,4 MILLION FACE SEVERE FOOD INSECURITY
Highlights (28 March 2017):
i. Meningitis outbreaks are currently reported in five States (Zamfara, Katsina, Kebbi, Niger and Sokoto) in Northwest and Northcentral zones of Nigeria
ii. The most common serotype is Neisseria meningitidis serotype C (Nm C)
iii. As at 28th of March 2017, a total of 1966 cases with 282 deaths have been reported with 109 being laboratory confirmed
The Honourable Minister of Health, Prof Isaac Adewole has assured Nigerians that the Federal Ministry of Health under his purview would nip the outbreak of meningitis ravaging some states in the bud. He made this assertive conviction about the capability of the Federal government after his ministry issued public advisory warning to Nigerians after 328 deaths associated with Meningitis have been recorded since November 2016 when he spoke extensively on efforts employed and deployed so far to curtail the further spread of the epidemic.
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.
ABUJA, NIGERIA — Meningitis has killed 269 people in Nigeria in recent weeks, the country's Center for Disease Control said, as Africa's most populous country and aid organizations try to tackle the surge in infections.
As of Monday, 1,828 suspected cases of meningitis had been reported, with deaths recorded in 15 of the country's 36 states, the center said late Tuesday on Twitter.
The center said on its website that 33 people died of meningitis in 2016.
Friday, March 31, 2017 Nigeria is currently experiencing an outbreak of Cerebrospinal Meningitis (CSM) that has spread across the country and mostly affecting States in the upper parts of the country which fall within the African Meningitis Belt. Other Countries that are facing similar outbreaks at the moment include our West-African Neighbours like Niger, Chad, Cameroun, Togo, and Burkina Faso.
The index case for the recently confirmed Lassa fever tested negative for PCR after 10 days of the onset of bleeding and has returned to her community for normal life.
Contact tracing for the confirmed Lassa fever ended on 21 March in Madinatu, Zabarmari and Umaru Shehu Hospital.
WHO has distributed urgently needed Basic Health Kits that have high risk of stock rupture. The quantities are estimated to help the partners continue their work for about 3 months.
Public health agencies in Nigeria led by the Nigeria Centre for Disease Control (NCDC) and the National Primary Health Care Development Agency (NPHCDA) are supporting several States in North West Nigeria to respond to a widespread outbreak of Cerebrospinal meningitis (CSM). Cases of CSM were first reported in Zamfara State late in 2016. As at March 28 2017, the number of suspected cases reported for the 2016/2017 CSM season stands at 1,966 with the outbreak reaching epidemic proportions in five States- Zamfara, Sokoto, Kebbi, Katsina and Niger States.
As of 19 March 2017 (epidemiological week 11), a total of 1407 suspected cases of meningitis and 211 deaths (case fatality rate: 15%) have been reported from 40 local government areas (LGAs) in five states of Nigeria since December 2016. Zamfara, Katsina and Sokoto account for 89% of these cases. Twenty-six LGAs from all five states reported 361 cases in epidemiological week 11 alone. Twenty-two wards in 15 LGAs have crossed the epidemic threshold. Three of these LGAs share borders with Niger. NmC is the predominant serotype in this outbreak.
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.