The Ministry of Health on 19 April declared an outbreak of Hepatitis E that has killed 25 among 86 infected people. Medical assistance and preventive measures are ongoing to curb the disease which is mostly transmitted through contaminated water. (OCHA, 24 Apr 2017)
The current outbreak in Niger is closely linked to an unclean water supply and hygiene and sanitation facilities for the 240,000 people who are currently displaced in Diffa. This is a particularly vulnerable population that for years has been suffering the consequences of the conflict between Boko Haram and armies in the region....To contain the outbreak, MSF has been working with the Ministry of Health for several weeks...Additionally, MSF has significantly increased its water and sanitation activities in Kitchendi, Garin Wazan and Toumour villages, where around 135,000 people have settled—the vast majority of which are displaced. The organization also distributed water chlorination tablets, soap and new jerrycans for 16,800 families in these villages. So far, more than 27,900 gallons of water have been treated and jerrycans being used in the community have been cleaned to prevent the spread of the disease. (MSF, 26 Apr 2017)
Between 9 January and 25 April 2017, a total of 164 cases of hepatitis E including 25 deaths (case fatality rate of 15.2%) have been reported.(WHO, 28 Apr 2017)
There is a risk that the outbreak will intensify. New cases are expected to continue to emerge in new health districts in the region. Diffa region is prone to rapid propagation of the disease due to the prevalent underlying factors, such as limited access to safe water, inadequate sanitation, and poor hygiene practices. The region is inhabited by vulnerable populations, such as refugees, IDPs, and returnees who are at risk of contracting the disease due to their living conditions. The forthcoming rainy season, from June to September, is likely to increase the spread of the disease to neighbouring regions, and will further exacerbate WASH needs among affected populations. (ACAPS, 4 May 2017)
According to WHO, as of 12 May, the number of cases were 282 resulting in 27 deaths. Furthermore, WHO stated that patients (mainly refugees) in Diffa presenting with conjunctival jaundice were confirmed Hepatitis E positive (WHO, 12 May 2017)
Au total, 664 cas déclarés suspectés et confirmés ont été notifiés au 23 mai. A la même date, 30 décès liés à la maladie ont été enregistrés. Les cas déclarés révèlent que les femmes constituent la couche de la population la plus affectée.
Le personnel des structures sanitaires et les partenaires humanitaires mènent conjointement des activités de prise en charge médicale et de prévention. y compris à travers des messages de sensibilisation et l’amélioration des conditions d’accès à l’eau, l’hygiène et l’assainissement (EHA).
USG announces additional $45 million for the Nigeria humanitarian response
More than 11,800 people relocate to Nigeria’s Banki town from Cameroon in May
WFP continues providing emergency food assistance to IDPs and refugees across the Lake Chad Basin Region
International donors contribute $24 million to the Nigerian Humanitarian Fund
This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. The WHO Regional Office is currently monitoring 49 events: three Grade 3, six Grade 2, two Grade 1, and 38 ungraded events.
La propagation des épidémies dans la région du lac Tchad associée à une augmentation du nombre de personnes touchées par la famine au Nigeria exige de trouver rapidement une solution politique à un conflit complexe et de mettre à disposition des fonds indispensables. Les bailleurs doivent respecter les engagements pris en février lors de la conférence d’Oslo et débloquer des fonds.
“Donors must stand by their commitments and release funds pledged at donor conference in Oslo in February”
Abuja, 17/05/2017. The outbreak of epidemics in the Lake Chad region coupled with a rising number of people experiencing severe hunger in Nigeria demands urgent attention to provide a political solution to the complex conflict and release much needed funds, urges CARE International.
L’estimation des personnes en crise alimentaire est passée de 748 000 à 1,3 million.
Epidémie de méningite au Niger : 3 000 cas dont 179 décès notifiés.
Epidémie d’hépatite E à Diffa : 403 cas dont 27 décès notifiés.
Hausse du nombre de migrants rentrant de la Libye observée depuis janvier 2017.
L’assistance humanitaire à Diffa a touché environ 257 000 personnes depuis janvier.
En 2017, environ 106 000 personnes sont à risque d’inondation
This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 47 events: three Grade 3, six Grade 2, two Grade 1, and 36 ungraded events.
In Nigeria, the number of IED attacks around Maiduguri and in southern Borno rose, raising concern for the safety of IDPs settled in the camps. In the first quarter alone, 27 children were used to serve in suicide attacks across the region in comparison to nine children a year ago. Diverging Boko Haram (BH) factions continued to regroup and re-arm. The insurgents were also reported to be returning to the Sambisa forest area. In Cameroon, an increase in the number of incursions was reported, with deadly attacks, suicide bombings and kidnappings occurring on a regular basis.
• WFP provides assistance to 1.1 million people in Nigeria’s Adamawa, Borno, and Yobe states in April amid funding constraints
• UN leadership advocates for increased donor support to the Nigeria humanitarian response
• Nigerian authorities secure the release of 82 girls from Boko Haram in Borno
• Government of Niger declares a hepatitis E outbreak in Diffa
- A total of 329 cases of hepatitis E, including 26 deaths, have been reported in the Diffa region in Niger. This represents a sharp increase as compared to the previous month, when the first ever hepatitis E epidemic was declared in Niger.
- The Diffa region is severely affected by the Lake Chad crisis, with resulting difficult access to adequate water and sanitation and health care.
For more than three years, ongoing conflict between Boko Haram and the armies in the Lake Chad region has taken a heavy toll on civilian populations. Many have fled their homes and left everything behind to find refuge in other villages and eventually across borders. Authorities report that there are now more than 240,000 displaced people in southeastern Niger’s Diffa region, bordered by Chad and Nigeria. The majority of them were driven from home by violence.
The Consequences of an Ongoing Conflict
On 12 April 2017, the Niger Ministry of Health notified WHO of a hepatitis E virus (HEV) outbreak in the Diffa region, located in the eastern part of the country. On 19 April 2017, the outbreak was officially declared by the Minister of Health.
Since 9 January 2017, an increase in cases of jaundice was noted at the Centre Mere-Enfant de Diffa (Mother and Child Center) among pregnant women. Initially, the cases presented with headache, vomiting, fever, conjunctivitis, pelvic pain, and memory loss.
Les autorités sanitaires du Niger ont déclaré une épidémie d'hépatite E dans la région de Diffa, le 19 avril 2017.
Au total, 278 cas déclarés suspectés et confirmés ont été notifiés au 30 avril. A la même date, 27 décès liés à la maladie ont été enregistrés. Les cas déclarés révèlent que les femmes constituent la couche de la population la plus affectée.
L'hépatite E est une maladie du foie causée par un virus appelé virus hépatite E (VHE). Le VHE se transmet par voie féco-orale, principalement par l'eau contaminée.
Between 9 January and 25 April, a total of 164 cases of hepatitis E, including 25 deaths (CFR: 15.2%) have been reported in Diffa region, where there is a population of 673,146.
The outbreak was declared by the Nigerien authorities in mid-April. All the deaths occurred among pregnant mothers. Over 76% of reported cases were among females.
As of 28 April, five of the six health districts in Diffa region had been affected, with Diffa and N’Guigmi districts accounting for 96% of all cases reported.
This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 44 events: three Grade 3, six Grade 2, two Grade 1, and 33 ungraded events.
This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 41 events: two Grade 3, six Grade 2, two Grade 1, and 31 ungraded events.
This week, one new event has been reported: an outbreak of hepatitis E in Niger.
From December 2016 to April 23, 2017, 25 pregnant women died due to acute liver failure caused by hepatitis E in the main maternal and pediatrics health center in Diffa, Niger
L’INSECURITE CONTRAINT 1 200 CENTRAFRICAINS A SE REFUGIER AU TCHAD
CHAD UNREST FORCES 1,200 CENTRAL AFRICANS INTO CHAD
More than 1,200 Central Africans have fled into southern Chad in several waves since the start of this month following unrest back home, UNHCR reported on 20 April. Aid agencies and the authorities are providing assistance and amenities are being constructed for the new arrivals. Last year, more than 1,700 people also fled across the border into Chad following violence. Chad currently hosts some 400,000 refugees, including more than 71,000 Central Africans.