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)
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)
The number of cases of Hepatitis E reported in the Diffa region has increased from 706 at the end of May to 1,113 at the end of June, with 4 more deaths, bringing the total number of deaths to 34, however no new cases were reported in either of the two camps. Prevention and sensitization efforts are ongoing. 100% of the population of Sayam Forage camp have access to basic health care, however just 60% of those IDPs in Kablewa camp have access to health care in the local CSI, due o lack of capacity of the centre to respond to both the host and displaced population. Outside of the camps, access to health care is challenging, particularly at sites where no health partner is operating. (UNHCR, 30 Jun 2017)
• Conflict-induced displacement in 2017 decreased 25 percent compared to the same period in 2016
• UNAMA reports record-high numbers of child casualties
• Health and nutrition remain key concerns among relief actors
A. Situation analysis
Description of the disaster
Hepatitis E virus is probably the leading cause of hepatitis viral in the world. The global burden of Morbidity Study (WHO, 2010) estimated that at least 20.1 million people are infected globally by the virus genotypes 1 and 2 every year, out of which only 3.4 million people reported the disease, resulting in 70,000 deaths and 3,000 newborns baby deaths.
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
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.
On 18 June 2017, the Nigerian Ministry of Health notified World Health Organization (WHO) of an outbreak of hepatitis E located in the north-east region of the country. The first case was detected on 3 May 2017 in Damasak, a locality at the border with the Republic of the Niger. Samples were collected from the case and sent to laboratory for confirmation. Cases were later reported in Ngala, one of the local government areas in Borno State that borders Cameroon. As of 2 July 2017, 146 confirmed and suspected cases were reported including 21 confirmed cases.
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.
President Trump announces $122 million in additional humanitarian funding to support conflict-affected Nigerians
GoN, GRC authorities facilitate transport of approximately 900 displaced Nigerians from Cameroon to Nigeria in late June
Armed actors attack civilians across the Lake Chad Basin, including Nigeria’s city of Maiduguri and Cameroon’s Mayo-Sava Department
Groupe Régional WASH West and Central Africa
Au total, 1 113 cas déclarés (suspects et confirmés) ont été notifiés au 30 juin. A la même date, 34 décès liés à la maladie ont été enregistrés. Le taux de létalité est passé de 29 pour cent au 25 avril à 3,1 pour cent au 30 juin. Les femmes sont les plus touchées.
Le personnel des structures sanitaires et les partenaires humanitaires mènent conjointement des activités de prise en charge médicale et de prévention.
In May (3rd and 23rd), Boko Haram attacked 2 schools in Boudoum and Garin Dogo and looted school feeding supplies.
The Regional Directorate for Civil Registry released the new figures on forced displacements. In 97 sites (out of 142), there are 127,299 internally displaced people, 106,146 refugees and 14,546 returnees (Nigerien living in Nigeria and displaced to Niger due to insecurity).
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.
Nigeria, Niger and Chad face the risk of a disease outbreak as the rainy season starts in the Lake Chad Basin. 2.4 million people are already displaced due to the ongoing conflict with Boko Haram and the military operations to counter them, and the rains are set to make the humanitarian situation even worse.
Le Nigeria, le Niger et le Tchad courent un risque d’épidémie alors que la saison des pluies vient de commencer dans le bassin du lac Tchad. Le conflit actuel entre Boko Haram et les forces militaires a déjà provoqué le déplacement de 2,4 millions de personnes, et les pluies devraient détériorer encore davantage la situation humanitaire.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 40 events: three Grade 3, seven Grade 2, five Grade 1, and twenty five ungraded events.
More than 800 people arrive in Nigeria’s Banki town from Cameroon, bringing total returns to more than 13,000 since mid-April
Nigerian officials, relief actors coordinate to expand IDP site capacity in Borno by establishing new camps to accommodate the population influx
Rainy season exacerbates the spread of waterborne hepatitis E in bordering communities of Niger and Nigeria
DAKAR/ GENEVA/ABUJA, 23 June 2017 –More than 5.6 million children are at increased risk of contracting waterborne diseases, such as cholera and diarrheal infections, as the rainy season begins in conflict-affected areas of countries around Lake Chad, UNICEF warned today. The threat of disease outbreaks in Cameroon, Chad, Niger and Nigeria coincides with growing regional insecurity and increased population movements particularly in Nigeria’s northeast.
Response to the outbreak has lagged due to insufficient resources and coordination between humanitarian actors.
The hepatitis E outbreak declared two months ago in southeastern Niger is particularly affecting pregnant women. Of the 186 women admitted to the main maternal and paediatric health centre in the town of Diffa, 34 have died of severe complications related to the disease. According to the authorities, of the 876 cases of hepatitis E reported by 11 June, the majority of the sick are displaced people (nearly 248,000), and refugees.