On 7 June 2017, the Nigeria Federal Ministry of Health notified WHO of an outbreak of cholera in Kwara State in the western part of the country. The initial cases of acute watery diarrhoea (AWD) started insidiously during the last week of April 2017. Seven stool samples obtained from the initial cases and analysed at the University of Ilorin Teaching Hospital (UITH) laboratory isolated Vibrio cholerae O1 as the causative agent. The number of cases and deaths subsequently increased from the first week of May 2017. As of 14 June 2017, a total of 1,178 suspected cases and nine deaths (case fatality rate 0.8%) have been reported. Four local government areas have been affected, including Ilorin West (508 cases), Ilorin East (303 cases), Ilorin South (96 cases), and Moro (37 cases). (WHO, 23 Jun 2017)
[T]he number of new cases reported has shown a decline over the last four reporting weeks. As of 30 June 2017, a total of 1,558 suspected cases of cholera have been reported including 11 deaths (case fatality rate: 0.7%). Thirteen of these cases were confirmed by culture in laboratory. 50% of the suspected cases reported are male and 49% are female (information for gender is missing for 1% of the suspected cases)...Between 1 May and 30 June 2017, suspected cholera cases in Kwara State were reported from five local government areas; Asa (18), Ilorin East (450), Ilorin South (215), Ilorin West (780), and Moro (50) (information for local government areas is missing for 45 of the suspected cases). (WHO, 12 Jul 2017)
IOM displacement tracking matrix (DTM) Round XVI (May 2017) estimates a total of 1.74 million people are still internally displaced across the three north eastern states of Adamawa, Borno and Yobe.
As of 12 June, UNHCR have registered 19,227 refugee returnees in Banki alone since the beginning of the year increasing the population of Banki to around 43,000 people.
Teams from Médecins Sans Frontières (MSF) are scaling up assistance in anticipation of increasing humanitarian and medical needs in hard-to-reach areas of Borno state, Nigeria.
WASHINGTON D.C., 18 July 2017 – This is a summary of a prepared statement by Justin Forsyth, UNICEF Deputy Executive Director – to whom quoted text may be attributed – today to the Senate Foreign Relations Subcommittee on Multilateral International Development, Multilateral Institutional Economic, Energy and Environmental Policy.
The statement came as UNICEF released its annual Humanitarian Action Study, highlighting UNICEF’s global response in 2016. Last year, UNICEF responded to 344 humanitarian situations in 108 countries, more than ever before.
In 2016, 7 million of affected people were reached by the WASH sector among more than 10 million in needs in West and Central Africa (24 countries):
o In DRC, 2.5 million persons in cholera-prone zones benefiting from preventive as well as WASH cholera-response packages;
o In CAR, 0.9 million of affected people were provided with access to improved sources of water and 0.3 million with sanitations facilities.
o In the Sahel region (9 countries):
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.
PREVENTION OF CHOLERA OUTBREAKS
I: Safe Water Use and General Hygiene Practices
On 7 June 2017, World Health Organization (WHO) was notified of a cholera outbreak in Kwara State, Nigeria, where the event currently remains localized. The first cases of acute watery diarrhoea were reported during the last week of April 2017 and a sharp increase in the number of cases and deaths has been observed since 1 May 2017. However, the number of new cases reported has shown a decline over the last four reporting weeks.
To help people living in some of the world’s most dire emergency situations, WHO relies on funding from Member States. In 2017, WHO has asked for US$ 547 million to deliver health services to more than 66 million people in 28 countries. However, to date, WHO has received less than a quarter of the funds required. Without a significant increase in funding, the health of millions of people will be neglected and many will die needlessly.
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.
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.
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.
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.
Faits saillants à mi-juin 2017 : D’observation générale, au cours des dernières semaines, l’incidence est redevenue supérieure par rapport aux années 2016 et 2015, dû à une remontée importante de la transmission sur la République Démocratique du Congo. Zoom République Démocratique du Congo sur ces dernières semaines : La province du Haut Lomami, avec principalement les Zones de Santé (ZS) de Kinkondja et Bukama, montrent une incidence hebdomadaire élevée et témoignant une transmission active de cas.
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.
Lessons Learnt from the 2016/2017 CSM Outbreak
Risk Communication: Understanding its role in outbreak response
Standardized Case Management Practices for improved health outcomes
Good quality data needed to drive Reactive Vaccination Campaigns
Good Quality Data: Driving response to outbreaks
The 2017 Cerebrospinal Meningitis outbreak has been ongoing for 20 weeks, affecting 211 Local Government Areas (LGAs) across 22 States and the Federal Capital Territory. Since onset, 13,420 suspected cases have been identified with 448 cases being laboratory confirmed. Over 50% (293) of the confirmed cases are due to Neisseria meningitides serotype C. The number of deaths recorded is 1,069 giving a case fatality rate (CFR) of 8.0%.