On 18 June 2017, the Nigerian Ministry of Health notified [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...As of 2 July 2017, 146 confirmed and suspected cases were reported including 21 confirmed cases...This area is characterized by a hepatitis E outbreak in neighbouring Chad and in Republic of the Niger. The ongoing humanitarian crisis and insecurity, high numbers of [IDPs] and refugees, and poor access to safe water leads to the spread of disease. There are also an increasing number of displaced persons moving back to the region post occupation. In addition, the potential cross-border contamination and subsequent increased risk of spread from Republic of the Niger and other neighbouring countries should be considered. (WHO, 12 Jul 2017)
The reported cases of hepatitis E continue to increase. As of 8 July 2017, 310 have been reported, including 42 confirmed cases. The number of reported cases from Ngala has doubled and women are disproportionately affected. The potential for the outbreak to spread to other LGAs, including Dikwa, remains high. The overall outlook of the food security situation is still poor with pockets of population severely affected by malnutrition. The hard-to-reach teams reported severe acute malnutrition (SAM) rates as high as 18%. (WHO, 14 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.
The number of cases of hepatitis E are still increasing in Ngala (355 cases), Damasak (43 cases) and in Monguno (23 cases) compared to the previous week.
A total number of 42 samples were positive out of 66 (64%).
WASH and social mobilization activities were sustained in Ngala with the support of partners,
Surveillance training has taken place in Monguno.
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.
- Among 27 laboratory samples,
- 21 tested positive for hepatitis E and 6 tested negative
- 6 tested negative for hepatitis E
Two tested positive for yellow fever
Borno state and Ngala LGA RRTs dispatched to Ngala LGA for response activities
Meeting with the Bulamas ,and partners (WHO, UNICEF,MSF, FHI360) conducted in Ngala to coordinate health promotion and WASH activities