Cerebrospinal Meningitis Outbreak in Nigeria Situation Report (as at 3rd April 2017)

Highlights

• 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.

Epi summary

• Total of 2,997 suspected cases with 336 deaths (CFR=11.2%) have been reported fromLGAs • Zamfara, Katsina and Sokoto States account for about 93% of the cases reported

• A total of 146 positive cases confirmed by Pastorex and Culture; Neisseria meningitides serotype C being the most common serotype, accounting for 83% of cases.

• The most affected age group is 5-­‐14 years of age.

• First report of suspected case began in weekof 2016 in Zamfara; cumulative ofEpid weeks • Risk of international border transmission; Zurmi LGA in Zamfara State, Gada LGA in Sokoto State and Jibia LGA in Katsina State share borders with Niger Republic

• 500,000 doses of the AC-­‐PS vaccine granted by the International Coordinating Group on Vaccine Provision (ICG) for reactive vaccination in Zamfara has arrived Nigeria.

• Reactive Vaccination has been re-­‐scheduled for 5th – 9th April 2017 in Zamfara State, while Sokoto and Katsina’s ICG requests being considered