Nigeria: Polio Outbreak - Aug 2016Ongoing
Following the recent detection of wild poliovirus in Nigeria, Ministers of Health from Cameroon, Central African Republic, Chad, Niger and Nigeria have declared the polio outbreak in Nigeria as a public health emergency for countries of the Lake Chad basin. The declaration, coming out of the 66th session of the WHO Regional Committee for the African Region, demonstrates commitment from governments across the region to bolster momentum in the fight against the virus. (Global Polio Eradication Initiative, 29 Aug 2016)
Nigeria has mobilized its immunization forces and will look to take heed of four key lessons earned during almost three decades of anti-polio efforts: 1) establishing and sustaining trust is critical to the success of eradication campaigns; 2) frequent, independent monitoring and evaluation are key to tracking the progress of an intervention and making modifications; 3) holding all actors accountable is essential to pushing an intervention forward and; and 4) contextualized health initiatives are key in fighting polio and other diseases. These lessons will reinforce a cohesive, multilateral strategy that builds on past successes to secure a polio-free Nigeria. (Center for Global Development, 16 Nov 2016)
The coverage data of the 5th polio outbreak response from early December reports more than 90 per cent polio vaccination coverage in the 81% of the Local Government Areas (LGAs) surveyed in Borno state. The 6th polio campaign in Borno state (between 16 -19 December) took place in 24 of the 27 LGAs in Borno state (except Marte, Abadam and Mobbar) and in all the 17 LGAs in Yobe State. (UNICEF, 21 Dec 2016)
Nigeria continues to implement emergency response to the detected WPV1 strain and circulating vaccine-derived poliovirus type 2 (cVDPV2) strains aecting the country (last detected in 2016). Detection of the polio cases in Nigeria underscores the risk posed by low-level undetected transmission and the urgent need to strengthen subnational surveillance. (Global Polio Eradication Initiative, 30 Aug 2017)
The total number of WPV1 cases for 2016 remains four and no cases have been reported in 2017. The most recent case had onset of paralysis on 21 August 2016 in Monguno Local Government Area, Borno. (Global Polio Eradication Initiative, 4 Oct 2017)
The detection of wild poliovirus type 1 (WPV1) (Borno state, Nigeria in 2016) and circulating vaccine-derived poliovirus type 2 (cVDPV2) (Borno and Sokoto states in 2016) continue to pose a risk to the neighbouring countries of the Lake Chad basin. Emergency outbreak response efforts continue across the Lake Chad basin, together with activities to fill subnational surveillance gaps across the region. These activities include efforts to vaccinate children at markets, in internally displaced persons camps, and at international borders. Phase 3 of outbreak response is being launched in January 2018, taking into account the recommendations made during the November Outbreak Response Assessments for the countries and the Technical Advisory Group meeting in December. (Global Polio Eradication Initiative, 10 Jan 2018)
Most read (last 30 days)
- Adamawa State Integrated Disease Surveillance and Response (IDSR) Nigeria Emergency Response WK 09 2018 (Feb 26 – Mar 04)
- Ending polio in Nigeria, one home at a time
- Polio this week as of 28 February 2018
- Nigeria: Adamawa Health Sector Working Group Bulletin - February, 2018
- Adamawa State Integrated Disease Surveillance and Response (IDSR) Nigeria Emergency Response WK 08 2018 (Feb 19 – Feb 25)
Polio this week as of 20 March 2018
New on www.polioeradication.org: In Nigeria, experts from the frontline of polio eradication are supporting the Lassa fever response. Meanwhile, we asked what it takes to vaccinate every child in Afghanistan.
The Lassa fever outbreak in Nigeria continued in the 10th Epi-week with a total of 1386 suspected cases reported across 19 affected states. Of this, 374 cases have been classified as: 365 confirmed cases, 9 probable cases with 90 deaths (81 in Lab confirmed and 9 in probable) recorded giving a case fatality rate (CFR) of 24%.
HIGHLIGHTS (FEBRUARY 2018) OF ADAMAWA STATE HEALTH SECTOR HUMANITARIAN RESPONSE
Declining support for referral services in Adamawa State Humanitarian response
The humanitarian hub in Gulak, Madagali LGA
Updates on the Voluntary and Safe repatriation of over 4,600 refugees of Adamawa State extraction from Cameroon
Recent displacement of over 4,000 individuals in Demsa LGA due to Farmers/ Herders clash
Epidemiological updates of diseases
Polio this week as of 13 March 2018 New on www.polioeradication.org: For International Women’s Day, we highlighted the critical role that women play in global polio eradication efforts. Dr Adele Daleke Lisi Aluma works to reach children who have never been vaccinated, whilst in Somalia, women are the face of polio eradication. In Nigeria, dedicated female mobilizers are ending polio, one home at a time.
We also launched the Gender and Polio section of our website.
INCREASING INTERVENTIONS FOR LASSA FEVER OUTBREAK RESPONSE
In Epi-week 9, the Lassa fever outbreak continued with a total number of 1121 suspected cases recorded from 18 affected states. Of this, 361 cases have been classified as: 353 confirmed cases, 8 probable cases with 86 deaths (78 in Lab confirmed and 8 in probable) recorded giving a case fatality rate (CFR) of 23.8%.
In Nigeria, dedicated female mobilizers are critical in the fight against polio.
Zulaihatu Abdullahi is well known in her community, particularly to the mothers. As a volunteer community mobilizer in Kaduna state, northern Nigeria, her mission is to ensure that no child contracts polio, or any other preventable childhood disease.
Performance indicators (Epi week 09):
In Epidemiological Week 09 - 2018, a total of 21 out of 21 LGAs (including 06 IDP camps) submitted their weekly reports as timeliness and completeness of reporting were 100% and 100% respectively at LGA level (target 80% timeliness, 90% completeness).
Measles: 07 cases of suspected measles reported with cumulative case count of 138 and 03 deaths
AFP: 05 cases of AFP reported with cumulative case count of 69.
Abuja, 09 March 2018 - The Federal Ministry of Health (FMOH) through the National Primary Health Care Development Agency (NPHCDA), in collaboration with the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) has inaugurated polio committee with new members.
Dr Adele Daleke Lisi Aluma works to reach children who have never been vaccinated
When the sun rises in the health district of Bol, in Chad, Dr Adele’s day begins. Launching her canoe into the reed-filled waters of Lake Chad, and taking a look at the map, she readies herself for the long journey ahead. In four to six hours time she will arrive at a remote island, where there are children never before reached with vaccines.
Women are critical in the fight against polio. From reaching every child with polio vaccines to ensuring their children receive the protection they deserve, women are at the heart of polio eradication efforts.
Maiduguri, 7 March 2018 - Malam Mohammed was desperate. His wife, Hannatu was in labour with their first child, but the nearest health facility was located 10 kilometres away and the only way to get there was on foot through rough terrain. The father-to-be lives in Pela Olla community, which is in a remote corner of Borno state in Nigeria.
Running out of options, Hannatu was steeling herself to deliver her baby without professional help.
ESCALATING THE LASSA FEVER EMERGENCY OPERATIONS CENTRE TO LEVEL THREE
In Epi-week 8, Nigeria recorded 1081 suspected cases in the current Lassa fever outbreak. Of this, 325 cases have been classified as: 317 confirmed cases, 8 probable cases with 72 deaths (64 in Lab confirmed and 8 in probable) have been recorded giving a case fatality rate (CFR) of 22%. The number of confirmed cases recorded so far surpasses the number of confirmed cases (312) recorded in the year 2017.
The Minister of Health, Prof. Isaac Adewole has said that World Health Organization (WHO) has approved the sum of 178 million US dollars in support of Nigeria health sector. The amount convers the WHO’s budgeted work plan and activities under the country’s office selected output for 2018 to 2019.
The Minister made this known during the joint approval ceremony of the WHO biennium budget in Abuja. At the event, Adewole signed on behalf of the Federal Government of Nigeria while the WHO Country Representative, Dr. wondi Alemu signed for the World Health Organization.
Abuja, 5 March, 2018 - The World Health Organization (WHO) has recommitted to eradicating polio, promoting health through the life course, combating communicable and non-communicable diseases, and supporting universal health coverage through government's primary healthcare revitalization agenda over the next biennium (2018-2019).
MALADIE EVITABLE PAR LA VACCINATION
22 cas de fièvre jaune (FJ) notifiés dans 16 districts de santé (DS).
14 cas de paralysie flasque aigüe (PFA) notifiés dans 9DS.
11 cas de rougeole notifiés dans 6DS.
04 cas de tetanos néo-natal (TNN) dans le DS de Roua.
SANTE DE LA REPRODUCTION
19% (3.453/17.712) des accouchements assistés.
25 décès néonatals.
01 décès maternel.
Performance indicators (Epi Week 08):
In Epidemiological Week 08 - 2018, a total of 21 out of 21 LGAs (including 06 IDP camps) submitted their weekly reports as timeliness and completeness of reporting were 100% and 100% respectively at LGA level (target 80% timeliness, 90% completeness).
Measles: 20 cases of suspected measles reported with cumulative case count of 129 and 03 deaths
AFP: 02 cases of AFP reported with cumulative case count of 60.
97 Progress towards poliomyelitis eradication: Nigeria, January– December 2017
97 Progrès vers l’éradication de la poliomyélite au Nigéria, janvier-décembre 2017
New on http://polioeradication.org/: Reaching all children in the Lake Chad basin.
23 February marked 64 years since the first large-scale trial of inactivated polio vaccine (IPV). Developed by Joseph Salk, IPV was found to be safe and effective, and is now part of routine vaccination programmes worldwide. Each year, it confers lifelong protection against polio to millions of young children.
STRENGTHENING COORDINATION DURING OUTBREAK RESPONSE
The Lassa fever outbreak continued in Epi-week 7 with 913 suspected cases reported from across 17 states. Of this, 272 cases have been confirmed positive and 54 deaths recorded giving a case fatality rate (CFR) of 21%.