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 19 2018 (May 07 - May 13)
- UNICEF Cameroon Humanitarian Situation Report, April 2018
- UNICEF Nigeria Humanitarian Situation Report, 01- 30 April 2018
- UNICEF Niger Humanitarian Situation Report, 31 March 2018
- UNICEF Cameroon Humanitarian Situation Report, March 2018
Community-based violence in Tillabery region (Abala and Efrakane), at the border with Mali, resulted in the death of over 40 civilians between 26 and 28 April. Community-based tensions intensified due to cross-border movements of non-state armed groups from Mali to the Tillabéri region.
Violence against civilians included armed banditry, cattle theft, and the kidnapping of a humanitarian aid worker from an international NGO on 11 April, between Ayorou and Inates;
5 New events
52 Ongoing events
9 Humanitarian crises
- This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 55 events in the region. This week’s edition covers key new and ongoing events, including:
Ebola virus disease in the Democratic Republic of the Congo
Measles in Liberia
Hepatitis E in Namibia
Humanitarian crisis in north-east Nigeria
Humanitarian crisis in Cameroon.
Abuja, 18th June, 2018 - Nigeria’s Minister of Health, Professor Isaac Adewole has assured the African Regional Commission for Certification for Poliomyelitis Eradication (ARCC) meeting in Abuja, Nigeria (18 – 22 June 2018) that Nigeria, indeed Africa, is on the right track to end the scourge of the crippling disease.
Polio this week as of 12 June 2018
1 New event
54 Ongoing events
9 Humanitarian crises
This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 55 events in the region. This week’s edition covers key new and ongoing events, including:
Featured on www.polioeradication.org: Meet a doctor at the frontline of polio eradication in Pakistan; and, vaccinators ensuring that every child is reached in Afghanistan.
Summary of newly-reported viruses this week: one new wild poliovirus type 1 (WPV1) case reported from Pakistan; and, one new WPV1-positive environmental sample from Afghanistan. See country sections below for more details.
Displacement in north-east Nigeria increased by 6% increase since February, bringing the total number of IDPs to nearly 1.9 million (a level last seen in October 2016). While Borno state continues to host the highest number of IDPs (more than 1.4 million), the steepest increase in IDPs was observed in Yobe (19% increase).
At last week’s World Health Assembly (WHA), ministers of health and delegates reviewed progress being achieved through national emergency action plans in remaining endemic countries. Delegates noted that wild poliovirus transmission is now at the lowest ever levels in history.
• UNOCHA-led interagency assessment mission identified estimated 40,000 IDPs in Mamfe and Mbonge/Kumba subdivisions of South West region. The total number of IDPs is expected to be substantially higher as the assessment mission was unable to visit many areas due to access constraints.
• Over 2.3 million children under five years of age including refugee and IDP children were vaccinated against polio and received vitamin A and mebendazole (deworming tablets) in Far North, East and Adamaoua regions.
▪ In March, in the Diffa region, attacks by non-state armed groups and inter-community conflict continued. Seven civilians were killed, including a 15-year old boy. Kidnappings for ransom continued as well. A 3-month multi-forces military operations is being prepared against the non-state armed-groups in the Islands and along the Komadougou river.
New on www.polioeradication.org: Rotarians are at the heart of the fight to end polio, and in Pakistan, are reducing chance of virus spread through provision of clean drinking water.
This week, the World Health Assembly is meeting in Geneva, Switzerland, and will be presented with a Strategic Action Plan on Polio Transition (including the Post-Certification Strategy), a status report on polio eradication, and a proposed resolution on containment of polioviruses.
Performance indicators (Epi Week 19):
In Epidemiological Week 19 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: No case of suspected measles reported with cumulative case count of 382 and 06 deaths. CFR is 2% AFP: 03 case of AFP reported with cumulative case count of 137.
New on www.polioeradication.org: Professor David Heymann, of the London School of Hygiene and Tropical Medicine, discusses what lessons smallpox eradication teaches us, and why it is critical to complete the job of polio eradication.
BANGUI, République Centrafricaine, 12 mai 2018 - Une recrudescence significative de la violence en République centrafricaine au premier semestre de 2018 a forcé au moins 55 000 personnes supplémentaires, dont 28 600 enfants, à fuir à cause de la brutalité et de la violence dans leurs communautés.
BANGUI, Central African Republic, 12 May 2018 - A dramatic increase in violence in the Central African Republic in the first part of 2018 has forced at least 55,000 people, including 28,600 children to flee because of brutality and violence in their communities.
This SitRep was produced by OCHA in association with humanitarian partners and is focused on the internal displacements since 21 July 2015. It was published by OCHA Chad and covers the period from 1 January to 28 February 2018. The next publication will be around 15 May 2018.
• The joint military operations of the Multinational Joint Taskforce in the Lake Chad Basin could lead to new population movements and limit humanitarian access in some areas.
Sweden is the first country to formally engage in the global poliovirus containment process.