Nigeria: Measles Outbreak - Oct 2016Ongoing
From 4 January to 23 September 2016, a total of 3,905 suspected cases of measles have been reported in four conflict affected states: 846 in Borno, 2,510 in Yobe, 273 in Adamawa and 276 cases in Gombe state. Of these, 129 cases were laboratory confirmed. (Nigeria Health Cluster, 4 Oct 2016)
Following the harmonization of the available data from the Early Warning and Response System (EWARS), IDP camp surveillance data from State Primary Health Care Development Agency (SPHCDA), Health sector partners and Integrated Diseases Surveillance and Response (ISDR), it was concluded that there is an ongoing measles outbreak in Borno State afflicting camp and non-camp populations.
The Borno State Ministry of Health (BSMOH) is already conducting a reactive vaccination campaign with the support of partners, targeting 18 IDP camps. So far, 35,742 children have been vaccinated in six camps. This campaign however is inadequate to interrupt the transmission of measles across the state, as it does not involve the host communities nor other settlements and IDP camps where measles cases have also been reported. As the BSMOH is expanding the present campaign to include all accessible estimated 2.3 million children aged six months to 15 years in the state without prejudice to the national measles campaign, a request for support (including vaccines and logistics) have been communicated to the Federal MoH. This expanded campaign was planned to take place from 27–30 November 2016. (Nigeria Health Cluster, 20 Nov 2016)
A mass vaccination campaign to protect more than 4 million children (4 766 214) against a measles outbreak in conflict-affected states in north-eastern Nigeria started on 13 January 2017. The Borno State Ministry of Health, with support from WHO and partners, has already vaccinated more than 83,000 children aged 6 months to 15 years living in camps for IDPs (internally displaced people) where measles cases had been reported. These campaigns have started to show results, with a reduction of measles cases around the camps. (WHO, 12 Jan 2017)
In Borno, 114 cases of measles were reported in UNICEF supported health facilities across Borno, Yobe and Adamawa, mostly among children who had not been vaccinated against measles and new arrivals. (UNICEF, 28 Feb 2017)
UNICEF and its partners supported the measles vaccination of 421,890 children during the reporting period. (UNICEF, 15 Mar 2017)
There were 631 suspected cases of measles reported from 33 States including the FCT. One was laboratory confirmed and no death was recorded. (Gov't Nigeria, 17 Mar 2017.)
The cumulative number of measles cases since January 2017 is 2,052. In Epidemiological Week 30, through EWARS 31 cases of measles were reported with 68% occurring in children below 5 years of age. There has been a steady decline of measles cases in Borno State from Epi week 17 to week 30. (Gov't Nigeria/Health Cluster, 15 Aug 2017.)
So far, 19,306 suspected Measles cases with 108 laboratory confirmed cases and 109 deaths (CFR, 0. 56%) have been reported in 2017 from 36 States and FCT compared with 23,417 suspected cases and 100 deaths (CFR, 0.43%) from 36 States and FCT during the same period in 2016. (Gov't Nigeria, 03 Nov 2017)
In the reporting week, 331 suspected cases of Measles were reported from 34 States compared with 356 suspected cases with four Laboratory confirmed and one death (CFR, 0.28%) reported from 28 States during the same period in 2017. So far, 691 suspected Measles cases and one death (CFR, 0.14%) were reported from 36 States and FCT compared with 966 suspected cases with six laboratory confirmed and 13 deaths (CFR, 1.35%) during the same period in 2017 (Gov't Nigeria, 02 Feb 2018)
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Performance indicators (Epi Week 23):
In Epidemiological Week 23 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: No case of AFP reported with cumulative case count of 143.
HIGHLIGHTS (MAY 2018) OF ADAMAWA STATE HEALTH SECTOR HUMANITARIAN RESPONSE
Ongoing Cholera outbreak in Mubi North and Mubi South LGA of Adamawa State
NHF capacity building for local NGOs by OCHA
Joint supervision and monitoring visit to NYSC host community in Girei LGA and Malkohi host community in Yola South LGAs
Updates on the Operational Health Sector Working Group meeting (OHSWG) and MOFCOM Meeting in Mubi North LGA
Epidemiological updates of diseases
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.
IMPROVING NIGERIA’S PREPAREDNESS FOR AN EBOLA OUTBREAK
Since the declaration of the outbreak of Ebola virus disease (EVD) in the Democratic Republic of Congo (DRC), Nigeria has continued to improve the level of preparedness in the country. The Emergency Operations Centre at the Nigeria Centre for Disease Control (NCDC) remains on alert mode, closely monitoring the situation in the DRC.
This week, preparedness activities in Nigeria were focused largely on strengthening screening measures at the major ports of entry, as well as capacity building of responders.
The humanitarian context in Borno state
Nine years of conflict between the Nigerian military and armed groups in northeast Nigeria has taken a heavy toll on the population with serious humanitarian consequences. According to OCHA, more than 1.7 million people are internally displaced in the north-eastern states of Borno, Adamawa and Yobe. Of these, 78 per cent are living in Borno.
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).
EBOLA: LEARNING FROM THE PAST AND PREPARING FOR THE FUTURE
On the 8 th of May 2018, the Government of the Democratic Republic of Congo declared an outbreak of Ebola Viral Disease (DRC) . As at the 16 th of May, 19 confirmed cases had been reported with 17 deaths.
Maiduguri, 28 May 2018 - In a bid to interrupt measles transmission in parts of Borno state as well as boost vulnerable population’s immunity in newly accessible areas, the World Health Organization (WHO) is providing technical and financial support to the Borno state health authorities to implement a selective measles vaccination campaign.
PREVENTIVE MEASURES AGAINST CHOLERA OUTBREAKS
Over the last few weeks, there has been an increase in cases of Cholera reported in States in Nigeria. This can be attributed to the gradual increase in rainfall recorded during this period. Historic epidemiological data shows that Nigeria experiences two peak periods of Cholera outbreak in a year-the first during the rainy season and the second during the dry season.
Cholera outbreaks occur when there is a breakdown of sanitary conditions and food hygiene procedures in a community. This can occur when:
Abuja, 17 May 2018 – In a bid to strengthen measles and yellow fever surveillance in Nigeria, the World Health Organization (WHO) has refurbished a porta cabin work space and donated laboratory equipment that include ELISA readers test equipment and microplate washers to Maitama General Hospital in Abuja; a laboratory that is managed by the Nigeria Centre for Disease Control (NCDC) and the Maitama General Hospital.
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.
HIGHLIGHTS (APRIL 2018) OF ADAMAWA STATE HEALTH SECTOR HUMANITARIAN RESPONSE
Joint supervision and monitoring visit to Daware Host community in Fufore LGA
Commencement of the Operational Health Sector Working Group meeting (OHSWG) in Mubi North LGA
Operational Inter-Sector Working Group (OISWG) team visit from Borno to Mubi North in Adamawa State
Updates on the Voluntary and dignified repatriation of over 4,600 refugees of Adamawa State extraction from Cameroon
Performance indicators (Epi Week 17):
In Epidemiological Week 17 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).