Nigeria: Meningitis Outbreak - Mar 2017
As of 19 March 2017, a total of 1,407 suspected cases of meningitis and 211 deaths have been reported from 40 local government areas in five states of Nigeria since December 2016. Zamfara, Katsina and Sokoto account for 89% of these cases. (WHO, 24 Mar 2017)
As at April 3, 2017, a total of 2,997 suspected cases of CSM have been reported in 16 States in Nigeria, of which 146 have been laboratory-confirmed. Unfortunately, 336 deaths have also been recorded...A total of 500,000 doses of Meningitis C vaccines have been distributed to some of the affected States for immediate outbreak response vaccination. An additional 823,970 doses of Meningitis C vaccines are expected from the UK to support vaccination activities in other affected States. The Emergency Operations Centre will support State-wide vaccination campaign which starts in Zamfara State on Wednesday the 5th of April, 2017. (Govt, 4 Apr 2017)
The number of new cases of suspected meningitis being reported has begun to decline as outbreak control measures take effect. A total of 628 new cases were reported in week 16 versus 1,935 in week 15 and 2,127 in week 14. The cumulative number of suspected cases recorded in Nigeria throughout the outbreak period is now 9,646 and 839 deaths from 43 Local Government Areas in 23 states. (Govt, 26 Apr 2017)
Health sector is supporting the State Ministry of Health and State Primary Health Care Agency in Adamawa, Borno and Yobe states to lead the preparedness process for cerebro-spinal meningitis epidemic, which is a looming threat in the region. A draft epidemic preparedness and response plan has been prepared for North-East Nigeria. As of April 13, 2017, a total of 5,695 suspected cases have been reported; included 221 (4%) laboratory confirmed cases; and 611 deaths (WHO, Gov't Nigeria, Health Cluster, 30 Apr 2017.)
The meningitis outbreak situation in Nigeria is gradually improving. During week 18 (week ending 7 May 2017), the four most affected states of Zamfara, Sokoto, Katsina and Kebbi observed reduction in the weekly caseload and deaths. (WHO, 12 May 2017)
The Nigeria Federal Ministry of Health has, on 23 June 2017, officially declared the end of the 2016/2017 meningitis outbreak in the country. This declaration comes four weeks after the number of new meningitis cases reported each week fell below the epidemic and alert thresholds in all Local Government Areas. Since onset of the outbreak on 18 December 2016, a total of 14,518 suspected / confirmed cases of meningitis were reported from 25 states, with 1,166 deaths, giving a case fatality rate of 8%. (WHO, 23 Jun 2017)
WHO was notified of an outbreak of meningitis by the Government of Nigeria on 20 February 2017. The first case was reported in Zamfara state during epidemiology week 50 (December 12-18, 2016). On 23 June 2017, the Nigeria Federal Ministry of Health officially declared the end of the 2016/2017 meningitis outbreak in the country. This declaration was made almost 8 weeks after the number of new meningitis cases reported each week during this outbreak fell below the epidemic and alert thresholds in all Local Government Areas.
As the Hepatitis E Virus (HEV) Outbreak spreads in Niger, on 18 June 2017, an outbreak of HEV / Acute Jaundice Syndrome was confirmed in three local government areas (Mobbar, Monguno and Ngala LGAs) of Borno State. As part of the outbreak response, a Risk Assessment Surveillance and Outbreak was conducted by WHO experts during reporting period.
The number of cases of Hepatitis E has doubled in Ngala and Damasak; and it has slightly increased in Monguno compared to the previous epidemiological reporting weeks. A total number of 42 blood samples were positive out of 66 (64%).
In Ngala camp MSF-Swiss has completed an isolation unit for pregnant women & newborn with Hepatitis-E.
UNICEF and FHI-360 clinics are managing the increasing caseload of HEV infected patients. Case management training is planned for clinicians
A. Situation analysis
Description of the disaster
Health advisories for travelers to Saudi Arabia, Hajj, 1438 H
Hajj, the pilgrimage to Mecca, Saudi Arabia, is one of the largest and most longstanding annual mass gathering event in the world. Saudi Arabia’s Ministry of Health has issued Health conditions for travelers to Saudi Arabia for the pilgrimage to Mecca (Hajj) – health requirements and recommendations in connection with performing hajj in 2017 (1438 H)
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 41 events: three Grade 3, seven Grade 2, six Grade 1, and twenty five ungraded events.
Abuja 29 June 2017 - Nigeria’s Minister of Health, Professor Isaac Adewole on 28 June 2018, officially declared the Meningitis outbreak over. The declaration was made after the weekly Federal Executive Council meeting with the Acting President, Professor Yemi Osinbajo and all serving ministers at the State House in Abuja.
Standard case definition for case detection- focus on Cholera
In the Epi-week ending 25th June 2017, the Cholera outbreak in Kwara state continued with a total of 1,429 suspected cases reported as at 20th June 2017. Nine cases out of this have been laboratory confirmed. Ten deaths have been recorded so far, with a case fatality rate (CFR) of 0.69%. The number of affected Local Government Areas (LGAs) still remains four.
Preparing to respond to a Cholera Outbreak
Nigeria usually experiences outbreaks of Cholera during the rainy season. These outbreaks usually span from May up until September or October yearly. During these months, the country records high rainfalls, sometimes leading to an overflow of sewage systems and subsequent breakdown in overall hygiene standards. Furthermore, poor access to potable water and crowded living conditions are highlighted as contributory factors to the start and spread of a cholera outbreak.
2,334,000 People in needs
148 Million USD Total Estimated budget
31 Million USD for preparedness
117 Million USD For response
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 40 events: three Grade 3, seven Grade 2, five Grade 1, and twenty five ungraded events.