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)
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.
23 June 2017 | Abuja - With the decline in Meningitis cases, the 2016/2017 Meningitis outbreak is over and the Emergency Operations Centre (EOC) responding to the epidemic has been stepped down. The outbreak has been in constant decline for eight weeks and the affected States have recorded much fewer new cases.
More than 800 people arrive in Nigeria’s Banki town from Cameroon, bringing total returns to more than 13,000 since mid-April
Nigerian officials, relief actors coordinate to expand IDP site capacity in Borno by establishing new camps to accommodate the population influx
Rainy season exacerbates the spread of waterborne hepatitis E in bordering communities of Niger and Nigeria
Current major event
Diagnostic capacity for Zika Virus enhanced
Current major event
Communications in public health emergencies
Recent experience with famine and cholera outbreak in Somalia has shown that communication, whether with affected communities, among public health response actors, or with the media, is a critical component of effective response to public health emergencies.
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 25 ungraded events.
Some 200,000 Nigerian refugees hosted in neighbouring countries – Cameroon, Chad and Niger –are starting to return to Nigeria, especially from Cameroon, which received 62% of those refugees. Since 12th May around 11,000 returnees have arrived in Banki-Bama LGA from Cameroon.
The Regional Director is pleased to present this report on the work of WHO in the African Region for the period October 2015 to June 2016. The report outlines the significant achievements made under the six categories in the 12th General Programme of Work in supporting Member States in the African Region in health development. It reflects contributions from WHO country offices and the Regional Office, including the three Intercountry Support Teams.
This weekly update focuses on selected acute public health emergencies occurring in the WHO African region. WHO AFRO is currently monitoring 41 events: four Grade 3, seven Grade 2, four Grade 1, and 26 ungraded events.
From 13th December, 2016 to 2nd June, 2017, a total of 14,473 suspected cases and 1,155 deaths (CFR= 8%) of CSM have been reported from 25 States
Of the 460 laboratory confirmed cases, 371 (80.6%) were Neisseria meningitidis serogroup C
In the last four weeks (Epi-week 16-19), 24 Local Government Areas (LGAs) have been in alert/ epidemic status in three States — Zamfara, Sokoto and Katsina
This report is produced by OCHA in collaboration with humanitarian partners. It covers the period from 16 May to 31 May 2017. It does not include information on the operations of actors that are not part of the Humanitarian Response Plan (HRP).
Abuja, 09 June 2017 - With the outbreak of cerebrospinal meningitis (CSM) in the northwestern states of Katsina, Kebbi, Sokoto and Zamfara, the World Health Organization (WHO) through its collaborative networks, has developed the capacity of the existing laboratory in Ahmed Sani Yeriman Bakura specialist hospital Gusau, Zamfara state to a standard public health laboratory. The upgraded facility is now capable of meningitis diagnosis and isolation of meningitis organisms, thus enabling meningitis diagnosis.
Lessons Learnt from the 2016/2017 CSM Outbreak
IDP camps in Nigeria’s Banki town host more than 42,000 people
Population influxes to Nigeria’s Pulka town strain already limited resources, notably water and shelter
Attack against IDPs in Cameroon’s Mayo- Sava Department results in at least nine civilian deaths
Health officials record 770 hepatitis E cases in Niger’s Diffa Region from January–May
KEY DEVELOPMENTS ￼￼￼￼