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)
This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. The WHO Regional Office is currently monitoring 41 events: three Grade 3, seven Grade 2, five Grade 1, and 26 ungraded events.
Yobe, 01 June 2017 - Yobe state in northeast Nigeria has concluded the second round of vaccination campaign against meningitis, with technical and financial support from the World Health Organization (WHO).
Results from the campaign which ended on 27 May 2017, indicate that 136,355 persons aged 2-29years were vaccinated with ACW meningitis vaccine in Fika, Fune, Gujba and Damaturu Local Government Areas (LGAs). The coverage is more than the expected number of people targeted in the campaign.
Risk Communication: Understanding its role in outbreak response
For yet another year, Nigeria and Niger are facing severe outbreaks of meningitis C. Both countries are part of the ‘meningitis belt’, a region that stretches across the continent from Senegal to Ethiopia, and is particularly affected by the disease during the dry season. From 13 December 2016 to 14 May 2017, a total of 13,943 suspected cases, and 1,112 deaths, of meningitis have been reported from 24 states in Nigeria, according to the World Health Organization (WHO).
This weekly bulletin focuses on selected public health emergencies occurring in the WHO African region. The WHO Regional Office is currently monitoring 49 events: three Grade 3, six Grade 2, two Grade 1, and 38 ungraded events.
USG announces additional $45 million for the Nigeria humanitarian response
More than 11,800 people relocate to Nigeria’s Banki town from Cameroon in May
WFP continues providing emergency food assistance to IDPs and refugees across the Lake Chad Basin Region
International donors contribute $24 million to the Nigerian Humanitarian Fund
Standardized Case Management Practices for improved health outcomes
Violence induced by the Boko Haram insurgency now in its eight year and military counter-insurgency operations has forced more than 1.8 million people to flee their homes in the six northeastern states, and particularly in Borno, Adamawa and Yobe (where 92 per cent of the displaced are from). More than half of these displaced are children.
6.9 million people are living in areas with inadequate health services in the northeast, including more than 68% of the 1.8 million IDPs living in host communities across Adamawa, Borno, and Yobe states. The lack of qualified staff and essential medicines, and the destruction of medical facilities all continue to hamper the implementation of interventions.
With only 21 per cent of the funding needs met, aid partners continue to be severely constrained. The situation is increasingly concerning due to the imminence of the rainy and lean seasons.
Since its creation in February, the Nigeria Humanitarian Fund has raised close to US$24 million and held its first Advisory board meeting. A first round of allocations is expected in June.
Polio staff in Nigeria have contributed emergency response expertise in Sokoto State
In early May 2017, polio programme staff from across Nigeria joined efforts to combat a meningitis outbreak in Sokoto, providing support and expertise in outbreak response to help Sokoto State in controlling the outbreak.
Almost 200 WHO polio officers worked with state and national government agencies and other partners to plan and implement a state-wide vaccination campaign aimed at reaching almost 800 000 young people at risk of contracting the disease.
WHO Country Representative, Nigeria, Dr. Wondi Alemu visited hard-to-reach areas in Yobe and in Borno state including Kukarieta and Ngamdu in order to personally appreciate the critical conditions of the affected population.
WHO provided technical support for the vaccination of 185 201 persons aged 9 – 15years with Men A vaccine and more than 5000 aged 2-8years with Pentavalent in Yobe state.
Trained 80 clinicians, laboratory scientists and nurses in Borno and Yobe states on CSM diagnosis and case management.
Good quality data needed to drive Reactive Vaccination Campaigns
An upsurge of violence has been reported in some areas in central Borno State and at the border between Niger and Nigeria. This increase in casualties hampers the provision of humanitarian assistance.
From 13th December, 2016 to 17th May, 2017, a total of 14,005 suspected cases and 1114 deaths (CFR= 8%) of CSM have been reported from 24 States
We have now had 5 weeks of persistent decline in new cases, from a peak of 2,500 per week to about 250 per week.
Of the 423 laboratory confirmed cases, 309 (73%) were Neisseria meningitidis serogroup C
In the last four weeks (Epi-week 16-19), 42 Local Government Areas (LGAs) have reached alert/epidemic threshold in five States — Zamfara, Sokoto, Kano, Katsina and Yobe
La propagation des épidémies dans la région du lac Tchad associée à une augmentation du nombre de personnes touchées par la famine au Nigeria exige de trouver rapidement une solution politique à un conflit complexe et de mettre à disposition des fonds indispensables. Les bailleurs doivent respecter les engagements pris en février lors de la conférence d’Oslo et débloquer des fonds.
“Donors must stand by their commitments and release funds pledged at donor conference in Oslo in February”
Abuja, 17/05/2017. The outbreak of epidemics in the Lake Chad region coupled with a rising number of people experiencing severe hunger in Nigeria demands urgent attention to provide a political solution to the complex conflict and release much needed funds, urges CARE International.
Currently, there are 4.7 million estimated food insecure people in the country’s most crisis-affected states (Borno, Adamawa and Yobe). This number is expected to rise to 5.2 million between June and August if adequate measures are not put in place.