Niger: Hepatitis E Outbreak - Apr 2017Ongoing
The Ministry of Health on 19 April declared an outbreak of Hepatitis E that has killed 25 among 86 infected people. Medical assistance and preventive measures are ongoing to curb the disease which is mostly transmitted through contaminated water. (OCHA, 24 Apr 2017)
The current outbreak in Niger is closely linked to an unclean water supply and hygiene and sanitation facilities for the 240,000 people who are currently displaced in Diffa. This is a particularly vulnerable population that for years has been suffering the consequences of the conflict between Boko Haram and armies in the region....To contain the outbreak, MSF has been working with the Ministry of Health for several weeks...Additionally, MSF has significantly increased its water and sanitation activities in Kitchendi, Garin Wazan and Toumour villages, where around 135,000 people have settled—the vast majority of which are displaced. The organization also distributed water chlorination tablets, soap and new jerrycans for 16,800 families in these villages. So far, more than 27,900 gallons of water have been treated and jerrycans being used in the community have been cleaned to prevent the spread of the disease. (MSF, 26 Apr 2017)
There is a risk that the outbreak will intensify. New cases are expected to continue to emerge in new health districts in the region. Diffa region is prone to rapid propagation of the disease due to the prevalent underlying factors, such as limited access to safe water, inadequate sanitation, and poor hygiene practices. The region is inhabited by vulnerable populations, such as refugees, IDPs, and returnees who are at risk of contracting the disease due to their living conditions. The forthcoming rainy season, from June to September, is likely to increase the spread of the disease to neighbouring regions, and will further exacerbate WASH needs among affected populations. (ACAPS, 4 May 2017)
Hundreds of people in a camp in northeastern Nigeria have been infected with hepatitis E after the disease spread from neighbouring Niger. The highly contagious disease has spread quickly through Ngala camp, which houses 45,000 people, due to a combination of poor living conditions and flooding. There have been more than 400 cases of hepatitis E in the past two months and 170 patients have been treated. (MSF, 10 Aug 2017)
As of mid-August, the hepatitis E outbreak in Niger is gradually improving, with a sustained decrease in the number of new cases observed since the second peak was attained in week 26, during which 150 cases were reported. During week 32 (week ending 13 August 2017), 37 new suspected cases were reported, compared with 48 in week 31. The last death was reported on 7 July 2017.
Between 2 January 2017 and 13 August 2017, a total of 1 610 suspected cases including 38 deaths (case fatality rate 2.4%) have been reported. The majority of cases originated from Diffa Health District (912), followed by N’Guigmi (286), and Bosso (235). Other cases were reported from Goudoumaria (9) and Mainé Soroa (8). Since the 23 July 2017, two other regions have reported cases: Zinder (1) and Tahoua (1). Women are disproportionately affected, accounting for 930 (58%) of the total cases. Of these women, 94% are aged between 15 and 49 years (reproductive age). The most affected age groups overall remain those between the ages of 20 and 34, followed by those aged 15 to 19 and 35 to 39 years. (WHO, 25 Aug 2017)
Au total, 1 840 cas déclarés (suspects et confirmés) d’hépatite E ont été notifiés au 13 septembre.
A la même date, 38 décès liés à la maladie ont été enregistrés. Le taux de létalité est passé de 2,2 pour cent au 4 septembre à 2,06 pour cent au 13 septembre.
Les départements de Diffa et de Nguigmi ont enregistré le plus grand nombre de cas. Les femmes et les personnes âgées de plus de15 ans sont les plus touchées.
USAID Administrator Mark Green announces nearly $54 million in additional FY 2017 funding to support relief operations for Nigerian people in conflict-affected areas
Cholera transmission continues in Borno, with health actors recording more than 3,100 suspected and confirmed cases, including 53 related deaths
Numerous violent attacks targeting civilians in the Lake Chad Basin result in additional casualties and displacement in September
As of September 15, 2017, the cumulative number of suspected and confirmed cholera cases and deaths are 2,451 and 48 respectively (CFR 1.9%). The burden of cases has decreased in Jere and Dikwa, while it remains high in Monguno.
As of 18 September, the number of suspected cholera cases has surpassed 2,000, with 44 deaths reported. The case fatality rate is more than double the emergency threshold of 1%.
The majority of cases are in three main areas in Borno state: 1,177 in the Muna corridor, 570 in Dikwa, and over 338 in Monguno. The areas affected have high levels of IDPs and their already limited health capacity will be further strained.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 48 events in the region. This week’s edition covers key new and ongoing events, including:
• Plague in Madagascar
• Undiagnosed acute jaundice syndrome in Ethiopia
• Humanitarian crisis in Nigeria
• Humanitarian crisis in Ethiopia
• Humanitarian crisis in South Sudan
• Hepatitis E in Chad
• Malaria in Burundi
Around 17 million people live in the affected areas across the four Lake Chad basin countries. More than 2.3 million people remain displaced. Most of the displaced families are sheltered by communities that count among the world’s poorest and most vulnerable. Food insecurity and malnutrition have reached critical levels.
A cholera epidemics breaks in north-east Nigeria on 16 August 2017 with, as of 13 September, 45 dead amongst 1,925 cases recorded in Borno State.
The hepatitis E epidemic declared in April in Niger is marking a decreasing trend, after recording 1,672 cases in the Diffa region.
Cameroon’s Far North is witnessing an increase in incidents and attacks as well as a geographical shift in violent incidents from Logone-and-Chari to Mayo Sava department.
Cholera transmission increases in northeastern Nigeria, with more than 1,900 suspected and confirmed cases and 44 related deaths
Conflict and insecurity in the Lake Chad Basin continue to limit agricultural production and food availability
The number of displaced persons in northeastern Nigeria decreases by 4 percent compared to June figures
1. The present report is submitted pursuant to Security Council resolution 2349 (2017) of 31 March 2017, in which the Council requested the Secretary-General to produce a written report within five months on the assessment by the United Nations of the situation in the Lake Chad Basin. The report provides an update on the progress made and the challenges remaining and suggests measures for consideration relating to elements of the resolution.
EN TRES BREF
Les 5 crises, la modalité de réponse et les 3 objectifs stratégiques ne connaissent pas de changements.
Pour les régions de Tillabéry et de Tahoua, le contexte actuel ne nécessite pas une révision, une série d’évaluations plus poussées au niveau des secteurs prioritaires sont en train d'être planifiées.
En cas de dégradation accentuée, le plan de contingence inter secteur y relatif sera activé en vue d’une réponse initiale appropriée.
La región de Diffa, en la cuenca del lago Chad, golpeada por Boko Haram y una de las más golpeadas por la estación del hambre, sufre una epidemia de hepatitis E.
Faltan fondos para mantener la respuesta al brote, que afecta sobre todo a mujeres.
Madrid, 4 de septiembre de 2017
Health officials confirm cases of cholera in northeastern Nigeria’s Borno State
Insecurity and inclement weather exacerbate existing food and nutrition needs in the Lake Chad Basin
Flooding in Niger affects nearly 60,000 people, primarily near the Nigerian border
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 49 events in the region.
This week, three new events have been reported:
- Crimean-Congo haemorrhagic fever (CCHF) in Mauritania and cholera in Burundi and Chad. This week’s edition also covers key ongoing events, including:
• Cholera in Kenya
• Hepatitis E in Niger
• Floods/mudslide in Sierra Leone
Au total, 1 666 cas déclarés (suspects et confirmés) d’hépatite E ont été notifiés au 20 août. A la même date, 38 décès liés à la maladie ont été enregistrés. Le taux de létalité est passé de 2,6 pour cent au 22 juillet à 2,4 pour cent au 20 août.
Les départements de Diffa et de Nguigmi ont enregistré le plus grand nombre de cas. Les femmes et les personnes âgées de 15 à 49 ans sont les plus touchées.