Nigeria: Cholera Outbreak - Jun 2017Ongoing
On 7 June 2017, the Nigeria Federal Ministry of Health notified WHO of an outbreak of cholera in Kwara State in the western part of the country. The initial cases of acute watery diarrhoea (AWD) started insidiously during the last week of April 2017. Seven stool samples obtained from the initial cases and analysed at the University of Ilorin Teaching Hospital (UITH) laboratory isolated Vibrio cholerae O1 as the causative agent. The number of cases and deaths subsequently increased from the first week of May 2017. As of 14 June 2017, a total of 1,178 suspected cases and nine deaths (case fatality rate 0.8%) have been reported. Four local government areas have been affected, including Ilorin West (508 cases), Ilorin East (303 cases), Ilorin South (96 cases), and Moro (37 cases). (WHO, 23 Jun 2017)
The Borno State Ministry of Health in northeastern Nigeria reported suspected cholera in Muna Garage, a camp hosting about 20,000 internally displaced persons on the outskirts of the state capital Maiduguri. A total of 152 cases of suspected cholera, including 11 deaths, as of 31 August 2017, have been reported. (OCHA, 1 Sep 2017)
Over 530 suspected cases had been registered as of 5 September 2017, including 23 deaths (4.3 per cent fatality rate), mainly in Muna Garage, a camp hosting about 20,000 internally displaced persons on the outskirts of the state capital Maiduguri. (OCHA, 6 Sep 2017)
There is an ongoing outbreak since the beginning of 2017. Between 1 January and 31 December 2017, a cumulative total of 4 221 suspected cholera cases and 107 deaths (CFR 2.5%), including 60 laboratory-confirmed were reported from 87 LGAs in 20 States. Between weeks 1 and 9 of 2018, there have been 210 suspected cases including two laboratory-confirmed and 16 deaths (CFR 7.6%) from 28 LGAs in 9 States (WHO, 30 Mar 2018.)
North-east Nigeria is experiencing recurrent cholera outbreaks, with three states: Adamawa, Borno and Yobe currently having active transmission... Since February 2018, the three states in north-east Nigeria have reported a total of 1 664 suspected cholera cases and 31 deaths (case fatality rate 1.9%), as of 27 May 2018. (WHO, 28 May 2018)
With more than 14 days since the last reported case of cholera, Yobe State Ministry of Health has declared that the outbreak is over on 12 June 2018. (WHO, 12 June 2018)
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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.
In north-eastern Nigeria, armed groups such as Boko Haram factions have now been raging since 2009, clashing with Nigerian armed forces, forcing people to leave their villages. The city of Dikwa, which already hosts 14 Internally Displaced People (IDP) camps, faces a considerable lack of space.
The Nigeria Centre for Disease Control (NCDC) is monitoring the Cholera situation through the Technical Working Group (TWG) in collaboration with key agencies and partners; National Primary Health Care Development Agency (NPHCDA), Fed. Ministry of Water Resources (FMWR), FMEnv, MSF and World Health Organization (WHO). ￼
Since the beginning of 2018, a total of 5,607 suspected cases have been reported from nine States (Adamawa, Anambra, Bauchi, Borno, Kano, Nasarawa, Plateau, Yobe and Zamfara).
Nigeria: outbreaks in North Nigeria are ongoing. In Adamawa State the trend is decreasing since W22 but remains high (240 new cases in W23). In Borno State, low level transmission continues (14 new cases in W22). No new cases in Yobe State since May 15th (source: WHO). No further diffusion to Cameroon has been notified.
D. R. Congo: increased transmission in specific areas could announce outbreaks with the same temporal patterns as last year, particularly in the Kasai Provinces.
Since 18 May through 21 May 2018, the Mayo Oulo's Health Zone in Cameroon, reported three suspected cholera cases and no deaths in two health areas in Northern Cameroon, bordering Nigeria. These two health areas are Guirviza Health Area (n=2) and Doumo Health Area (n=1).
Damaturu, 13 June 2018 - With more than 14 days since the last reported case of cholera, Yobe State Ministry of Health has declared that the outbreak is over on 12 June 2018. The cholera outbreak initially reported in Gashua town of Bade local government area (LGA) with subsequent spread to Karasuwa, Jakusko, Yusufari and Bursari LGAs, abated with a case fatality ratio of 3.7% in 404 cases.
“As we speak now, it has been more than 14 days without report of any suspected case of cholera in Yobe state,” the Commissioner for Health, Dr Mohammed Bello Kawuwa said.
SEIZE CAS DE VARIOLE DU SINGE SIGNALÉS
Le 5 juin, l’OMS a rapporté que 16 cas (un confirmé et 15 présumés) de variole du singe avaient été détectés entre le 30 avril et le 30 mai. Les patients ont entre un mois et 58 ans. Aucun décès n'a été signalé. L'OMS coordonne la réponse qui comprend des enquêtes épidémiologiques, la formation des agents de santé et la communication des risques. La variole du singe est une infection rare qui survient sporadiquement dans les zones boisées de l'Afrique centrale et occidentale.
SIXTEEN CASES OF MONKEYPOX REPORTED
Sixteen cases (one confirmed and 15 suspected) of monkeypox were detected in Cameroon between 30 April and 30 May, WHO reported on 5 June. The patients are between one month and 58 years old. No deaths have been reported. WHO is coordinating response that includes epidemiological investigations, health worker training and risk communication. Monkeypox is a rare infection that occurs sporadically in forested areas of Central and West Africa.
CENTRAL AFRICAN REPUBLIC
Yola, 8 June, 2018 - “Initially, I thought it was nothing to worry about until I visited the toilet for the third watery stool this morning,” says Rukayat Mohammed. “Suddenly, I realized that I was I losing strength. As my family was about to prepare some food for me, a team of healthcare workers arrived my household as if someone directed them. They asked if anyone was vomiting or passed two or three watery stools today. Of course, I said yes and before I knew it, an ambulance arrived and conveyed me to a cholera treatment centre at the Mubi General hospital.
1 New event
54 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:
USG announces nearly $112 million in humanitarian funding for the Lake Chad Basin response
Relief actors continue to respond to suspected cholera cases in Adamawa State
FEWS NET projects acute food insecurity across parts of the Lake Chad Basin through at least September
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.
In view of the coming rainy season, the Emergency Telecommunications Sector (ETS) transferred all ETS equipment to solid prefabricated structures in Gwoza, Bama and Dikwa.
The Nigerian Ministry of Communications granted the ETS the requested radio frequencies for the use of ETS security telecommunications services by the humanitarian community in North-East Nigeria.
1 New event
57 Ongoing events
10 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 58 events in the region. This week’s edition covers key new and ongoing events, including:
- Undiagnosed disease in Uganda
- Ebola virus disease in the Democratic Republic of the Congo
- Monkeypox in Cameroon
- Lassa fever in Nigeria
Humanitarian crisis in Ethiopia.
Cholera outbreaks have now been reported in nine States in 2018, including in the three-conflict affected States of Borno, Yobe and Adamawa in the Northeast. The latest outbreak has been registered in Adamawa State, with already 834 cases and 15 deaths as of 31 May.
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).
Heavy rains and wind storms affect 2,400 displaced households across three Borno State LGAs
Health actors respond to initial suspected cholera cases and related deaths in Adamawa State
WFP reaches more than 1.2 million people in northeastern Nigeria with emergency food assistance
Cameroon: 2 suspected cases and 1 confirmed case were reported from the North region (border with Nigeria).
Nigeria: 490 cases were reported at week 20. Bauchi, Borno, Yobe continue to report new cases, new outbreak has been declared in Adamawa. See p.2.
D. R. Congo: the situation remains stable with 256 and 261 cases reported at weeks 19 and 20, despite a slight increase in North Kivu.
Liberia: 7 suspected cases were reported at week 20. The 20 samples collected since W1 were all tested negative to Vibrio cholerae.
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.