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 number of new cases reported has shown a decline over the last four reporting weeks. As of 30 June 2017, a total of 1,558 suspected cases of cholera have been reported including 11 deaths (case fatality rate: 0.7%). Thirteen of these cases were confirmed by culture in laboratory. 50% of the suspected cases reported are male and 49% are female (information for gender is missing for 1% of the suspected cases)...Between 1 May and 30 June 2017, suspected cholera cases in Kwara State were reported from five local government areas; Asa (18), Ilorin East (450), Ilorin South (215), Ilorin West (780), and Moro (50) (information for local government areas is missing for 45 of the suspected cases). (WHO, 12 Jul 2017)
The Borno State Ministry of Health in northeastern Nigeria has 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. Three of the suspected cases are in close proximity to Muna Garage, not in the camp itself. The State Ministry of Health, with the support of all humanitarian partners, is responding to the outbreak. (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)
The cholera outbreak in north-east Nigeria, which started on 16 August 2017, has now claimed the lives of at least 35 individuals in Borno State. The number of suspected cases stands at 1,283, with confirmed outbreaks in Maiduguri, Dikwa and Monguno. The number is expected to rise with further assessments. Most reported cases are concentrated in the “Muna Corridor” in Maiduguri, which includes 15 sites for displaced. The World Health Organization carried out a rapid risk assessment. The risk of spread in the Borno capital is high given the congestion, poor infrastructure and water/sanitation conditions in the area. (OCHA, 12 Sep 2017)
Five weeks after the first recorded cases in the outskirts of Maiduguri, the cholera outbreak is affecting four Local Government Areas in Borno State (Northern Nigeria) with 3 346 suspected cases and 53 recorded deaths, mostly in settlements hosting internally displaced people. The ongoing vaccination campaign led by the State Ministry of Health is expected to contribute to limit the spread of the outbreak.
A force of determined women involved in the fight against polio is leading work to fight the cholera outbreak in northeast Nigeria
A force of determined women already involved in the fight against polio has been assembled to lead work to curb the spread of a cholera outbreak in northeast Nigeria. Displaced by conflict and themselves living in camps around the crisis region, these women are moving from tent to tent to help families understand the risks they face during the rainy season, and how to get help if they fall ill.
The first cholera cases were identified in Borno State, north-east Nigeria, on 16 August, despite extensive efforts to improve sanitation conditions in camps and to raise awareness of the importance of best hygiene practices. The insurgency, and the efforts to quell it, have forcibly displaced 1.7 million people in north-east Nigeria, many of whom are living in dire conditions. To date, health partners have counted more than 3,140 confirmed and/or suspected cases and at least 53 cholera-related deaths.
Today, the United States announced more than $575 million in additional humanitarian assistance to the millions of people affected by food insecurity and violence in Yemen, South Sudan, Nigeria, and Somalia. This additional funding brings the total U.S. humanitarian assistance to nearly $2.5 billion for these four crises since the beginning of Fiscal Year 2017.
Nigeria: Le Nigeria connait une flambée de choléra qui s’est aggravée depuis la semaine 33 par l’apparition d’un foyer dans l’Etat de Borno. Au total à la semaine 34 le pays connait 7 foyers dont 3 très actifs (Borno, Kebbi et Kano) qui ont rapporté pendant les deux dernières semaines cumulativement 106 cas dont 05 décès. Ces trois foyers constituent une menace importante pour les autres pays du bassin du Lac Tchad, ainsi que pour le Golf de Guinée via le Benin.
Maiduguri, 19 September 2017 - As the cholera vaccination campaign kicks off for the first time in Nigeria in the affected areas of Borno state, the Deputy Governor, His Excellency Usman Mamman Durkwa has commended World Health Organization’s (WHO) commitment to contain the outbreak.
More than 2,600 people have been infected and at least 48 have died so far in Borno state
By Kieran Guilbert
DAKAR, Sept 19 (Thomson Reuters Foundation) - Health workers in northeast Nigeria said on Tuesday they were striving to contain a cholera outbreak which is sweeping through camps for those uprooted by Boko Haram, amid a drive to vaccinate hundreds of thousands of people against the disease.
CENTRAL AFRICAN REPUBLIC
16,000 IDPs FLEE FRESH CLASHES IN BASSE-KOTTO
Recent clashes between armed groups in two localities in the southern Basse-Kotto prefecture have forced around 16,000 displaced people to flee for safety in the neighbouring Ouaka prefecture. They were initially uprooted from their homes in May. The displacement has left them in desperate need of emergency assistance, especially shelter, basic household items, food, water, hygiene and protection.
16 000 PDI FUIENT DE NOUVEAUX AFFRONTEMENTS EN BASSE-KOTTO
Les affrontements récents entre groupes armés dans deux localités de la préfecture de la BasseKotto, au sud, ont obligé environ 16 000 personnes déplacées à trouver refuge dans la préfecture voisine de la Ouaka. Elles avaient déjà fui leurs foyers en mai. Ce nouveau déplacement les a laissé dans le besoin désespéré d‘une aide d'urgence, en particulier d’abris, articles ménagers de base, nourriture, eau, hygiène et protection.
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.
19 September 2017
As new cases of cholera emerge from Monguno, Dikwa and other parts of Maiduguri, the capital of Borno state, Nigeria, Médecins Sans Frontières (MSF) continues to scale up its response. The Borno state Ministry of Health has reported 2,627 cholera cases, with 48 deaths, since the start of the outbreak. Maiduguri alone has witnessed 1,425 cases, while 600 and 602 cases have so far been reported in Dikwa and Monguno respectively.
Mass vaccination effort will target over 915,000 people to contain cholera outbreak in Borno state
MAIDUGURI, 18 September 2017 – A major vaccination campaign to halt the spread of cholera starts in Nigeria’s Borno state today.
Gavi, the Vaccine Alliance, WHO and partners delivered 915,005 doses of Oral Cholera Vaccine to the country last week.
1. SITUATION OVERVIEW
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.