Nigeria: Hepatitis E Outbreak - Jun 2017Ongoing
On 18 June 2017, the Nigerian Ministry of Health notified [WHO] of an outbreak of hepatitis E located in the north-east region of the country. The first case was detected on 3 May 2017 in Damasak, a locality at the border with the Republic of the Niger...As of 2 July 2017, 146 confirmed and suspected cases were reported including 21 confirmed cases...This area is characterized by a hepatitis E outbreak in neighbouring Chad and in Republic of the Niger. The ongoing humanitarian crisis and insecurity, high numbers of [IDPs] and refugees, and poor access to safe water leads to the spread of disease. There are also an increasing number of displaced persons moving back to the region post occupation. In addition, the potential cross-border contamination and subsequent increased risk of spread from Republic of the Niger and other neighbouring countries should be considered. (WHO, 12 Jul 2017)
The reported cases of hepatitis E continue to increase. As of 8 July 2017, 310 have been reported, including 42 confirmed cases. The number of reported cases from Ngala has doubled and women are disproportionately affected. The potential for the outbreak to spread to other LGAs, including Dikwa, remains high. The overall outlook of the food security situation is still poor with pockets of population severely affected by malnutrition. The hard-to-reach teams reported severe acute malnutrition (SAM) rates as high as 18%. (WHO, 14 Jul 2017)
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 44 events in the region. This week’s edition covers key new and ongoing events, including:
Wildlife anthrax in Namibia
Cholera in Zambia
Plague in Madagascar
Dengue fever in Burkina Faso
Humanitarian crisis in the Democratic Republic of the Congo
Humanitarian crisis in South Sudan.
Key achievements toward the strategic objectives
For the implementation of the Humanitarian Response Plan (HRP) in 2017, the HCT achieved the following:
2.3 million individuals, approximately 77 per cent, have benefitted from food assistance through in-kind and cash/voucher interventions;
Approximately 1.1 million people accessed clean and safe water, representing 57 per cent of target;
• During the reporting period, IOM DTM Emergency Tracking Tool (ETT), recorded 7,415 new arrivals in 16 LGAs in Borno and 4 LGAs in Adamawa States. The mobility is attributed to influxes from rural villages to government protected towns due to continuing military actions, attacks by Boko Haram and people seeking better livelihood in more secured locations.
During the reporting period over 8,627 new arrivals were registered in 15 LGAs. The key driver of these returns were people returning towards their places of origin or seeking better livelihood opportunities.
A total of 696 cases of Hepatitis E was reported as of 30 July 2017 in the affected LGAs in Borno. The threat continues to increase with heavy rainfalls and flooding impeding humanitarian activities and limiting access in high risk LGAs.
This weekly bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 45 events in the region. This week’s edition also covers key ongoing events, including:
• Cholera in Borno State, Nigeria
• Necrotising cellulitis/fasciitis in São Tomé and Príncipe
• Humanitarian crisis in the Central Africa Republic
• Cholera in the United Republic of Tanzania
• Cholera in Chad
• Dengue fever in Côte d’Ivoire.
52 cases of Jaundice were seen at Health Facilities in Borno State in week 33.
Six samples from cases of jaundice in Rann, Kala Balge were collected and awaiting result.
Outbreak coordination meeting continues to hold in Maiduguri on Tuesdays.
Since 2013, acute insecurity in northeastern Nigeria has uprooted Nigerian families and generated immense humanitarian needs. In cooperation with the Nigerian government, and in light of significantly improved access to people in need, the humanitarian community has worked quickly to launch a large-scale emergency response since 2016. However, conditions remain particularly fragile in eastern Borno State, where ongoing insecurity continues to restrict access to basic services and impede relief operations.
• An estimated 1.69 million people are still internally displaced across the three north eastern states of Borno, Adamawa, and Yobe. Of them, 85 per cent are in Borno alone.
• Between January and June 2017, the Nigeria Immigration Service registered 19,257 Nigerian refugee returnees, including 15,036 refugee returnees returned during the recent influx from April to June.
• The IOM DTM Round XVII (June 2017) estimates that a total of 1.69 million people are still internally displaced across the three north eastern states of Adamawa, Borno and Yobe, of which 85 per cent are in Borno alone.
• Between January 2015 and 15 June 2017, the number of Nigerian returnees registered by the Nigeria Immigration Service (NIS) with UNHCR support reached nearly 360,000 individuals.