NCDC Weekly Epidemiological Report: Volume 9, No. 40: 30th September – 6th October 2019

News and Press Release
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Towards Nigeria’s Mid-Term Joint External Evaluation

In 2017, the Nigeria Centre for Disease Control in collaboration with various Ministries, Departments and Agencies (MDAs), as well as relevant development partners carried out a Joint External Evaluation (JEE) of Nigeria’s International Health Regulations (IHR 2005) capacities.

The 2017 JEE highlighted critical gaps in Nigeria’s health security system. Out of that, a National Action Plan for Health Security (NAPHS) was developed and launched in 2018. Since the 2017 JEE, NCDC as the IHR National Focal Point, as well as other MDAs have invested resources in closing the gaps identified. Towards this, Nigeria intends to hold a mid-term JEE to answer the critical question on “What progress has been made across the 19 IHR technical areas in Nigeria since 2017?” The mid-term JEE will be carried out from November 18 - 22 2019, supported by the World Health Organization.

Since the first JEE in Nigeria in 2017, changes have been made including the introduction of a JEE 2.0 tool. To ensure technical leads are better prepared for the process, the US Centers for Disease Control (US-CDC) and World Health Oragnisation (WHO) supported NCDC to train officers on the new JEE 2.0 tool. In attendance were representatives from the Federal Ministry of Health, Ministry of Agriculture and Rural Development, Ministry of Finance, Office of the National Security Adviser etc. The workshop provided a unique opportunity to introduce the new tool as well as brainstorm on strategies to ensure a successful mid-term JEE.

A major outcome from the workshop was that the cross-sectoral technical leads have improved understanding and capacity to provide support in the following desired mid-term JEE outputs:

  1. Objectively revise the JEE scores using the new tool

  2. Document a narrative describing major accomplishments and challenges since the JEE was conducted

  3. Develop a one-year operational plan, using JEE scores to identify the Benchmark Actions (approximately three Benchmark Actions per technical area)

  4. Map partner areas of support to selected benchmarks, with identification of gap areas that should be prioritised for resource mobilization

As the national focal point for IHR implementation in Nigeria, NCDC remains committed to fulfilling its obligations in ensuring national health security. This is in collaboration with other MDAs in Nigeria and partners. It is hoped that the forth-coming mid-term JEE review will provide another opportunity for diverse stakeholders to come together to review progress made and ultimately develop a one-year operational plan for a seamless implementation of NAPHS.

Summary of Incidents

Ongoing Incidents are defined as confirmed cases where a national EOC or equivalent has been activated.

Other incidents are those confirmed cases for which EOC is not activated.


  1. Information for this disease was retrieved from the Technical Working Group and Situation Reports

  2. Case Fatality Rate (CFR) for this disease is reported for confirmed cases only

  3. Information for this disease was retrieved from IDSR 002 data

  4. CFR for this disease is reported for total cases i.e. suspected + confirmed

  5. Information for sentinel influenza was retrieved from the laboratory.