NCDC Weekly Epidemiological Report: Volume 9, No. 42: 14th - 20th October 2019

News and Press Release
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Training Needs Assessment for State Level Surveillance Officers- Implementation of ITSON

State Epidemiologists and Local Government Disease Surveillance and Notification Officers (DSNOs) play critical roles as the frontline soldiers for epidemic intelligence and emergency response in Nigeria. As part of our mandate, NCDC supports the training and capacity building of this workforce. Over the last few years, surveillance training opportunities have been provided in different states by various partners and NCDC. Following a review of this training approach, NCDC is introducing the Integrated Training of Surveillance officers in Nigeria (ITSON).

The ITSON is a single harmonised package for more robust and effective training of surveillance officers at state and LGA levels in Nigeria. To kickstart ITSON, NCDC is utilising funds from the World Bank Regional Disease Surveillance Enhancement System (REDISSE) project.

An important step towards the development of this package is an ongoing needs assessment through advocacy visits by officers from NCDC supported by counterparts from World Health Organisation (WHO) and African Field Epidemiology Network (AFENET) to the 36 states in Nigeria. The objectives of the assessment are to:

  1. Conduct advocacy to the State Ministry of Health before the training and understand the structure and supervisory MDA for surveillance in the State

  2. Identify the trainings gaps, training needs and peculiarities of each State

  3. Determine the availability and functionality of laptop computers and other surveillance tools required for effective reporting in all the LGAs and States of the federation

  4. Advocate for better conditions of service, greater consistency and longevity in post for the DSNOs after the training in order to ensure institutionalization of the investments in training

  5. Agree with the state on the basic competencies required for the DSNOs to be nominated for the training

The expected outcomes from the assessment are that the State Ministry of Health is better informed of the project, and provides better ownership to ensure sustainability.

When completed, it is expected that the ITSON package will contribute significantly to bridging knowledge gaps among the state epidemiologists and DSNOs across the country.

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