Northeast Nigeria Response (Borno State): Health Sector Bulletin #24, 16 - 30 April 2017
The Borno State Ministry of Health (SMoH)’s Rapid Response Team (RRT) mechanism has been re-activated under the umbrella of the Health Sector Coordination, and with the support of WHO, UNICEF and partners. The mechanism aims to respond to the looming threat of Cerebro-Spinal Meningitis (CSM) epidemic that has already affected at least five states in Nigeria. A series of trainings for clinicians, nurses and laboratory scientists of secondary health-care facilities is taken place in Maiduguri and Biu LGAs in Borno State.
Health sector is supporting the State MoH of Adamawa, Borno and Yobe states on preparedness and response planning for cerebrospinal meningitis epidemic prevention and control in the north-east region. A draft epidemic preparedness and response plan has been prepared for north-east Nigeria. A one-day workshop was organized in Maiduguri on Wednesday 19th April to discuss the preparedness and response plan under the lead of Borno State Ministry of Health supported by WHO, UNICEF and Health Sector Partners
In Yobe, state Ministry of Health and partners are on high alert while undertaking preparedness and response interventions for containment of cerebro spinal meningitis (CSM) outbreak. The key interventions include social mobilization, strong surveillance, investigation and case management, improved diagnostic, trainings and reactive vaccination in the high risk LGAs of the state.
Under the NGO co-lead arrangement for the health sector, IRC was elected unopposed in the health sector meeting on 27 April in Maiduguri to support the health sector coordination mechanism especially at operational level in the field. The NGO co-lead support will strengthen coordination, improve quality of service delivery and promotion of better community engagement.
During the reporting period, Boko Haram insurgent activity continued in the vicinity of Maiduguri Metro and Jere LGA in the form of suicide bombings (PBIEDs). This has resulted in civilian fatalities and to Civilian Joint Task Force (CJTF) personnel. Nigerian Armed forces have continued clearance operations in the Sambisa Forest South of Maiduguri in Konduga LGA. This has been complemented by clearance operations being carried out in Damboa LGA in Southern Borno State and in Gujba LGA in Yobe State. This has resulted in the arrest of numerous Boko Haram fighters and the seizure of equipment and materiel. Military personnel and Boko Haram fighters have incurred fatalities. On Thursday 27 April, Boko Haram carried out a SVBIED attack on advancing troops in Damboa LGA. This resulted in five (05) troop fatalities and circa 40 troops being injured. Limited access to these areas remains in place for humanitarian actors due to ongoing operations.
Health sector is supporting the State Ministry of Health and State Primary Health Care Agency in Adamawa, Borno and Yobe states to lead the preparedness process for cerebro-spinal meningitis epidemic, which is a looming threat in the region. A draft epidemic preparedness and response plan has been prepared for North-East Nigeria. A one-day consultative workshop was organized in Maiduguri on Wednesday 19th April to discuss the preparedness and response plan under the lead of State Ministry of Health supported by WHO, UNICEF and Health Sector Partners. The ongoing Cerebrospinal meningitis (CSM) outbreak in Nigeria has affected 25 Local Government Areas (LGAs) across six states— Niger, Katsina, Kebbi, Sokoto, and Zamfara and Yobe. As of April 13, 2017, a total of 5,695 suspected cases have been reported; included 221 (4%) laboratory confirmed cases; and 611 deaths (10.9%) (Source: Sitrep/NCDC/FMoH).
Health sector partners are expanding services to the newly accessible areas like Damasak, Rann, Ngala and Banki in Borno state as the security conditions and access is improving and more returnees are arriving in their areas of origin from within Borno state as well as from Niger, Cameroon and Chad.
The Ministry of Health Niger on 19 April declared an outbreak of Hepatitis E in the border areas of Diffa with Damasak in Mobbar LGA that has killed 25 among 86 infected people. Medical assistance and preventive measures are ongoing to curb the disease, which is mostly transmitted through contaminated water. Separately, 2,100 meningitis cases, including 120 deaths, were recorded as of 16 April. The districts of Niamey 2 and Madarounfa (in the southern Maradi region) have reached the epidemic level. A vaccination campaign is ongoing. (Source: OCHA, 24 Apr 2017).