Weekly Epidemiological Report

September Week 37

Editoral

Strengthening the Fight Against Antimicrobial Resistance in Nigeria

In 2017, the Nigeria Centre for Disease Control (NCDC) was designated as the National Coordinating Secretariat for Antimicrobial Resistance (AMR) related issues in Nigeria. This was followed by the constitution of the National AMR technical working group (TWG) to develop and implement the national AMR roadmap. Since then, the NCDC in collaboration with relevant Ministries, Departments and Agencies as well as other key stakeholders has continued to implement various activities across the five AMR thematic areas of focus; AMR education and awareness; Surveillance; Hygiene, Infection Prevention and Control (IPC) and Biosecurity; Antimicrobial Stewardship; Research. This collaboration also led to the development of the National Action Plan for AMR (2017-2022) using a One-Health approach, and Nigeria’s enrollment and reporting to the Global Antimicrobial Resistance Surveillance System (GLASS).

As part of the national efforts to ensure seamless implementation of the National Action Plan for AMR, the NCDC on the 28th September of 2020 convened the inaugural meeting of the National Antimicrobial Resistance (AMR) Coordination Committee. The objective of the meeting was to review the National Action Plan for AMR developed in 2017 and provide strategic guidance on implementing prioritised activities. The meeting had in attendance representatives from the Federal Ministries of Agriculture and Rural Development, Environment, Health and development partners from Food and Agriculture Organization (FAO), World Health Organization (WHO), OIE - World Organisation for Animal Health and Fleming Fund.

An important outcome of the meeting was the agreement on the need for a more strategic approach and enhanced collaboration among all stakeholders to ensure the successful implementation of activities across different thematic areas of the National Action Plan for AMR. This will contribute to an improved surveillance capacity for resistance tracking and antimicrobial use, prevention of AMR in health care facilities, food production in the community and ultimately, promotion of appropriate use of antimicrobials.

The NCDC remains committed to working with relevant stakeholders in the fight against AMR in Nigeria.


Summary of Incidents

Notes

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


Lassa Fever

Key points

• There were 47 suspected cases, six were laboratory confirmed and no death was recorded from 19 LGAs in seven states and the FCT

• No healthcare worker was infected in the reporting week

Actions

To date:

• National Lassa fever multi-partner, multi-sectoral Technical Working Group (TWG) continues to coordinate the response activities at all levels

• Enhanced surveillance (contact tracing and active case finding) ongoing in affected states

Planned:

• Continue mobilisation of resources


Cerebrospinal Meningitis (CSM)

Key points

There were three suspected cases of Cerebrospinal Meningitis (CSM) reported from three LGAs in three states (Ebonyi – 1, Katsina – 1 & Yobe – 1). None was laboratory confirmed and one death was recorded

Actions

To date:

• National CSM TWG meets weekly to review reports from states and plan appropriately

• Enhanced surveillance in all states

Planned:

• Continue harmonisation of the national line list and SORMAS data

• Continue to ensure that states reporting cases send their line lists and collect CSM samples


Yellow Fever

Key points

• There were 26 suspected cases of Yellow Fever (YF) reported from 23 LGAs in 13 states. None was laboratory confirmed and no death was recorded

Actions

To date:

• National multiagency YF Technical Working Group (TWG) is coordinating response activities

Planned:

• Continue harmonisation of surveillance and laboratory data ongoing


Cholera

Key points

• There were three suspected cases of cholera reported from Madobi LGA in Kano state. None was laboratory confirmed and one death was recorded

Actions

To date

• National Cholera Multi-Sectoral Technical Working Group (TWG) is monitoring all states and supporting affected states

Planned:

• Continue follow up and monitoring of non-reporting states

• Continue harmonisation of the national line list and SORMAS data


Measles

Key points

• There were 68 suspected cases of measles reported from 48 LGAs in 14 states. None was laboratory confirmed and no death was recorded

Actions

To date

• National Measles TWG is closely monitoring measles surveillance data and providing feedback to relevant agencies and development partners

• Weekly surveillance and laboratory data harmonisation ongoing

Planned:

• Intensify follow up with states to update and transmit line list

• Continue monthly measles surveillance data review


Monkeypox

Key points

• There was no suspected case of Monkeypox reported this week

Actions

To date

• National Monkeypox Technical Working Group (TWG) is monitoring activities in all states

Planned:

• Enhance surveillance for monkeypox in high burden states

• Continue harmonisation of the national line list and SORMAS data


Acute Flaccid Paralysis (AFP)

Key points

• There were 88 suspected cases of AFP reported from 79 LGAs in 28 states. None was laboratory confirmed and no death was recorded


National Influenza Sentinel Surveillance

Key points

• The subtypes A seasonal H3, 2009A/H1N1 and A/not subtyped account for 0(0.0%), 17(33.3%) and 34(66.7%) of the total influenza A positive sample, respectively. The subtypes B VICTORIA, B Not subtyped and B Yamagata account for 3(27.3%), 8(72.7%) and 0(0.0%) of the total influenza B positive samples respectively

• The percentage influenza positive was highest in week 10 with 39.5%.


Coronavirus Disease (COVID-19)

Actions

To date:

• National COVID-19 multi-partner Emergency Operations Centre (EOC) continues to coordinate response activities across states

• Ongoing engagement with Technical Assistants on NCDC-REDISSE supported Incident Action Plan (IAP) activities implementation, monitoring and evaluation in all States and FCT

• Finalised plans to commence engagement with states on activation of SORMAS dashboard for COVID-19 activities monitoring and evaluation to improve response

• Ongoing socialisation of cost-effective supply chain strategies to minimise stock out and maximise utilisation

• Collated and shared preliminary findings from stakeholders’ perception survey, carried out in collaboration with Federal Ministry of Education, UNICEF and other stakeholders

Planned:

• Support pillars in the development of research proposals in line with the approved Research Agenda for the EOC

• Continue to support MDAs to develop plans and guidelines, and advocate for resources to facilitate implementation

• Finalise the draft guidelines on intensified surveillance in 'silent LGAs' across the country (LGAs that have not reported a single suspected case)


Timeliness and Completeness of Reports


Timeliness and Completeness of Reports by State

Highlight of the week

  • Summary of Incidents
  • Lassa Fever
  • Cerebrospinal Meningitis (CSM)
  • Yellow Fever
  • Cholera
  • Measles
  • Monkeypox
  • Acute Flaccid Paralysis (AFP)
  • National Influenza Sentinel Surveillance
  • Coronavirus Disease (COVID-19)
  • Timeliness and Completeness of Reports
  • Timeliness and Completeness of Reports by State

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