Weekly Epidemiological Report

November 2019 Week 47

Editoral

Building Sustainable Partnerships for Health Security

Posted: 10-12-2019 10:27:02 AM

Since 2016, the Nigeria Centre for Disease Control (NCDC) has developed and maintained close partnerships with local and international institutions. This includes regional health institutions, foundations, non-governmental organisations as well as other national public health institutes. These partnerships have led to technical, administrative and financial support to NCDC in the delivery of our mandate.

On the 27th of November 2019, NCDC hosted a Partners Day. The partners’ forum had 65 people in attendance, representing 26 organisations. The objectives of the forum were to:

1. Provide an opportunity for NCDC to present its revised strategy and new State level strategy, in order to get input and feedback from partners.

2. Provide an opportunity for partners to present their ongoing and proposed collaboration with NCDC and other partners.

3. Agree on priority areas for future development and collaboration.

During the meeting, the revised NCDC strategy as well as our new Strengthening States for Health Security strategy were shared with partners. This is a critical strategy to ensure support provided by partners are aligned with NCDC’s vision.

In addition to the presentations from NCDC, all 26 organisations in attendance provided updates on their collaboration with NCDC as well as priorities for the new year.

Health security requires strong and mutually beneficial partnerships, that support the development of strong and resilient systems. As the country’s national public health institute, NCDC remains committed to building strong partnerships with the goal to ensure Nigerians are protected from the threat and occurrence of infectious disease outbreaks.


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 89 suspected cases of Lassa Fever (LF) reported from 16 LGAs in 11 states and FCT (Edo – 40, Ondo – 32, Ebonyi – 1, Bauchi – 4, Nasarawa – 1, Plateau – 1, Taraba – 1, Benue – 4, Kogi – 1, Oyo – 1, FCT – 2 & Abia – 1). There were eight confirmed cases and no death was recorded

Actions

To date:

• National Lassa Fever multi-sectoral Technical Working Group (TWG) continues to coordinate response activities and support states

• Continuous monitoring of LF situation in states

• Harmonisation of LF laboratory, case management and surveillance data into the SORMAS platform

Planned:

• Finalise LF psychosocial guideline meeting in December 2019

• Review of LF case management & surveillance tools and SOPs in December 2019

• Finalise advocacy packages for national and subnational policy/decision makers


Cerebrospinal Meningitis (CSM)

Key points

There were 18 suspected cases of Cerebrospinal Meningitis (CSM) reported from eight LGAs in four states (Bayelsa – 1, Benue – 1, Kaduna – 3 & Katsina – 13). None was laboratory confirmed and no death was recorded

Actions

To date:

• National CSM Technical Working Group (TWG) meets weekly to review reports from states and plan appropriately

Planned:

• Continue harmonisation of the national line list and SORMAS data


Yellow Fever

Key points

• There were 83 suspected cases of Yellow Fever (YF) reported from 53 LGAs in 20 states. None was laboratory confirmed and no death was recorded

Actions

To date:

• National multiagency YF EOC is coordinating response activities

• National Rapid Response Team (RRT) deployed to Bauchi, Benue and Katsina states

• International Coordinating Group (ICG) request for vaccines developed for Bauchi state (Ningi LGA) and Benue state (Gwer west and Makurdi LGAs) with NPHCDA

• Ongoing accreditation visit to NCDC National Reference Lab (NRL) by WHO AFRO laboratory team

Planned:

• Follow up on outcome of ICG request


Cholera

Key points

• There were four suspected cases of cholera reported from three LGAs in two states (Abia – 1 & Adamawa – 3). There were two laboratory confirmed cases and no death was recorded

Actions

To date

• National cholera multi-sectoral Technical Working Group (TWG) is monitoring all states and supporting already affected states

• Development of flood advisories by the communication team working with relevant TWGs

Planned:

• Follow up with states with active outbreaks and monitor non-reporting states


Measles

Key points

• There were 446 suspected cases of measles reported from 165 LGAs in 27 states. None was laboratory confirmed and one death was recorded

Actions

To date

• National measles Technical Working Group (TWG) is closely monitoring surveillance data and response activities across the country

• Conducted measles guideline review meeting

Planned:

• Continue the review of measles surveillance data across the country

• Finalise measles surveillance guideline


Monkeypox

Key points

• There was one suspected case of monkeypox reported in Delta state.

Actions

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

• Ongoing regional training of trainers on monkeypox case detection and management in Lagos state.

Planned:

• Enhance surveillance for monkeypox in high burden states, working with the animal health colleagues.


Acute Flaccid Paralysis (AFP)

Key points

• There were 100 suspected cases of AFP reported from 81 LGAs in 26 states and FCT. None was laboratory confirmed and no death was recorded


National Influenza Sentinel Surveillance

Key points

There were 78 processed samples positive for influenza, with 68 for influenza A, 9 for influenza B and 1 for influenza A & B


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
  • Timeliness and Completeness of Reports
  • Timeliness and Completeness of Reports by State

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