Weekly Epidemiological Report

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

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 73 suspected cases of Lassa Fever (LF) reported from 15 LGAs in 10 states (Edo – 36, Ondo – 13, Ebonyi – 3, Bauchi – 2, Plateau - 1, Kaduna – 2, Benue – 1, Delta – 1, Lagos – 12 & Abia - 2). There were 14 confirmed cases withtwo deaths recorded

Actions

To date:

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

• Implementation of targeted risk communication and enhanced surveillance activities in affected states

Planned:

• Conduct a National After Action Review (AAR) retreat from the 18th - 20th September 2019

• Conduct a meeting to finalise the LF psychosocial guideline in October, 2019

• Review LF case management and surveillance tools and standard operating procedures in October 2019

Cerebrospinal Meningitis (CSM)

Key points

• There were 16 suspected cases of Cerebrospinal Meningitis reported from six LGAs in four states (Cross River - 4, Katsina – 9, Kebbi – 1 & Yobe - 2). None was laboratory confirmed and no death was recorded

Actions

To date:

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

Planned:

• Conduct After Action Review

• Harmonise surveillance and laboratory data

• Conduct case and data management training in Sokoto state from 26th – 28th September, 2019

Yellow Fever

Key points

There were 44 suspected cases of Yellow Fever reported from 34 LGAs in 13 states. There was no confirmed case and no death was recorded

Actions

To date:

• The multiagency YF TWG is coordinating national response activities

• The Ebonyi and Katsina states Incident Coordination Centres are leading the outbreak investigation with support from the National team (NCDC) and WHO

• A Rapid response team (RRT) deployed to Bauchi state to assess the outbreak

• Reactive mass vaccination campaign is on-going in three LGAs in Ebonyi state

• National RRT supporting ongoing reactive vaccination in Alkaleri LGA in Bauchi state

• NCDC National Reference Laboratory now has the capacity to confirm YF cases with Polymerase Chain Reaction

Planned:

• Continue off-site and on-site support to affected states

• Follow up with ICG request for the vaccination of other affected states

• Scale up risk communication activities, advisories and press release on YF outbreak

Cholera

Key points

There were 33 suspected cases of Cholera reported from five LGAs in two states (Adamawa – 24, Borno - 9). There were 11 laboratory confirmed cases and no death was recorded

Actions

To date:

• The national Cholera TWG continues to coordinate activities in states in collaboration with the Federal Ministry of Water Resources (FMWR) and support from partners

• Adamawa state EOC continues to coordinate response with support from partners

Planned:

• Engage private facilities on case management and reporting

• Conduct AAR from 26th - 27th of September, 2019

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

Measles

Key points

• There were 307 suspected cases of Measles reported from 123 LGAs in 27 States and FCT. None was laboratory confirmed and no death was recorded

Actions

To date:

• The multi-agency National Measles TWG is monitoring and coordinating response activities across the states

• The TWG is working closely with NPHCDA towards Measles Supplemental Immunization Activity in Nigeria

• Conducted measles guideline review meeting

Planned:

• Continue review of measles surveillance data across the country

Monkeypox

Key points

• There were two suspected cases of Monkeypox reported this week in Lagos and Rivers states. There was one confirmed case (Lagos) and no death was recorded

Actions

To date:

• The Monkeypox TWG is monitoring and coordinating response activities across the states

• Surveillance has been enhanced in all affected states

• Offsite support given to affected states

Planned:

• Visit to non-reporting states in North-Central, South-East, South-West and South-South zones

• Conduct regional Monkeypox surveillance training in South-East and South-South zone in September, 2019

Acute Flaccid Paralysis (AFP)

Key points

• In the reporting week, 74 suspected cases of AFP were reported from 66 LGAs in 25 states and FCT

National Influenza Sentinel Surveillance

Key points

• There was a positive case of Influenza subtype A&B (0.3%)

• The subtypes A seasonal H3 and A/not subtyped account for 43(87.8%) and 6(12.2%) of the total influenza A positive sample respectively

• The B Not subtyped account for 3(100%) of the total influenza B positive sample

Timeliness and Completeness of Reports

Timeliness and Completeness of Reports by State