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TITLE: CHOLERAOUTBREAKINNIGERIA

SERIALNUMBER: 08EPI-WEEK: 28

DATE: 18July2018

HIGHLIGHTS

§ Themulti-agencycholeraemergencyoperationscentre(EOC)atNCDCcontinuestocoordinatetheresponse.

§ SixStates(Adamawa,Bauchi,Katsina,Zamfara,PlateauandNiger)arestillreportingcases.ThereishoweveradeclineinthenumberofcasesreportedinPlateau,KanoandAdamawa(Table1).

§ Inweek28(9-15July);367newsuspectedcaseswerereportedfromsixstates-Adamawa(42),Bauchi(56),Katsina(68),Niger(14),Plateau(11)andZamfara(176)includingfournewdeathsintwoStatesKatsina(2)andZamfara(2).

§ Thisweek,twelve(12)samplesweretested.Ofthese,twelve(12)werepositive.§ CompletedfirstroundofOCVcampaigntargeting378,815personsin21wardsinAdamawastate

EPI-Summary§ Asat18thJuly2018,atotalof16,892suspectedcasesincluding201deaths(CFR:1.19%)have

beenreportedfrom17States(Adamawa,Anambra,Bauchi,Borno,FCT,Gombe,Jigawa,Ebonyi,Kaduna,Kano,Katsina,Kogi,Nasarawa,Niger,Plateau,Yobe,andZamfara)sincethebeginningof2018.

§ NonewcasesreportedinthelastfourweeksinAnambra,Nasarawa,BornoandYobeStates§ 51.6%ofthecasesareaged1-14years;1-4years(27.1%)and5-14years(24.5%)§ Male/femaleratioofcasesisapproximately1:1(50.1%maleand49.9%female)§ Overall,thereisageneraldecliningtrendinthenumberofcasesreportedexceptinZamfaraand

Katsinastates.

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Table1:ReportedsuspectedCholeracasesbyStateasatEpiweek28,2018

Nigeria:States/LGAsaffectedbyCholera,Wk01-282018

S/N State LGAsreportinginweek28(n)

LGAseverreportedin2018cases(n)

Casesin

week28

Totalcases

reported(n)

Deathsinweek

28

TotalDeaths(n)

CFR(%)

TotalLabpositive

(n)

1 Bauchi 2 10 58 9315 0 31 0.33 572 Adamawa 4 4 42 1691 0 27 1.59 653 Zamfara 7 10 176 1581 2 19 1.20 84 Borno 0 3 0 1209 0 0 0.00 35 Kano 0 26 0 758 0 26 3.43 176 Yobe 0 7 0 449 0 17 3.79 227 Niger 4 17 57 532 0 28 5.26 108 Plateau 1 2 0 313 0 6 1.92 229 Kaduna 0 8 3 280 0 11 3.93 4

10 Katsina 5 13 14 346 2 13 3.76 2911 Ebonyi 0 2 0 168 0 4 2.38 012 Kogi 0 2 10 99 0 8 8.08 1513 FCT 0 2 0 59 0 5 8.47 114 Gombe 0 1 0 46 0 4 8.70 1015 Anambra 0 1 0 23 0 1 4.35 016 Jigawa 0 1 0 15 0 1 6.67 317 Nasarawa 0 1 0 8 0 0 0.00 2

Total 23 111 367 16,892 4 201 1.19 268

NoCholeraCasesReported

1-200SuspectedCholeraCasesReported,100LGAs(17States)

>200SuspectedCholeraCasesReported:11LGAs(7States)

Deaths=201

Lab-Confirmation=268;

#Affected:States=17;LGAs=111;TotalSuspectedCholeraCases=16893;TotalDeaths=201

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RESPONSEACTIVITIES

Coordination§ ResponseisbeingcoordinatedbyNCDCthroughanEOCincollaborationwithNPHCDA,FederalMinistryof

WaterResources(FMWR),WHO,UNICEF,MSF,AFENET,UMBandUS-CDC§ Stakeholders’meetingonthemid-longterminterventionsaimedatcholeracontrolinNigeriaheldon19

July;consensuswasreachedandprioritizationofcholerahotspotsLGAs.§ EOCmeetingsholdinmostaffectedstatestocoordinatetheoutbreakresponse§ Onsiteandoffsitesupporttoallaffectedstates

Surveillance

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§ ActivecasesearchwithdailyupdateoflinelistisongoinginaffectedStatesCasemanagement

§ 20bedcapacityCholeraTreatmentUnit(CTU)openedinPlateaustate(JosNorth)withsupportfromMSF§ CasesarebeingtreatedatdesignatedhealthfacilitiesorCholeraTreatmentCentres(CTCs)intheaffected

Statessupportedbypartners§ OfficialclosingoftheCTCinBauchiStatewasdoneonthe16thofJuly,2018.RunningoftheCTCwas

supportedbyMSFFrance.

WaSH§ WaSHactivitiesongoinginaffectedstates

o 3296personssensitizedin930householdsinMaihaLGA,Adamawastate§ SensitizationofofficersmanagingIDPcampsinGombeandBornostate

LaboratorySurveillance

§ SamplesarebeingtestedwithRapidDiagnosticTestkits(RDTs)inthefieldandconfirmedbystoolculture.§ Totalnumberofsamplestestedinweek28:12

o NumberpositivebyRDT:12o Numberpositivebyculture:0

Riskcommunications§ RadiojinglesinEnglishandpidginongoinginaffectedstates§ IECmaterialprintedforonwarddistributiontostates§ SensitizationmessagesprovidedinsettlementswithinMubiNorthandMubisouthLGAofAdamawa

state

LogisticsandVaccine§ CholerakitssenttoGombestate§ Forecastedcholeracommoditiestobedistributedtostatesforthenextonemonth§ FirstroundofOCVcampaigncompletedinpartsofMaiha,MubiNorth,andMubiSouthLGAsofAdamawa

state§ PostvaccinationsurveywasconductedinBauchiStatesupportedbyMSFFrance.Theoutcomeofthe

surveywillbesharedassoonasdataanalysisiscompleted