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Nigeria: 2017 Monkey Pox - suspected cases in 7 states - Government confirms 3 cases

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  • Nigeria: 2017 Monkey Pox - suspected cases in 7 states - Government confirms 3 cases

    Source: https://www.thenewsguru.com/monkey-p...e-quarantined/


    ‘Monkey Pox’ outbreak hits Bayelsa, doctors, 10 others quarantined
    Governor Seriake Dickson of Bayelsa State.
    Olaotan Falade
    2 hours ago

    Information reaching TheNewsGuru.com now has it that a new viral epidemic known as “monkeypox” has broken out in Bayelsa State.

    A medical doctor and 10 other persons who came down with the monkeypox had been quarantined in an isolation centre created at the Niger Delta University Teaching Hospital (NDUTH) Okolobiri, Yenagoa local government area of the state.

    The isolation centre was reportedly created by the Nigerian Centre for Disease Control (NCDC) and the epidemiological team of the state’s Ministry of Health to stop the spread of the disease.

    It was learnt that the NCDC and the epidemiological team were tracking 49 other victims, who had come in contact with the infected persons...

  • #2
    Press Release: SUSPECTED MONKEYPOX OUTBREAK IN BAYELSA STATE

    Thursday, October 05, 2017

    05 October 2017 | Abuja – SUSPECTED MONKEYPOX OUTBREAK IN BAYELSA STATE

    On the 22nd of September, 2017, the Nigeria Centre for Disease Control (NCDC) was notified of a case of suspected Monkeypox in an 11 year old male patient who presented to the Niger Delta University Teaching Hospital (NDUTH) in Yenagoa, Bayelsa State. Subsequently, 11 other cases were identified. All the cases are currently receiving appropriate medical care. All the patients are improving clinically and there have been no deaths. As at 1st October 2017, 32 close contacts of the cases have been identified, advised appropriately and are being monitored.

    A Rapid Response Team from NCDC was immediately deployed to support the Bayelsa State Government in the investigations and public health response to the outbreak. The team has been supporting the Bayelsa State Department of Public Health and the State Epidemiologist to respond to the outbreak. As the outbreak investigation and response continues, the Bayelsa State Government has started an aggressive public enlightenment campaign to advise clinicians and the public on the symptoms of the disease and the steps required to manage the cases and to prevent further spread. NCDC has also collected appropriate clinical samples from the cases and these are being analysed through the National Reference Laboratory in Abuja.

    Monkeypox infection is a relatively rare disease that has previously been reported in Nigeria in the 1970s. It is primarily a zoonotic infection i.e. transmitted primarily from animals to humans, with limited subsequent person-to-person transmission. The most common animal hosts are squirrels, rats and sometimes, monkeys. The Monkeypox virus can cause an illness with the following symptoms; a generalised vesicular skin rash, fever, and painful jaw swelling. In previous outbreaks, it has led to death in about 1-10% of infected cases. Although there is no specific medicine to treat the disease, when intensive supportive care is provided most patients recover fully.

    Measures that can be taken to prevent infection with Monkeypox virus include avoiding contact with the animals listed above, especially animals that are sick or found dead in areas where Monkeypox occurs. The public is advised to always wash hands with soap and water after contact with animals or when caring for sick relatives humans or soiled beddings.

    Nigerians are advised to remain calm and supportive of public health authorities, avoid self-medication and report to the nearest health facility if feeling unwell or notice any of the above symptoms in anyone around you.

    Health care workers are strongly advised to practice universal precautions while handling patients and/or body fluids at all times.
    They are also urged to be alert, be familiar with the symptoms and maintain a high index of suspicion. All suspected cases should be reported to the Local Government Area or State Disease Surveillance and Notification Officers.

    The Chief Executive Officer of NCDC, Dr. Chikwe Ihekweazu has advised that health workers must continue to manage their patients without fear. He advised, “As long as universal infection prevention and control practices are strictly adhered to by all clinical staff, the chances of transmission are minimal.”

    For further information, contact:
    NCDC toll-free number: 0800-970000-10
    SMS: 08099555577
    Whatsapp: 07087110839.
    Twitter/Facebook: @NCDCgov
    SIGNED
    Dr. Chikwe Ihekweazu
    National Coordinator/Chief Executive Officer
    Nigeria Centre for Disease Control

    http://ncdc.gov.ng/news/104/press-re...-bayelsa-state
    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

    Comment


    • #3
      Press Release: Update On Suspected Monkeypox Outbreak

      Monday, October 09, 2017
      09 October 2017 | Abuja – UPDATE ON SUSPECTED MONKEYPOX OUTBREAK

      Following the notification of a suspected monkeypox outbreak on the 22nd of September, 2017 in Bayelsa State, other suspected cases have been reported from six more States, bringing the total number of suspected cases so far to 31 across 7 States - Bayelsa, Rivers, Ekiti, Akwa Ibom, Lagos, Ogun and Cross River States. Samples have been collected from each suspected case for laboratory confirmation. Results are still awaited. So far, there have been no deaths recorded. It is unlikely that many of the suspected cases are actually monkeypox, but all are being investigated.

      All the suspected cases are currently receiving appropriate medical care, and the patients are all improving clinically in their various States. The Federal Ministry of Health through the Nigeria Centre for Disease Control (NCDC) is supporting the affected States to ensure the outbreak is brought under control and to limit further spread.

      NCDC has activated an Emergency Operation Centre (EOC) to coordinate the outbreak investigation and response across the affected States. The EOC is currently supporting State Ministries of Health in their response to the outbreak through active case finding, epidemiological investigation and contact tracing. Measures have been put in place to ensure effective sample collection and testing to enable laboratory confirmation. Risk communication activities have been heightened to advise the public on preventive measures. All 36 States and the FCT have been notified for preparedness.
      “Addressing chronic disease is an issue of human rights – that must be our call to arms"
      Richard Horton, Editor-in-Chief The Lancet

      ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

      Comment


      • #4
        Monkeypox: Nigeria to receive confirmatory test results Friday – Official

        October 12, 2017Kemi Busari
        ...
        Results of laboratory tests to confirm or refute the outbreak of monkeypox in Nigeria will be out on Friday, the national coordinator, Nigeria Centre for Disease Control, NCDC, Chikwe Ihekweazu, has disclosed.
        ...
        While intimating the senators on the job done so far, Mr. Ihekweazu said there is no confirmation yet if the over 30 suspected cases in three states were monkeypox.
        ...
        “Monkeypox is a very rare disease. It last occurred in Nigeria in the 70s. So, most laboratories don’t have the capacity to make this diagnosis. It is only one lab in Redeemers University that has capacity to do the diagnosis in Nigeria. The other lab in West Africa is in Dakar. So, we have split the samples, sent half to Redeemers and half to Dakar.

        “At the moment we have 33 cases, 17 in Bayelsa, out of that 17, we think we may have monkeypox victims but we haven’t confirmed yet. Other cases across other states are most likely not monkeypox, but until we have the result, we can’t be very clear on that.”
        ...
        https://www.premiumtimesng.com/news/...-official.html
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • #5
          At least some of the cases have now been diagnosed as chickenpox, not monkeypox. It remains to be seen whether both illnesses are responsible, or whether the entire outbreak is due to chickenpox:
          Published Date: 2017-10-14 15:15:17
          Subject: PRO/AH/EDR> Monkeypox - Africa (09): Nigeria, hospital cases NOT, other states' cases susp.
          Archive Number: 20171014.5380964
          MONKEYPOX - AFRICA (09): NIGERIA, HOSPITAL CASES NOT, OTHER STATES' CASES SUSPECTED
          ************************************************** *********************************
          A ProMED-mail post
          http://www.promedmail.org
          ProMED-mail is a program of the
          International Society for Infectious Diseases
          http://www.isid.org

          Date: Thu 12 Oct 2017
          Source: Ripples Nigeria [edited]
          https://www.ripplesnigeria.com/seven...ecorded-abuja/


          The Federal Capital Territory Administration (FCTA) on Thursday [12 Oct 2017] revealed that 7 suspected cases of dreaded monkeypox have been recorded in 4 hospitals in Abuja, with samples of 6 victims taken and sent to Senegal for testing and confirmation. This was disclosed by the Secretary, Health and Human Services Secretariat (HHSS) of FCTA, Amanda Pam, while briefing newsmen on Thursday [12 Oct 2017].

          It has in the meantime denied rumours that there is an outbreak of monkeypox in Abuja in the nation's capital. According to the Secretary, "3 suspected cases were recorded in National Hospital, 2 in Gwarinpa Hospital, one each in University of Abuja Teaching Hospital, Gwagwalada and Nyanya General Hospital."

          She said the recorded cases were that of chickenpox, which shares a similar appearance to monkeypox. On Wednesday [11 Oct 2017], there were a rumoured 2 cases of monkeypox at Gwarinpa General Hospital, Abuja.

          "Though we have some suspected cases, samples were collected and sent to the lab, so we are waiting for the results, but from all indications, it is not monkeypox. But I think I like the suspicion, because it's better to suspect than to ignore it and it later turns out to be positive. The truth now is that there is no confirmed case of monkeypox disease in FCT," she stressed.

          Explaining further, Acting Director, Public Health, FCT Humphrey Okoroukwu disclosed that he had already visited the said hospital on Wednesday [11 Oct 2017], reaffirming that no case of the virus was found.

          He said surveillance officers from the public health department of the FCTA are being deployed to the 62 wards of the territory, as a precautionary measure against threatening health issues.

          The federal government had, through the Nigeria Centre for Disease Control (NCDC) on Monday [9 Oct 2017], confirmed a suspected outbreak of monkeypox in 7 states in Nigeria, which included Bayelsa, Rivers, Ekiti, Akwa Ibom, Lagos, Ogun and Cross River states.

          Meanwhile, the National Coordinator, National Centre For Disease Control (NCDC) Dr. Chikwe Ihekweazu on Thursday [12 Oct 2017] informed lawmakers that 33 cases of monkeypox infection had been reported in 7 states of the federation. The NCDC scribe said that 17 out of the number manifested in Bayelsa state alone. According to him, other states where the disease has manifested are Rivers, Ekiti, Akwa Ibom, Cross River, Lagos, and Ogun. He, however, pointed out that it was not certain whether all the victims reported to have been afflicted by monkeypox were actually infected by the virus or by other diseases with similar symptoms.

          Senators have also described as a national embarrassment and shame the lack of a public diagnostic centre for detection of the current outbreak in some states of the federation.

          --
          Communicated by:
          ProMED-mail from HealthMap Alerts


          [The Secretary, Health and Human Services Secretariat indicated that the 7 cases in the 4 hospitals were chickenpox, not monkeypox. The diagnosis of chickenpox apparently was made on the basis of clinical presentation. She pointed out that the clinical picture of chickenpox and monkeypox were similar but she implied are differentiable. The status of the other cases in the 7 states reported as monkeypox have not been laboratory confirmed yet.

          As noted in comments in the previous posts, laboratory confirmation of the 31 suspected monkeypox cases is essential. Rapid appearance of the disease across 7 states in less than 3 weeks is unusual for monkeypox. Isolated and scattered cases are more common. Monkeys are not the reservoirs of the virus, despite the name that the virus has received. Although not determined, the main reservoirs of monkeypox are suspected to be rodents, including rope squirrels (_Funisciurus_ spp; an arboreal rodent) and terrestrial rodents in the genera _Cricetomys_ and _Graphiurus_). The current outbreak appears to be more characteristic of direct transmission between individuals rather than spillover from a wild rodent reservoir, raising the question about involvement of some other transmissible pathogen such as varicella (chickenpox).

          Comment


          • #6
            Press Release: HMH Update On Monkeypox

            Monday, October 16, 2017
            UPDATE ON MONKEYPOX - Government Confirms 3 Cases

            On the 22nd of September 2017, the Nigeria Centre for Disease Control (NCDC) received a report of a suspected case of Monkeypox virus disease from the Niger Delta University Teaching Hospital (NDUTH), Okolobiri, Bayelsa State. The Bayelsa State Ministry of Health initiated an outbreak investigation and response, supported by a team from NCDC, which was immediately deployed to the state.

            As at 13th of October 2017, there were 17 SUSPECTED cases reported from Yenagoa LGA in Bayelsa State. We have received laboratory confirmation for Monkeypox virus from three of these cases from the WHO Regional Laboratory in Dakar, Senegal. Samples from 12 others from Bayelsa were negative, and we are awaiting two results.

            With these results, the Monkeypox outbreak in Yenagoa has been confirmed with laboratory evidence. The most likely source of infection is a primary zoonotic transmission, from an animal, with secondary person-to-person transmission.

            Since our initial announcement, a total of 43 other SUSPECTED cases have been reported from eight other States (Akwa Ibom, Cross River, Ekiti, Lagos, Enugu, Nasarawa, Rivers, and FCT). Of these, four cases from Lagos have also been tested and confirmed to be negative for the Monkeypox virus. We expect that many of these cases being reported from other states in Nigeria are not caused by the Monkeypox virus, but we will continue to investigate all those cases that fit the case definition.
            Further laboratory tests using whole genome sequencing are being carried out by the Africa Centre for Genomics and Infectious Diseases in Redeemers University Ede, Ogun State.

            Monkeypox is largely a self-limiting disease, from which all suspected patients that have been reported to date are doing well clinically. Even before this confirmation, all the necessary public health measures have been put in place and will continue to be implemented.

            The Federal Ministry of Health through the Nigeria Centre for Disease Control has established an Emergency Operations Centre and will continue to co-ordinate the response across States and test samples from other cases. NCDC will also continue to support all states in their response and will keep the public informed as the situation evolves.
            Measures that can be taken to prevent infection with Monkeypox virus include avoiding contact with squirrels, rats and similar animals, especially when these animals are sick or found dead in areas where the Monkeypox virus is circulating. The public is advised to always wash hands with soap and water after contact with animals or when caring for sick relatives.

            Monkeypox begins with fever, headache, muscle aches, and exhaustion before the rash on face, palms and soles appears and lymph nodes swell (lymphadenopathy). The incubation period (time from infection to symptoms) for is usually 7-14 days but can range from 5-21 days.

            Nigerians are advised to remain calm and supportive of public health authorities, avoid self-medication and report to the nearest health facility if feeling unwell or notice any of the above symptoms in anyone around you. It is important to note that there has been no confirmation of Monkeypox in any other part of the country, and it is likely that many of the other cases being reported are not caused by the Monkeypox virus. Nigerians should continue to be vigilant at all times.

            Health care workers are strongly advised to always practice universal precautions while handling patients and/or body fluids at all times. They are also urged to be alert, be familiar with the symptoms of Monkeypox and maintain a high index of suspicion. All suspected cases should be immediately reported to the Local Government Area or State Disease Surveillance and Notification Officers.

            More information on the disease can be found in the advisory note on the NCDC website: http://ncdc.gov.ng/news/106/05-octob...eypox-advisory.
            However, in case of any suspected case, please call the Emergency Operations Centre on +2348148216538.
            Professor Isaac F Adewole, FAS, PSPSP, FRCOG, Dsc (Hons)
            Honourable Minister of Health,
            16/10/17.

            http://www.ncdc.gov.ng/news/109/pres...e-on-monkeypox
            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment

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