Niger Health Updates 2013

[Ronan Kelly]

Re: Niger Health Updates 2013

Situation humanitaire au Niger*
Note d?information hebdomadaire, 18 sept. 2013
...
Health & Water, sanitation and hygiene
475 cases of cholera recorded in Tillab?ry
The System programming information and health statistics (SPIS) Tillab?ry, 14 cases of
cholera were reported during the week of September 9 to 15, bringing to 475 the total number of cases
reported since the epidemic began May 6, 2013. The Tillab?ry has 20 cholera outbreaks spread
in three health districts. The Health District Tillab?ry notified 350 cases, including six deaths in a dozen
homes, that of Ouallam reported 31 cases including five deaths in two homes, and finally, the Health District Tera
reported 94 cases with no deaths in eight homes. The Health District Tera continues to record
new cases, lack of resources for supervision and monitoring of cases by the Chief Medical Officer.
...

http://reliefweb.int/sites/reliefweb.int/files/resources/Sit%20Hum%20au%20Niger%20Note%20d%20info%2018sept2013.pdf

[Ronan Kelly]

Re: Niger Health Updates 2013

Situation humanitaire au Niger*
Note d?information hebdomadaire, 25 septembre 2013

http://reliefweb.int/sites/reliefweb.int/files/resources/Situation%20Humanitaire%20au%20Niger%2C%20Note%20d%27information%20hebdo%20du%2025%20sept%202013.pdf

...

Health & Water, sanitation and hygiene

Cholera epidemic becomes endemic in Tillab?ry 18 to 24 September 2013, the region has Tillab?ry 31 cholera cases reported no deaths, bringing the number
total cases reported since May 6 to 513 including 11 deaths (CFR 2.1%). Active foci currently are the villages Kourani, Sakoira,
Sansan Hausa and Yelwani. Since September 3, no deaths were observed, indicating a improving the quality of care Medical. For more synergy in the response According to the World Health Organization (WHO)
the epidemic has a tendency to endemicity.
Local residents came to draw water and wash dishes / Source / DSRE
It recommends a synergy of efforts in different sectors of intervention (health, water, sanitation and
sanitation, education, etc..) against cholera. In support of government departments, Health Cluster
and water and sanitation are already hard at work in the region to stem the epidemic. However, difficulties are reported in both the prevention and the management. These difficulties related to chain response, have focused on isolation of patients, including Sakoira, inadequate means for monitoring and supervision, as well as disinfection of residential houses and
means of transport used. Moreover, awareness is subject to certain habits of populations hygiene. They continue in many areas, drinking water from the river and ponds, considered the main source of contamination. natural disasters
...

[Ronan Kelly]

Re: Niger Health Updates 2013

Bulletin humanitaire
Niger
Num?ro 38 | novembre 2013

Difficult epidemiological situation in 2013 Niger, the same trend for 2014
According to statistics from the Department of surveillance and outbreak response ( DsrE ), the number of reported cases from early January to 11 November 2013 for the most diseases or conditions under surveillance shows a tendency to be stationary, is on the rise compared to the situation in 2012.

Only cholera, operating in regions bordering the river Niger since 2010 , stands out recording a decrease significant trend of number of cases compared to
last two years ( see table). The cholera epidemic this year was confined in a region through better coordination and synergy actions between the different
actors in awareness and the support case .
However , as for the last two years, fatality rate remains above
2% , above the standard recommended by WHO ( < 1 % ) .



Measles is one of the epidemics have experienced outbreaks in many cases the last three years , affecting 38 health districts
about 42 in the country . At six weeks of the end of 2013 , Niger has already
double notified cases recorded in 2012, although it remains well below
the peak of 2011. The lack of coverage is the main cause of
this flamb?ei .

One of the re-emerging diseases this year compared to last year 's
Diphtheria : 69 cases including 22 deaths dipht?riformes syndromes in 2013 against only two suspected cases a year earlier . Dipht?riformes these syndromes have been reported in the border area with nomads in Mali . Weak
coverage of the population , particularly following security problems
in this area would cause .

Moreover , malaria remains a disease of the more
people , including children (40%) and pregnant women ( 2%). It is also
the leading cause of mortality and morbidity. Since the beginning of the year, more than 3,000 malaria-related deaths were recorded out of a total of 3,364,450 cases. It remains on the same trend in 2012 .

Finally, according to dsrE , 822,896 cases of acute malnutrition which 483,613 moderate and
339,283 severe were reported in mid -November. Diseases such as
measles , diarrhea , acute respiratory infections and malaria precipitate
children in malnutrition and, conversely , malnutrition tends to aggravate these
diseases in children under five years. According to experts, this vicious circle
malnutrition and infection between password by immunity and should be taken into account in the
prevention and response to two phenomena more effectively.

Tillab?ry region epidemiological situation particular in 2013
With approximately 33 % of cases measles reported in 2013 ,
over 70 % of cases cholera , almost all ( 98 % )
confirmed cases of diphtheria, nearly 17 % of malaria cases , the region of
Tillab?ry posted a picture epidemiological more dark during this
year. This region is particularly affected by population movements , especially from Mali and houses part nomadic populations. Low immunization coverage in this free of population , limited access to quality and quantity of water in some areas, and the low level of knowledge about good health practices are among the causes of the persistence of epidemics in this region. Attention to
health system could help protect populations , including children age
school of certain diseases including cholera and diphtheria.

...

http://reliefweb.int/sites/reliefweb.int/files/resources/OCHA_NIGER_BH_Novembre_2013.pdf