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  • Nigeria epidemiology reports 2013

    Link to 2012 thread; http://www.flutrackers.com/forum/sho...d.php?t=181234

    Weekly updates on epidemics in Nigeria: As at 1st February 2013

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    1. Updates on Poliomyelitis as at 25th January, 2013
    1.1. As at 25th January 2013, 121 cases of Wild Polio Virus (WPV) were recorded in 13 States (namely,
    Bauchi, Borno, FCT, Jigawa, Kaduna, Kano, Katsina, Nasarawa, Niger, Sokoto, Taraba, Yobe and
    Zamfara States) compared to 62 cases in 8 States for the same period in 2011 (Figure 1).
    1.2. In the reporting week 4 (2013), no new WPV case was reported.
    1.3. As at 25th January, 2013, Nigeria has 7 cases of cVDPV2: 3 in Kano State, 3 in Sokoto State and one in
    Kebbi State as well as one aVDPV2 in Edo States
    compared to 35 cases of cVDPV2 in 10 States for the same period in 2011 (Figure 2).
    ...
    1.4. So far, 121 confirmed cases of WPV and 7 confirmed cases of cVDPV2 have been recorded in 13 States
    as at week 4, 2013 (Table 2).
    1.5. Nigeria now contributes up to 96% of polio burden in AFRO.
    1.6. From February - December, 2012, seven (7) SIAs for OPV were conducted in both the entire (National)
    and selected parts (Sub-National) of the country (Figure 3). Between 12th and 15th January, 2013, revaccination
    activity was conducted at ward level in high risk LGAs.
    1.7. A nationwide Immunization Plus Days (NIPDs) for 2nd – 5th February, 2013 with bOPV is on-going and
    another NIPDs with tOPV to be synchronized with Niger Republic was planned for 2nd – 5th March, 2013
    ...
    2. Lassa fever update as at 1st February, 2013
    2.1. As at 1st February 2013, a total of 228 suspected cases of Lassa fever, 64 laboratory-confirmed with
    15 deaths were reported from 23 LGAs (9 States) in 2013 (Figure 4). In the reporting week 4 (2013), 7 suspected cases of Lassa fever, 4 Laboratory confirmed with 0 death were reported from Benue and Ebonyi States.

    2.2. A total of 1723 suspected Lassa fever cases, 201 Laboratory confirmed and 112 deaths (CFR 6.50%)
    were reported from 42 LGAs in 23 States in 2012 (Figure 5).
    2.3. The National Lassa Fever outbreak rapid response team responded and contained confirmed outbreaks of Lassa fever in Benue, Edo, Nasarawa, Ondo and Plateau States.
    ...
    3. Updates on Cerebrospinal meningitis (CSM) as at 1st February, 2013
    3.1. From weeks 01-04, 2013, 72 suspected CSM cases with 0 deaths and Case Fatality Rate of 0.0% were reported, and 32 LGAs (15 States) have reported at least one CSM case.
    3.2. In the reporting week 4, 32 suspected CSM cases including 0 death were reported from 16
    LGAs (8 States) (Figure 6). No LGA crossed the alert/epidemic threshold.
    3.3. From week 1 - 52 2012, a total of 1206 suspected CSM cases, 13 laboratory confirmed and
    74 deaths (CFR 6.14%) were reported (Figure 5). The CSM suspected cases in Nigeria slightly
    rose between 2011 and 2012 as against the sharp drop between 2010 and 2011 (Figure 7).
    3.4. CSM reporting from States to National Level: on the average, 62.8% of the 26 endemic
    states sent CSM reports timely while 83.3% were complete. This is more than 44% timeliness
    and 58% completeness recorded during the same period in 2012.
    ...
    4. Update on Suspected Cholera as at 1st February, 2013
    4.1. So far in 2013 weeks 01 – 04, no suspected cholera case/death was reported compared to 13
    suspected cases with one death recorded in the same period in 2012.
    4.2. A total of 597 suspected Cholera cases with no laboratory confirmation and 18 deaths (CFR
    3.02%) were reported between weeks 1 - 52 2012 (Figure 8). On the whole, 29 LGAs (11
    States) reported at least 1 case of suspected cholera in 2012. The reported suspected cases of
    cholera has drastically dropped between 2011 and 2012 (Figure 9).
    ...
    5. Update on Suspected Measles as at 1st February, 2013
    5.1. In the reporting week 4 (2013), 537 suspected cases of measles with 1 death (CFR, 0.19%) were reported
    from 23 States. So far in 2013 (weeks 1 - 4) a total of 2005 suspected measles cases with 21 deaths
    (CFR, 1.05%) have been recorded.

    5.2. In 2012, a total of 11061 suspected measles cases, 837 Laboratory confirmed and 126 deaths (CFR
    1.14%) were recorded.

    6 Update on Guinea Worm Disease (GWD) as at 31st December, 2012
    6.1 In 2012, a total of 138 GWD rumour reports were received and investigated
    6.2 110 (80%) of these were investigated within 24 hours
    6.3 None of these rumours were confirmed to be GWD case
    6.4 Nigeria has celebrated 4 consecutive years of zero reporting of Guinea worm disease.
    ...
    8. Update on National Influenza Sentinel Surveillance, Nigeria Week 1 - 4, 2013
    8.1 From weeks 1 - 4, a total of 94 cases were recruited of which 79 were Influenza like illness (ILI)
    and 15 were Severe Acute Respiratory Infection (SARI).
    8.2 Up to week 48, 2012, 154 samples (8.2%) tested positive, out of which 105 (68.2%) were
    influenza A and 49 (31.8%) influenza B. The subtypes A (2009) H1N1, seasonal H3, seasonal
    H1and A/H5 account for 30 (28.6%), 66 (62.8%), 0(0.0%) and 0 (0.0%) of the total influenza A
    positive samples respectively. A/not sub typed accounts for 9 (8.6%) of the total positive
    influenza A samples.
    8.3 The percentage influenza positive in year 2012 was highest (60.7%) in week 39.
    8.4 In the reporting week3, 94 samples received but not yet processed.
    ...
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

  • #2
    Re: Nigeria epidemiology reports 2013

    Weekly Epidemiology Report
    Nigeria Centre for Disease Control (NCDC)
    Federal Ministry of Health - Nigeria
    Issue: Volume 3 No. 5 8th February, 2013

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    1. Updates on poliomyelitis for week 5 as at 1st February, 2013
    1.1. In week 5 2013, no new Wild Polio Virus (WPV) was reported compared with 2 WPV for the period in 2012 (Figure 1).
    ...
    2. Lassa fever update for week 5 as at 8th February, 2013
    2.1. In week 5 2013, 22 suspected cases of Lassa fever, 3 Laboratory confirmed with 2 deaths (CFR,
    9.09&#37 were reported from 7 LGAs (4 States) compared with 111 cases with 8 deaths (CFR, 7.2%)
    in the same period in 2012.
    2.2. Between week 1–5 2013, 232 suspected Lassa fever cases with 61 lab confirmed and 12 deaths were
    reported compared with 278 cases with 26 deaths (9.35%) in the same period in 2012 (Figure 3).
    ...
    3. Update on Suspected Cholera for week 5 as at 8th February, 2013
    3.1. In week 5, 2013, no case of cholera reported
    ...
    4. Updates on cerebrospinal meningitis (CSM) for week 5 as at 8th February, 2013
    4.1. In Week 5 2013, 6 suspected CSM cases including 0 death were reported from 6 LGAs (4
    States) compared with 21 suspected CSM cases and 1 death (CFR, 4.76%) in the same period in
    2012. No LGA crossed the alert/ epidemic threshold in week 5.
    ...
    5. Update on suspected measles for week 5 as at 8th February, 2013
    5.1. In week 5 2013, 557 suspected cases of measles with 0 lab confirmed and 0 death were reported from 21
    States compared with 220 measles cases and 2 deaths (CFR, 0.91%) in the same period in 2012.
    ...
    6 Update on Guinea Worm Disease (GWD) for week 52 as at 31st December, 2012
    ...
    6.4 Nigeria has celebrated 4 consecutive years of zero reporting of Guinea worm disease.
    ...
    8. Update on National Influenza Sentinel Surveillance, Nigeria week 1 - 4, 2013
    8.1 From weeks 1 – 4 2013, a total of 94 cases were recruited of which 79 were Influenza like
    illness (ILI) and 15 were Severe Acute Respiratory Infection (SARI).
    8.2 Up to week 48, 2012, 154 samples (8.2%) tested positive, out of which 105 (68.2%) were
    influenza A and 49 (31.8%) influenza B. The subtypes A (2009) H1N1, seasonal H3, seasonal
    H1and A/H5 account for 30 (28.6%), 66 (62.8%), 0(0.0%) and 0 (0.0%) of the total influenza A
    positive samples respectively. A/not sub typed accounts for 9 (8.6%) of the total positive
    influenza A samples.
    8.3 The percentage influenza positive in year 2012 was highest (60.7%) in week 39.
    8.4 In the reporting week 4, 94 samples received but not yet processed.
    ...
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

    Comment


    • #3
      Re: Nigeria epidemiology reports 2013

      Humanitarian Bulletin
      Nigeria
      Issue 02 | 01 April 2013

      Malnutrition remains a critical humanitarian
      challenge
      The situation of children and women in the 8 Sahel States of Nigeria remains critical in
      terms of food insecurity. UNICEF and partners have estimated that 296,500 children
      under-5 will be affected by severe acute malnutrition and an estimated 910,516 by
      moderate acute malnutrition in 2013.
      ...
      HEALTH
       The 2012 flood led to destruction of health facilities limiting access to basic health services in the affected states. In addition, medical staff, supplies and commodities were generally inadequate, while sexual and reproductive health care including emergency obstetric and newborn care were lacking. Also, access to management of childhood illnesses and referral services for life threatening conditions were poorly organized or non-existent. Existing health centres reported high cases of diarrhoeal, malaria and typhoid.
       WHO is providing support to the Nigerian Centre for Disease Control (NCDC) of the Federal Ministry of Health NCDC/FMOH to implement Early Warning and Alert Network (EWARN) in 15 States that were most severely hit by the 2012 Flood disaster. EWARN aims to provide timely disease surveillance and other health events information for detecting and responding rapidly to signals which may indicate disease outbreaks or other public health emergencies.
       The week 10 EWARN report indicates that there were 1065 cases of malaria reported, of these 51 cases (4.8%) described as severe and another 64 cases (6%) affecting pregnant women. In addition, there were 162 cases of diarrhoea reported. Of these, 48 cases (29.6%) were due to diarrhoea with blood while the remaining 114 cases (70.4%) were due to acute watery diarrhoea. WHO in collaboration with the NCDC/Federal Ministry of Health organized a review meeting of all EWARN Coordinators and Facilitators from the target States at Nassarawa from 13-14th March 2013. Gaps were identified and solutions proffered. A work plan for the next 3-months was also developed.
      ...
      Twitter: @RonanKelly13
      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

      Comment


      • #4
        Re: Nigeria epidemiology reports 2013

        Weekly Epidemiology Report
        Issue: Volume 3 No. 17 3rd May, 2013

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        1. Updates on poliomyelitis for week 17 as at April 26th, 2013
        1.1. In the reporting week (Week 17) 2013, one (1) Wild Polio Virus (WPV) was reported in
        Borno State compared with 1 WPV reported from Jigawa State for the same period in 2012.
        1.2. From weeks 1-17 2013, 14 new WPV were reported in 7 States compared with 38 WPV in
        10 States for the same period in 2012 (Figure 1).
        1.3. In the reporting week (Week 17) 2013, no confirmed circulating Vaccine Derived Polio
        Virus type 2 (cVDPV2) was reported just as same period in 2012.
        1.4. From week 1-17 of both 2012 and 2013, Nigeria had one (1) cVDPV2 each respectively
        (Figure 2).
        ...
        1.5. So far, 14 confirmed polio cases were reported in 2013 and Nigeria now contributes up to
        100% of polio burden in AFRO.
        ...
        2. Lassa fever update for week 17 as at 3rd May, 2013
        2.1. In the reporting week (Week 17) 2013, 34 suspected Lassa fever cases with 0 death was
        reported in 2 States compared with 5 cases with 3 deaths (CFR, 60.0%) in 2 States also the
        same period in 2012.
        2.2. Between week 1-17 2013, 670 suspected Lassa fever cases with 135 lab confirmed and 26
        deaths (CFR, 3.88%) were reported in 22 LGAs across 11 States
        compared with 866 cases
        with 140 lab confirmed 92 deaths (10.67%) in 33 LGAs (21 States) the same period in 2012
        (Figure 5).
        2.3. National Lassa fever Rapid Response team had investigated and responded to the outbreaks
        in the affected States.
        ...
        3. Update on suspected Cholera for week 17 as at 3rd May, 2013
        3.1. In reporting week (Week 17), 2013, no suspected cholera case/death was reported compared
        with 10 cases with 0 death in the same period 2012.
        3.2. From week 1-17, 2013, only 3 suspected cholera cases with one death (CFR, 33.33%) were
        reported
        from 2 LGAs in 2 States compared with 230 suspected cholera cases including 4
        death with CFR, 1.74% from 17 LGAs in 4 States within the same period in 2012 (Figure 6).
        ...
        4. Updates on cerebrospinal meningitis (CSM) for week 17 as at 3rd May, 2013
        4.1. In the reporting week (Week 17) 2013, 19 suspected CSM cases with 0 death were reported
        from 6 LGAs, 6 States compared with 25 suspected CSM cases and 1 death (CFR, 4.0%) from
        17 LGAs, 6 States in the same period in 2012. No LGA has reached alert/epidemic threshold in
        the reporting week.
        4.2. Between week 1-17 2013, there were 721 CSM cases with 4 lab confirmed 35 deaths (CFR,
        4.88%) from 102 LGAs in 24 States
        compared with 767 cases and 52 deaths (CFR, 6.78%) from
        152 LGAs in 26 States within the same period 2012 (Figure 7). Aliero and Gwandu in Kebbi
        State, Shagari and Tambuwal LGAs (Sokoto State) have reached alert /epidemic threshold
        between weeks 7 and 17.
        ...
        5. Update on suspected Measles for week 17 as at 3rd May, 2013
        5.1. In the reporting week (Week 17) 2013, two thousand, three hundred seventy-nine (2,379) suspected
        cases of measles with 8 deaths (CFR, 0.34%) were reported from 29 States and FCT compared with
        288 measles cases and 0 death from 28 States and FCT in the same period in 2012.
        5.2. Between week 1 & 17 2013, thirty-three thousand, six hundred and fifty-five (33,655) suspected
        measles cases (Figure 8) with 398 deaths (CFR, 0.66%) were reported from 36 States and FCT
        (Figure
        9), about six times increase compared with 5,398 cases with 83 deaths (CFR, 1.54%) from 36 States
        and FCT in the same period in 2012.
        5.3. Confirmed (lab, epi-link and clinical): 20,258 (Figure 10) from 516 LGAs (Figure 11).
        5.4. Age group of most affected children: 9 - 59 months (77%; Figure 12).
        5.5. Vaccination status of measles cases: 88% zero dose.
        ...
        6. Update on Yellow fever for week 17 as at 3rd May, 2013
        6.1. A planned Yellow fever mass campaign, to be supported by Global Alliance for Vaccines
        and Immunization (GAVI) and coordinated by NPHCDA, would be coming up later this
        year.
        Cross Border Surveillance for Yellow fever
        The WHO has informed the FMOH of a confirmed case of Yellow fever in Diffa, Republic of
        Niger, a community sharing border with two States (Borno and Yobe) in Nigeria. Alert was sent to
        the Disease Surveillance and Notification Officers (DSNOs) at the border LGAs ( i.e Abadam and
        Mobbar in Borno State and Yusufari and Yunusari in Yobe State) and the two States' epidemiologist to step up active surveillance for Yellow fever and carry out sensitization activities especially in the
        border communities to Diffa. Reports received, so far, from the four LGA DSNOs, indicated that
        active Yellow fever surveillance and sensitization, including public awareness creation are ongoing
        in the LGAs, especially at the border communities to Diffa.

        7. Update on Guinea worm disease: as at 3rd May, 2013
        7.1. So far as at 3rd May, 2013, no GWD rumours report was received and investigated for week
        17, 2013.

        ...
        8. Update on flood for week 17 as at 3rd May, 2013
        8.1. From the Early Warning Alert and Response Network (EWARN): as at week 17 in 215
        reporting sites (11 States):
        8.1.1. 1,763 cases of malaria, 434 cases of malaria in pregnancy & 173 cases of severe malaria
        were reported
        (Table 1).
        8.1.2. Other diseases were 907 cases of diarrhoea with blood, 385 cases of URTI, 769 cases of
        acute watery diarrhoea, 62 measles cases and 57 AJS cases.

        8.1.3. Others were 8 cases of suspected cholera, 6 cases each of AHF, 3 cases of suspected
        bacterial meningitis, 1 case each of AFP, NNT and schistosomiasis.

        8.1.4. Other health conditions: High blood pressure (142 cases), malnutrition (84 cases), diabetes
        mellitus (43 cases), stress related problems (39 cases), boating accident (18 cases), asthma
        (17 cases), trauma/injury (6 cases), and snake bites (4 cases) (Table 1).
        ...
        9. Update on national Influenza sentinel surveillance, Nigeria week 1 - 17, 2013
        9.1. From week 1 - 17, a total of 710 cases were reported of which 601 were Influenza like
        illness (ILI), 107 Severe Acute Respiratory Infection (SARI) and 2 non-ILI non-SARI cases.
        9.2. A total of 705 samples were received out of which 504 were processed. Of the processed
        samples, 435(86.3%) were ILI cases while 68(13.5%) were SARI.
        9.3. Of the 435 ILI cases, 38 were positive for Influenza as follows:
        9.3.1. 20(52.6%) of these positive for Influenza A and 18(47.4%) positive for Influenza B.
        9.3.2. 20 positive samples for Influenza A are all (100%) positive for A/H1N1 subtype.
        9.4. Of the 68 processed SARI samples,3(4.4%) were positive for A/H1N1while 1(1.5%) was
        positive for Influenza B.

        9.5. The percentage influenza positive was highest (24.3%) in week 8 (Figure 9).
        9.6. In the reporting week 17, 30 samples have not been processed.
        ...
        Twitter: @RonanKelly13
        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

        Comment


        • #5
          Re: Nigeria epidemiology reports 2013

          Issue: Volume 3 No. 21 31st May, 2013

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          1. Updates on poliomyelitis for week 21 as at May 24th, 2013
          1.1. In the reporting week (Week 21) 2013, two (2) cases of Wild Polio Virus (WPV) were
          reported from Borno State compared with 2 WPV reported from State for the same period
          in 2012.
          1.2. From weeks 1 – 21 2013, 24 new WPV were reported in 9 States compared with 46 WPV in
          10 States for the same period in 2012 (Figure 1).

          1.3. In the reporting week (Week 21) 2013, no confirmed circulating Vaccine Derived Polio
          Virus type 2 (cVDPV2) was reported just as same period in 2012.
          1.4. From week 1-21 of both 2012 and 2013, Nigeria had one (1) cVDPV2 each respectively
          (Figure 2).
          ...
          2. Lassa fever update for week 21 as at 31st May, 2013
          2.1. In the reporting week (Week 21) 2013, twenty-seven (27) suspected Lassa fever case with 0
          death were reported in Edo State compared with 29 cases with 0 deaths in Edo and Kogi
          States also the same period in 2012.
          2.2. Between week 1 – 21 2013, 816 suspected Lassa fever cases with 144 lab confirmed and 26
          deaths (CFR, 3.19%) were reported in 23 LGAs across 11 States compared with 932 cases
          with 140 lab confirmed 92 deaths (9.87%) in 40 LGAs (23 States) the same period in 2012

          (Figure 5).
          2.3. National Lassa fever Rapid Response team had investigated and responded to the outbreaks
          in the affected States.
          ...
          3. Update on suspected Cholera for week 21 as at 31st May, 2013
          3.1. In reporting week (Week 21), 2013, no suspected cholera case/death was reported compared
          with 3 cases with 0 death in the same period 2012.
          3.2. From week 1 – 21, 2013, only 3 suspected cholera cases with one death (CFR, 33.33%) were
          reported from 2 LGAs in 2 States compared with 273 suspected cholera cases including 4
          death with CFR, 1.47% from 17 LGAs in 4 States within the same period in 2012 (Figure 6).

          3.3. Medicines and infusion/chlorine powder have been prepositioned in all the affected States
          by FMOH
          ...
          4. Updates on cerebrospinal meningitis (CSM) for week 21 as at 31st May, 2013
          4.1 In the reporting week (Week 21) 2013, Kaduna South (Kaduna State) reported 2 CSM
          Cases, 0 death and Takai LGA (Kano State) reported 1 CSM Case, 0 death compared with
          33 suspected CSM cases with 2 deaths (CFR, 6.06%) from 9 LGAs (7 States) in the same
          period in 2012. None of the two LGAs crossed Alert / Epidemic Threshold in the reporting
          week.
          4.2 Between week 1-21 2013, there were 738 CSM cases with 4 lab confirmed 35 deaths (CFR,
          4.74%) from 105 LGAs in 25 States compared with 869 cases and 58 deaths (CFR, 6.67%)
          from 162 LGAs in 26 States within the same period 2012 (Figure 7). Aliero and Gwandu in
          Kebbi State, Shagari and Tambuwal LGAs (Sokoto State) have reached alert /epidemic
          threshold between weeks 7 and 15.

          4.3 CSM reporting from States to National Level: on the average, on the average 69.4% of the
          26 endemic states sent CSM reports timely while 94.9% were complete. This is against 68%
          timeliness and 98% completeness recorded during the same period in 2012.
          ...
          5. Update on suspected Measles for week 21 as at 31st May, 2013
          5.1. In week 21 2013, seven hundred and thirteen (713) suspected cases of measles with 3 deaths (CFR,
          0.42%) were reported from 22 States compared with 318 measles cases and 17 deaths (CFR, 5.35%)
          from 28 States and FCT in the same period in 2012.
          5.2. Between week 1 & 21 2013, forty-two thousand, three hundred and forty-seven (42,347) suspected
          measles cases (Figure 8) with 268 deaths (CFR, 0.63%) were reported from 36 States and FCT
          (Figure 9), at least six times increase, compared with 6,495 cases with 102 deaths (CFR, 1.57%)
          from 36 States and FCT in the same period in 2012.

          5.3. Confirmed (lab, epi-link and clinical): 21,528 (Figure 10) from 546 LGAs (Figure 11).
          5.4. Age group of most affected children: 9 - 59 months (77%; Figure 12).
          5.5. Vaccination status of measles cases: 88% zero dose (Figure 13).
          ...
          6. Update on Guinea worm disease: as at 31st May, 2013
          6.1. So far as at 31st May, 2013, no GWD rumour report was received for week 21, 2013.
          6.2. Between weeks 1 and 21, 2013, a total of 67 GWD rumours were reported, investigated and
          confirmed negative in 48 LGAs (14 States); but 57 (85.1%) were investigated within 24
          hours (Table 1).
          6.3. None of these rumours were confirmed to be GWD case.
          ...
          7. Update on flood for week 21 as at 31st May, 2013
          7.1. As at week 21, 2013 from the Early Warning Alert and Response Network (EWARN), the
          following were obtained from 229 reporting sites (11 States):
          7.1.1. 1,729 cases of malaria, 239 cases of malaria in pregnancy & 207 cases of severe malaria
          were reported (Table 2).
          7.1.2. Other diseases were 769 cases of diarrhoea with blood, 556 cases of acute watery diarrhoea,
          209 cases of URTI, 42 AJS cases and 36 measles cases.
          7.1.3. Others were 9 cases each of AHFS, 5 cases of suspected cholera, 4 cases of AFP, 2 cases of
          suspected bacterial meningitis and 1 case of schistosomiasis.
          7.1.4. Other health conditions were 119 cases of high blood pressure, 55 cases of diabetes mellitus,
          41 cases of stress related problems, 37 cases of malnutrition, 34 cases of trauma/injury, 12
          cases of asthma and 7 cases of boat accident (Table 2).
          ...
          8. Update on national Influenza sentinel surveillance, Nigeria week 1 - 21, 2013
          8.1. From week 1 - 21, a total of 905 cases were reported of which 752 were Influenza like
          illness (ILI), 151 Severe Acute Respiratory Infection (SARI) and 2 non-ILI non-SARI cases.
          8.2. A total of 894 samples were received out of which 504 were processed. Of the processed
          samples, 435(86.3%) were ILI cases while 68(13.5%) were SARI.
          8.3. 17(3.9%) of the 435 processed ILI cases were positive for pdmA/H1N1 while 17(3.9%)
          were positive for Influenza B. Of the 68 processed SARI samples,3(4.4%) were positive for
          pdmA/H1N1while 1(1.5%) was positive for Influenza B
          8.4. Of the 435 ILI cases, 38 were positive for Influenza as follows:
          8.4.1. 20 (52.6%) of these positive for Influenza A and 18(47.4%) positive for Influenza B.
          8.4.2. 20 positive samples for Influenza A are all (100%) positive for A/H1N1 subtype.
          8.5. Of the 68 processed SARI samples,3(4.4%) were positive for A/H1N1while 1(1.5%) was
          positive for Influenza B.
          8.6. The percentage influenza positive was highest (24.3%) in week 8 (Figure 11).
          8.7. In the reporting week 21, 49 samples received have not been processed.
          ...
          Twitter: @RonanKelly13
          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

          Comment


          • #6
            Re: Nigeria epidemiology reports 2013

            Issue: Volume 3 No. 24 21st June, 2013

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            ...
            1. Updates on poliomyelitis for week 24 as at June 14th, 2013

            1.1. In the reporting week (Week 24) 2013, one case of Wild Polio Virus (WPV) was reported in
            Kano State compared with 2 WPVs (2WPV1) reported from 2 States for the same period in
            2012.
            1.2. From weeks 1 – 24 2013, 26 new WPV were reported in 9 States
            compared with 56 WPV in
            10 States for the same period in 2012 (Figure 1).
            1.3. In the reporting week (Week 24) 2013, no confirmed circulating Vaccine Derived Polio
            Virus type 2 (cVDPV2) was reported just as same period in 2012.
            1.4. From week 1-24 2013, no confirmed cVDPV2 has been reported in Nigeria compared with a
            confirmed cVDPV2 reported in 2012
            ...
            1.5. So far, 26 confirmed polio cases were reported in 2013 and Nigeria now contributes up to
            96% of polio burden in AFRO.
            1.6. From January 2013 to Date, at least 6 Supplemental Immunization Activities (SIAs) for Oral
            Polio Vaccine (OPV) had been conducted across the country (using bivalent OPV and
            trivalent OPV) (Figure 3).
            1.7. The 2nd – 5th March NIPDs was synchronized with Niger Republic using trivalent OPV.
            Enumeration of underserved populations was also included in the SIA. The SIA was
            strengthened with:
            1.7.1. High level of supervision and use of households/ household head’s name.
            1.7.2. Field supportive supervision and monitoring.
            1.7.3. Improved Enhanced Independent Monitoring (EIM) and Lots Quality Assessments (LQAs)
            (Figure 4).
            1.8. Sub-National Immunization Plus Days (SNIPDs) conducted in all high risk States in April
            and May, 2013 (Figure 3) were among the recently implemented SIAs.
            1.9. The June 15th- 18th SNIPDs, 2013 has just been concluded.
            ...
            2. Lassa fever update for week 24 as at 21st June, 2013
            2.1. In the reporting week (Week 24) 2013, 22 suspected Lassa fever cases with 0 death were
            reported from Edo State compared with 28 cases with 1 death (CFR, 3.57%) in Edo State
            also the same period in 2012.
            2.2. Between week 1 – 24 2013, 880 suspected Lassa fever cases with 146 lab confirmed and 26
            deaths (CFR, 2.95%) were reported in 23 LGAs across 11 States
            compared with 1,023 cases
            with 153 lab confirmed 96 deaths (9.38%) in 41 LGAs (23 States) the same period in 2012
            (Figure 5).
            2.3. National Lassa fever Rapid Response team had investigated and responded to the outbreaks
            in the affected States.
            ...
            3. Update on suspected Cholera for week 24 as at 21st June, 2013
            3.1. In reporting week (Week 24), 2013, 12 suspected cholera cases with 2 deaths (CFR,
            16.67%) were reported in Plateau State compared with 15 cases with 0 death from Benue,
            Kaduna and Zamfara States in the same period 2012.
            3.2. From week 1 – 24, 2013, 24 suspected cholera cases with 3 death (CFR, 12.50%) were
            reported from 5 LGAs in 4 States
            compared with 301 suspected cholera cases including 4
            death with CFR, 1.33% from 17 LGAs in 4 States within the same period in 2012 (Figure 6).
            3.3. Medicines and infusion/chlorine powder have been prepositioned in all the affected States
            by FMOH
            ...
            4. Updates on cerebrospinal meningitis (CSM) for week 24 as at 21st June, 2013
            4.1 In the reporting week (Week 24) 2013, 6 suspected cerebrospinal meningitis (CSM) cases
            with 1 death (CFR, 16.67%) from 4 LGAs (3 States) compared with 8 suspected CSM cases
            with 0 death from 5 LGAs (4 States) in the same period in 2012. No LGA crossed Alert /
            Epidemic Threshold in the reporting week.
            4.2 Between week 1-24 2013, there were 750 suspected CSM cases with 4 lab confirmed 36
            deaths (CFR, 4.80%) from 106 LGAs in 25 States
            compared with 897 cases and 58 deaths
            (CFR, 6.47%) from 172 LGAs in 26 States within the same period 2012 (Figure 7). Aliero
            and Gwandu in Kebbi State, Shagari and Tambuwal LGAs (Sokoto State) have reached
            alert /epidemic threshold between weeks 7 and 15.
            4.3 CSM reporting from States to National Level: on the average, on the average 69.1% of the
            26 endemic states sent CSM reports timely while 97.3% were complete. This is against 69%
            timeliness and 98% completeness recorded during the same period in 2012.
            4.4 Intensive Surveillance is still on-going in high risk States.
            ...
            5. Update on suspected Measles for week 24 as at 21st June, 2013
            5.1. In week 24 2013, five hundred and eighty (580) suspected cases of measles with 1 death (CFR,
            0.17%) were reported from 26 States and FCT compared with 157 measles cases and 0 death from 26
            States in the same period in 2012.
            5.2. Between week 1 & 24 2013, forty-five thousand, one hundred and three (45,103) suspected measles
            cases (Figure 8) with 271 deaths (CFR, 0.60%) were reported from 36 States and FCT
            (Figure 9), at
            least six times increase, compared with 7,079 cases with 102 deaths (CFR, 1.44%) from 36 States
            and FCT in the same period in 2012.
            5.3. Confirmed (lab, epi-link and clinical) as at week 19: 21,528 (Figure 10) from 546 LGAs (Figure 11).
            5.4. Age group of most affected children: 9 - 59 months (77%; Figure 12).
            5.5. Vaccination status of measles cases: 88% zero dose (Figure 13).
            ...
            6. Update on Guinea worm disease: as at 14th June, 2013
            6.1. So far as at 14th June, 2013, 3 GWD rumours report were received for week 23, 2013.
            6.2. Between weeks 1 and 23, 2013, a total of 120 GWD rumours were reported, investigated
            and confirmed negative from 80 LGAs (22 States); but 108 (90%) were investigated within
            24 hours.
            6.3. None of these rumours were confirmed to be GWD case.
            ...
            7. Update on flood for week 24 as at 21st June, 2013

            7.1. As at week 24, 2013 from the Early Warning Alert and Response Network (EWARN), the
            following were obtained from 232 reporting sites (11 States):
            7.2. 1,424 cases of malaria, 61 cases of malaria in pregnancy & 23 cases of severe malaria were
            reported (Table).
            7.3. Other diseases were 296 cases of diarrhoea with blood, 476 cases of acute watery diarrhoea,
            234 cases of URTI, 33 AJS cases and 13 measles cases.
            7.4. Others were 6 cases each of AHFS, 4 cases of AFP, 2 cases of New AIDS and one case each
            of NNT and bacterial meningitis.
            7.5. Other health conditions were 119 cases of high blood pressure, 63 cases of diabetes mellitus,
            34 cases of malnutrition, 26 cases of stress related problems, 21 cases of trauma/injury, 13
            cases of asthma and 5 cases of boat accident
            ...
            8. Update on national Influenza sentinel surveillance, Nigeria week 1 - 22, 2013
            8.1. From weeks 1- 22, a total of 946 cases were reported of which 788 were Influenza like
            illness (ILI), 156 Severe Acute Respiratory Infection (SARI) and 2 non-ILI non-SARI cases
            8.2. A total of 894 samples were received out of which 617 were processed. Of the processed
            samples, 472 (76.5%) were ILI cases while 73(11.8%) were SARI, and 72 (11.7%) samples
            were negative.
            8.3. Of the 617 ILI cases, 42 were positive for Influenza as follows:
            8.3.1. 20(47.6%) of these positive for Influenza A and 22 (52.4%) positive for Influenza B.
            8.3.2. 20 positive samples for Influenza A are all (100%) positive for A/H1N1 subtype
            8.4. Of the 73 processed SARI samples,3(4.1%) were positive for A/H1N1while 2 (2.7%) was
            positive for Influenza B
            8.5. The percentage influenza positive was highest (24.3%) in week 8 (Figure 12).
            8.6. In the reporting week 22, 41 samples have not been processed
            ...
            9 Non-Polio Supplemental Immunization Activities for 2013
            9.1. Cerebrospinal meningitis (Phase 3 Campaign): The SIA will cover 8 States (Adamawa, Kaduna,
            Kebbi, Niger, Plateau, Taraba, FCT and Nasarawa) with target Population of 22,296,038 and target
            age-group: 1-29 years (70%) of total population. The campaign would hold between 2nd – 11th
            November 2013 using MenAfriVac (meningococcal A conjugate vaccine effective against
            meningococcal sero type A only).
            9.2. Measles: All States including FCT will be covered in 2 phases. Phase 1 involving 19 Northern States
            with 15,988,779 target population will hold from 5th to 9th October, 2013 while Phase 2 involving all
            Southern States with 13,699,985 target population has been scheduled to hold a week after phase.
            The vaccine will be integrated with OPV and Vitamin A and administered at the fixed and mobile
            posts across Nigeria.
            9.3. Yellow fever Campaign is scheduled for 25th November – 4th December, 2013 in Akwa-Ibom, Cross
            River and Nasarawa States.
            9.4. Neonatal tetanus Elimination Initiative focuses on 391 high risk LGAs as obtained from recently
            conducted risk analysis. The analysis revealed that 130 LGAs were high risk in South-East and
            South-West zones; 95 LGAs in South-South and North-Central zones and 166 LGAs in North-East
            and North-West zones. South-East and South-West will start the campaign because of:
            9.4.1. High percentage of skilled birth attendants (88.6% and 81.9% respectively) in these zones.
            9.4.2. Two states conducted state wide Maternal Neonatal Tetanus Elimination (MNTE) campaigns in
            these zones.
            9.4.3. The two zones are not intensively involved in IPDs
            9.5. The campaign will be in two rounds i.e. 6-10 July, 2013 1st round and 3-7 August, 2013 2nd round.
            ...
            Twitter: @RonanKelly13
            The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

            Comment


            • #7
              Re: Nigeria epidemiology reports 2013

              Issue: Volume 3 No. 25 28th June, 2013

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              1. Updates on poliomyelitis for week 25 as at June 21st, 2013
              1.1. In the reporting week (Week 25) 2013, no Wild Polio Virus (WPV) was reported compared
              with one WPV (WPV1) reported from Katsina State for the same period in 2012.
              1.2. From weeks 1 - 25 2013, 26 new WPV were reported in 9 States compared with 57 WPV in
              10 States for the same period in 2012 (Figure 1).
              1.3. In the reporting week (Week 25) 2013, no confirmed circulating Vaccine Derived Polio
              Virus type 2 (cVDPV2) was reported just as same period in 2012.
              1.4. From week 1-25 2013, no confirmed cVDPV2 has been reported in Nigeria compared with a
              confirmed cVDPV2 reported in 2012 (Figure 2).
              1.5. So far, 26 confirmed polio cases were reported in 2013 and Nigeria now contributes up to
              96% of polio burden in AFRO.
              ...

              2. Lassa fever update for week 25 as at 28th June, 2013
              1.1. In the reporting week (Week 25) 2013, 12 suspected Lassa fever cases with 0 death were
              reported from Edo State compared with 35 cases with 2 deaths (CFR, 5.71%) in Edo State
              also the same period in 2012.
              1.2. Between week 1 - 25 2013, 892 suspected Lassa fever cases with 146 lab confirmed and 26
              deaths (CFR, 2.91%) were reported in 23 LGAs across 11 States compared with 1,058 cases
              with 153 lab confirmed 98 deaths (9.26%) in 41 LGAs (23 States) the same period in 2012
              (Figure 5).
              ...

              3. Update on suspected Cholera for week 25 as at 28th June, 2013
              1.1. In reporting week (Week 25), 2013, 9 suspected cholera cases with 0 death were reported in
              Ilorin East (3 cases, 0 death), Ilorin South (3 cases, 0 death), Ilorin West (3 cases, 0 death),
              all in Kwara State compared with 5 cases with 0 death from Kaduna and Zamfara States in
              the same period 2012.
              1.2. From week 1 - 25, 2013, 33 suspected cholera cases with 3 death (CFR, 9.09%) were
              reported from 8 LGAs in 5 States compared with 308 suspected cholera cases including 4
              death with CFR, 1.31% from 20 LGAs in 6 States within the same period in 2012 (Figure 6).
              ...
              4. Updates on cerebrospinal meningitis (CSM) for week 25 as at 28th June, 2013
              1.1. In the reporting week (Week 25) 2013, no suspected cerebrospinal meningitis (CSM)
              case/death was reported compared with 12 suspected CSM cases with 0 death from 9 LGAs
              (7 States) in the same period in 2012. No LGA crossed Alert / Epidemic Threshold in the
              reporting week.
              1.2. Between week 1-25 2013, there were 750 suspected CSM cases with 4 lab confirmed 36
              deaths (CFR, 4.80%) from 106 LGAs in 25 States compared with 916 cases and 58 deaths
              (CFR, 6.33%) from 173 LGAs in 27 States within the same period 2012 (Figure 7). Aliero
              and Gwandu in Kebbi State, Shagari and Tambuwal LGAs (Sokoto State) have reached
              alert /epidemic threshold between weeks 7 and 15.
              ...

              5. Update on suspected Measles for week 25 as at 28th June, 2013
              1.1. In week 25 2013, five hundred and eighty-two (582) suspected cases of measles with 0 death were
              reported from 26 States and FCT compared with 157 measles cases and 0 death from 26 States in the
              same period in 2012.
              1.2. Between week 1 & 25 2013, forty-five thousand, nine hundred and twenty-seven (45,927) suspected
              measles cases (Figure 8) with 272 deaths (CFR, 0.59%) were reported from 36 States and FCT
              (Figure 9), at least six times increase, compared with 7,225 cases with 102 deaths (CFR, 1.41%)
              from 36 States and FCT in the same period in 2012.
              1.3. Confirmed (lab, epi-link and clinical) as at week 19: 21,528 (Figure 10) from 546 LGAs (Figure 11).
              ...

              6. Update on Guinea worm disease: as at 14th June, 2013
              1.1. So far as at 14th June, 2013, 3 GWD rumours report were received for week 23, 2013.
              1.2. Between weeks 1 and 23, 2013, a total of 120 GWD rumours were reported, investigated
              and confirmed negative from 80 LGAs (22 States); but 108 (90%) were investigated within
              24 hours.
              1.3. None of these rumours were confirmed to be GWD case.
              ...

              7. Update on flood for week 25 as at 28th June, 2013
              1.6. As at week 25, 2013 from the Early Warning Alert and Response Network (EWARN), the
              following were obtained 323 reporting sites (11 States):
              1.1.1. 1,979 cases of malaria, 232 cases of malaria in pregnancy & 57 cases of severe malaria were
              reported (Table 1).
              1.1.2. Other diseases were 495 cases of acute watery diarrhoea, 323 cases of diarrhoea with blood,
              269 cases of URTI, 40 measles cases and 16 AJS cases.
              1.1.3. Others were 8 cases of cholera, 5 cases each of AHFS, 2 cases of suspected bacterial
              meningitis and a case of NNT.
              1.1.4. Other health conditions were 231 cases of high blood pressure, 70 cases of stress related
              problems, 31 cases of diabetes mellitus, 31 cases of asthma, 21 cases of malnutrition, 18
              cases of trauma/injury and 3 cases of boat accident (Table 1).
              ...

              8. Update on national Influenza sentinel surveillance, Nigeria week 1 - 22, 2013
              1.1. From weeks 1- 22, a total of 946 cases were reported of which 788 were Influenza like
              illness (ILI), 156 Severe Acute Respiratory Infection (SARI) and 2 non-ILI non-SARI cases
              2.2. A total of 894 samples were received out of which 617 were processed. Of the processed
              samples, 472 (76.5%) were ILI cases while 73(11.8%) were SARI, and 72 (11.7%) samples
              were negative.
              2.3. Of the 617 ILI cases, 42 were positive for Influenza as follows:
              1.1.1. 20(47.6%) of these positive for Influenza A and 22 (52.4%) positive for Influenza B.
              1.1.2. 20 positive samples for Influenza A are all (100%) positive for A/H1N1 subtype
              2.4. Of the 73 processed SARI samples,3(4.1%) were positive for A/H1N1while 2 (2.7%) was
              positive for Influenza B
              2.5. The percentage influenza positive was highest (24.3%) in week 8 (Figure 12).
              2.6. In the reporting week 22, 41 samples have not been processed
              ...
              Twitter: @RonanKelly13
              The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

              Comment


              • #8
                Re: Nigeria epidemiology reports 2013

                Synopsis only as the link provided by the MOH redirects to the week 25 report - Ro

                Weekly Epidemiology Report Update for Week 26, 2013

                In 2013 as at 28th June, a total of 27 Wild Polio Virus (WPVs) were reported from 9 States. As at 5th July 2013, a total of 892 suspected cases of Lassa fever with 146 laboratory-confirmed and 26 deaths (CFR, 2.91%) were reported from were reported in 23 LGAs across 11 States. from week 1-26, 2013, only 50 suspected cholera cases with 3 confirmed and 3 deaths (CFR, 6.0%) were reported from 9 LGAs in 5 States, while for Cerebrospinal Meningitis (CSM), 753 suspected cases with 4 lab confirmed, 38 deaths (CFR, 5.10%) from 107 LGAs in 25 States. In 2013 (weeks 1 – 26) forty-six thousand, six hundred and one (46,601) suspected measles cases (Figure 8) with 21,528 confirmed, 272 deaths (CFR, 0.58%) were reported from 36 States and FCT were reported. A total of 163 GWD rumours were reported, investigated and confirmed negative in 110 LGAs (22 States) between weeks 1 and 26, 2013; but 143 (87.7%) were investigated within 24 hours. Click Here

                http://www.health.gov.ng/index.php?o...=78&Itemid=435
                Twitter: @RonanKelly13
                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                Comment


                • #9
                  Re: Nigeria epidemiology reports 2013

                  Again, Summary only as the link provided by the MOH continues to link only to week 25. - Ro

                  Weekly Epidemiology Report Update for Weeks 30, 2013

                  In 2013 as at 26th July, a total of 39 Wild Polio Virus (WPVs) were reported from 9 States.

                  As at 2nd August 2013, a total of 1,007 suspected cases of Lassa fever with 149 laboratory-confirmed and 30 deaths (CFR, 2.98%) were reported from were reported in 24 LGAs across 11 States. From week 1-30, 2013, only 90 suspected cholera cases with 8 confirmed and 3 deaths (CFR, 3.33%) were reported from 12 LGAs in 6 States, while for Cerebrospinal Meningitis (CSM), 775 suspected cases with 4 lab confirmed, 39 deaths (CFR, 5.07%) from 111 LGAs in 26 States. In 2013 (weeks 1 – 30) fifty-two thousand, one hundred and seventy-nine (52,179) suspected measles cases with 34,963 confirmed, 322 deaths (CFR, 0.62%) were reported from 36 States and FCT were reported. A total of 173 GWD rumours were reported, investigated and confirmed negative in 111 LGAs (22 States) between weeks 1 and 29, 2013; but 154 (89.0%) were investigated within 24 hours.

                  http://www.health.gov.ng/index.php?o...=78&Itemid=435
                  Twitter: @RonanKelly13
                  The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                  Comment


                  • #10
                    Re: Nigeria epidemiology reports 2013

                    •6218 cholera cases (140 Lab-confirmed) including 217 deaths (CFR 3.5%) have been reported between week01 and week51, 2013 from 20 states (89 LGAs). Whereas a total of 597 cholera cases including 18 deaths were reported within the same period (Wks01-51) in 2012 from 11 States (29 LGAs).
                    •In week51 2013, a total of 196 cholera cases (19 lab-confirmed) 6 deaths were reported from 11 LGAs (3 States: Jigawa, Kano and Katsina).

                    1,192 suspected cases of Lassa Fever (161 lab confirmed) with 36 fatalities reported from 27 LGA's in 14 States.
                    ...

                    https://wca.humanitarianresponse.inf...update-week-51
                    Twitter: @RonanKelly13
                    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                    Comment


                    • #11
                      Re: Nigeria epidemiology reports 2013

                      Nigeria Centre for Disease Control (NCDC)
                      Federal Ministry of Health - Nigeria
                      Issue: Volume 3 No. 49 13th December, 2013

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                      1. Polio
                      1.1. In the reporting week (Week 49) 2013, no Wild Polio Virus (WPV) was isolated compared
                      with one (1) WPV1 reported from FCT, Abuja for the same period in 2012.
                      1.2. From weeks 1 - 49 2013, 50 WPVs were isolated in 9 States compared with 120 WPVs in 11
                      States for the same period in 2012
                      (Figure 1).
                      1.3. No circulating Vaccine Derived Polio Virus type 2 (cVDPV2) was reported in week 49 as at
                      same period in 2012..
                      1.4. From weeks 1 – 49 2013, 4 confirmed cVDPV2 were reported from Borno, Cross River and
                      Gombe States compared with 7 confirmed cVDPV2 reported from 3 States (Edo, Kano,
                      Kebbi and Sokoto States) the same period in 2012 (Figure 2).
                      1.5. As at December 6th 2013, 33 polio compatible cases were reported from 26 LGAs (13
                      States) (Figure 3).
                      1.6. So far, 50 confirmed polio cases were reported in 2013 and Nigeria now contributes less
                      than 10% of polio burden in AFRO.
                      1.7. From January 2013 to date, more than 7 Supplemental Immunization Activities (SIAs) for
                      Oral Polio Vaccine (OPV) had been conducted across the country (using bivalent OPV and
                      trivalent OPV) (Figure 3).
                      1.8. Polio SIAs in harmonization with non-Polio SIAs have been concluded for the months of
                      October, November and December 2013 (Figure 4).
                      ...
                      2. Update on suspected Cholera for week 49 as at 13th December, 2013
                      2.1. Outbreaks of Cholera are on-going in some States across the country. So far 17 States have
                      reported outbreak of Cholera between weeks 7 and 49 2013,
                      2.2. In reporting week (Week 49, 2013), 185 cholera cases with 5 deaths (CFR, 2.70%) were
                      reported
                      from FCT, Katsina and Lagos States compared with 2 cases with 1 death (CFR,
                      50%) from Osun State at the same period 2012.
                      2.3. From weeks 1 - 49, 2013, 4576 suspected cholera cases with 86 laboratory-confirmed and
                      156 deaths (CFR, 3.40%) were reported from 61 LGAs in 19 States
                      compared with 589
                      suspected cholera cases including 18 deaths with CFR, 3.06% from 28 LGAs in 11 States
                      within the same period in 2012 (Figure 7).
                      2.4. The outbreaks have been investigated by the FMOH in Kwara, Lagos, Nasarawa, Ogun,
                      Oyo, Plateau and Zamfara States and are under control
                      ...
                      3. Lassa fever update for week 49 as 13th December, 2013
                      3.1. No suspected Lassa fever case/death was reported in week 49 2013 compared with 22
                      suspected cases with 0 death from Edo State and FCT at same period in 2012.
                      3.2. Between weeks 1 & 49 2013, 1192 suspected Lassa fever cases with 161 lab confirmed and
                      36 deaths (CFR, 3.02%) were reported in 27 LGAs across 14 States compared with 1,616
                      cases with 187 lab confirmed 111 deaths (CFR, 6.87%) in 42 LGAs (23 States) at the same
                      period in 2012 (Figure 6).
                      ...
                      4. Update on cerebrospinal meningitis (CSM) for week 49 as at 13th December, 2013
                      4.1. In the reporting week (Week 49) 2013, 6 suspected cerebrospinal meningitis (CSM) cases
                      with 0 death were recorded in 5 LGAs (4 States)
                      compared with 16 suspected CSM cases
                      with 0 death from 9 LGAs (6 States) at the same period in 2012. No LGA crossed Alert /
                      Epidemic Threshold in the reporting week.
                      4.2. Between weeks 1 & 49 2013, there were 856 suspected CSM cases with 31 lab confirmed 46
                      deaths (CFR, 5.37%) from 132 LGAs in 28 States
                      compared with 1173 cases and 67 deaths
                      (CFR, 5.71%) from 193 LGAs in 29 States within the same period 2012 (Figure 8). Aliero
                      and Gwandu in Kebbi State, Shagari and Tambuwal LGAs (Sokoto State) reached alert
                      /epidemic threshold between weeks 7 and 15.
                      4.3. CSM reporting from States to National Level: on the average, 67.7% of the 26 endemic
                      states sent CSM reports timely while 97.6% were complete. This is against 74% timeliness
                      and 98% completeness recorded during the same period in 2012.
                      4.4. Intensive Surveillance is on-going in high risk States.
                      ...
                      5. Update on suspected Measles for week 49 as at 13th December, 2013
                      5.1. In week 49 2013, one hundred and forty-four (144) suspected cases of measles with 0 death
                      were recorded from 25 States
                      compared with 436 suspected measles cases and 6 deaths
                      (CFR, 1.38%) from 21 States at the same period in 2012.
                      5.2. Between weeks 1 & 49 2013, fifty-seven thousand, four hundred (57,400) suspected
                      measles cases (Figure 9) with 347 deaths (CFR, 0.60%) were reported from 36 States and
                      FCT
                      (Figure 10), about six times increase, compared with 10,380 cases with 117 deaths
                      (CFR, 1.13%) from 36 States and FCT at the same period in 2012.
                      5.3. Confirmed (lab, epi-link and clinical) between weeks 1 and 49 2013 were 52,910 cases
                      (Figure 11) from 675 LGAs (Figure 12).
                      5.4. Most affected children are within the age group 9 - 59 months (>40,000 confirmed cases &
                      78%; Figure 13 & 14 respectively).
                      5.5. Vaccination status of measles cases is 83% zero dose (Figure 15).
                      5.6. Response measures had been intensified with selective vaccination for 6 – 59 months old
                      children and case management including vitamin A supplement.
                      5.7. Measles campaign was concluded in all the 6 geopolitical zones nationwide in the last 2
                      months.
                      ...
                      6. Update on Guinea worm disease: as at 13th December, 2013
                      6.1. In the reporting week 49, no GWD case or rumour was reported.
                      6.2. Between weeks 1 and 49, 2013, a total of 329 GWD rumour reports were received and
                      investigated in 176 LGAs of 31 States. However, 308 (94%) of these were investigated
                      within 24 hours
                      6.3. None of these rumours was confirmed to be a GWD case.
                      6.4. In 2012, a total of 165 GWD rumour reports were received and investigated from 101 LGAs
                      (30 States). of which 138 (83.6%) were investigated within 24 hours. None of these rumours
                      were confirmed to be GWD case.
                      ...
                      7. Update on national Influenza sentinel surveillance, Nigeria weeks 1 - 48, 2013
                      7.1 From weeks 1-47, a total of 2066 cases were recruited of which 1708 were Influenza like
                      illness (ILI), 356 Severe Acute Respiratory Infection (SARI) and 2 non-ILI non-SARI cases.

                      7.2 A total of 2066 samples were received out of which 1631 were processed. Of the processed
                      samples, 1341(82.2%) were ILI cases, 290(17.8%) were Severe Acute Respiratory Infection
                      (SARI).
                      7.2.1 141(8.6%) of the processed 1631 samples were positive for Influenza, with 67(47.5%) of
                      these positive for Influenza A and 74(52.5%) positive for Influenza B. The subtypes A
                      (2009) H1N1, seasonal H3, seasonal H1and A/H5 account for 25 (37.3%), 10 (14.9%),
                      0(0.0%) and 0 (0.0%) of the total influenza A positive samples respectively. A/not sub typed
                      and Un-subtypeable account for 27 (40.3%), 5(7.5%) of the total positive influenza A
                      samples respectively.
                      7.2.2 22(1.6%) of the 1341 processed ILI cases were positive for A(2009)H1N1while 62(4.6%)
                      were positive for Influenza B. Of the 290 processed SARI samples, 3(1.0%) were positive
                      for pdmA/H1N1while 12(4.1%) were positive for Influenza B.
                      7.3 In the reporting week48, 37 samples were received but have not been processed.
                      ...
                      http://www.health.gov.ng/doc/EpidReport1.pdf
                      Twitter: @RonanKelly13
                      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                      Comment

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