Proceedings of Nigeria Centre for Disease Control/Nigeria Field Epidemiology and Laboratory Training Programme 2nd Annual Scientific Conference (Abuja, 2018)

Opening ceremony

Evaluation of acute flaccid paralysis surveillance system in Ekiti State, Nigeria, 2016

Cite this: Pan African Medical Journal - Conference Proceedings. Mar 2018; 8(8): 30. doi:10.11604/pamj.cp.2018.8.30.612

Submitted: 16 Jan 18   Accepted: 29 Jan 18   Published: 28 Mar 18

Key words: Acute flaccid paralysis surveillance, wild polio virus, surveillance system, Nigeria, Ekiti State

© Ibidolapo Ijarotimi et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2018/8/30/abstract

Corresponding author: Ibidolapo Ijarotimi, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria (dolapoijarotimi@gmail.com)

This abstract is published as part of the proceedings of Nigeria Centre for Disease Control/Nigeria Field Epidemiology and Laboratory Training Programme 2nd Annual Scientific Conference(NIGERIA, )

Evaluation of acute flaccid paralysis surveillance system in Ekiti State, Nigeria, 2016

Ibidolapo Ijarotimi1,&, Olufunmilola Ibikunle2, Adewole Adefisoye1, Patrick Nguku1

 

1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Ekiti State Ministry of Health, Nigeria

 

 

&Corresponding author
Ibidolapo Ijarotimi, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria

 

 

Abstract

Introduction: poliomyelitis has been targeted for eradication and only three countries in the world, including Nigeria, still report cases. Highly sensitive surveillance for acute flaccid paralysis (AFP) is critical for the detection and eradication of Wild Polio virus (WPV). This study aimed to assess the capacity of the Ekiti State AFP surveillance system to promptly detect transmission of WPV.

 

Methods: the Disease Surveillance and Notification officers (DSNOs) for the 16 Local Government Areas of Ekiti state were interviewed using a key informant interview guide. Case investigation (CIF) and AFP Surveillance System Weekly Health Facility Report forms for 2016 were reviewed using the CDC updated guidelines for evaluation of surveillance systems and the World Health Organization’s (WHO) guideline for evaluation of AFP surveillance system.

 

Results: there were 326 reported cases of AFP but CIF were seen for only 248 (76.1%) cases. All stool samples were collected within 14 days of onset of paralysis, and 24 - 48 hours apart. All samples arrived at the WHO-accredited Polio laboratory in Ibadan within 72 hours of collection. Stool adequacy was 99.2%. Five (2.0%) samples were positive for Vaccine-derived Poliovirus. The Non-Polio Enterovirus isolation rate, a measure of the efficiency of the reverse cold chain was 8% (less than > 10% target). Non-Polio Acute Flaccid Paralysis rate was 20.8/100,000. There was no isolation of WPV. All 16 DSNOs found the case definition for AFP simple to understand and the reporting system acceptable. Lack of transport was a difficulty faced by 10 (66.7%) of them. The system was solely funded by the WHO.

 

Conclusion: Ekiti State AFP surveillance system in the year 2016 was sensitive, representative, acceptable and timely and the laboratory component performed well. However, the data quality was poor and the reverse cold chain was deficient. There is need to increase state and local governments’ financial commitment to the functioning of the system.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nigeria CDC/Nigeria Field Epidemiology and Laboratory Training Programme 2<sup>nd</sup> Annual Scientific Conference (Abuja)

To create a platform for epidemiologists and public health physicians to share their scientific works, NCDC/NFELTP organized the 2nd annual scientific conference with the theme "strengthening one health through field epidemiology training" at Transcorp Hilton Hotel, Abuja, Nigeria from July 5-7, 2017. The objectives of the conference were to provide residents and graduates a forum to share findings from their field activities; provide training opportunity for trainees on scientific communication; provide an opportunity for epidemiological networking as well as create a forum to discuss pertinent public health issues. In attendance were dignitaries from the United States Centers for Disease Control and Prevention (CDC), USAID, WHO, Africa CDC, Ministries Departments and Agencies, University officials and other implementing partners. With the current rise in zoonotic diseases, the conference also featured a two-day pre-conference workshop on One Health which prioritized zoonotic infectious diseases in Nigeria using standardized prioritization methods. A second workshop focused on antimicrobial resistance. There were 38 oral presentations, 60 poster presentations and 2 plenary sessions. The presentations covered various sub-themes ranging from outbreak investigations, case management, health system strengthening, vaccine preventable diseases, communicable diseases and surveillance. The conference featured a National Night and climaxed with awards to outstanding presenters.

Country: NIGERIA

Dates: 05 Jul 17 - 07 Jul 17

Venue: Transcorp Hilton Hotel

Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme

Secretariat: gchinyere@afenet.net

Contact person: Dr Patrick Nguku (pnguku@afenet.net)