Cerebrospinal meningitis in Kebbi State, Nigeria: 2015 - 2016
Aliyu Mamman Na’uzo1,&, Muhammad Balogun1, Mahmood Dalhat1, Patrick Nguku1, Usman Aliyu2, Abubakar Bagudu2
1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Epidemiology unit, Public Health Department, Ministry of Health, Kebbi State, Nigeria
Aliyu Mamman Na’uzo, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria
cerebrospinal meningitis (CSM) is an epidemic-prone vaccine preventable disease associated with high mortality and morbidity, especially in developing countries like Nigeria. It is regarded as a priority disease in the Integrated Disease Surveillance and Response (IDSR) system in Nigeria. We analyzed surveillance data to describe the epidemiology of CSM in Kebbi State, 2015 - 2016.
we reviewed surveillance data abstracted from Kebbi State IDSR data-base for the years 2015 - 2016. A suspected case of CSM was defined as: any person with sudden onset of fever (>38.5oC rectal or 38oC axillary) and one of the following signs: neck stiffness, altered consciousness or other meningeal signs. A confirmed case was defined as a suspected case confirmed by isolation of Neisseria meningitidis from Cerebro-spinal fluid (CSF) or blood. We computed frequencies and proportions.
a total of 2088 suspected cases of CSM were reported during the period under review with a cumulative attack rate of 48.6/100,000 and 2.3/100,000 in 2015 and 2016 respectively. Mean age was 12.9 ± 9.5 years. Males constituted 1183 (56.7%) of the reported cases. Persons aged 10 - 15 years accounted for the highest number of cases 720 (34.5%). All patients were treated with Intra-muscular or Intra-venous Ceftriaxone according to the national treatment guidelines. Only 140 (6.7%) patients, had their CSF samples taken of which 76 (54.3%) were positive for Neisseria meningitides serotype C. Ninety three of the total patients died during the reporting period (case fatality rate 4.5%). Amongst those that died, only 2 (2.2%) were laboratory confirmed. One thousand two hundred and fifty four (60.1%) of the cases had a single dose of Meningococcal polysaccharide vaccine, 803 (38.5%) were unvaccinated.
the laboratory component of the surveillance system and the vaccination coverage were poor. We recommended further improvement in laboratory surveillance and vaccination activities in the state.f
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.
Dates: 05 Jul 17 - 07 Jul 17
Venue: Transcorp Hilton Hotel
Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme
Contact person: Dr Patrick Nguku (firstname.lastname@example.org)