Immediate outcomes of technical support for Lassa fever outbreak control in Ondo
State, Nigeria, February 2017
Bio Belu Abaye1,&, William Nwachukwu2, Augustine Dada1, Abdulazziz Mohammed2, Adeola Aderinwale1, Folasade Fadare1, John Ojo1, Olusola Abioye1, Gboyega Famokun3, Elsie Ilori2, Olubunmi Ojo2, Patrick Nguku1, Chikwe Ihekweazu2
1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Nigeria Centre for Disease Control, Abuja, Nigeria, 3Ondo State Ministry of Health, Nigeria
Bio Belu Abaye, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria
outbreaks of Lassa fever (LF) occur annually in many states such as Ondo in Nigeria. Early treatment with the drug of choice, Ribavirin, accessible treatment centers as well as implementation of prompt and appropriate outbreak control measures should significantly reduce morbidity and mortality. These had however, not been the case in Ondo State before a federal team from the Nigeria Centre for Disease Control (NCDC) and Nigeria Field Epidemiology and Laboratory Training Programme (NFELTP), was deployed to support investigation and control of the outbreak.
outbreak protocol was used which included definitions for suspected and confirmed cases. Updating line lists, active case search, contact tracing and listing was carried out daily. A structured questionnaire was used to assess Infection Prevention and Control (IPC) practices and knowledge of Lassa fever in communities and health facilities. Advocacy at State and LGA levels was done to establish treatment centres and raise capacity for outbreak control. Laboratory confirmation was done at Irrua Specialist Teaching Hospital (ISTH), Edo state.
twelve of the 27 suspected cases were confirmed with six deaths; four among confirmed and two suspected. Case fatality rate was 22.2% for all cases but declined for confirmed cases from 75% before our intervention to 33.3% after. With our technical support, interventions included establishment of a treatment centre in Federal Medical Centre (FMC), Owo, Ondo State and reduction in number of referrals to ISTH, Edo State (from 100% to 12.5%). Treatment with Ribavirin now commenced immediately samples were collected rather than after receipt of results.
provision of technical support by the federal government and partners improved outbreak response in Ondo State. Prompt and adequate investigation and implementation of control measures also reduced morbidity and mortality. These should be sustained and strengthened.
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)