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

Opening ceremony

A case report of Lassa fever in a military cantonment, Kaduna state, April 2017

Cite this: Pan African Medical Journal - Conference Proceedings. Apr 2018; 8(8): 44. doi:10.11604/pamj.cp.2018.8.44.626

Submitted: 16 Jan 18   Accepted: 30 Jan 18   Published: 05 Apr 18

Key words: Lassa fever, mastomys natalensis, ribavirin, surveillance, Kaduna State

© Aisha Abubakar-Sadiq 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/2018/8/44/abstract

Corresponding author: Aisha Abubakar-Sadiq, Epidemiology Unit, Ministry of Health of Kaduna State, Nigeria (ayeesha_mamie@yahoo.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, )

A case report of Lassa fever in a military cantonment, Kaduna state, April 2017

Aisha Abubakar-Sadiq1,&, Nnomzie Charles Atama2, Usman Adekanye2

 

1Epidemiology Unit, Ministry of Health of Kaduna State, Nigeria, 2National Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria

 

 

&Corresponding author
Aisha Abubakar-Sadiq, Epidemiology Unit, Ministry of Health of Kaduna State, Nigeria

 

 

Abstract

Introduction: Lassa fever (LF) is a viral haemorrhagic illness caused by an Arenavirus. Humans get infected via contact with feces, urine and blood of infected rats (Mastomys natalensis). The disease is endemic in West Africa with 300,000 - 500,000 cases and 500 deaths annually. In Nigeria, LF outbreaks occurred continuously from Oct 2016 - April 2017 in 16 States with a total of 242 suspected cases, 58 confirmed cases and 46 deaths (Case Fatality Rate: 79.3%) recorded. On the 27th of March 2017, a suspected case was reported at military cantonment Jaji, Kaduna state. We investigated to confirm the diagnosis, determine the magnitude and institute public health measures.

 

Methods: we reviewed hospital records and line-listed all contacts. A confirmed case of LF was defined as any person with fever and at least one of; sore-throat, bloody diarrhea, vomiting blood, bleeding from nose, gum, eyes, and history of travel to affected areas or epidemiologically-linked to a laboratory confirmed (PCR or positive IgM antibody) case. Two blood samples were collected and tested for LF using PCR and antigen detection. All contacts were enlisted in surveillance for 21 days.

 

Results: the case, a 47 years old male had travelled to Ebonyi State and was in contact with a suspected case of LF before returning to Kaduna State. He presented at the cantonment clinic on 27th March 2017, with fever, headache, fatigue and a history of failed response to anti-malarial. He subsequently developed abdominal pain, dysphagia, hematemesis and epistaxis. Laboratory results were positive on PCR and antigen detection for Lassa virus. None of the primary (16) and secondary (6) contacts (mean age: 40.5 7.4 years) developed signs or symptoms of LF within the surveillance period.

 

Conclusion: the suspected case was confirmed, isolated and managed with Ribavirin, and discharged on April 17th, 2017 after a repeat blood test. We provided health education on preventive measures within the cantonment. Personal protective equipment and infra-red thermometers were provided to health workers. We recommended improved surveillance and environmental sanitation in the State for early detection and control.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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)