Outbreak of cerebrospinal meningitis in Kebbi State, Nigeria, April 2017
Jeremiah Daikwo1,&, Abdulmajid Suleiman2, David Olarinloye1, Timothy Ukonu1, Abisola Oladimeji1, Patrick Nguku1
1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Nigeria Centre for Disease Control, Abuja, Nigeria
Jeremiah Daikwo, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria
community-acquired bacterial meningitis continues to exact a heavy toll, even in developed countries, despite the implementation of childhood vaccination programs and effective antimicrobial agents. Nigeria experienced an outbreak of cerebrospinal meningitis (CSM), majorly affecting five states (Zamfara, Sokoto, Kebbi, Niger, and Katsina). We investigated the outbreak in Kebbi State to determine the magnitude, characterize the outbreak in person, place and time, and strengthen case management.
we conducted active case search in affected Local Government Areas (LGAs)
and reviewed hospital records. We defined a case as any person with sudden onset
of fever (> 38.5°C rectal or 38.0°C axillary) and one of the following meningeal
signs: neck stiffness, altered consciousness or other meningeal signs including
bulging fontanel in toddlers residing in Kebbi State between January and April
2017. Using line listing forms we collected socio demographic data and clinical
information. Cerebrospinal fluid (CSF) samples were collected from 43 patients
to test for the etiological agents using Pastorex rapid diagnostic kit.
a total of 84 cases were identified in 16 (76.2%) of the 21 existing LGAs from January to April 2017. Females affected were 43 (51.2%). The median age of cases was 10 years (range 1 - 60 years). The overall attack rate (AR) was 1.9/100,000, with the highest (8.5/100,000) and least (0.4/100,000) AR recorded in Maiyama and Zuru LGAs respectively. Out of 38 samples tested 21 (55.3%) were positive for Neisseria meningitides C. Fifteen deaths were recorded during the outbreak (CFR 17.9%). The epidemic curve demonstrated a propagated epidemic pattern. The four secondary health facilities visited in four LGAs had shortage of intravenous ceftriaxone, with no vaccines supplied to the State.
Kebbi State had a confirmed outbreak of CSM caused by Neisseria meningitides C. Maiyama LGA was most affected. Visit was paid to the State Ministry of Health to advocate for an effective drug distribution to facilities in order to maintain prompt case management. Urgent procurement of vaccines by emergency operation center for immediate reactive vaccination was recommended.
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)