Outbreak investigation of Neisseria meningitides serogroup C Meningitis in Kano State, March - May 2017
Mukhtar Muhammad Abdulaziz1,&, Olufunmilayo Badmus2, Tyakaray Visa1, Nura Karaye3, Mahmood Dalhat4, Abba Shehu3, Imam Bello3, Tijjani Husseini3, Stephen Akar1, Goodwill Effah1, Abisola Oladimeji4, Patrick Nguku4
1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Epidemiology Unit, Federal Ministry of Health, Nigeria, 3Epidemiology Unit, Kano State Ministry of Health, Nigeria, 4African Field Epidemiology Network (AFENET), Nigeria
Mukhtar Muhammad Abdulaziz, Nigeria Field Epidemiology and Laboratory Training
Programme, Abuja, Nigeria
Nigeria experienced a multi-state outbreak of Cerebrospinal Meningitis (CSM) from Neisseria meningitides serogroup C (Nmc) in March 2017. Kano State, one of the affected 22 states reported its first two confirmed CSM cases on March 22nd 2017. NFELTP residents were deployed to the state to determine the magnitude of the outbreak and characterize it in time, place, and person, and to carry out response activities to control the outbreak.
using the case definition of 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, we reviewed and validated the line list developed between 1st March
to 20th May, 2017. We conducted active case search in health facilities
and communities especially along border Local Government Areas (LGAs). We determined
frequencies, proportions and attack rates, at wards and LGA levels to track
alert and epidemic thresholds and we created a spot map to show distribution
a total of 295 suspected cases (Attack Rate = 2.26/100,000) were line-listed with 22 confirmed, and 17 (77.3%) belonging to serogroup C. Twenty-four (24) deaths were recorded (CFR: 8%). Median age was 11 years (range 1 month - 65 years), with the age group 5 - 14 years constituting the majority, 88 (34.9%). Males constituted 60% of cases. The outbreak was propagated with peaks at weeks 11 and 15 of year 2017. It affected 34 of the 44 LGAs in Kano State, with clustering within the densely populated metropolitan LGAs and LGAs sharing border with Katsina State. Fagge LGA had the highest attack rate, while Dambatta the least; 14.4/100,000 population and 0.3/100,000 population respectively.
Kano State had a confirmed cerebrospinal meningitis outbreak, affecting mostly the densely populated LGAs. These areas were targeted for intense community sensitization on preventive measures, prepositioning of ceftriaxone at health facilities and strengthening of case management. The shortage in national supply of CSM vaccines however made control effort challenging and less effective. We recommended sustenance of enhanced surveillance activities in unaffected LGAs bordering affected ones.
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)