Managing an outbreak of cerebrospinal meningitis in Zamfara State, 6th to 25th May, 2017
Olaolu Moses Aderinola1,&, Kenneth Ukwueze2, Ogbonnaya Omaha2, Usman Adekanye2, Olujide Ojo2, Dorcas Aderinwale2, Bamidele Onatola2, Adebudo Icomiare2, John Oladejo1, Chidinma Agbai3, Chikwe Ihekweazu1
1Nigeria Centre for Disease Control, Abuja, Nigeria, 2Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 3Federal Ministry of Health, Abuja, Nigeria
Olaolu Moses Aderinola, Nigeria Center for Disease Control, Jabi, Abuja, Nigeria
the 2016/2017 Cerebrospinal meningitis (CSM) outbreak in Nigeria was first reported on 13th December 2016 in Zamfara State. This outbreak was caused predominantly by Neisseria meningitis sero group C (NmC). As at the 3rd of May 2017, Zamfara State reported 6,400 suspected cases with 503 deaths and a case fatality rate (CFR) of 7.9%. There was a limited amount of NmC vaccine globally to conduct reactive vaccination. The state also has inadequate health-care workers (HCWs) especially doctors to conduct a lumbar puncture (LP) for diagnosis and treatment. The CSF collection rate was about 5.0% (343 samples were collected). Based on this, the National Cerebrospinal Meningitis Emergency Operations Centre (CSM EOC) deployed 28 health workers consisting of doctors, nurses and data managers to improve case management and active case search from 6th to 25th May, 2017.
based on epidemiological data, five teams of health workers were constituted with each team having two doctors, two nurses and one data manager (five in a team) to provide services throughout the state. The medical personnel provided services to suspected CSM cases while the data managers ensured records were kept and the line list of cases were regularly updated and sent to the State CSM EOC through the Local Government Disease Surveillance Notification Officers. The State team lead was assisted by two supervisors to coordinate the response of the five teams. Checklists were developed to track the intervention in Zamfara State.
a total of 72 new suspected cases were managed. The cases were predominantly males accounting for 61.1% (44 cases). The age group 5 to 14 years accounted for 51.4% of cases. The mean age was 14.2 ± 11.3 years. A total of 59 LPs were attempted with 51 successful (86.4%). The LP rate was 70.8% during this period. Out of the 51 cerebrospinal fluids collected, 26 (51%) were positive with 26 (50%) being NmC. During this time, there were seven deaths recorded, out of the 103 cases managed (CFR - 6.8%).
deploying response teams to states can lead to a rapid increase in LP rates supporting outbreak control in a context of paucity of vaccines.
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)