Preparedness for infection prevention and control during a Lassa fever outbreak in Ogun State, Nigeria 2017
Oluwadamilola Olawunmi Abiodun-Adewusi1,&, Bisola Adebayo1, William Nwachukwu2, Hakeem Yusuff1, Ime Okon1, Salimat Sanni1, Ibidolapo Ijarotimi1, Qudus Yusuff3, Oluyomi Bamiselu1,3, Mahmood Dalhat1, Saheed Gidado2, Adebola Olayinka1
1Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria, 2African Field Epidemiology Network (AFENET), Nigeria, 3Department of Public Health, Ogun State Ministry of Health, Nigeria
Oluwadamilola Olawunmi Abiodun-Adewusi, Nigeria Field Epidemiology and Laboratory Training Program, Asokoro, Abuja, Nigeria
hospital-acquired infection (HAI) of Lassa fever (LF) during outbreaks often occurs with fatal consequences on healthcare workers (HCWs). In December 2016, Ogun State in southwestern Nigeria experienced LF outbreak in a tertiary health facility with five fatalities including two healthcare workers. We assessed the infrastructural and personnel preparedness (HFIP) of a major tertiary health facility during the outbreak.
a total sampling of all HCWs was done; we administered semi-structured questionnaires to assess their knowledge and practice of infection prevention and control (IPC). Knowledge and practice questions were scored and classified as either good or poor using 70% as cut off. A standardized checklist was used to evaluate the infrastructural preparedness. Odds ratios and logistic regression were computed. The significance level was set at 5%.
a total of 13 suspected, 3 probable and 2 confirmed LF cases, with 5 deaths (CFR = 100%) were recorded. Good knowledge of IPC was found among 80 (78%) HCW; however only 45 (44%) reported good IPC practices. Of the 101 HCWs interviewed, 59 (58%) had had training on IPC. Good knowledge was found to be a significant determinant of good practice [AOR = 11.1, 95% CI = 3.3 - 50.0]. There was no significant association between having had IPC training and adoption of good practices (OR = 1.9, 95% CI = 0.8 - 4.2). There were no isolation wards, personal protective equipment (PPEs), IPC guidelines or running water observed at the health facility.
lack of IPC infrastructure and poor knowledge on IPC were likely contributors to spread of this outbreak. We sensitized all heads of department and other health facility staff, expanded the health facility infection control committee, established a Lassa fever isolation ward and built the capacity of healthcare workers on IPC.
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)