title: yellow fever situation report in nigeria serial number: 07 epi-week: 09 march ... ·...
TRANSCRIPT
…PROTECTINGTHEHEALTHOFNIGERIANS
TITLE: YELLOWFEVERSITUATIONREPORTINNIGERIASERIALNUMBER: 07EPI-WEEK: 09DATE: 25thFebruary–3rdMarch,2019
HIGHLIGHTS
• Inthisreportingweek,25thFebruary–3rdMarch,2019:o Eightyeightsuspectedcaseswererecorded.o Twonewpresumptivepositivecaseswererecorded:
§ NCDC Central Public Health Laboratory (CPHL) reported two new presumptive positivecasesfromEdoState-2(UhunmwodeLGA)
§ NonewconfirmedcasefromtheInstitutePasteur(IP)Dakar.o LastIPDakarconfirmedcaseswere20thFebruary2019o Eighteen States have recorded at least one confirmed case from Institute Pasteur Dakar
sincetheonsetoftheoutbreakin2017o Yellow fever responseactivitiesarebeingcoordinatedby theYellowFeverTechnicalWorking
Group(YFTWG). • From1stJanuary–3rdMarch,2019:
o Threehundredandsixtyfoursuspectedcaseshavebeenreportedin177(22.9%)LGAs.o Allsuspectedcaseshadbloodsamplescollected.o Fourteenpresumptivepositiveandoneinconclusivecasesfrom4statesin10LGAs:Edo(8),
Ondo(4),Kebbi(1)Imo(1)andtheinconclusivecasefromImo(1).o Fiveconfirmedcaseswerereportedfrom2019samplessenttoInstituteDakar(Edo(2)Ondo(2)
andImo(1)o Nodeathhasbeenrecorded.
SUMMARYOFOUTBREAKAyellowfeveroutbreakhasbeenactiveinNigeriasinceSeptember,2017:• From2017 to2018,139caseswereconfirmed in17States:Kwara (8),Kogi (10),Kano (1), Zamfara
(19),Kebbi(7),Nasarawa(3),Niger(1),Katsina(2),Edo(69),Ekiti(2),Rivers(1),Anambra(1),FCT(10),Benue(1),Delta(1),Ondo(2)andAbia(1):in46LocalGovernmentareas(LGAs).
• FromSeptember2017toDecember2018,276samples(presumptivepositive-239andinconclusive-37)weresenttoIPDakarforre-confirmation.
• AllNigerianstates(36+FCT)reported4,100suspectedcasesin604(78.0%)LGAs.• Ofallsuspected,probableandconfirmedcases,80deathswererecordedwith29deathsamong
confirmedcases.
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• Thecasefatalityratio(CFR)forallcases(suspected,probableandconfirmed)is2.0%,and21.0%forconfirmedcases
• YellowFeverpreventivemassvaccinationcampaign(PMVC)hasbeencompletedin12states,ledbyNPHCDA:o 2013PMVCphase1Nasarawa,CrossRiver,AkwaIbom.o 2018Phase2a:Kogi,KwaraandZamfaraandin58politicalwardsin25LGAsinBornoState.o 2018phase2bPMVC:Sokoto,Kebbi,Niger, FCT,PlateauandBorno (3 LGAs (Askira/Uba,
Chibok,Konduga)States.o YellowfeverReactivevaccinationcampaignswereimplementedinKatsina(DanjaLGA),Edo
(13)LGAsandBenue(Vandekeiya)o 2019 phase 3 PMVCwill be implemented in all LGAswhere no YF campaigns have been
implementedinEdo,Ekiti,KatsinaandRiversStatesEPI-SUMMARY
Table1:ShowingAllAffectedStatesandCaseswithYellowFeverasatWeek9,25th–3rdMarch,2019
Description
Abia
Adamaw
a
Akw
aIbom
Anam
bra
Bau
chi
Bayelsa
Ben
ue
Borno
CrossRivers
Delta
Ebonyi
Edo
Ekiti
Enugu
FCT
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasaraw
a
Niger
Ogun
Ond
o
Osun
Oyo
Plateau
Rivers
Soko
to
Taraba
Yobe
Zamfara
Total
TotalNumberofcasesinthelinelist 7 4 1 20 13 2 9 17 7 4 0 16 0 8 8 4 15 13 5 11 53 74 4 7 1 11 4 2 8 2 5 7 1 2 11 7 1 364
AttackRatePer100,000population 0.0 0.1 0.0 0.3 0.1 0.0 0.2 0.3 0.1 0.0 0.0 0.2 0.0 0.1 0.2 0.1 0.2 0.2 0.1 0.1 0.5 1.0 0.1 0.1 0.0 0.4 0.1 0.0 0.1 0.0 0.1 0.2 0.0 0.0 0.0 0.2 0.0 0.2
NumberofLGAswithsuspectedcases 3 2 1 10 6 2 4 10 5 3 7 6 4 2 10 8 2 8 20 15 3 4 1 6 3 2 6 1 5 4 1 2 6 4 1 177NumberofLGAswithPresumptive/inconclusivecases 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 10NumberofLGAswithconfirmedcasesfromIPDakar 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 4NumbersuspectedcaseswithBloodsamplecollectedinNigeria 7 4 1 20 13 2 17 17 7 4 0 16 0 8 8 4 15 13 5 11 53 74 4 7 1 11 4 2 8 2 5 7 1 2 11 7 1 364
NumberofPresumptivePositivesinNigeria 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 14
NumberwithinconclusiveresultsinNigeria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
TotalnumberofsamplessenttoDakar 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 15
NumberpositivecasesfromIPDakar 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 5
TotalnumbernegativeinDakar 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 8
NumberawaitingresultfromDakar 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
Numberofdeathsfromallcases 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Numberofdeathsamongpresumptivepositives 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NumberofdeathsfromIPDakarconfirmed 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Stateswithconfirmedcasessinceoutbrekcommenced2017
Stateswithonlysuspectedcases
Stateswithpresumptive/inconclusivecasessinceoutbbreakcommenced2017
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Figure1:EpidemicCurveofSuspected/PresumptiveCasesofYellowFeverinNigeriaasatWeek8,18th–24th
February,2019
Figure2:TrendofConfirmedCasesofYellowFeverinNigeria2017–2019
0102030405060708090
100110120130140150
W01 W02 W03 W04 W05 W06 W07 W08 W09 W10 W11 W12 W13 W14 W15 W16
2019
Num
ber o
f Cas
es o
f Yell
ow fe
ver
Epid Weeks
Nigeria: Reported Yellow Fever Cases by Week, 2019
Confirmed Presumptive Positive Suspected Cases
0
2
4
6
8
10
12
14
16
18
20
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52
Num
ber o
f Yell
ow fe
ver c
ases
Epidemiological week
Trend of Confirmed Yellow Fever Cases in Nigeria, 2017 - 2019 2017 2018 2019
EdoStatenotifiedNCDC14Nov,2018
YFConfirmedinNigeria12thSept,2017Neweststatewith
confirmedYFcase(ImoState)
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Figure3:EpicurveofYellowFeverCasesinEdoState(September2018–February2019)
0
10
20
30
40
50
60
70
80
90
100
110
120
130
140
150
35 36 37 38 39 40 41 42 43 44 45 46 47 48 48 50 51 52 1 2 3 4 5 6 7
2018 2019
Numb
er of
Cases
of Ye
llow F
ever
Epid Week
Edo State Cases of Yellow Fever, September 2018 - Januay 2019 Suspected Cases Presumptive Cases Confirmed Cases
ICGrequest12thDec2018
NotificationfromEdoSMOH14thNov,2018
NCDCRRTDeployed25thNov,2018
YFConfirmedinNigeria23rdNov,2018
YFRVC18-24
Mop-upYFRVC5-6Jan,2018
Figure4:MapofNigeriaShowingStateswithSuspected/PresumptiveCasesasatWeek9,25th–3rdMarch,2019
0 70 140Km
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Figure5:2018Phase2Nov-Dec2018PMVCAdminCoveragebyState