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Nigeria: Cerebrospinal Meningitis, situation as of 17 May 2017

The meningitis outbreak in Nigeria which was first reported in Zamfara State during epidemiological week 50 (ending 18 December 2016) is beginning to show a decreasing trend over the last five consecutive weeks. In week 19 (ending 17 May 2017), 250 new cases were reported. This is a substantial decrease compared to the peak in Week 14 (ending 9 April 2017) when 2,500 cases were reported. As of 17 May 2017, a cumulative 14,005 suspected cases and 1,114 deaths (case fatality rate of 8%) have been reported from 24 States. Of the reported cases, 901 (6.4%) were laboratory tested; 423 (46.9%) of the tested specimens were confirmed positive for bacterial meningitis. Neisseria meningitides serogroup C remains the predominant (73%) cause of meningitis amongst those who tested positive. The 5-14 year age group remains the most affected with a total of 6542 (46.7%) cases. The outbreak is still localized to the most affected States - Zamfara, Sokoto, Katsina, Yobe, and Kano. In five of these States in the last four weeks (Epi-week 16-19), a total of 16 Local Government Areas (LGAs) have reached the alert threshold and are therefore under enhanced surveillance, while 26 LGAs have reached the epidemic threshold, with full outbreak investigation and control measures being implemented. Since the beginning of the outbreak, a total of 34 LGAs reached epidemic level at some point in time.

icon Read the full report: situation as of 17 May 2017

  
20170427 Dashboard of Chad

Chad: Hepatitis E, situation as of 14 May 2017

The hepatitis E outbreak in the Salamat region of Chad has increased in the past two weeks, after a continued declining trend in the incidence of cases from week 14 (week ending 09 April 2017) to week 17 (ending 30 April 2017). In week 19 (week ending 14 May 2017), 21 new cases of acute jaundice syndrome and zero deaths were reported from Amtiman North (2 cases), Amtiman South (2 cases), and Aboudeia (17 cases). Despite the increase in new cases, there is still an overall reduction in the weekly case-load compared to the 41 cases reported in week 13 (week ending 02 April 2017). No new mortality has been recorded since 02 April 2017. As of 14 May 2017, a cumulative of 1,431 cases with 17 deaths (case fatality of 1.2%) have been reported since the onset of the outbreak in September 2016. A total of 64 pregnant women were affected, constituting 4.5% of the total case load; while 29% (5/17) of the fatalities occurred in pregnant women. Fifty-one percent of the cases were male while the most affected age group was 15 – 44 years, accounting for 47% of the total caseload, followed by 5 – 14 years at 35%. Overall, 65 samples were positive for hepatitis E virus after laboratory testing in Holland (supported by MSF) and 33 were positive from the Pasteur labora-tory in Yaoundé, Cameroon. The outbreak of hepatitis E, confirmed in January 2017 and officially declared by the Ministry of Health on 14 February 2017, is still localized to Amtiman and Aboudeïa districts.

icon Read the full report: situation as of 14 May 2017

  
Ebola Virus Disease Democratic Republic of Congo External Situation Report 1: 15 May 2017

Ebola Virus Disease Democratic Republic of Congo External Situation Report 1: 15 May 2017

On 11 May 2017, the Ministry of Health of the Democratic Republic of Congo (DRC) notified WHO of an outbreak of Ebola virus disease (Ebola in short) in Likati health zone in Bas Uele province located in the northern part of the country. The first patient to be seen was a 39-year-old man who reported to the local health facility on 22 April 2017, presenting with fever, weakness, vomiting, bloody diarrhoea, passing blood in urine, bleeding from the nose, and extreme fatigue. He was immediately referred to Likati health zone facility but he died in transit. On 24 April 2017, a motorcycle rider (who transported the first patient) and another person who supported the first patient during transportation developed acute febrile illness. The motor cycle rider subsequently died on 26 April 2017. Other people who were close to these patients eventually developed similar illness.

icon Read the full report - External Situation Report 1: 15 May 2017

  
20170413 Dashboard of Congo Monkeypox

Nigeria Meningitis Outbreak , situation as of week ending 28 April 2017

On 20 February 2017, the Government of Nigeria notified WHO of an outbreak of meningitis. The first outbreak case was reported in Zamfara State during epidemiological week 50, 2016 (December 12 - 18, 2016). As at 27 April 2017, a total of 10,695 suspected cases with 919 deaths (CFR=8.6%) have been reported. Of the reported cases, 717 (6.7%) were laboratory tested; of these, 359 (50%) were confirmed positive for bacterial meningitis. Out of the 359 confirmed cases, 252 (70.2%) were due to Neisseria meningitides serotype C (NmC). A total of 5,117 (47.8%) cases were in the 5-14 year age group. Both sexes are almost equally affected. A total of 198 Local Government Areas (LGAs) across twenty three states have reported suspected cases in 2017. Six states have currently passed the “Outbreak” threshold: Zamfara, Sokoto, Katsina, Niger and Kebbi with NmC as the predomi-nant sero-group and Yobe with NmA as the predominant sero-group. The cases tend to reside in rural dwellings with poor hygienic conditions.

icon Situation as of week ending 28 April 2017

  
20170413 Dashboard of Congo Monkeypox

Republic of Congo: Monkeypox Outbreak

On 13 March 2017, the Government of the Republic of Congo declared an outbreak of monkeypox in Likouala province in the north-east of the country which borders the Democratic Republic of the Congo and Central African Republic. As of week 14 (ending 9 April 2017) , a cumulative of 51 suspected  cases including 4 deaths (case fatality rate of 7.8%) have been reported since onset of the outbreak on 10 January 2017. The outbreak has so far been localised to Likouala Province where four districts have been affected: Betou (21 cases, no death), Dongou (19 cases, 2 deaths), Enyelle (8 cases and 1 death) and Impfondo (3 cases, 1 death). Females constitute 57% of the cases while 43% are males. The age group most affected is less than 15 year of age and constitutes 61% of the total cases reported to date.

icon Situation as of week ending 9 April 2017

  
nami crimHemfev

Namibia: Crimean-Congo Haemorrhagic Fever Outbreak

On 23 February WHO was notified of a confirmed case of Crimean Congo Haemorrhagic Fever (CCHF) in Omaheke region, Namibia. The case was a 20 year old male farm worker admitted to Gobabis hospital on 22 February with bleeding and fever with a date of onset of 15 February. The case died on 22 February and was appropriately buried the same day.

File Icon Situation as of 27 February 2017