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Nigeria’s Lassa fever outbreak is slowing, but remains a concern

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AFTER nearly 400 confirmed infections and 100 deaths, the spread of Lassa fever in Nigeria is beginning to slow but the epidemic is far from contained, the World Health Organization and the Nigeria Centre for Disease Control (NCDC) have warned.

NCDC’s latest data shows that the number of new confirmed and probable cases has been falling for five consecutive weeks, indicating that public health measures are proving effective, but more infections are expected until the end of the dry season, as the viral haemorrhagic fever is endemic to the area.

Between 1 January and 25 March 2018, the NCDC reported 394 laboratory confirmed cases. There were 18 new confirmed cases in the last reporting week (19-25 March 2018), compared to 54 confirmed cases a month earlier (19-25 February 2018).

“We should interpret the recent declining trend in new cases with caution. The Lassa fever season is not yet over. We need to maintain vigilance and response operations, and ensure continued engagement with communities to help curb the further spread of Lassa fever,” said Dr Wondimagegnehu Alemu, WHO Representative to Nigeria.

The current epidemic is Nigeria’s largest on record, with the number of confirmed cases in January and February alone exceeding the total number reported in the whole of 2017.

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The case count has not yet fallen to usual endemic levels and the exact cause for the high numbers of infections has not been pinpointed. Research is being conducted in real-time to answer some of these questions.

“We are researching what has led to so many people becoming infected with Lassa fever,” said Dr Chikwe Ihekweazu, Chief Executive Officer of the NCDC. “Even with a downward trend, until we can better understand the causes behind its rapid spread, we must treat the outbreak as a priority.”

Whole genome sequencing can reveal information that contributes to the understanding and the control of infectious disease outbreaks.

Researchers at the Irrua Specialist Teaching Hospital – in collaboration with the Bernhard-Nocht Institute for Tropical Medicine, Germany, WHO, NCDC and others – have conducted genome sequencing of the Lassa virus.

The preliminary results suggest that the circulating virus is consistent with previous outbreaks and not caused by a new more virulent strain.

“By conducting research as the Lassa fever outbreak unfolds, Nigeria is a pioneering a new approach. Until now research in Africa has taken place much later in the response cycle. This is a new approach which opens the way to much more effective control of emerging and dangerous pathogens,” said Dr Alemu.

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WHO recognizes Lassa fever as a priority pathogen which has the potential to cause a public health emergency. The ongoing research will provide crucial insights which will help mitigate future Lassa fever outbreaks.

WHO has been working with NCDC and other partners to control Lassa fever by deploying teams to hotspots, identifying and treating patients, strengthening infection, prevention and control measures in health facilities, and engaging with communities.

WHO has released US$900,000 from its Contingency Fund for Emergencies to quickly scale up operations, and is also supporting preparedness and response capacities in neighbouring countries.

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Photos: Saudi Medical Team Make History, Separate Nigerian Conjoined Twins

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In a monumental achievement for medical science, a team of Saudi professionals at the King Abdullah Specialist Children’s Hospital has completed the separation surgery of Nigerian conjoined twins, Hassana and Husaina.

The directive for this historic achievement came from the Custodian of the Two Holy Mosques King Salman bin Abdulaziz Al-Saud and His Royal Highness Prince Mohammed bin Salman bin Abdulaziz Al-Saud, Crown Prince and Prime Minister, demonstrating the Kingdom’s commitment to advancing healthcare.

The complex procedure, initiated on Thursday morning, was the result of meticulous planning and execution by a dedicated team of 38 medical experts. This group included consultants, specialists, technicians, and nursing staff, all working in harmony to address shared areas in the lower abdomen, pelvis, lower spine, and lower spinal nerves of the twins.

The surgery, unfolding in nine carefully planned stages, lasted approximately 14 hours. Dr. Abdullah Al Rabeeah, Advisor at the Royal Court, Supervisor General of the King Salman Humanitarian Aid and Relief Center (KSrelief), and head of the medical team, expressed confidence in the success of the procedure, citing a noteworthy 70% success rate.

“This is a momentous occasion that showcases the Kingdom’s commitment to advancing medical science and providing compassionate healthcare globally,” he said.

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The successful separation of Hassana and Husaina commemorates the 60th operation conducted by the Saudi programme for separating conjoined twins. Over the past 34 years, this programme has offered care to 135 conjoined twins from 25 countries.

Dr. Al Rabeeah expressed heartfelt gratitude and appreciation to the Saudi leadership for their steadfast support of the programme.

He said, “The successful separation of Hassana and Husaina exemplifies the Kingdom’s dedication to humanitarian causes and its role as a leader in global healthcare.”

The Press Attaché at the Saudi embassy in Abuja, Mohammed Alsahabi, remarked on the accomplishment, stating, “This remarkable feat underscores the strong collaboration between Saudi Arabia and Nigeria in healthcare. We take pride in contributing to the improvement of these twins’ lives and their families.”

The separation of Hassana and Husaina represents not just a medical triumph but also serves as a symbol of hope for numerous individuals confronting similar challenges globally.

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Pregnant Girls Rescued in Anambra’s Baby Factory Raid { Photos}

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Five pregnant girls ranging from 14 to 21 years were rescued by security operatives during a raid on the facility on February 7, 2024.

Security operatives in Umunya, Anambra State, have rescued no fewer than five pregnant girls during a raid on a baby factory.

The joint effort, orchestrated by the Anambra State Ministry of Health and regional security agencies, uncovered a disturbing reality behind the facade of the facility.

The facility is identified as ‘Mother and Child Hospital and Maternity located on a road along the Tansian University, Umunya

Commissioner for Health, Dr. Afam Obidike, revealed during a Wednesday briefing that the establishment, named ‘Mother and Child Hospital and Maternity’ along a road near Tansian University, Umunya, was deceptively operating as a hospital while serving as a hub for child trafficking.

“We found that some hospitals that are not registered are operating in the state. We have created data that will capture the hospitals in the state so that people will be able to have quality, good healthcare.

The Anambra State Commissioner for Health, Dr. Afam Obidike, briefs journalists.

“Unfortunately, in one of the hospitals that we came for inspection, we found out that in our data system, they were not registered. We came here to verify and look at what is happening,” the commissioner said.

Obidike said the facility lacked registration with the Anambra State Government, adding that seven nurses on duty fled during the raid.

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The commissioner specified the ages of the victims, ranging from 14 to 21 years, stressing Governor Charles Soludo’s commitment to addressing this menace.

Five pregnant girls ranging from 14 to 21 years were rescued by security operatives during a raid on the facility on February 7, 2024.

“Unfortunately, the hospital is not registered and activities are suspected to be very fraudulent. So we decided to just see the senior doctor in the hospital and all the seven nurses.

“They locked us outside. Before they opened the gate, they followed the back and ran away. Seven to eight of them ran away. We saw little girls here that are pregnant, some of them ranging from 14, 15, 16 and 21 years,” he added.

 

 

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Diphtheria Outbreak Claims 10 Lives in Jigawa

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In a tragic turn of events, Jigawa State has been hit by an outbreak of diphtheria, with at least 10 people losing their lives.

The outbreak has spread across 14 local government areas, raising concerns among health officials and the local population.

The State Ministry of Health officially confirmed the outbreak during a press briefing held in Dutse on a somber Sunday.

Dr. Salisu Mu’azu, the Permanent Secretary of the ministry, revealed that, as of now, two cases have been officially confirmed in Kazaure and Jahun local government areas.

However, the situation is far from contained as an alarming 91 suspected cases are under investigation, with samples sent to Abuja for confirmation. What makes this outbreak particularly troubling is that it has struck areas with a history of zero-dose routine immunization against diphtheria.

“So far, we have confirmed two cases in Kazaure and Jahun local government areas, while additional samples have been sent to Abuja for confirmation,” he said.

Dr. Mu’azu emphasized the urgency of the situation, prompting the ministry to launch a swift investigation, collecting crucial information and data from the affected regions.

Authorities wasted no time in alerting the National Primary Health Care Development Agency (NPHDA) and the National Centre for Disease Control (NCDC) to coordinate a comprehensive response.

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“The state government is actively preparing to administer vaccines as soon as they become available”, Mu’azu stressed the urgency of the situation.

The roots of this outbreak can be traced to the disruptions in healthcare services caused by the COVID-19 pandemic. The suspension of routine immunization during that period has posed a significant challenge in combating such epidemics.

In response, the NPHDA and NCDC have taken a proactive approach, closely monitoring the situation and collaborating closely with the State Ministry of Health to ensure a swift and effective response aimed at containing the outbreak.

Local communities have been urged to remain vigilant and strictly adhere to any directives issued by health authorities to mitigate the further spread of diphtheria.

The tragic loss of lives in Jigawa State serves as a stark reminder of the critical importance of maintaining robust healthcare systems, even during challenging times like the COVID-19 pandemic.

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