Main Highlight of the week BEST PRACTICES FOR ......2017/10/27 · NIGERIA CENTRE FOR DISEASE CONTROL Weekly Epidemiological Report Main Highlight of the week BEST PRACTICES FOR EFFECTIVE

Weekly Epidemiological Report

Issue: Volume 7 No. 42 3rd November, 2017

NIGERIA CENTRE FOR DISEASE CONTROL

Weekly Epidemiological Report Main Highlight of the week

BEST PRACTICES FOR EFFECTIVE COMMUNICATION DURING AN OUTBREAK




Last week’s editorial highlighted the importance of communication during an outbreak with focus on importance of messages and information shared during an outbreak. As the outbreak season continues, it is important to understand how effective communication can be achieved in these circumstances. This week’s editorial will focus on best practices for effective communication and how they can be applied in our environment.

1. Build Trust-Trust is the foundation of outbreak communication. In order to achieve effective communication, it is important to build, maintain, or restore trust, especially among those affected by the outbreak and the general public. For those responsible for response activities such as the Nigeria Centre for Disease Control (NCDC), State Commissioners of Health or Epidemiologists, three elements must be remembered:

a. Transparency: Tell it all clearly and early, what is known, what is unknown and what is being done. It is essential not to hide relevant information.

b. Accountability: Take responsibility for what is done, said and promised. c. Listening: Demonstrate clear awareness of the public’s concerns. In practical

terms, this entails monitoring the media, and using other methods to understand changing public opinions about the risks posed by an outbreak and the effectiveness of its management.

2. Announcing Early-Making the decision to give a first announcement of an outbreak

may be a difficult decision to make by the outbreak investigating team. This initial communication sets the standard for what the public can expect from officials and may shape the subsequent public perceptions of how well the outbreak is being managed. It is therefore important to inform the public once reliable information has been confirmed.

3. Be Transparent- It is expected that with greater transparency, a higher level of trust

is built. Transparency becomes of great use in times of uncertainty when outbreak investigators are systematically seeking answers to unresolved questions. However, in being transparent, a balance needs to be created between disclosing confidential information about patients and the desire for reliable information. Limits of transparency should be set for different outbreaks. However, transparency limits should not be used as an excuse for secretiveness as this will result in loss of public trust. For every outbreak it has responded to recently, the NCDC publishes a weekly situation report on its website- http://ncdc.gov.ng/diseases/sitreps

4. Respect Public Concerns-The public is entitled to information as it pertains to their

health and health for their families and communities. An outbreak is a news worthy event and will usually draw attention of different people and societies to the affected region. A good practice to effectively communicate with the public during this period is to consider the views of the public particularly during decision making processes. The press can play an important role if outbreak management is transparent.



5. Plan in advance- Planning for outbreak communication must be a part of the

general outbreak preparedness plan. Applying the principles of effective outbreak at the last minutes may not likely produce the intended result. Well-planned communication will be the most effective intervention at the start of any outbreak. Communication.

As we continue to respond to outbreaks, the NCDC will continue to provide information to the public. The public is encouraged to support authentic information sharing and always utilise our various media outlets (Twitter/Facebook: @NCDCgov; Toll free: 080097000010 Whatsapp: 07087110839) to seek clarifications pertaining to health concerns. Situation reports and other information on all disease outbreaks can be found on www.ncdc.gov.ng. References 1. www.who.int/csr In the reporting week ending on the 22th of October, 2017:

o There were 370 new cases of Acute Flaccid Paralysis (AFP) reported. None was confirmed as Polio. The last reported case of Polio in Nigeria was in August 2016. Active case search for AFP is being intensified as Nigeria has assiduously reinvigorated its efforts at eradicating Polio.

o 79 suspected cases of Cholera were reported from Monguno LGA in Borno State. None was laboratory confirmed and no death was recorded.

o 21 suspected cases of Lassa fever were reported from 11 LGAs in (six States: Bauchi

– 1, Borno – 1, Edo – 4, FCT – 2, Kogi – 2 & Kwara -11). Two were laboratory confirmed (Plateau) and two deaths were recorded.

o There was one suspected cases of Cerebrospinal Meningitis (CSM) reported from

Potiskum LGA in Yobe State. Of these, none was laboratory confirmed and no death was recorded. Ongoing surveillance for CSM has been intensified in all the 26 States in the Nigeria meningitis belt.

o There were 294 suspected cases of Measles reported from 30 States. None was laboratory confirmed and no death was recorded.

In the reporting week, Oyo State failed to send in their report. Timeliness of reporting remains 84% in both previous and current weeks (Week 41 and 42) while completeness remains at 100%. It is very important for all States to ensure timely and complete reporting at all times, especially during an outbreak.

http://www.ncdc.gov.ng/



Summary Table 1 (IDSR Weekly Report as at 27/10/2017)

Week 41

2017 2017 2016 01 - 42, 2017 01 - 42, 2016Cases 243 370 353 12,625 11294

Deaths 0 0 0 0 0

CFR 0.00% 0.00% 0.00% 0.00% 0.00%

WPV Types 1 & 3 0 0 0 0 4

WPV Types 1 0 0 0 0 4

WPV Types 3 0 0 0 0 0

Cases 19 79 0 3,521 560

Deaths 1 0 0 81 25

CFR 5.26% 0.00% 0.00% 2.30% 4.46%

Cases 11 21 1 590 858

Deaths 1 2 0 67 102

CFR 9.09% 9.52% 0.00% 11.36% 11.89%

Cases 12 1 5 9820 746

Deaths 0 0 1 602 31

CFR 0.00% 0.00% 20.00% 6.13% 4.16%

Cases 397 294 235 19,306 23417

Deaths 4 0 0 109 100

CFR 1.01% 0.00% 0.00% 0.56% 0.43%

Cases 0 0 0 0 0

Deaths 0 0 0 0 0

CFR 0.00% 0.00% 0.00% 0.00% 0.00%

Disease VariablesWeek 42 Cumulative Weeks

AFP

Polio

Cholera

Lassa Fever

CSM

Measles

Guinea Worm

1. LASSA FEVER



Please note that the data reflects the routine reports i.e. all suspected cases including the laboratory positive and negative cases

1.1. 21 suspected cases of Lassa fever with two laboratory confirmed and two deaths (CFR,9.52%) were reported from 11 LGAs (six States; Bauchi – 1, Borno – 1, Edo – 4, FCT – 2, Kogi – 2 & Kwara -11) in week 42, 2017 compared with one suspected case reported from Oru West LGA (Imo State) at the same period in 2016

1.2. Laboratory results of the 21 suspected cases were two positive for Lassa fever (Bauchi – 1 & Edo - 1) and 19 negative for Lassa fever & other VHFs (Edo – 3, FCT – 2, Kogi – 2 & Kwara -4)

1.3. Between weeks 1 and 42 (2017), 590 suspected Lassa fever cases with 121 laboratory confirmed cases and 67 deaths (CFR, 11.36%) from 90 LGAs (27 States) were reported compared with 858 suspected cases with 87 laboratory confirmed cases and 102 deaths (CFR, 11.89%) from 139 LGAs (29 States) during the same period in 2016 (Figure 1)

1.4. Between weeks 1 and 52 2016, 921 suspected Lassa fever cases with 109 laboratory confirmed cases and 119 deaths (CFR, 12.92%) from 144 LGAs (28 States and FCT) were reported compared with 430 suspected cases with 25 laboratory confirmed cases and 40 deaths (CFR, 9.30%) from 37 LGAs (14 States and FCT) during the same period in 2015 (Figure 2)

1.5. Investigation and active case search ongoing in affected States with coordination of response activities by the NCDC with support from partners

1.5.1. National Lassa Fever Working Group meeting and weekly National Surveillance and Outbreak Response meeting on-going at NCDC to keep abreast of the current Lassa fever situation in the country

1.5.2. Response materials for VHFs provided to support States 1.5.3. New VHF guidelines have been developed by the NCDC (National Viral Haemorrhagic

Fevers Preparedness guidelines, Infection Prevention and Control of VHF and Standard Operating Procedures for Lassa fever management) and are available on the NCDC website- http://ncdc.gov.ng/diseases/guidelines

1.5.4. VHF case-based forms completed by affected States are being entered into the new VHF management system. This system allows for the creation of a VHF database for the country. Data from the VHF database is currently being analysed to inform decision making in the coming year

1.5.5. Confirmed cases are being treated at identified treatment/isolation centres across the States with Ribavirin and necessary supportive management also instituted

1.5.6. Onsite support was earlier provided to Ogun, Nasarawa, Taraba, Ondo and Borno States by the NCDC and partners

1.5.7. Offsite support provided by NCDC/partners in all affected States 1.5.8. States are enjoined to intensify surveillance and promote Infection, Prevention and

Control (IPC) measures in health facilities.



Figure 1: Map of Nigeria showing areas affected by Lassa fever, week 1- 42, 2016 & 2017

Figure 2: Map of Nigeria showing areas affected by Lassa fever, week 1 - 53, 2015 and week 1 – 52, 2016

2. MEASLES

2.1. In the reporting week, 294 suspected cases of Measles were reported from 30 States compared with 235 suspected cases reported from 29 States during the same period in 2016

2.2. So far, 19,306 suspected Measles cases with 108 laboratory confirmed cases and 109 deaths (CFR, 0. 56%) have been reported in 2017 from 36 States and FCT (Figure 4) compared with 23,417 suspected cases and 100 deaths (CFR, 0.43%) from 36 States and FCT during the same period in 2016

2.3. In 2016 (week 1 -52), 25,251 suspected Measles cases with 102 deaths (CFR, 0.40%) were reported from 36 States and FCT compared with 24,421 suspected cases with 127 deaths (CFR, 0.52%) during the same period in 2015 (Figure 5)

2.4. Response measures include immunisation for all vaccine-preventable diseases in some selected/affected wards/LGAs during SIAs, as well as case management

2.5. Scheduled Measles campaigns in the North East were conducted from 12th – 17th January, 2017 in Adamawa, Borno and Yobe States (Phase I) and Phase II from 21st – 25th January, 2017 in Borno State and 4th – 8th February, 2017 in Yobe State

2.6. Measles Surveillance Evaluation and Establishment of the burden of Congenital Rubella Syndrome (CRS) in 12 selected States in the six geopolitical zones from the 17th -21st July 2017 conducted



Figure 3: Suspected Measles attack rate by States, week 42, 2017 as at 27th October, 2017

29.8929.72

24.623.82

18.8218.08

15.37

14.14

12.4912.4811.7211.53

10.5210.289.77 9.5

9.17

8.31

6.32 6.24 6.21 6.1 5.955.54 5.46

4.84 4.71 4.474.09 4.06 4.04 3.84

2.962.61

2.14 2.08

1.1

0

5

10

15

20

25

30

35

BAS SKS BOS GBS YBS EKS ADS JIS NAS KTS KBS KDS ZFS PTS ABS KNS OSS OGS ODS TRS ANS OYS KGS CRS IMS BYS FCT NGS ENS EDS BNS EBS KWS DTS LAS RVS AKS

Att

ack

ra

te

(10

0,0

00

Po

pu

lati

on

)

States

Figure 4: Map of Nigeria showing Distribution of suspected Measles cases, Weeks 1- 42, 2017as at 27/10/2017

Figure 5: Suspected & confirmed (Lab + Epi Link + Clinical) Measles cases weeks 1 – 52, 2014 – 2016



3. POLIOMYELITIS

3.1. As at October 20th 2017, no new case of WPV was recorded

3.2. Three new cVDPV2, environmental derived and Polio compatible cases identified 3.2.1. In the reporting week, 370 cases of AFP were reported from 245 LGAs in 33 States and

FCT 3.2.2. AFP Surveillance has been enhanced and outbreak response is on-going in Borno and

other high risk States 3.2.3. The 1st round of SIPDs in 2017 was conducted from 28th – 31st January 2017 in the 18

high risk States. This was carried out using mOPV2 (2nd mOPV2 OBR). The schedule for other SIAs is as described in Table 2

3.2.4. The 2nd and 3rd round of SIPDs completed (25th-28th February and 8th – 11th July, 2017)

in 14 & 18 high risk States using bOPV respectively.

3.2.5. The 1st and 2nd rounds of NIPDs completed (from 25th – 28th March, 2017 and 22nd –

25th April, 2017) nationwide respectively.

3.2.6. The 4th round of SIPDs completed from 14th- 17th October, 2017 in 18 high risk States

using bOPV.

3.2.7. Between weeks 1 and 52 in 2016, four WPVs were isolated from Borno State compared to no WPV isolated during the same period in 2015.

3.3. No circulating Vaccine Derived Polio Virus type 2 (cVDPV2) was isolated in week 1 - 52, in both 2016 and 2015.

3.4. Between weeks 1 and 52, 2016 two (2) cVDPV2 were isolated in two LGAs (two States) while one (1) cVDPV2 was isolated from Kwali, FCT during the same period in 2015.

3.5. Six confirmed WPVs were isolated in 2014. 3.6. The SIAs were strengthened with the following events: 3.6.1. Immunisation for all vaccine-preventable diseases in some selected wards/LGAs. 3.6.2. Use of health camp facilities. 3.6.3. Field supportive supervision and monitoring. 3.6.4. Improved Enhanced Independent Monitoring (EIM) and Lots Quality Assessments

(LQAs) in all Polio high risk States. 3.6.5. High level of accountability framework

Figure 6: Polio Compatible cases in Table 2: 2017 SIAs Nigeria as at Week 1 - 52, 2014 - 2016 (Data as at 20/10/17)



4. CHOLERA

4.1. 79 suspected cases of Cholera were reported from Monguno LGA in Borno State in week 42 compared with zero suspected cases reported during the same period in 2016.

4.2. Between weeks 1 and 42 (2017), 3521 suspected Cholera cases with 41 laboratory confirmed and 81 deaths (CFR, 2.30%) from 68 LGAs (19 States) were reported compared with 560 suspected cases and 25 deaths (CFR, 4.46%) from 48 LGAs (12 States) during the same period in 2016 (Figure 7).

4.3. Between weeks 1 and 52 (2016), 768 suspected Cholera cases with 14 laboratory confirmed cases and 32 deaths (CFR, 4.17%) from 57 LGAs (14 States) were reported compared with 5,301 cases with 29 laboratory confirmed cases and 186 deaths (CFR, 3.51%) from 101 LGAs (18 States and FCT) during the same period in 2015 (Figure 8).

4.4. Cholera preparedness workshop held from 31st May – 1st June, 2017 in Abuja to develop Cholera preparedness plan as the season set in.

4.5. NCDC/partners provided onsite support in Kwara, Zamfara and Kebbi States.

4.6 NCDC/partners are providing onsite support in Borno State.

4.7. Preparedness and Response to Acute Watery Diarrhoea/ Cholera Guidelines have been finalised: http://ncdc.gov.ng/themes/common/docs/protocols/45_1507196550.pdf

4.8. States are enjoined to intensify surveillance, implement WASH activities and ensure early reporting.

Figure 7: Status of LGAs/States that reported Cholera cases in week 1- 42, 2016 & 2017

Figure 8: Status of LGAs/States that reported Cholera cases in week 1- 52, 2015 & 2016

http://ncdc.gov.ng/themes/common/docs/protocols/45_1507196550.pdf



5. CEREBROSPINAL MENINGITIS (CSM)

5.7. In the reporting week 42, one suspected Cerebrospinal Meningitis (CSM) case was reported from Potiskum LGA (Yobe State) compared with five suspected cases and one death (CFR, 20.0%) from two LGAs (two States) at the same period in 2016

5.8. Between weeks 1 and 42 (2017), 9820 suspected CSM cases with 108 laboratory confirmed cases and 602 deaths (CFR, 6.13%) were recorded from 318 LGAs (33 States) compared with 746 suspected cases and 31 deaths (CFR, 4.16%) from 144 LGAs (31 States) during the same period in 2016 (Figure 9)

5.9. Between weeks 1 and 52, 2016, 831 suspected CSM cases with 43 laboratory confirmed cases and 33 deaths (CFR, 3.97%) were recorded from 154 LGAs (30 States and FCT) compared with 2,711 suspected cases and 131 deaths (CFR, 4.83%) from 170 LGAs (28 States and FCT) during the same period in 2015 (Figure 10)

Figure 9: Map of Nigeria showing areas Figure 10: Nigeria: Dot maps of CSM cases, affected by CSM, Week 1 - 42, 2016 & 2017 aWeek 1- 53, 2015 & 2016

5.10. Timeliness/completeness of CSM case-reporting from States to the National Level (2017

versus 2016): on average, 82.3% of the 26 endemic States sent CSM reports in a timely manner while 98.0% were complete in week 1 – 42, 2017 as against 85.8% timeliness and 99.3% completeness recorded within the same period in 2016

5.11. Ongoing finalisation of the National CSM Guidelines

5.12. Enhanced surveillance to begin 1st of December 2017, ahead of the 2017/2018 dry season

5.13. Development of State specific CSM Epidemic Preparedness & Response plan ongoing in 11 Northern States within the Meningitis belt

6. GUINEA WORM DISEASE

6.7. In the reporting week, no rumour report of Guinea Worm disease was received from any State.



6.8. Nigeria has celebrated eight consecutive years of zero reporting of Guinea worm disease in the country. The Country has been officially certified free of Dracunculiasis transmission by the International Commission for the Certification of Dracunculiasis Eradication (ICCDE).

(For further information, contact Nigeria Guinea Worm Eradication Program / Neglected Tropical Diseases Division, Public Health Department/Federal Ministry of Health)

7. Update on national Influenza sentinel surveillance, Nigeria week 1 - 43, 2017

7.1. From week 1-39, a total of 103 suspected cases were reported, of which 95 were

Influenza like-illness (ILI), 8 Severe Acute Respiratory Infection (SARI).

7.2 A total of 103 samples were received and all were processed. Of the processed samples,

95(92.2%) were ILI cases, 8(7.8%) were Severe Acute Respiratory Infection (SARI).

7.4. Of the 95 processed ILI samples, 1(1.05%) was positive for Influenza A; 2(2.1%) positive

for Influenza B and 92(98.95%) were negative.

7.5. Of the 8 processed SARI samples, none was positive for Influenza A and Influenza B.

7.6. The percentage influenza positive was highest (50.0%) in week 14, 2017

7.7. In the reporting week 43, no samples were left unprocessed



Figure 19: Number of Influenza Positive Specimens and Percent Positive by Epidemiological Week (Week 1- 43, 2017)

FOR MORE INFORMATION CONTACT Surveillance Unit: Nigeria Centre for Disease Control, 801 Ebitu Ukiwe Street, Jabi, Abuja, Nigeria. [email protected] www.ncdc.gov.ng/reports 0800-970000-10



Table 3: Status of Reporting by the State Epidemiologists, Nigeria, Weeks 1 – 42, 2017, as at 27th October, 2017

Keys: <50% Poor 0 States

T= Arrived on Time 50-79% Good 14 States

L= Arrived late N Report not received 80-100% Excellent 23 States

N = No Report (Report not received)

1 Abia SEZ L L L L L T L T L T T L T T L L T T T T T T T T T L T T T T T T T T T T T T T L T T 42 30 12 0 71% 100%2 Adamawa NEZ L L L L L L T L T T T T T L L T L T L L L T T T T T T T T T T T T T T T T L L T T T 42 27 15 0 64% 100%3 Akwa Ibom SSZ T L T T T T L T T T L L L T T T T T T T L T T L L L L T T T T T T L L T T T L T T T 42 29 13 0 69% 100%4 Anambra SEZ T T T T L T T T T T L L T T T T T T T T L T T T T T T T T T T T T T T T T T T T T T 42 38 4 0 90% 100%5 Bauchi NEZ T T T T T T T L T T T T T T T T T T T T T T T T T T L T T T T T T T T T T T T T T T 42 40 2 0 95% 100%6 Bayelsa SSZ T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 42 0 0 100% 100%7 Benue NCZ T T T T T T L T T T T T T L L T L T T T L T L T T T T T T T T T T T T T L L T T T T 42 34 8 0 81% 100%8 Borno NEZ L T T T T T L L L T T T T T T L T T T T T T T T T L L T T T L T T T L T T T L T T T 42 32 10 0 76% 100%9 Cross River SSZ L L L L L L L L L T T T T T T T L L T T L T T T L L T T T T T T T T T T T T T T T T 42 28 14 0 67% 100%10 Delta SSZ L T L L L T L L L L L T T T T T T T T T T T T T T T T T T T T T T T T T T T L T T T 42 32 10 0 76% 100%11 Ebonyi SEZ T L L L T L T T L T T T T T T T L L T T T T T T T T T T L T T L L T T T L T T T L T 42 30 12 0 71% 100%12 Edo SSZ L L L L T L T T T T T L T L T L L T T L L L L T L L T T L T L T T T T T T T T T T T 42 25 17 0 60% 100%13 Ekiti SWZ T T T T T T T T T T L T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 41 1 0 98% 100%14 Enugu SEZ L L L L T L T L T T T T L T T T T T T T L L T T T L T T T T T T T T T T T L T T L T 42 30 12 0 71% 100%15 FCT NCZ T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 42 0 0 100% 100%16 Gombe NEZ T T T T T T T T T T T T T T T T L T T T T T T T T L T L L T L L T L L L L L L L T T 42 29 13 0 69% 100%17 Imo SEZ L L L L L L L L L T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 33 9 0 79% 100%18 Jigawa NWZ T T T L L L L L T T T T T T T T T T T L T L T L L L L T L T L T T T T L L L L L L L 42 22 20 0 52% 100%19 Kaduna NWZ T T T T L T L T T T L T T T T T T T T T T T T T L T L T T T T T T L T T T T T L L T 42 34 8 0 81% 100%20 Kano NWZ T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 42 0 0 100% 100%21 Katsina NWZ T T T T T T T T T T T T T T T T T T L T T T L T L T T T T T T T T T T T T T T T T T 42 39 3 0 93% 100%22 Kebbi NWZ T T T T L L T T T T T T L T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 39 3 0 93% 100%23 Kogi NCZ T T T T T T T T T T T T T L T T T T T T T T T T T T T T T T T T L T T T T T T T T T 42 40 2 0 95% 100%24 Kwara NCZ L L L L L L L L L T L L L L L L L T T T T T T T T T T T T T T T T T T T T T T T T T 42 26 16 0 62% 100%25 Lagos SWZ T T T T T T T T T T T T T T T T T T T T T T T T T T T T T L T T T T T T T T T T T T 42 41 1 0 98% 100%26 Nasarawa NCZ T T T T T T T T T T T T T T T T T T T T T T T T L T T T T T T T T T T L T T T T T T 42 40 2 0 95% 100%27 Niger NCZ T T T T T T T T L T T T T T T T T T T T T T T L L L T T L T T T L L L L L T L T T T 42 31 11 0 74% 100%28 Ogun SWZ T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 42 0 0 100% 100%29 Ondo SWZ T T T T T T T T T T T T L T L T T T L T T T L T T T T T T T T T T T T T L L T T T T 42 36 6 0 86% 100%30 Osun SWZ T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 42 0 0 100% 100%31 Oyo SWZ T T L T T T T T L T T T L L T T L T T T T T L T T T T T T T T T T T T T T T T T T N 42 35 6 1 83% 98%32 Plateau NCZ T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 42 0 0 100% 100%33 Rivers SSZ T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 42 0 0 100% 100%34 Sokoto NWZ T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 42 0 0 100% 100%35 Taraba NEZ T T T T T T T T T T T T T T T T T T T T T T L T L L L T L T T T T T T T T T T T T T 42 37 5 0 88% 100%36 Yobe NEZ T L T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T 42 41 1 0 98% 100%37 Zamfara NWZ T T T L T L L T T T T T T T T T T T T T T T T T T T T T T T T T T L T L T T T T T T 42 37 5 0 88% 100%

Total number of reports expected (E) 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 37 1554

Total reports sent on time (T) 28 27 27 26 27 27 26 28 28 36 31 32 31 31 32 33 29 35 34 34 30 34 31 34 28 27 31 36 31 36 33 35 34 32 33 32 31 31 30 33 33 35 1312

Total reports sent late (L) 9 10 10 11 10 10 11 9 9 1 6 5 6 6 5 4 8 2 3 3 7 3 6 3 9 10 6 1 6 1 4 2 3 5 4 5 6 6 7 4 4 1 241

Total number of reports not received (N) 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 0 0 0 1 1

Timeliness of reports =100*T/E 75.7 73.0 73.0 70.3 73.0 73.0 70.3 75.7 75.7 97.3 83.8 86.5 83.8 83.8 86.5 89.2 78.4 94.6 91.9 91.9 81.1 91.9 83.8 91.9 75.7 73.0 83.8 97.3 83.8 97.3 89.2 94.6 91.9 86.5 89.2 86.5 83.8 83.8 81.1 89.2 89.2 94.6 84%

Completeness of reporting=100*(E-N)/E 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 97.3 100%

Latest Week 42

%

Timely

%

Complete

Last updated 27th October, 2017

Expected (Es)Timely Rpts

(Ts)

Late Rpts

(Ls)

Rpts Not Recvd

(Ns)W41 W42W31 W32 W33 W34 W36 W37 W38 W39 W40W21 W22 W35W24 W25 W26 W27 W28 W29 W30W23W12 W13 W14 W15 W16 W17 W18 W19 W20W05 W06 W07 W08 W09 W10 W11

Timely

Reports

State GeoZones W01 W02 W03 W04



Table 4: Updates on Epidemics, Week 1- 42 (16th – 22th October, 2017) as at 27th October, 2017

CasesL

abCfdD

eathsC

asesLabC

fdDeath

sCFR

CasesL

abCfdD

eathsC

asesLabC

fdDeath

sCFR

CasesL

abCfdD

eathsC

asesLabC

fdDeath

sCFR

CasesL

abCfdD

eathsC

asesLabC

fdDeath

sCFR

CasesL

abCfdD

eathsC

asesLabC

fdDeath

sCFR

CasesL

abCfdD

eathsC

asesLabC

fdDeath

sCFR

CasesL

abCfdD

eathsC

asesLabC

fdDeath

sCFR

CasesL

abCfdD

eathsC

asesLabC

fdDeath

sCFR

1Abia

3,699,16

9

T

3171

213

3844

2Ada

mawa

4,216,50

6

T

16423

265

3670

62

33.33

111

9.09

3Akw

a Ibom

5,476,64

4

T

3150

264

3

4Ana

mbra5,51

2,118

T3

2158

8360

21

5Bau

chi6,53

3,157

T17

50913

14

30.77

181

316.6

722

204113

50.24

11

115

56

40.00

113

6Baye

lsa2,26

7,043

T2

1491

82

1158

7Ben

ue5,67

0,311

T7

30333

2236

31

8Born

o5,79

9,337

T17

35524

28.33

792133

381.78

147514

0.951

11

1100.0

04

125

9Cros

s River

3,844,99

9

T

4228

403

7.501

2198

112.5

02

578

14.04

10Delt

a5,61

5,784

T2

11813

13

1152

59

11Ebo

nyi2,86

4,778

T100

209

444.4

42

1154

11

25.00

9

12Edo

4,200,83

2

T

6417

21

50.00

6181

14

1210

4211

5.241

1

13Ekiti

3,235,42

6

T

4335

15618

1

14Enug

u4,37

7,536

T4

26714

17.14

3187

31

111

00.00

15FCT

3,419,32

3

T

13361

552

712.7

35

5181

22

81

16Gom

be3,22

5,382

T12

34152

23.85

369

80215

1.8722

14.55

6

17Imo

5,391,76

0

T

3352

1305

1

18Jiga

wa5,78

7,728

L22

82748

21

2.0817

5847

31

19Kad

una8,15

2,952

T7

44681

24

4.94132

43.03

151028

4414

1.362

114

20Kan

o12,9

83,043

T

781075

29324

237.85

2368

72.97

341308

191.45

232

1043.4

8151

1612

21Kats

ina7,78

4,740

T29

562612

2061

9.9744

10453

40.38

6553

22

22Keb

bi4,39

4,887

T8

746113

1910

8.853

316

5541

0.181

1100.0

0

23Kog

i4,40

6,012

T8

22110

2272

29

22

22.22

140

24Kwa

ra3,18

6,545

T66

1486

143

0.6297

1171

1

25Lago

s12,3

50,714

T

8276

152

13.33

565

610.7

19

2822

24

7

26Nas

arawa

2,504,08

6

T

8260

225

32731

62

6.452

583

27Nige

r5,51

8,612

T6

204115

3328.7

07

2624

1.5384

910.7

1

28Ogu

n5,15

8,109

T5

31915

213.3

37

45023

4

29Ond

o4,62

4,449

T2

26821

75

3061

4728

1021.2

8

30Osu

n4,69

1,068

T3

2678

112.5

08

452

31Oyo

7,811,61

1

N

24036

211

14.76

4932

32Plate

au4,14

9,116

T27

46355

23

5.45438

202

0.4640

107

17.50

33Rive

rs7,24

4,154

T5

37428

1566

14

15

34Sok

oto4,96

8,458

T8

3123897

1844.72

201541

120.78

35Tara

ba3,03

5,153

T7

28325

4199

140

129

22.50

82

25.00

36Yobe

3,274,83

3

T

10415

1235

1126

11.06

1639

132.03

63

233.3

3

37Zam

fara4,46

6,775

T13

2073889

19232

5.97346

915

4.3420

50517

61.19

428

19.05

Total

191,843,

149

35T=95%

3701262

51

9820108

6026.13

793521

4181

2.30294

19306

108109

0.5621

22

590121

6711.3

63

1733208

2228

0.87

Source: N

igeria Cen

ter for Dise

ase Contro

l, FMoH

Status o

f Report

: T=Tim

ely; L=L

ate; N=

No Repo

rt

Please n

ote that

the rep

orting st

atus in t

his tabl

e is from

WHO S

tate

NewCum

ulative

Data Wk0

1-42New

Cumulat

ive Data

Wk01-42

NewCum

ulative

Data Wk0

1-42New

Cumulat

ive Data

Wk01-42

Other D

iseases/

Events

Remarks

NewCum

ulative

Data Wk0

1-42New

Cumulat

ive Data

Wk01-42

NewCum

ulative

Data Wk0

1-42New

Cumulat

ive Data

Wk01-42

Cholera

Measles

Lassa F

everGui

neawor

m Disea

seHPA

I

SNOStat

eStat

ePop201

6

Status o

f

Report

AFPCSM

Documents

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