1. The response to re-emergence of yellow fever in Nigeria, 2017.
- Author
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Nwachukwu, William E., Yusuff, H., Nwangwu, U., Okon, A., Ogunniyi, A., Imuetinyan-Clement, J., Besong, M., Ayo-Ajayi, P., Nikau, J., Baba, A., Dogunro, F., Akintunde, B., Oguntoye, M., Kamaldeen, K., Fakayode, O., Oyebanji, O., Emelife, O., Oteri, J., Aruna, O., and Ilori, E.
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YELLOW fever , *VIRUS diseases , *HEMORRHAGIC diseases , *SOUND recordings , *VACCINATION ,RABBIT diseases - Abstract
• This manuscript describes the re-emergence of yellow fever in Nigeria in 2017, 21 years after the last confirmed case was recorded in the country. • A Rapid Response Team was deployed by the Nigeria Centre for Disease Control to investigate and initiate response activities. • The multi-agency RRT utilised methods such as door to door case finding and verbal autopsies to establish the spread of the disease. • The Rapid Response Team established that the outbreak occurred in a non-immune human community, with the presence of the yellow fever vector. • This manuscript describes methodologies and data tools employed during the outbreak investigation and findings led to public health actions. Yellow fever (YF) is an acute viral hemorrhagic disease caused by the YF virus (arbovirus) which continues to cause severe morbidity and mortality in Africa. A case of YF was confirmed in Nigeria on the 12th of September 2017, 21 years after the last confirmed case. The patient belongs to a nomadic population with a history of low YF vaccination uptake, in the Ifelodun Local Government Area (LGA) of Kwara State, Nigeria. An active case search in Ifelodun and its five contiguous LGAs led to the listing of 55 additional suspect cases of YF within the period of the outbreak investigation between September 18 to October 6, 2017. The median age of cases was 15 years, and 54.4% were males. Of these, blood samples were collected from 30 cases; nine tested positive in laboratories in Nigeria and six were confirmed positive for YF by the WHO reference laboratory in the region; Institut Pasteur, Dakar. A rapid YF vaccination coverage assessment was carried out, resulting in a coverage of 46% in the LGAs, with 25% of cases able to produce their vaccination cards. All stages of the yellow fever vector, Aedes mosquito were identified in the area, with high larval indices (House and Breteau) observed. In response to the outbreak, YF surveillance was intensified across all States in Nigeria, as well as reactive vaccination and social mobilisation campaigns carried out in the affected LGAs in Kwara State. A state-wide YF preventive campaign was also initiated. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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