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Malawi Cholera Outbreak Claims Over 1000 Lives

Health Minister Khumbize Chiponda has revealed that despite hospitalization numbers reaching 30, 621, Malawi’s deadliest cholera outbreak on record has killed over 1,000 people.

According to the World Health Organization, the death toll on Tuesday eclipsed the biggest documented outbreak, which killed 968 people between 2001 and 2002. (WHO).

Chiponda urged people to exercise extreme caution when handling the bodies of cholera victims before funerals.

“People who are dying from cholera may be washed by family members who then prepare funeral feasts… outbreaks of cholera commonly follow these feasts,” the minister said on Wednesday.

She urged people to use proper disinfection methods such as chlorine and plastic body bags.

The majority of the deaths happened in the two main cities of Lilongwe and Blantyre, where students had recently returned to school after schools were closed to try to contain the spread.

Cholera strikes the southern African country on a regular basis during the rainy season, from November to March, with deaths often hovering around 100.

However, pollution levels were unusually high during and after the holiday season in 2022.

Malawi got over three million doses of oral cholera vaccine from the UN in November 2022 to boost its immunization program, but case numbers continue to grow.

Adrian Chikumbe, a spokesman for the health ministry, told AFP that all dosages had been utilized.

He went on to say that “the fact that there is only one cholera vaccine manufacturer worldwide makes acquiring the life-saving medicine tough,” fostering rivalry between countries in need.

Cholera, which causes diarrhoea and vomiting, is caused by a bacterium that is usually spread by contaminated food or water.

According to George Jobe, director of the organization Malawi Health Equity Network, falsehoods and disinformation flowing online are exacerbating an already terrible situation.

“Most people don’t believe we have cholera,” he told AFP. Additionally, “some religions do not permit their [sick] members to go to the hospital”.

(Al Jazeera)

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Health

No new COVID-19 variant in Nigeria- FG

The Federal Government has clarified that the newly detected XEC COVID-19 variant, identified in Australia and some other countries in Europe, is not in Nigeria.

Ministry of Health and Social Welfare, Kachollum Daju confirmed that a recently leaked letter addressed to the Committee of Chief Medical Directors and Medical Directors was precautionary and not intended to cause panic.

Speaking further, Daju noted that the XEC COVID-19 variant has been detected in 29 countries, and due to the festive season, when travellers arrive from various parts of the world, it is crucial for hospitals to implement measures to ensure the country is not caught off guard.

In a letter dated December 5, 2024, the Federal Ministry of Health and Social Welfare, had urged health authorities to activate heightened alert systems across hospitals and maintain a high index of suspicion for patients with COVID-like symptoms.

The letter Signed by the Head of the Teaching Hospital Division, Dr O.N. Anuma, on behalf of the Permanent Secretary, the letter called for collaboration with relevant stakeholders to share critical data regarding the variant and implement enhanced monitoring protocols.

“I am directed to inform you of a newly detected XEC COVID-19 variant, which has been reported in Australia and has already spread to 29 countries globally.

“You may wish to know that this variant has shown a growth advantage over other circulating strains, raising concerns about its potential impact on public health,” the letter read.

“Alert systems should be immediately activated throughout our hospitals for high index of suspicion in patients with COVID-like symptoms.

“Timely information sharing among relevant stakeholders, including the Federal Ministry of Health, will be vital for effective response strategies.”

The Permanent Secretary stressed the importance of preventive measures during this period to prevent any potential spread of the variant into Nigeria.

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Health

Oyo confirms 4 deaths in suspected Lassa fever outbreak

The Oyo State Rapid Response Team, on Thursday, confirmed four deaths linked to a suspected Lassa fever outbreak in the Saki West Local Government Area of the state.

A statement by the Commissioner for Information and Orientation, Dotun Oyelade, in Ibadan, the state capital, quoted his counterpart from the Ministry of Health, Oluwaserimi Ajetunmobi, saying the fatalities consisted three males and one 32-year-old female who was preparing for her marriage.

The report was that an owner of a hospital, alongside three others, died in the town mysteriously.

Following numerous calls reporting deaths in the town, the commissioner tasked the team to Saki to investigate.

“The background information gathered that one of the apprentices at the hospital who had returned from Iwajowa and fell ill about two weeks before the incident was suspected to have introduced the infection.

“She likely transmitted it to her co-workers and the hospital owner.

“Three of the deceased exhibited typical symptoms of Lassa fever, including craniofacial bleeding, while the hospital owner showed fatigue and self-medicated with antimalarials and antibiotics.

“His condition only prompted hospital admission when his self-treatment failed,” the statement read.

It added, “Extensive contact tracing was conducted, with particular focus on high-risk contacts who had been involved in the bathing and burial of the deceased.

“The hospital where all the deceased were associated was closed down for decontamination.

“The hospital that admitted the deceased health facility owner, without being informed of the deaths from an ‘unknown’ illness, was also shut down for decontamination, and the doctor was placed under surveillance.

“Public awareness campaigns were held to educate the community about Lassa fever, its transmission, symptoms, and preventive measures.

“The RRT provided on-the-job training to health workers in the affected areas to reinforce Infection Prevention Control protocols and prevent further spread of the disease.

“Sample collection was also carried out on a person exhibiting symptoms, pending laboratory confirmation. The line listing of contacts is still in progress, focusing on individuals at high risk”.

The government team also conducted an advocacy visit to the palace of the Okere of Saki, who was represented by his second-in-command, and was briefed on the outbreak and the necessary containment measures.

“Local government authorities within Saki West were equally informed and aligned with the efforts to manage the situation”, the statement added.

Investigation, according to the commissioner, also revealed that the outbreak initially involved the council, but had extended to Iwajowa and Kajola local government areas.

He said the State Disease Notification Officer in the respective areas had been instructed to begin preliminary containment efforts while awaiting the full deployment of the State RRT.

The team, comprising the Director of Public Health, the State Epidemiologist, DSNOs, State Laboratory Focal Persons, representatives from the World Health Organisation and Red Cross, as well as the PHC Coordinator of Saki West and the LGA DSNO, embarked on a comprehensive investigation to the scene of the incidence.

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NCDC issues public advisory on Lassa Fever, warns of increased spread

FG issues Lassa fever alert, death toll hits 102, cases now 4,632

The Nigeria Centre for Disease Control and Prevention, NCDC has issued a public health advisory on Lassa fever warning of increased case detection and spread of the viral infection.

The Director General of the NCDC, Dr Jide Idris, raised the concerns following increased reporting of the outbreak by its surveillance teams across the country.

At a press briefing in Abuja, Dr Idris said the death toll from Lassa Fever in Nigeria has risen to 174 out of 1,035 confirmed cases across 28 states and 129 LGAs as of October 13, 2024.

”Lassa fever outbreaks are highly virulent and the loss of human lives resulting from disease are not just statistics but represent the death of beloved family members, spouses and parents.

”In 2022, Nigeria reported 1,067 confirmed cases across 27 states and 112 LGAs. In 2023, 28 states and 114 LGAs reported confirmed cases, with 9,155 suspected cases, 1,270 confirmed cases, and 227 deaths.

”While we continue to intensify efforts using an all-of-society approach, the public is hereby advised to note that the virus spreads through direct contact with urine, faeces, saliva, or blood of infected rats. Contact with objects, household items, and surfaces contaminated with the urine, faeces, saliva, or blood of infected rats.

”Consuming food or water contaminated with the urine, faeces, saliva, or blood of infected rats or person-to-person transmission through body fluids of an infected person.

Dr Idris also warned health care professionals to be alert as Lassa fever presents like other common illnesses accompanied by fever, headache, general body weakness, cough, nausea, vomiting,

While noting that early diagnosis and treatment of the disease greatly increase the chances of patient survival, Dr Idris highlighted the economic cost of Lassa Fever to communities and the healthcare system.

”The disease is also associated with significant loss of livelihood in the communities it ravages. Heads of households are unable to work when exposed to Lassa fever and when other household members are infected, the cost of care and treatment of the disease strains existing household income pushing households toward poverty.

”Healthcare workers are also vulnerable and the loss of experienced medical personnel due to infection further strains the country’s limited healthcare workforce.”

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