Wednesday, September 12, 2018

Nigerian CDC Statement Regarding Monkeypox Cases In The UK

Epi Week 9 2018 - Credit Nigerian CDC

















#13,507

Yesterday, in UK: PHE Confirms 2nd Imported Case Of Monkeypox From Nigeria, we learned of the 2nd imported case in 3 days to be diagnosed in the UK.  I mentioned in that blog that the last Monkeypox Outbreak update published by the Nigerian CDC was in epi week 9 (February), and their most recent weekly epidemiological report did not mention any cases.
Today the Nigerian CDC has posted a statement addressing these recent cases in the UK, believed to have been acquired in Nigeria.
Among the things we learn is that since their outbreak began a year ago, 262 suspected cases have been detected.  This represents an increase of 34 cases since last February's report, suggesting low levels of the virus continue to circulate in Nigeria.

While they don't appear to be aware of any recent surge in cases, they report they are working closely with the UK's PHE, as well as `. . . working closely with states across the country to strengthen surveillance, detection and response to cases of Monkeypox.'

Re: Monkeypox Cases in the United Kingdom
Wednesday, September 12, 2018   

12 September, 2018 | Abuja – Re: Monkeypox Cases in the United Kingdom

The Nigeria Centre for Disease Control (NCDC) is aware of two confirmed cases of Monkeypox in the United Kingdom (UK), in patients with a recent travel history from Nigeria.

Since the re-emergence of Monkeypox in Nigeria in September 2017, NCDC has continued to receive reports and respond to cases of the disease from states across the country. Between September 2017 when the outbreak started and 31st of August 2018, a total of 262 suspected cases had been reported from 26 states. Of these, 113 have been confirmed in 16 states with seven deaths. The highest number of cases have been reported from states in the South-South region of Nigeria.

Following the recent report of the two cases in the UK, NCDC has been working with the UK’s public health agency; Public Health England (PHE), the public health departments in the affected states and other partners in Nigeria to investigate these cases. The NCDC has also been working closely with states across the country to strengthen surveillance, detection and response to cases of Monkeypox. A Technical Working Group coordinated by NCDC and comprising of partners from the Federal Ministry of Agriculture and Rural Development, World Health Organisation (WHO), UNICEF, US Centers for Disease Control (US CDC) and other agencies, meet weekly to ensure coordination. In addition, NCDC met with stakeholders recently, including surveillance officers and case management physicians from all affected states to review the actions taken so far and strategise on how to strengthen the country’s response.

Monkeypox is a virus that is spread primarily from animals to humans, with symptoms such as fever, headache, body pain, malaise, lymphadenopathy (enlargement of glands), sore throat and the typical generalized vesicular rash. This may last for two to four weeks. Transmission is via direct contact with infected animals, human, or contaminated materials. The virus does not spread easily between people and the risk of transmission to the wider public is very low.

Monkeypox is generally self-limiting, which means patients tend to recover in a couple of weeks. However, supportive care and management of the condition is required and mostly successful. Control measures include isolation of suspected or confirmed cases, strict adherence to universal precautions, especially frequent handwashing with soap and water and the use of personal protective equipment.

We re-assure Nigerians that NCDC has the capacity to effectively diagnose and respond to cases of Monkeypox. The National Reference Laboratory in Abuja has the capacity to test for cases of Monkeypox with a quick turn-around time. We therefore encourage any healthcare worker that suspects a case of Monkeypox, to reach out to their State Epidemiology team for appropriate action. Guidelines on the management of Monkeypox cases and outbreaks can be found on the NCDC’s website https://ncdc.gov.ng/diseases/guidelines.

ABOUT NCDC

The Nigeria Centre for Disease Control (NCDC) was established in the year 2011 in response to the challenges of public health emergencies and to enhance Nigeria’s preparedness and response to epidemics through prevention, detection, and control of communicable diseases. Its core mandate is to detect, investigate, prevent and control diseases of national and international public health importance.

Contacts

NCDC Toll-free Number: 0800-970000-10

SMS: 08099555577

WhatsApp: 07087110839

Twitter/Facebook: @NCDCgov

Signed:

Dr. Chikwe Ihekweazu,

CEO, Nigeria Centre for Disease Control (NCDC)