Cholera outbreak - IDP camps in Maiduguri, northern Nigeria, September 2015

Abubakar, Arlyana; Dalhat, Mahmood M.; Nguku, Patrick

doi:10.1016/j.ijid.2016.02.326

Cited by 8 publications

(7 citation statements)

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“…The lack of a homogenous definition of cholera especially in an endemic setting such as Nigeria made the direct comparison of our findings with similar studies challenging. For example, studies in Nigeria have used 5 years [12, 17, 40], 2 years [21, 41, 42], and no age restrictions [14, 19] for the definition of suspected cholera cases. Thus, this challenge should be prioritised by the GTFCC given the relevance to cholera case management and assessment of cholera burden, which would be strategic in the objective assessment of the global roadmap goals of cholera elimination by 2030.…”

Section: Discussionmentioning

confidence: 99%

Descriptive epidemiology of cholera outbreak in Nigeria, January–November, 2018: implications for the global roadmap strategy

et al. 2019

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Background The cholera outbreak in 2018 in Nigeria reaffirms its public health threat to the country. Evidence on the current epidemiology of cholera required for the design and implementation of appropriate interventions towards attaining the global roadmap strategic goals for cholera elimination however seems lacking. Thus, this study aimed at addressing this gap by describing the epidemiology of the 2018 cholera outbreak in Nigeria. Methods This was a retrospective analysis of surveillance data collected between January 1st and November 19th, 2018. A cholera case was defined as an individual aged 2 years or older presenting with acute watery diarrhoea and severe dehydration or dying from acute watery diarrhoea. Descriptive analyses were performed and presented with respect to person, time and place using appropriate statistics. Results There were 43,996 cholera cases and 836 cholera deaths across 20 states in Nigeria during the outbreak period, with an attack rate (AR) of 127.43/100,000 population and a case fatality rate (CFR) of 1.90%. Individuals aged 15 years or older (47.76%) were the most affected age group, but the proportion of affected males and females was about the same (49.00 and 51.00% respectively). The outbreak was characterised by four distinct epidemic waves, with higher number of deaths recorded in the third and fourth waves. States from the north-west and north-east regions of the country recorded the highest ARs while those from the north-central recorded the highest CFRs. Conclusion The severity and wide-geographical distribution of cholera cases and deaths during the 2018 outbreak are indicative of an elevated burden, which was more notable in the northern region of the country. Overall, the findings reaffirm the strategic role of a multi-sectoral approach in the design and implementation of public health interventions aimed at preventing and controlling cholera in Nigeria.

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Section: Discussionmentioning

confidence: 99%

Descriptive epidemiology of cholera outbreak in Nigeria, January–November, 2018: implications for the global roadmap strategy

et al. 2019

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“…Ongoing conflicts, including the 14-year conflict with Boko Haram and the increasing violence from highly sophisticated criminal gangs in the Northwest and Northcentral regions, have devastated communities across Northern Nigeria [13]. These conflicts have caused significant public infrastructure damage and displaced millions of people [13][14][15][16]. Such forced relocations often lead to regions with scarce water resources, exacerbating the competition for water and its scarcity.…”

Section: Conflict Water Crisis and Cholera Surgementioning

confidence: 99%

“…In addition, movement restrictions imposed by authorities in response to these conflicts potentially hinder people from leaving their homes to source water [6]. These interlinks undoubtedly influence cholera outbreaks in the region, contributing to a dramatic increase in the number of recorded cases in recent years [13][14][15][16].…”

Section: Conflict Water Crisis and Cholera Surgementioning

confidence: 99%

“…For instance, to combat the cholera epidemic in Borno State in 2019, Nigeria collaborated with the International Organization for Migration to provide more than 68 boreholes [24]. NGOs also give the government crucial data on the prevalence of several infectious illnesses in Nigeria as well as the provision of vaccination support [14]. For instance, Gavi, the Vaccine Alliance, United Nations International Children's Emergency Fund (UNICEF), and WHO support efforts to control cholera in Northern Nigeria [2].…”

Section: Tackling Cholera In the Regionmentioning

confidence: 99%

“…During violence and migration, cholera control presents a variety of intricate problems. Insecure living conditions, inadequate sanitation, overcrowding, interrupted health services, a lack of resources, and restricted access to clean water all pose serious obstacles to cholera prevention and control in conflict-affected communities [12,14,15]. The issue is made worse by the breakdown of fundamental infrastructure and disruptions in the water delivery networks.…”

Section: Addressing Cholera During Conflictmentioning

confidence: 99%

See 2 more Smart Citations

The interplay among conflict, water scarcity, and cholera in Northern Nigeria

Gulumbe,

Yusuf,

Faggo

et al. 2023

Public Health Challenges

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Cholera is a recurring issue in Nigeria, with outbreaks predominantly affecting the Northern states. In 2021, Nigeria experienced its most significant cholera epidemic in a decade, resulting in thousands of fatalities and cases. The spread of cholera and other waterborne diseases in Nigeria is linked to various factors such as flooding, conflict, and water scarcity. The country's poor drinking water quality and lack of equitable access to clean water exacerbate the problem, particularly in the conflict‐affected areas of the North. This paper discusses the interaction of conflict‐related displacement, water shortages, and cholera transmission in Northern Nigeria and provides insights into how these factors impact water resources and public health. This information can inform initiatives and policies to reduce the impact of conflict on water resources and enhance access to clean water in impacted areas. The article suggests that the primary challenges in eliminating cholera in the region include a lack of information due to severe security situations, bureaucratic requirements for delivering essential supplies, and a chronic shortage of water. A successful response to cholera in conflict and displacement situations also requires community engagement and the security and safety of humanitarian personnel. Long‐term solutions to the uprisings in the region are necessary to put an end to the issues related to banditry and insurgency.

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When two elephants fight: insurgency, counter-insurgency and environmental sufferings in northeastern Nigeria

Olaniyan

Okeke-Uzodike²

2020

Journal of Contemporary African Studies

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Cholera outbreak - IDP camps in Maiduguri, northern Nigeria, September 2015

Cited by 8 publications

References 0 publications

Descriptive epidemiology of cholera outbreak in Nigeria, January–November, 2018: implications for the global roadmap strategy

Descriptive epidemiology of cholera outbreak in Nigeria, January–November, 2018: implications for the global roadmap strategy

The interplay among conflict, water scarcity, and cholera in Northern Nigeria

When two elephants fight: insurgency, counter-insurgency and environmental sufferings in northeastern Nigeria

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