Tag: Ifedayo Adetifa

  • Deceased infected by anthrax should be burnt – NCDC

    Deceased infected by anthrax should be burnt – NCDC

    The Nigeria Centre for Disease Control and Prevention (NCDC) has disclosed that the ideal method of disposing of an anthrax carcass is incineration.

    TheNewsGuru.com (TNG) reports incineration is the destruction of something, especially waste material, by burning.

    The Director-General of NCDC, Dr Ifedayo Adetifa, disclosed this in Abuja on Tuesday, stressing that where this method was not possible, deep burial was the alternative.

    Recall that the Federal Government, through the Federal Ministry of Agriculture and Rural Development, on Monday, officially confirmed the first case of anthrax in the country.

    A statement signed by the Chief Veterinary Officer of Nigeria, Dr Columba Vakuru, said animals were showing signs of a possible case of anthrax on a farm in Suleja, Niger State.

    He said that it was reported to the Office of the Chief Veterinary Officer of Nigeria on July 14, 2023.

    According to Adetifa, livestock farmers should in the disposal of anthrax infected carcass, ensure that the pit is 6–8 feet, two mitre deep – the bottom of which should be well above the water table (minimum 3 feet (0.9 m ).

    “Considering the water table level and soil composition clay soil is preferable, whereas, sand or gravel should be avoided,” he advised.

    Adetifa said that anthrax was a contagious and highly fatal zoonotic bacterial disease affecting primarily herbivores.

    He said that the clinical symptoms seen in animals infected with anthrax included high fever at the start of the infection, then restlessness, convulsions, and death.

    “Not infrequently, livestock die suddenly without clinical symptoms.

    “Some easily spotted clinical symptoms include bleeding from the orifices, such as ears, nose, and mouth,” he said.

    He said that mortality can be very high, especially in herbivores.

    He said that the disease has a worldwide distribution and was a zoonosis.

    “The etiological agent is the endospore-forming, Gram-positive, non-motile, rod-shaped Bacillus anthracic. And has an almost worldwide distribution.

    “Once introduced into an area, anthrax is maintained in the environment by resistant spores that may remain dormant in the soil for many years.

    “Spores are more likely to persist in areas with ideal soil conditions alkaline, calcium-rich,” he said.

    According to him, Anthrax is a re-emerging infection and consequently, endemic areas may provide additional sources of alternative strains of B. anthracic for bioterrorism placing global security at renewed risk.

    He urged livestock farmers to report suspected cases of the disease at their livestock farms, cattle markets and other areas with the aforementioned symptoms of Anthtax.

    He said that Nigerians should be vigilant and report any unusual happenings, such as sickness or sudden death of animals on their farms.

    He advised animal owners to intensify efforts on annual vaccination of their animals and proper disposal of infected dead animals by burying them deep in the soil after applying disinfectant chemicals.

    The NCDC boss advised Nigerians to refrain from consuming the meat of livestock infected with anthrax.

    “This is because boiling the meat for hours will not kill the bacteria.

    “Once the spore is inhaled, people usually experience death within 24 hours,” he advised.

    He said that all of these infectious diseases have emphasised the importance of hand washing with soap to reduce the spread of diseases.

    He said that the majority of germs that caused serious infections in humans were transmitted by people’s actions.

    He said that the promotion of hand hygiene was one of the cost-effective public health interventions for the prevention and control of infections, particularly those caused by epidemic-prone pathogens.

    According to him, it is important for Nigerians, particularly nurses, doctors, and healthcare technicians, who are in direct contact with people, to practise hand hygiene practices to avoid being infected by any type of disease whatsoever.

    The World Health Organisation explains anthrax to be primarily a zoonotic disease in herbivores caused by a bacterium called Bacillus anthracis.

    The bacteria live in the soil and usually infect wild and domestic animals, such as goats, cattle and sheep.

    Anthrax outbreaks are fairly common worldwide and mostly affect agricultural workers.

    Humans become sick with the disease by handling animal products such as wool, hide or bone from animals infected with the anthrax bacterium.

  • Nigerians placed on alert as new disease scare hits Lagos, Kano

    Nigerians placed on alert as new disease scare hits Lagos, Kano

    The Nigeria Centre for Disease Control and Prevention (NCDC) has placed Nigerians on alert, following response to reports of diphtheria cases in Lagos and Kano States.

    This is contained in a public health advisory signed by NCDC Director -General, Dr Ifedayo Adetifa, issued on Friday.

    The director-general said that the centre is also monitoring the situation in Osun and Yobe.

    Adetifa also urged healthcare workers to maintain a high index of suspicion for diphtheria by being vigilant and looking out for symptoms of  the infection.

    The centre further urged Nigerians to ensure that their wards are fully vaccinated against diphtheria with three doses of the pentavalent vaccine as recommended in the country’s childhood immunisation schedule.

    Adetifa said Kano state has 78 suspected cases of the highly contagious bacterial infection  in 14 local government areas of the state.

    The state government said that 27 samples had been taken to the laboratory out of which eight were confirmed positive and three deaths were registered in the state.

    Adetifa said that diphtheria is a serious bacterial infection caused by the bacterium called Corynebacterium species that affects the nose, throat and sometimes, skin of an individual.

    According to the NCDC, the symptoms of diphtheria include; fever, runny nose, sore throat, cough, red eyes (conjunctivitis) , and neck swelling.

    “In severe cases, a thick grey or white patch appears on the tonsils and/or at the back of the throat associated with difficulty breathing,” he said.

    He said that the agency’s is also monitoring the situation in Osun and Yobe states where cases were now being picked up.

    “Data from the Kano State Ministry of Health revealed that the diphtheria outbreak has so far killed 25 people with 58 suspected cases and six persons on admission,” he said.

    The NCDC boss-said in addition to clinically suspected cases, there have been laboratory-confirmed cases, and the NCDC is working with state ministries of health and partners to enhance surveillance and response to the outbreak.

    He said people most at risk of contracting diphtheria are: children and adults who have not received any or a single dose of the pentavalent vaccine (a diphtheria toxoid-containing vaccine).

    Ithers, he said, are people who live in a crowded environment, people who live in areas with poor sanitation and healthcare workers and others who are exposed to suspected/confirmed cases of diphtheria.

    The NCDC director-general said that diphtheria spreads easily between people through; direct contact with infected people, droplets from coughing or sneezing, and contact with contaminated clothing and objects.

    “Individuals with signs and symptoms suggestive of diphtheria were also advised to isolate themselves and notify the local government area , state disease surveillance officer (DSNO) or the NCDC.,” he said.

  • Nigeria on alert mode as Ebola resurfaces in Uganda

    Nigeria on alert mode as Ebola resurfaces in Uganda

    The Nigeria Centre for Disease Control and Prevention (NCDC) says it is aware of the ongoing outbreak of Ebola Virus Disease (EVD) caused by the Sudan strain of the Ebola Virus (EV) in Uganda.

    The Director-General, NCDC, Dr Ifedayo Adetifa, in a statement on Tuesday in Abuja, said that Uganda had, on Sept. 20, declared the outbreak of the virus and that it was on an alert mode.

    The outbreak has also been confirmed by the World Health Organization (WHO).

    The Sudan strain of the Ebola virus is the known cause of EVD, having caused previous outbreaks in Uganda, South Sudan, and the Democratic Republic of Congo.

    The Uganda Virus Research Institute confirmed the virus in samples collected from a 24-year old male, who had exhibited symptoms of the disease and later died in Mubende District in the Central Region, about 175km from the capital, Kampala.

    As of Sept. 29, the Ugandan Ministry of Health reported 54 cases (35 confirmed and 19 probable) and 25 deaths (7 confirmed and 18 probable).

    The Ugandan Ministry of Health, with the support of WHO, is working to effectively respond to and contain the spread of the virus.

    The NCDC boss said that the agency’s -led multisectoral National Emerging Viral Haemorrhagic Diseases Technical Working Group (NEVHD TWG), working with partners and stakeholders, had conducted a rapid risk assessment to guide in-country preparedness activities.

    “The NEVHD TWG coordinates preparedness efforts for EVD and other emerging viral haemorrhagic diseases.

    “Based on available data, the overall risk of importation of the Ebola virus and the impact on the health of Nigerians has been assessed as high for the following reasons:

    “The Sudan Ebola Virus does not currently have an effective drug for treatment or licensed vaccine for prevention.

    “The extent of the outbreak in Uganda has not yet been ascertained as investigations have shown that some persons may have died with similar symptoms which were not reported to health authorities.

    “In addition, their burials were not conducted safely to prevent transmission.

    “The case fatality rate of the Sudan virus varied from 41 per cent to 100 per cent in past outbreaks.

    “The likelihood of importation to Nigeria is high, due to the increased air travel between Nigeria and Uganda, especially through Kenya’s Nairobi airport, a regional transport hub, and other neighbouring countries that shared a direct border with Uganda.

    “The likelihood of spread in Nigeria following importation is high due to the gatherings and travel associated with politics, the coming yuletide as well as other religious gatherings and festivals during the last few months of the year,” he outlined.

    He said that in spite of the risk assessment, the country had the capacity – technical, human (health workforce), and diagnostic – to respond effectively in the event of an outbreak.

    “This is exemplified by our successful response to the Ebola outbreak in 2014, as well as improvements in our capacity for health emergency response during the COVID-19 pandemic.

    “We have the diagnostic capacity to test for the EVD presently at the National Reference Laboratory in Abuja and the Lagos University Teaching Hospital’s Centre for Human and Zoonotic Virology Laboratory,” he said.

    He, however, said that diagnostic capacity would be scaled up to other laboratories in cities with important Points of Entry (POE) and others as might be required.

    “An effective response system is in place with the availability of control capacities (trained rapid response teams, and an effective infection prevention and control programme) to limit the risk of spread in the event of a single imported case.

    “Currently, no case of EVD has been reported in Nigeria. Nonetheless, the Nigerian Government, through NCDC’s multisectoral NEVHD TWG, has put several measures in place to prevent and prepare for immediate control of any outbreak of the disease in-country.

    “The NCDC Incident Coordination Centre (ICC) is now in alert mode. Development of an incident action plan for the first few cases of EVD has commenced.

    “POE surveillance has been heightened, using the passenger pre-boarding health declaration and screening form in the Nigeria International Travel Portal (NITP) platform.

    “Passengers arriving from Uganda and persons who transited in Uganda are being followed up for 21 days of their arrival in Nigeria on their health status.

    “Trained Rapid Response Teams are on standby to be deployed in the event of an outbreak.

    Public Health Emergency Operations Centres (PHEOCs) in states with major POE i.e. Lagos, Kano, Abuja, and Rivers are on standby.

    “A medical counter measures plan is available.”

    He said amplification of risk communication and engagement with states and partners, to strengthen preparedness activities including a review of risk communication protocols, plans and messages in the event of an outbreak, had been done.

    Adetifa said the country had an active infection Prevention and Control (IPC) programme nationwide with guidelines and training packages developed for healthcare workers.

    Ebola virus disease is a severe, often fatal illness affecting humans. The strain responsible for the current outbreak was first reported in southern Sudan in June 1976.

    Since then, seven outbreaks caused by this strain had been reported (four in Uganda and three in Sudan) with previous outbreaks’ fatality ratio ranging from 41 to 100 per cent.

    Just like other types of Ebola virus, people infected cannot spread the disease until the development of symptoms, including fever, fatigue, muscle pain, headache, and sore throat later followed by vomiting, diarrhoea, rash, symptoms of impaired kidney and liver function.

    Symptoms may appear anywhere from two to 21 days after exposure to the virus, but the average is 8 to 10 days.

    Currently, there are no vaccines or therapeutics for the prevention and treatment of this strain of the virus.

    However, the early initiation of supportive treatment has been shown to significantly reduce deaths.

    Recovery from EVD depends on good supportive clinical care, management of co-morbidities, and the patient’s immune response.

    People who recover from Ebola virus infection develop antibodies that last for at least 10 years.