Cholera death toll in Nigeria now 2,791 –NCDC


Lara Adejoro

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The Nigeria Centre for Disease Control says the cholera death toll in the country has risen to 2,791 from 81,431 suspected cases so far in 2021.

In its Cholera Situation weekly epidemiological report from September 13-19, 2021, it showed that 28 states and the Federal Capital Territory have reported suspected cholera cases in 2021. 

The states are Abia, Adamawa, Bauchi, Bayelsa, Benue, Borno, Cross River, Delta, Ekiti, Enugu, FCT, Gombe, Jigawa, Kaduna, Kano, Katsina, Kebbi, Kogi, Kwara, Nasarawa, Niger, Ogun, Osun, Plateau, Sokoto, Taraba, Yobe, Rivers and Zamfara.

In the reporting week, 15 states reported 1,825 suspected cases – Zamfara (524), Bauchi (347), Yobe (302), Katsina (282), Borno (139), Adamawa (76), Kano (46), Jigawa (22), Kebbi (22), Gombe (22), Sokoto (13), Kaduna (12), Abia (12), Kwara (five) and Taraba (one).

The agency noted that there was a 38 per cent decrease in the number of new suspected cases in week 37 (1,825) compared with week 36 (2,955).

“Zamfara (524), Bauchi (347), Yobe (302), Katsina (282) and Borno (139) account for 87.3 percent of 1825 suspected cases reported in week 37.

“During the reporting week, 36 Cholera Rapid Diagnostic Tests (RDT) were conducted. RDT conducted were from Adamawa (18), Kaduna (11), Zamfara (two), Yobe (two), Abia (two) and Kwara ( one). Of this, a total of 21 (58 percent) were positive by RDT.

“A total of 10 Culture tests were conducted in Katsina (six), Adamawa (three) and Kaduna (one). Of this, two (20 percent) were positive.

“Of the cases reported, there were 55 deaths from Zamfara (19), Adamawa (seven), Yobe (seven), Jigawa (six) Katsina (five), Borno (five), Kebbi (two), Bauchi (two), and Kwara (two) states with a weekly case fatality ratio (CFR) of 3.0 percent.

“No new state reported cases in week 37 and Rivers was added to reflect the backlog in early reporting,” NCDC stated.

It said that the national multi-sectoral EOC activated at level 02 continues to coordinate the national response.

Meanwhile, NCDC said of the suspected cases since the beginning of the year, age group five to 14 years is the most affected age group for male and female and of all suspected cases, 50 per cent are males and 50 percent are females.

“Three states of Bauchi (19,309 cases), Kano (11,783 cases) and Jigawa (10,758 cases) account for 51 percent of all cumulative cases. 10 LGAs across five states (Bauchi (four), Jigawa (two), Zamfara (two), Kano (one) and Katsina (one) have reported more than 1,000 cases each this year,” it said.

According to the World Health Organisation, cholera is an acute diarrhoeal disease that can kill within hours if left untreated.

It said researchers have estimated that each year there are 1.3 to 4.0 million cases of cholera, and 21,000 to 143,000 deaths worldwide due to cholera.

“Most of those infected will have no or mild symptoms and can be successfully treated with oral rehydration solution.

“Severe cases will need rapid treatment with intravenous fluids and antibiotics. The provision of safe water and sanitation is critical to prevent and control the transmission of cholera and other waterborne diseases.

“Oral cholera vaccines should be used in conjunction with improvements in water and sanitation to control cholera outbreaks and for prevention in areas known to be high risk for cholera,” WHO said.

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