Diphtheria: Borno Collects 407 Samples, Analyzes 274, 41  Positive

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*233 negative, 1 death recorded out of  653 suspected  cases

By; SADIQ ABUBAKAR, Maiduguri

Borno State Government in collaboration with United Nations. Children’s Fund (UNICEF)  on Wednesday,  organized a one day media dialogue and briefing  on  diseases outbreaks in Borno State at the Nigeria Union of Journalists (NUJ) Press Center Maiduguri.

The State Immunisation Officer (SIO), Borno State Primary Healthcare Development Agency (BSPHCDA), Alhaji Maina Modu said  that Nigeria is a signatory to the global and regional elimination agenda for vaccine preventable diseases (VDP) and  Supplementary Immunization Activities (SIAS), as one of the effective strategies to enhance herd immunity and prevent outbreaks.

The SIO said  Borno State Epidemiological Summary as at  October 30, 2023, shows  a cumulative number of suspected Diphtheria cases in Borno State, with 653 cases  in four local government areas (LGAs),  with the following breakdown MMC-294, Jere-191 Biu-80, Mobbar-28,, Mafa-27, Konduga-8, Kwaya-Kusar-6, while  five cases each, were recorded from Bayo, and Gubio, two cases from Mágumeri, Shani, and Nganzaí and one case each from Bama, Dikwa, and Kaga.

He added that a total of 407 samples were collected and transported to the

National Reference Laboratory (NRL).

Where out of the 407, a total  274 samples were  analyzed, 41 were positive and 233 were negative, while the remaining sample results are pending and one death was recorded among the confirmed cases so far, which informed implementation process in  four  high risk LGAs  out of the  27  in Borno State of  Diphtheria OBR Campaign in October, November and December 2023. 

On non polio Supplementary Immunization Activities (NPSIAS) for the implementation of 2023 Measles, he said the scope of the 2023 Measles include cluster Age group of 9 to 59 months in four phases from July  to  November 25, 2023  nationwide, where Kaduna is integrating measles with Yr and the duration is 12 days.

However, he said schedule of Vaccine Administration was planned for target age groups for the measles  between 9-59 Months with doses 0.5ml.

He added that the Nigeria  has so far,  implemented many rounds of measles, yellow fever, meningitis, and tuberculosis (TB) campaigns to improve herd immunity and prevent outbreaks were  successfully conducted  in 33 states + FCT (Phase 1-5) between 2018 & 2022. 

Alhaji Modu disclosed that  human beings are the only natural host for Diphtheria with carriers as reservoir and  transit directly: person-to-person through respiratory droplets and 

Indirectly through contact with skin lesions or contaminated clothing and objects, while transmission can occur as long as the toxigenic bacteria are present in discharge and lesions, which is normally two weeks or less, and seldom longer than four weeks.  incubation period is 2 to 5 days (as high as 10 days), while symptoms ranges from mild to severe fever, sore throat, pseudo-membrane, difficulty in breathing or swallowing,, swollen neck with complications such as  inflammation and damage to the heart muscles, nerves and kidney.

The SIO further explained that the 

treatment of cases and  management of contacts involves administration of diphtheria antitoxin (DAT)-given IV or  antibiotics therapy (after sample collection) with penicillin or erythromycin Isolation of case and  initiation or completion of immunization against diphtheria. 

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