Cross River State empowers women on reproductive health

Calabar – 26 November, 2021 – As part of the effort to achieve universal health coverage (UHC) in Nigeria, the Cross River State Ministry of Health (CRSMOH) recently conducted an orientation for health workers on the need to encourage women adoption of National Self-care/Self-injection plan.

The training in Uyo, Cross River state was facilitated with technical support from the Federal Ministry of Health, the World Health Organization (WHO) and partners. The main objective was to strengthen access to self-care/self-injection innovation in Nigeria and to educate frontline health care workers on the self-care guidelines for sexual reproductive health. Emphasis was on the scale-up of Depot-medroxyprogesterone acetate (DMPA-SC) self-injection.

Nigeria, in November 2016, approved injectable contraceptives for self-injection by users hoping that it would improve access to family planning services, especially in hard to reach places. However, the uptake of family planning services in Nigeria is still low, as analysis from the Nigeria Demographic and Health Survey shows that 19% of married women have an unmet need for family planning: 12% want to delay childbearing, while 7% want to stop childbearing.

Speaking to participants, Dr David E. Ushie the Special Adviser to the Governor on Health said that, while the training addressed the needs of women, Cross River State would strive to improve the levels of awareness and utilization of available interventions on reproductive health.

“The state is committed to creating an enabling environment in terms of the need for proper regulation and the orientation of our healthcare providers and the end-users to promote the guidelines on Self-Care. The concept and implementation of DMPA-SC would provide more family planning options for women in the reproductive age group and their partners in the public and private sectors across the 18 LGAs in the state”, he said.

A confident Mrs Chisom Emeka of WHO Nigeria, who was also at the training noted that, “This orientation will improve access and uptake of DMPA-SC- a self-injection contraceptive and improve the lives of many women who want to avoid pregnancy in Cross River state. It would also reduce infant and maternal mortality rates in the country”, she added.

Following the training, Mrs Eko Idam Edodi, a 34 year old health care worker at Primary Healthcare Centre in Biase local government area (LGA) stressed that she is now equipped with information on self-injection which she will use to mobilize other women in her locality to embrace the highly beneficial practice.

“With this knowledge about DMPA-SC self-injection, I will support women to make informed and positive decisions about their reproductive health. Also, it will give women of childbearing age the opportunity to make reproductive health choices for themselves.

The use of self-injection is cost-effective, promote privacy, saves time, reduce unintended pregnancies/abortions. It will also allow women to space childbirth and give their children the maximum attention and care they need”, she concluded.

Self-injected contraception is an innovative practice in family planning that is transforming contraceptive access and use. The new self-injectable contraceptive – DMPA-SC, allows women to inject themselves at the comfort of their homes and provides three months of protection. It would make contraceptive use affordable, accessible, and preserve the confidentiality of those using it. These would reduce morbidity in women and children as well as promote timely self-intervention.

Source: World Health Organization. Africa

Fauci: US Must Study Data Before Deciding on Travel Ban Over New COVID Variant

Top U.S. infectious disease official Anthony Fauci said Friday that a ban on flights from southern Africa was a possibility and the United States was rushing to gather data on the new COVID-19 variant.

No decision to halt flights had yet been made, he said. The Wall Street Journal, citing people familiar with the matter, said White House officials were discussing potential travel restrictions on southern African countries. Those officials were expected to meet with agency officials Friday afternoon to make a recommendation, the newspaper said, without specifying which agency.

The White House referred to Fauci’s earlier comments when asked about the report and declined further comment. Global authorities have reacted with alarm to the new variant, detected in South Africa, with the European Union and Britain among those tightening border controls as scientists seek to find out if the mutation is vaccine-resistant.

The World Health Organization (WHO), however, has cautioned against hasty measures and South Africa said a British ban on flights seemed rushed.

“There is always the possibility of doing what the UK has done, namely block travel from South Africa and related countries,” Fauci said in an interview on CNN.

“That’s certainly something you think about and get prepared to do. You’re prepared to do everything you need to protect the American public. But you want to make sure there’s a basis for doing that,” he said.

“Obviously as soon as we find out more information we’ll make a decision as quickly as we possibly can.”

Fauci said U.S. scientists would speak with South African counterparts Friday about the new variant, called B.1.1.529, which has raised concern about its transmissibility and whether it might evade immune responses.

He added there was no indication the new variant was already in the United States.

Source: Voice of America

Tourists Rush to South Africa Airport After Travel Bans Issued

Anxious-looking travelers thronged Johannesburg international airport and stood in long queues on Friday, desperate to squeeze onto the last flights to countries that had just shut their doors to South Africa.

Many cut short their holidays, rushing back from safaris and vineyards when Britain announced late Thursday night that all flights from South Africa and its neighbors would be banned the following day.

A flurry of nations — including the United States, Canada and several European countries — have followed suit, concerned about the discovery of a new coronavirus variant, renamed omicron, with several mutations fueling an infection resurgence in South Africa.

United Kingdom citizen Toby Reid, a 24-year-old trader in London, was camping on Cape Town’s Table Mountain with his girlfriend when the ban was announced.

“At about 5:30 a.m., we got up to see if we could catch the sunrise, and at six in the morning, we found out that there was still a possibility to get back,” he told AFP while standing in line for check-in at the Johannesburg airport just hours later.

The couple managed to grab the last two seats on an evening flight to Frankfurt, Germany.

Others who were not so lucky discussed options at ticket counters, eyes widening at proposed prices and convoluted itineraries.

“There should have been more notice,” muttered Christian Good, 50, returning to Devon, England, via Frankfurt with his husband after a beach holiday.

By chance, the pair had originally planned to return on that flight, meaning they would arrive home before mandatory hotel quarantine begins on Sunday — a requirement for citizens returning from “red list” countries.

“It’s ridiculous. We will always be having new variants,” his husband, David, exclaimed, passports in hand.

“South Africa found it, but it’s probably all over the world already,” he told AFP.

The variant has so far been detected in Belgium, Botswana, Israel and Hong Kong.

‘Tired of this’

At the airport, red “canceled” signs flashed next to London-bound flights listed on the departures board.

Other destinations were still in limbo.

A KLM flight to Amsterdam was delayed by several hours after passengers were suddenly compelled to produce negative COVID-19 results.

Rapid PCR tests were offered at the airport, with results guaranteed in two hours, but at a cost of $86, compared with the standard fee of around $52 for results delivered in roughly 12 hours.

An AFP correspondent observed Some African passport holders being told they would not be allowed to fly to Europe.

Earlier, travelers milled around a closed Air France check-in desk, waiting to find out whether an evening flight to Paris would take off as scheduled, just hours after France announced its own ban.

Among them were U.K. citizen Ruth Brown, 25, who lives in South Africa and had planned to return home for the first time since 2019 next week.

Britain kept South Africa on its red list until early October, meaning many of its citizens have been unable to travel back since the pandemic started because of the costly hotel quarantine.

They had only a few weeks of leeway before the status was revoked.

“We are tired of this situation,” said Brown, who spent the morning on the phone trying to change her flight.

“Apparently (this one) is full, but we are trying to see if we can still get seats,” she sighed.

Further down the line, Elke Hahn cradled a toddler.

She had traveled to South Africa with her partner to adopt the child and was desperate to get back to their home in Austria.

The child’s paperwork was only valid for a specific flight route that had since been changed.

“We will have to get another flight, but I don’t know how that will work,” she said.

Source: Voice of America

Volunteers Map Australia’s Great Barrier Reef in Vast Citizen Science Project

 

 

An expedition to find lost shipwrecks on Australia’s Great Barrier Reef begins Friday. The voyage is part of the Great Reef Census, one of the world’s largest marine citizen science projects.

Conservationists estimate there are up to 900 shipwrecks on the Great Barrier Reef, but only 150 have been found. Shallow water in some parts of the reef off northeastern Australia and the region’s susceptibility to storms and cyclones have made seafaring perilous.

Volunteers discovered three shipwrecks last year while surveying the world’s largest coral system. The expedition, which ends Dec. 1, is returning to Five Reefs and the Great Detached Reef, remote regions that are rarely visited, to gather more data and hunt for other wrecks. Onboard the boat are conservationists, scientists and a marine archaeologist.

Andy Ridley, the chief executive of Citizens of the Great Barrier Reef, the organization that runs the survey, said last year’s discovery was an unforgettable experience.

“The first mate on the boat was floating over the top of a reef from one side to the other and noticed there were river stones in the water, and, you know, round stones on the top of a coral reef is unusual,” he said. “We realized it was ballast from an old ship. We discovered one of what we think is three 200-year-old wrecks on that particular reef in the far northern end of the Great Barrier Reef. It was kind of one of the most exciting things I’ve ever done in my entire life. It was like one of those kind of boyhood kind of dreams.”

Scientists, tourists, divers and sailors are contributing to this year’s Great Reef Census.

They are taking thousands of pictures that will help document the health of a reef system that faces various threats, such as climate change, overfishing and pollution.

The images will be analyzed early next year by an international army of online volunteers who, in the past, have included children from Jakarta, Indonesia, a church group in Chicago, and citizen scientists from Colombia.

In 2020, its first year, the survey, which runs from early October to late December, collected 14,000 images.

The Great Barrier Reef is a World Heritage Area. It stretches for 2,300 kilometers down northeastern Australia and is the size of Germany.

It comprises 3,000 individual reefs, is home to 10% of the world’s fish species and is the only living thing visible from space.

 

Source: Voice of America

Europe’s Christmas Markets Warily Open as COVID Cases Rise

 

The holiday tree is towering over the main square in this central German city, the chestnuts and sugared almonds are roasted, and kids are clambering aboard the merry-go-round just like they did before the pandemic. But a surge in coronavirus infections has left an uneasy feeling hanging over Frankfurt’s Christmas market.

To savor a mug of mulled wine — a pleasurable rite of winter in pre-pandemic times — masked customers must pass through a one-way entrance to a fenced-off wine hut, stopping at the hand sanitizer station. Elsewhere, security officers check vaccination certificates before letting customers head for the steaming sausages and kebabs.

Despite the pandemic inconveniences, stall owners selling ornaments, roasted chestnuts and other holiday-themed items in Frankfurt and other European cities are relieved to be open at all for their first Christmas market in two years, especially with new restrictions taking effect in Germany, Austria and other countries as COVID-19 infections hit record highs. Merchants who have opened are hoping for at least a fraction of the pre-pandemic holiday sales that can make or break their businesses.

Others aren’t so lucky. Many of the famous holiday events have been canceled in Germany and Austria. With the market closures goes the money that tourists would spend in restaurants, hotels and other businesses.

Jens Knauer, who crafts intricate, lighted Christmas-themed silhouettes that people can hang in windows, said his hope was simply that the Frankfurt market “stays open as long as possible.”

While Christmas is 40% of annual revenue for many retailers and restaurateurs, “with me, it’s 100%,” Knauer said. “If I can stay open for three weeks, I can make it through the year.”

Purveyors are on edge after other Christmas markets were abruptly shut down in Germany’s Bavaria region, which includes Nuremberg, home of one of the biggest and best-known markets. Stunned exhibitors in Dresden had to pack up their goods when authorities in the eastern Saxony region suddenly imposed new restrictions amid soaring infections. Austria’s markets closed as a 10-day lockdown began Monday, with many stall owners hoping they can reopen if it’s not extended.

Markets usually attract elbow-to-elbow crowds to row upon row of ornament and food sellers, foot traffic that spills over into revenue for surrounding hotels and restaurants. This year, the crowds at Frankfurt’s market were vastly thinned out, with the stalls spread out over a larger area.

Heiner Roie, who runs a mulled wine hut in the shape of a wine barrel, said he’s assuming he will see half the business he had in 2019. A shutdown would cause “immense financial damage — it could lead to complete ruin since we haven’t made any income in two years, and at some point, the financial reserves are used up.”

But if people have a little discipline and observe the health measures, “I think we’ll manage it,” he said.

Next door, Bettina Roie’s guests are greeted with a sign asking them to show their vaccination certificates at her stand serving Swiss raclette, a popular melted cheese dish.

The market “has a good concept because what we need is space, room, to keep some distance from each other,” she said. “In contrast to a bricks-and-mortar restaurant, they have their building and their walls, but we can adjust ourselves to the circumstances.”

The extended Roie family is a fifth-generation exhibitor business that also operates the merry-go-round on Frankfurt’s central Roemerberg square, where the market opened Monday.

Roie said it was important to reopen “so that we can bring the people even during the pandemic a little joy — that’s what we do, we bring back joy.”

The latest spike in COVID-19 cases has unsettled prospects for Europe’s economic recovery, leading some economists to hedge their expectations for growth in the final months of the year.

Holger Schmieding, chief economist at Berenberg Bank in London, has cut his forecast for the last three months of the year in the 19 countries that use the euro from 0.7% to 0.5%. But he noted that the wave of infections is having less impact across the broad economy because vaccinations have reduced serious illnesses and many companies have learned to adjust.

That is cold comfort to Germany’s DEHOGA restaurant and hotel association, which warned of a “hail of cancellations” and said members were reporting every second Christmas party or other special event was being called off.

Other European countries where the pandemic isn’t hitting as hard are returning to old ways. The traditional Christmas market in Madrid’s Plaza Mayor, in the heart of the Spanish capital, is slated to open Friday at the size it was before the pandemic.

It will have 104 stalls of nativity figures, decorations and traditional sweets in a country where 89% of those 12 or older are fully vaccinated. Last year, it had half the number of stalls and restricted the number of people allowed in the square. Masks and social distancing will remain mandatory, organizers said.

In Hungary’s capital of Budapest, Christmas markets have been fenced off and visitors must show proof of vaccination to enter.

Gyorgy Nagy, a producer and seller of handmade glazed crockery, said the restrictions initially stirred worries of fewer shoppers. But business has been good so far.

“I don’t think the fence is bad,” he said. “At the beginning, we were scared of it, really scared, but I think it’s fine. … I don’t think it will be a disadvantage.”

Markets opening reflects a broader spectrum of loose restrictions in Hungary, even as new COVID-19 cases have exceeded peaks seen during a devastating surge last spring. More infections were confirmed last week than in other week since the pandemic started.

A representative for the Advent Bazilika Christmas market said a number of its measures go beyond government requirements, including that all vendors wear masks and those selling food and drinks be vaccinated.

Bea Lakatos, a seller of fragrant soaps and oils at the Budapest market, said that while sales have been a bit weaker than before the pandemic, “I wasn’t expecting so many foreign visitors given the restrictions.”

“I think things aren’t that bad so far,” she said this week. “The weekend started particularly strong.”

In Vienna, markets were packed last weekend as people sought some Christmas cheer before Austria’s lockdown. Merchants say closures last year and the new restrictions have had disastrous consequences.

“The main sales for the whole year are made at the Christmas markets — this pause is a huge financial loss,” said Laura Brechmann who sold illuminated stars at the Spittelberg market before the lockdown began. “We hope things will reopen, but I personally don’t really expect it.”

In Austria’s Salzkammergut region, home to ski resorts and the picturesque town of Hallstatt, the tourism industry hopes the national lockdown won’t be extended past Dec. 13 and it can recover some much-needed revenue.

Last winter’s extended lockdowns cost the tourism board alone 1 million euros ($1.12 million) just in nightly tourist tax fees during that period — not to mention the huge financial losses sustained by hotels, restaurants and ski resorts.

“Overall, I do think that if things open up again before Christmas, we can save the winter season,” said Christian Schirlbauer, head of tourism for the Dachstein-Salzkammergut region. “But it will depend on whether or not the case numbers go down.”

 

 

Source: Voice of America

Ethiopia launches a COVID-19 vaccination campaign targeting the 12 years and above population

25 November 2021, Addis Ababa – On 16 November 2021, the Federal Ministry of Health (MoH) launched a COVID-19 vaccination campaign aiming to vaccinate people aged 12 years and above.

The Ministry has deployed over 28,000 vaccinators and more than 6.2 million doses of COVID-19 vaccines for the campaign, namely, Sinopharm, AstraZeneca, Johnson & Johnson/Janssen, and Pfizer-BioNTech.  These vaccines will be used for the campaign together with vaccines that had been deployed earlier.  Only Pfizer-BioNTech will be administered to the 12-18 years age group in 62 cities, while the other vaccines will be administered to those aged 18 years and older across the country in all accessible regions, zones and districts.

Speaking at a press conference to mark the beginning of the campaign, Honorable Minister of Health, Dr Liya Tadese urged the public to use this opportunity to get vaccinated to protect themselves and their families from this deadly disease.

Aiming to improve vaccine uptake, the MoH has launched a communication campaign with support from WHO Ethiopia. Through this campaign, the Ministry is transmitting information and calls to get vaccinated through short messaging system (SMS), different radio stations, and national television.

WHO Representative to Ethiopia, Dr Bouriema Hama Sambo urged, “We have the tools to stop the spread of COVID-19. Get vaccinated and adhere to the proven preventive public health measures of maintaining distance, wearing masks, keeping hands clean, and opening windows to keep spaces ventilated. He added, “WHO is committed to continue supporting the Federal Ministry of Health in the response to COVID-19 and other health emergencies.”

WHO has been supporting the planning, coordination, and implementation of this COVID-19 vaccination campaign by deploying 46 technical experts for direct technical support, supervision, and monitoring. The organization has also made technical and financial contributions to the communication and demand generation activities as well as operations and logistical support to the campaign.

Several health and immunizaiton partners, namely, UNICEF, AMREF, Resolve to Save Lives Fund, Save the Children, PATH, USAID, Alive & Thrive, Clinton Health Action Initiative and Johns Hopkins University, are also supporting this campaign.

As of 24 November 2021, a total of 370,712 confirmed cases and 6,702 deaths have been reported in Ethiopia, and more than 5.4 million people have been vaccinated.

 

 

 

Source: World Health Organization. Africa

Only 1 in 4 African health workers fully vaccinated against COVID-19

 

Brazzaville – Only 27% of health workers in Africa have been fully vaccinated against COVID-19, leaving the bulk of the workforce on the frontlines against the pandemic unprotected, a preliminary analysis by World Health Organization (WHO) shows.

Analysis of data reported from 25 countries finds that since March 2021, 1.3 million health workers were fully vaccinated, with just six countries reaching more than 90%, while nine countries have fully vaccinated less than 40%. In sharp contrast, a recent WHO global study of 22 mostly high-income countries reported that above 80% of their health and care workers are fully vaccinated.

“The majority of Africa’s health workers are still missing out on vaccines and remain dangerously exposed to severe COVID-19 infection. Unless our doctors, nurses and other frontline workers get full protection we risk a blowback in the efforts to curb this disease. We must ensure our health facilities are safe working environments,” said Dr Matshidiso Moeti, WHO Regional Director for Africa.

It is important to have high vaccine coverage among health workers not only for their own protection but also for their patients and to ensure health care systems keep operating during a time of extreme need.

Africa’s shortage of health workers is acute and profound, with only one country in the region having the required health workers (10.9 per 1000 population) to deliver essential health services. Sixteen countries in the region have less than one health worker per 1000 population. Any loss of these essential workers to COVID-19 due to illness or death therefore heavily impacts on service provision capacity.

Based on data reported to WHO by countries in the African Region, since March 2020, there have been more than 150 400 COVID-19 infections in health workers, accounting for 2.5% of all confirmed cases and 2.6% of the total health work force in the region. Five countries account for about 70% of all the COVID-19 infections reported in health workers: Algeria, Ghana, Kenya, South Africa and Zimbabwe.

After almost four months of a sustained decline, COVID-19 cases in the general population in Africa have plateaued. For the first time since the third wave peak in August, cases in Southern Africa have increased, jumping 48% in the week ending on 21 November compared with the previous week.

The risk of health worker infection rises whenever cases surge. This is a pattern that has been observed during the previous three waves of the pandemic. With a fourth wave likely to hit after the end-of-year travel season, health workers will again face risks amid low vaccination coverage.

To date, more than 227 million vaccine doses have been administered in Africa. In 39 countries which provided data, 3.9 million doses have been given to health workers.

“With a new surge in cases looming over Africa following the end-of-year festive season, countries must urgently speed up the rollout of vaccines to health care workers,” said Dr Moeti.

Vaccine shipments have been on the rise over the past three months. Africa has received 330 million doses from the COVAX Facility, the African Vaccine Acquisition Task Team and bilateral agreements since February 2021. Of these 83% have been delivered since August alone. As vaccine supply picks up, addressing uptake bottlenecks and accelerating rollout become more critical.

All countries in Africa have prioritized health workers in their vaccination plans. The low coverage is likely due to the availability of vaccination services, especially in rural areas, as well as vaccine hesitancy. Recent studies found that only around 40% of health workers intended to receive a COVID-19 vaccine in Ghana and less than 50% in Ethiopia. Concerns over vaccine safety and the adverse side effects of the vaccines have been identified as the main reasons for their hesitancy. Health workers are key sources of information for the general population and their attitudes can influence vaccine uptake.

“The COVID-19 vaccine stands among humanity’s extraordinary scientific feats. In Africa, we’re gradually overcoming supply constraints. Now is not the time to stumble over vaccine mistrust,” said Dr Moeti.

Supporting national efforts to drive up health worker vaccination, WHO is coordinating trainings and dialogue on vaccine safety and efficacy to help address doubts or misconceptions around the COVID-19 vaccine as well as advocating open and honest communication about the benefits and side effects of vaccination.

Dr Moeti spoke during a virtual press conference today facilitated by APO Group. She was joined by Dr Apetsianyi Yawa, Coordinator, Technical Working Group for the Deployment of COVID-19 vaccines, Togo, and Mr Michael Ekuma Nnachi, National President, National Association of Nigeria Nurses/Midwives, Nigeria.

Also on hand to respond to questions were Dr Richard Mihigo, Coordinator, Immunization and Vaccines Development Programme, WHO Regional Office for Africa, and Dr Thierno Balde, Regional COVID-19 Deputy Incident Manager, WHO Regional Office for Africa.

 

 

 

Source: World Health Organization. Africa

Ministry of Health in Collaboration with WHO convenes the Health Sector Performance Review, National Policy Dialogue to chart ways for improvement of the performance of the national health system of South Sudan

 

 

Juba, 25 November 2021 – The Ministry of Health in collaboration with the World Health Organization (WHO), has commenced a multi-stakeholder Health Sector Performance Review, to identify issues that need to be addressed to improve performance in the health sector of South Sudan. The review is based on the progress of implementation of the Health Sector Strategic Plan (HSSP) 2017 – 2022, of the current National Health Policy (2016 to 2026).

The Health Sector Performance Review 2021 will culminate into a National Policy Dialogue to discuss pragmatic strategies of strengthening the performance of the health sector for achieving the desired health outcomes of the country. Based on the review findings of the performance of the HSSP 2017-2022, the National Policy Dialogue will examine the key strategic issues identified, best practices on ground and policy implications of the findings for the strategic directions of the next strategic period of the National Health Policy.

“The Health Sector Strategic Plan-2017-2022, articulates the strategic approaches and key interventions to guide the Ministry of Health and partners in delivering health services in the country and achieve the three objectives: improving service delivery, strengthening leadership and management of the health system, and strengthening partnerships”, said Dr Paul Samson Baba, Acting Undersecretary at the Ministry of health.

“Performance reviews are important to reflect back, assess and creates the opportunity to measure how the sector is doing. It also allows to measure whether we are moving towards the right direction. How we can further improve coordination with the engagement from all relevant partners”, said Jessie-Ann Brouillette, Second Secretary (Development), Embassy of Canada.

Ms Brouillette underscored the importance of investment in the health sector by the government and the need for good and reliable data that provides evidence and quality information which are credible in ensuring assessment of the health service delivery in South Sudan and allows to explore ways of improving the quality of health care services responsiveness, resilience, and flexibility for improving those services.

“This Health Sector Performance Review National Policy Dialogue provides us with the opportunity to collectively generate a common understanding of the progress, challenges, best practices as well as identify issues that need to be addressed to improve the health sector performance. These should then inform practical and realistic policy shifts, strategic goals and implementation strategies for the development of the next Health Sector Strategic Plan and the Country’s Universal Health Coverage aspirations”, said Dr Fabian Ndenzako, WHO representative a.i. for South Sudan.

“Thanks to the Global Affairs Canada, GAVI, The Vaccine Alliance, European Union who provided catalytic funding support towards this process. Under the leadership of the Ministry of Health, WHO is committed to working with all stakeholders at all levels to implement the resolutions and recommendations arising from this National Policy Dialogue and ensure that all the Universal Health Coverage aspirations of the country are achieved”, said Dr Ndenzako.

The review assessed the performance of the three objectives using various modalities both at national and state level.

The National Policy Dialogue will finally endorse a declaration/Aide Memoire, a compact that lists the strategic issues, policy implications and actionable recommendations for the next strategic period.

 

 

Source: World Health Organization. Africa

 

Taraba State flags-off integrated Yellow fever, measles and meningitis vaccination campaign

 

– The National Primary Health Care and Development Agency (NPHCDA), World Health Organization (WHO), UNICEF, Gavi, the global vaccine alliance, and partners are working to boost population immunity against measles, meningitis, and yellow fever in 13 high-risk states.
Along this line, the Taraba State Government, on 17 November 2021, flagged off an integrated vaccination campaign to strengthen immunization of residents against three vaccine-preventable diseases (VPD) – measles, meningitis and yellow fever.  The campaign targets to reach over 4 million people in the state with the three antigens.

To launch the exercise at a ceremony in Jalingo, the state’s capital, the Governor, His Excellency Darius Ishaku urged eligible residents in the state to get vaccinated for protection against diseases.

He said, “the integrated vaccination campaign from the 17 to 27 of November 2021 is the first of its kind in Nigeria because we will be administering three vaccines concurrently – yellow fever for persons, nine months to 44 years, measles 9 to 59 months and Meningitis (Men A) 7-8 years”.
Calling for the continuous support of the leaders and partners, Governor Ishaku urged all community leaders to canvass their people to receive the vaccination to keep preventable diseases at bay in the state.

“Although Nigeria continues to experience an upsurge of some of these diseases, we are working assiduously and committed to bringing them to a bearable level. I appreciate the roles of our partners for the enormous support which is contributing to the successes recorded in this state”, he said.

Meanwhile, the flag-off was performed simultaneously in Zing Local Government Area (LGA) of the state.  The campaign will cover all the 167 political wards of the 16 LGAs and the Yangtu Special Development Area (SDA) for the benefit of women and other residents in the area.

At Zing LGA, the flag-off was attended by traditional and religious leaders, the Vice Chairman of the LGA, officials of the State Primary Health Care Development Agency (SPHCDA), and community members.

Buttressing the importance of the campaign in Zing, the Deputy Director SPHCDA, Mr Matthew Yudaba, urged the residents to get vaccinated as the state and partners are working effortlessly to keep them safe from vaccine-preventable diseases.

Meanwhile, one of the mothers who presented her child for vaccination at the Zing LGA flag-off, Ms Ikilimatu Mohammed, expressed gratitude to the government and partners for implementing vaccination campaigns to keep their children healthy.

“My son is 17 months, and I am delighted that my child has received the vaccination against measles and yellow fever disease. I will inform others to allow their children to get vaccinated too”, she said

The integrated vaccination campaign started in Taraba state is part of the campaigns scheduled to hold in 12 other states.  The campaigns target to reach more than 47 million people with lifesaving vaccines.

The other states to benefit are Abia, Bayelsa, Borno, Ebonyi, Imo, Kaduna, Kano, Katsina, Kebbi, Kwara, Sokoto, and Yobe.  The exercise aims to attain high levels of population immunity by reaching/protecting children unreached by routine immunization services for measles and meningitis. It also serves to protect at-risk populations against yellow fever.

Measles, meningitis, and yellow fever are highly contagious viral diseases. The diseases remain the cause of death among young children and adults, despite the availability of safe and effective vaccines.

This year, Nigeria has recorded sporadic outbreaks of yellow fever, measles, and meningitis due to low routine immunization coverage. In addition, the country is within the meningitis belt, where the incidence rate for meningitis is very high, especially in the North.

As of 11 November 2021, Nigeria recorded 13 766 suspected measles cases with 9 135 confirmed. A total of 46 suspected cases of Cerebral Spinal meningitis were reported as of 4 November 2021.  Also, as of 21 October 2021, over 1600 suspected yellow fever cases with 40 confirmed cases have been recorded.

The yellow fever campaign is critical to achieving the Eliminate Yellow Fever Epidemics (EYE) strategy. The strategy steered by WHO, Gavi and UNICEF, seeks to protect at-risk populations, prevent international spread and contain outbreaks rapidly.

Commenting on the importance of the exercise, the WHO State Coordinator, Mr Ismali Farouk Umar said that these integrated campaigns (yellow fever, measles, and meningitis) are in line with Global and country strategies for measles, yellow fever, and meningitis control.

 

 

 

Source: World Health Organization. Africa

 

Experts caution Nigerians against indiscriminate use of antibiotics to reduce future health crisis

The World Health Organization is supporting the Federal Government in raising awareness among health workers and Nigerians on the need for caution on antibiotics use to prevent a future public health emergency.

Across the world, experts have been warning for years that antibiotic resistance could be one of the biggest threats to humanity, and Nigeria is not left out as WHO describes it as one of the biggest threats to global health, food security, and development today.

“Using antibiotics such as Amoxil, Tetracyclines to treat cold, cough, boil and other common ailments was a norm for me until I stumbled on an awareness campaign in Utako, Abuja, by the Nigeria Centre for Disease Control (NCDC) and WHO. I never understood that antibiotics needed to be prescribed by specialists after a test. I have since read more about antibiotic resistance and realised I have been hurting myself and my family by taking drugs without prescription,” says Kemi Balogun, a trader residing in Abuja.

“I now understand the importance of antibiotics and the need to preserve the use for more deadly diseases”, she said.

Antibiotics resistance 

On 18–24 November, Nigeria joined the global community in commemorating World Antimicrobial Awareness Week to draw attention to the dangers of misusing antibiotics and other antimicrobials.

This year’s theme is ‘spread awareness, stop resistance’ to encourage the public and stakeholders across sectors – in human, animal and environmental health – to champion action against this major public health threat.

Antimicrobial resistance occurs when medicines no longer work as they should against communicable diseases because microbes adapt and protect themselves, leading to drug-resistant infections.

WHO noted that a growing number of infections – such as pneumonia, tuberculosis, gonorrhoea, and salmonellosis – are becoming harder to treat as the antibiotics used to treat them become less effective, leading to longer hospital stays, higher medical costs and increased mortality.

In a statement to commemorate the week, the WHO Regional Director for Africa, Dr Matshidiso Moeti, said more than half of all deaths in the WHO African Region are caused by communicable diseases treated by antimicrobials.

Urging the governments and individuals to play a role in stopping antimicrobial resistance, she said the key is to only use medicines as prescribed by a licensed health professional and be sure to take the full prescribed course.

Meanwhile, the threat of resistance puts at risk decades of progress in controlling malaria, HIV/AIDS, tuberculosis and sexually transmitted infections, among others. To sustain gains against infectious diseases and strengthen health systems, WHO is supporting action to combat antimicrobial resistance.

In a similar vein, the Antimicrobial Resistance Programme Manager, NCDC, Dr Abiodun Egwuenu, said the collaboration between WHO and NCDC in controlling AMR in Nigeria has been producing results.

Dr Egwuenu said WHO supported the national AMR response activities through AMR awareness walks, engaging policymakers, children (spelling bee, debate), Information Education and Communication (IEC) materials production in local and English languages, and production of videos.

WHO also supported in conducting the antibiotic use point prevalence survey in 17 health facilities spread across six states and integrated AMR surveillance, providing data required to raise awareness on this threat and how to prevent it. Nigeria, through NCDC, has been submitting AMR data to the WHO Global AMR Surveillance System since 2017, and resistance detected in priority pathogens retrieved from bloodstream infections.

In line with this year’s theme WHO collaborated with D. Stella Adaddevoh (DRASA), in piloting a behavioural change project for AMR among students from 10 secondary schools in Lagos State. The project produced 320 change ambassadors and revealed that the children too can create awareness for AMR and health hygiene among their peers and family members. Meanwhile, WHO is currently scaling up the project to 20 schools (10) in Lagos State and (10) in Osun state.

Although Nigeria does not have comprehensive data on antimicrobial resistance, a situation analysis conducted by the Nigeria Centre for Disease Control (NCDC) in 2016 revealed that multidrug-resistant organisms were discovered from common healthcare-associated infections.

The National Action Plan for Antimicrobial Resistance, 2017-2022, found that bad use of antibiotics was common with 42% of adults and 46.7%–71.1% of five years’ children were given antibiotics without prescription, and 68.3% of adults used antibiotics following the prescription.

 

 

 

Source: World Health Organization. Africa