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2022: 2.5m individuals contracted TB in Africa — WHO

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By Matthew Denis

In commemoration of the World Tuberculosis Day 2024, the World Health Organization has disclosed that no fewer than 2.5 million people contract TB in Africa.

This is contained in a message to mark this year’s World Tuberculosis Day issued by the WHO Regional Director for Africa, Dr Matshidiso Moeti on Sunday.

She revealed that the number of TB deaths in Africa in 2022 reached 424,000, resulting in the loss of one life every minute even when TB is preventable and treatable.

These figures underscore the urgency of collective action in addressing the ongoing TB epidemic and highlight the need for sustained efforts to end it.

The World Tuberculosis Day is marked on March 24 every year to raise awareness about the devastating health, social and economic consequences of TB and to step up efforts to end the global TB epidemic.

According to her, “The theme for 2024 is ‘Yes! We Can End TB.’ With continued efforts and awareness campaigns, the aim is to eradicate the world’s deadliest disease.

“Since then, a 20 percent increase has been recorded in identified paediatric TB cases compared to the previous year. This signifies a positive step, indicating a more practical approach to recognizing TB in children and a decisive push to end this ancient disease.

“Today, we reflect on our progress while recognising the challenges in our efforts to eliminate it as a public health threat.

“TB continues to be the second leading cause of death from a single infectious agent, surpassing the toll of HIV/AIDS.”

She said the WHO African Region supports its member states’ fight against TB in Africa by setting strategic directions, developing monitoring tools, like the African TB scorecard with the African Union, and ensuring progress towards ending TB Strategy.

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Over 1,800 malnourished kids recovered in six months in Bauchi — CSOs

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Rauf Oyewole, Bauchi

The Coalition of Civil Society –Scaling Up Nutrition in Nigeria, Bauchi State Chapter has said that through its partnership with other implementing partners they have assisted over 1,800 malnourished children to recover from Severe Acute Malnutrition (SAM).

The Secretary of the Network, Dabis Mwalike while addressing journalists as part of the activities marking the 10th year anniversary of the network, said that it also engaged in preventive measures against malnutrition in the state.

According to her, during the implementation, 698 healthcare providers were trained across the 20 local government areas of Bauchi, 400 community-based volunteers were trained while 4,229 comprising 2,059 males and 2,170 females, children under five identified with SAM and 7,743 made of 3661males and 4082 females, children under five identified with Moderate Acute Malnutrition (MAM).

She added that 1,825 children under five identified with SAM and MAM recovered. While 202 PHCs established food banks.

She said that despite all the achievements, malnutrition remains a concern to public health and a threat to child survival, growth, and development in the country, and Bauchi State according to NNHS (2018) and NDHS (2018) the State stunting rate is 46 percent, wasting is 9.5 percent while underweight is 28.2 percent and overweight is 0.5 percent.

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Capacity training will reduce migration of health workers- NPHCDA

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The National Primary Healthcare Development Agency (NPHCDA) says it is taking steps towards tackling migration of health workers through capacity training programmes.
Mr Julius Idoko, NPHCDA Coordinator in Cross River, said this at the opening of a five-day capacity training for 100 frontline healthcare workers in the state on Tuesday.
Idoko said that the training, a project of the Health Minister, Prof. Mohammad Pate, was aimed at improving the capacity of health workers and making migration out of the country less attractive.
”The rate at which health workers leave the country has become worrisome, this training is to build their capacities.
”This initiative is one of the steps we are taking to curb the continuous exodus of healthcare professionals from the country.
”If we continue to engage and improve the capacity of our health workers, there will be no reason for them to leave the country,” he said.
The cordinator said that the initiative targets to capture no fewer than 120,000 healthcare workers in public institutions across the country.
Also speaking, Dr Henry Ayuk, Cross River’s Commissioner for Health, described the training as ‘very important’ to the state following its peculiar challenges.
He said the training would strengthen the skills of healthcare workers and enhance their performances.
Ayuk said that the state government would equip no fewer then 450 primary health centres within the next one year to enhance healthcare delivery.
Dr Vivian Otu, Director-General, Cross Rivers Primary Healthcare Development Agency, commended NPHCDA for the initiative, describing it as timely and well-intended
He said thet those who benefited from the exercise would train others to ensure an active and efficient workforce.
The programme attracted participants from WHO, University of Calabar Teaching Hospital, President’s Malaria Initiative among others
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WHO targets immunisation of one million people, as Nigeria becomes first country to receive new meningitis vaccine

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The World Health Organization (WHO) is targeting the immunisation of 1millikn persons as Nigeria becomes the first country in the world to roll out a new vaccine (Men5CV).

In a statement on Friday, WHO said that the vaccine would protect people against five strains of Meningococcus bacteria and described Nigeria’s feat as historic.

It said that health workers would begin an immunisation campaign aimed at reaching one million people.

The statement said that the vaccine and emergency vaccination activities are funded by Gavi, the Vaccine Alliance, which funds the global meningitis vaccine stockpile and supports lower-income countries with routine vaccination against meningitis.

According to the WHO, Nigeria is one of the 26 meningitis hyper-endemic countries in Africa, situated in the area known as the African Meningitis Belt.

It noted that in 2023, there was a 50 percent jump in annual meningitis cases reported across Africa.

“In Nigeria, an outbreak of Neisseria meningitidis (meningococcus) serogroup C outbreak, led to 1,742 suspected meningitis cases, including 101 confirmed cases and 153 deaths in seven of the 36 Nigerian states between October 2023 and March 2024.”

The states are Adamawa, Bauchi, Gombe, Jigawa, Katsina, Yobe, and Zamfara.

“To quell the deadly outbreak, a vaccination campaign was undertaken on March 25–28, 2024, to initially reach more than one million people aged 1-29 years,” it said.

The statement noted that meningitis is a serious infection that leads to the inflammation of the membranes (meninges) that surround and protect the brain and spinal cord.

“There are multiple causes of meningitis, including viral, bacterial, fungal, and parasitic pathogens.”

“Symptoms often include headache, fever, and stiff neck. Bacterial meningitis is the most serious and can also result in septicaemia (blood poisoning). It can seriously disable or kill within 24 hours,” the statement added.

It quoted WHO Director-General, Dr Tedros Ghebreyesus, as saying that meningitis was an old and deadly foe, adding that the new vaccine holds the potential to change the trajectory of the disease, preventing future outbreaks and saving many lives.

“Nigeria’s rollout brings us one step closer to our goal of eliminating meningitis by 2030,” Ghebreyesus said.

He said that the revolutionary new vaccine offers a powerful shield against the five major strains of the meningococcal bacteria – A, C, W, Y, and X – in a single shot.

All five strains cause meningitis and blood poisoning.

According to him, this provides broader protection than the current vaccine used in much of Africa, which is only effective against the A strain.

He said that the new vaccine has the potential to significantly reduce meningitis cases and advance progress in defeating meningitis.

“This is especially important for countries like Nigeria, where multiple serogroups are prevalent.

“The new vaccine uses the same technology as the meningitis A conjugate vaccine (MenAfriVac®), which wiped out meningococcal A epidemics in Nigeria,” the WHO boss said.

The statement quoted Prof. Muhammad Pate, Nigeria’s Minister of Health and Social Welfare, as saying that Northern Nigeria, particularly the states of Jigawa, Bauchi, and Yobe, were badly hit by the deadly outbreak of meningitis.

“This vaccine provides health workers with a new tool to both stop this outbreak and also put the country on a path to elimination,” Pate said.

According to him, Nigeria has done a lot of work preparing health workers and the health system for the rollout of the new vaccine.

“We got invaluable support from our populations in spite of the fasting period, and from our community leaders, especially the Emir of Gumel in Jigawa, who personally launched the vaccination campaign in the state.

“We’ll be monitoring progress closely and hopefully expand the immunisation in the coming months and years to accelerate progress,” he said.

The Minister said that the new multivalent conjugate vaccine took 13 years of effort and was based on a partnership between PATH and the Serum Institute of India.

“Financing from the UK government’s Foreign, Commonwealth, and Development Office was critical to its development,” he said.

Pate said that in July 2023, WHO prequalified the new Men5CV vaccine (which has brand name MenFive®), and in October 2023, it issued an official recommendation to countries to introduce the new vaccine.

According to him, Gavi allocated resources for the Men5CV rollout in December 2023, which are currently available for outbreak response through the emergency stockpile managed by the International Coordinating Group (ICG) on vaccine provision.

He added that the rollout, through mass preventive campaigns, was expected to start in 2025 across countries of the Meningitis Belt.

UK Minister for Development and Africa, Mr Andrew Mitchell, was also quoted as saying that the rollout of one million vaccines in northern Nigeria would help save lives, prevent long-term illness, and boost the goal of defeating meningitis globally by 2030.

“This is exactly the kind of scientific innovation supported by the UK, which I hope is replicated in years to come, to help us drive further breakthroughs, including wiping out other diseases,” Mitchell said.

He said that WHO has been supporting the Nigeria Centre for Disease Control and Prevention (NCDC) in responding to the meningitis outbreak in the country.

According to him, the areas of support include disease surveillance, active case finding, sample testing, and case management.

“WHO and partners have also played a vital role in supporting Nigeria to prepare for the rollout of the new vaccine and training health workers,” he said.

PATH’s Chief of Africa Region, Dr Nanthalile Mugala, was also quoted as saying that meningococcal meningitis had tormented countries across Africa year after year.

“The introduction of MenFive® in Nigeria heralds a transformative era in the fight against meningococcal meningitis in Africa.

“Building on the legacy of previous vaccination efforts, this milestone reflects over a decade of unwavering, innovative partnerships.

“The promise of MenFive® lies not just in its immediate impact but in the countless lives it stands to protect in the years to come, moving us closer to a future free from the threat of this disease,” Mugala said.

According to her, in 2019, WHO and partners launched the global roadmap to defeating meningitis by 2030.

“The roadmap sets a comprehensive vision towards a world free of meningitis and has three goals, including the elimination of bacterial meningitis epidemics.

Another goal is the reduction of cases of vaccine-preventable bacterial meningitis by 50 percent and deaths by 70 percent, as well as the reduction of disability and improvement of quality of life after meningitis, due to any cause.

Chief Programme Officer at Gavi, the Vaccine Alliance, Ms Aurélia Nguyen, was also quoted as saying that with outbreaks of infectious diseases on the rise worldwide, new innovations such as MenFive® were critical in helping the fight back.

She said that Vaccine Alliance funds the global stockpile as well as vaccine rollout in lower-income countries.

“This first shipment signals the start of Gavi support for a multivalent meningococcal conjugate vaccine (MMCV) programme which, with the required donor funding for our next five years of work, will see pentavalent meningococcal conjugate vaccines rolled out in high-risk countries.

“Thanks to vaccines, we have eliminated large and disruptive outbreaks of meningitis A in Africa, and now we have a tool to respond to other serogroups that still cause large outbreaks, resulting in long-term disability and deaths,” Nguyen said.

According to her, following Nigeria’s meningitis vaccine campaign, a major milestone on the road to defeat meningitis is the international summit on meningitis taking place in Paris in April 2024, where leaders will celebrate progress, identify challenges and assess next steps.

“It is also an opportunity for country leaders and key partners to commit, politically and financially, to accelerate progress towards eliminating meningitis as a public health problem by 2030,” she said.

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