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CHOLERA OUTBREAK IN NIGERIA IN 2024

CHOLERA OUTBREAK IN NIGERIA IN 2024

Cholera is a disease caused by the organism – Vibrio cholera which is a bacterium1. It is characterised by diarrhoea (rice water stool), vomiting, dehydration, weakness, muscle cramps. Cholera is a water borne disease which has posed a significant public health challenge due to outbreaks that result in high mortality rates. The disease thrives in areas with poor sanitation, inadequate water supply, and insufficient hygiene practices, making it a significant concern in regions with these vulnerabilities. In recent months, Nigeria has been grappling with a severe cholera outbreak, posing significant health challenges to the nation2. This highly infectious disease is caused by the ingestion of contaminated food or water with the bacterium has led to numerous deaths and a spike in illness across various states. As the country battles this health crisis, it is crucial to understand the gravity of the situation, the underlying causes, and the urgent steps needed to curb the spread of this deadly disease.

The latest cholera outbreak in Nigeria has affected multiple states, with the most impacted regions including Bauchi, Jigawa, Kano, and Zamfara. According to the Nigeria Centre for Disease Control (NCDC)3, thousands of cases have been reported, with several hundred fatalities. The outbreak has put immense pressure on the already strained healthcare system, as medical facilities struggle to provide adequate care and treatment to the increasing number of patients. Cholera has also caused a ripple effect in the lives of the people that undergo some form of flooding. Meanwhile there are factors that have contributed to the current outbreak of cholera in Nigeria.

Many communities in Nigeria lack access to clean water and proper sanitation facilities. Open defecation, contaminated water sources, and poor waste management practices create a conducive environment for the cholera bacteria to thrive. The rainy season exacerbates the spread of cholera as floodwaters can contaminate drinking water sources with sewage and other pollutants. Additionally, the Nigeria’s healthcare system faces numerous challenges, including inadequate facilities, insufficient medical supplies, and a shortage of healthcare workers. These limitations hinder the ability to provide timely and effective treatment to cholera patients. Another important contributing factor to the Cholera exacerbation is the fact that many people in affected areas may not be fully aware of the causes, symptoms, and prevention methods for cholera, leading to delayed treatment and increased transmission.

To successfully, combat the cholera outbreak effectively, a multi-faceted approach is necessary. Some of the key actions that need to be taken include:

  1. Improving the Water, Sanitation, and Hygiene (WASH). This can be done by ensuring access to clean water and proper sanitation facilities is paramount. Initiatives to build and maintain latrines, provide safe drinking water, and promote hygiene practices such as handwashing can significantly reduce the spread of cholera.
  2. Cholera outbreak can be combatted by strengthening the healthcare services in Nigeria. Enhancing the capacity of healthcare facilities to manage cholera cases is crucial. This includes providing adequate medical supplies, ensuring timely treatment, and training healthcare workers in cholera management protocols.
  3. The role of public awareness campaigns and education cannot be over emphasized. Educating the public about cholera prevention, symptoms, and the importance of seeking prompt medical attention can help curb the spread of the disease. Community engagement and the use of mass media can be effective tools in spreading awareness.
  4. There is also a need to deploy rapid response teams to the affected areas to help with early detection, containment, and treatment of cholera cases. These teams can also assist in identifying and addressing potential sources of contamination.
  5. Government agencies, non-governmental organizations, and international bodies need to collaborate closely to ensure a coordinated and effective response to the outbreak. Sharing resources, expertise, and information can enhance the overall impact of intervention efforts4.
Conclusion

The cholera outbreak in Nigeria is a pressing public health emergency that requires immediate and sustained action. Addressing the root causes of the outbreak, improving healthcare infrastructure, and increasing public awareness are critical steps in combating this deadly disease. With concerted efforts from all stakeholders, Nigeria can overcome this health crisis and build a more resilient healthcare system for the future.

References

1. Marin MA, Thompson CC, Freitas FS, Fonseca EL, Aboderin AO (2013) Cholera Outbreaks in Nigeria Are Associated with Multidrug Resistant Atypical El Tor and Non-O1/Non-O139 Vibrio cholerae. PLOS Neglected Tropical Diseases 7(2): e2049. https://doi.org/10.1371/journal.pntd.0002049

2. Oyedeji KS, Niemogha MT, Nwaokorie FO, Bamidele TA, Ochoga M, Akinsinde KA, Brai BI, Oladele D, Omonigbehin EA, Bamidele M, Fesobi TW, Musa AZ, Adeneye AK, Smith SI, Ujah IA. Molecular characterization of the circulating strains of Vibrio cholerae during 2010 cholera outbreak in Nigeria. J Health Popul Nutr. 2013 Jun;31(2):178-84. doi: 10.3329/jhpn.v31i2.16381

3. Nigeria Centre for Disease and Control (2024). STOP CHOLERA: Public Health Advisory. Accessed on 23/07/2024. Available at https://ncdc.gov.ng/news/513/stop-cholera%3A-public-health-advisory

4. Olumade TJ, Adesanya OA, Fred-Akintunwa IJ, Babalola DO, Oguzie JU, Ogunsanya OA, George UE, Akin-Ajani OD, Osasona DG. Infectious disease outbreak preparedness and response in Nigeria: history, limitations and recommendations for global health policy and practice. AIMS Public Health. 2020 Sep 22;7(4):736-757. doi: 10.3934/publichealth.2020057.

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