Thursday, 14 January 2016

The Return Of Bird Flu To Nigeria:

 Press statement from Anambra state government .

The Anambra State Government alerts members of the public about the resurgence of Avian Influenza popularly called Bird Flu in some states across the country. This disease which is usually associated with birds can also be transmitted from bird to man. Bird Flu can be transmitted through direct contact with infected birds or poultry materials.

The Symptoms of the disease include fever, sneezing, cough, diarrhea, trouble breathing, general ill feeling, muscle aches, runny nose and sore throat. Members of the public are by this announcement advised to observe personal hygiene, and to wash their hands with soap and clean water after contact with birds and poultry product.

They should also ensure that all poultry meat and eggs are thoroughly cooked before eating. All poultry farmers in the state are also advised to clean their surroundings, and to report cases of sick birds to the nearest veterinary clinic.

Similarly all veterinary officers in the state are by this announcement requested to commence surveillance/sensitization visits particularly at Live-bird markets in the state to avoid the contact and spread of the flu.

Signed, Dr Barr Mrs Uju Nwogu Hon Commissioner for Information, Culture and Tourism

Health Workers Flee From Suspected Lassa Fever Patient

Health workers at the Lagos State University Teaching Hospital, Ikeja, took to their heels when a patient who was suspected to have been down with Lassa fever was brought to the Medical Emergency Unit of thehospital on Wednesday. According to an attendant at the unit, the middle aged security officer was rushed to the hospital by his colleagues on Wednesday morning after he began bleeding through the nose.

It was gathered that one of the nurses at the unit with the doctor on duty eventually came to the patient’s aid and later directed that a series of tests be conducted on him before he was admitted into the ward. A medic at the unit said that they were taking precautions to ensure that they were wearing protective garment before attending to sick patients to prevent any cross-infection should it be Lassa fever.

The doctor and a senior nurse at the unit also advised the attendants not to panic when patients with symptoms of fever were brought to the hospital. She said, “These bleeding could have been as a result of tuberculosis as he complained that he had been coughing a lot lately.” However, the Minister of Health, Prof. Isaac Adewole, in a telephone conversation with one of our correspondents on Wednesday, said that any health worker or doctor found to have rejected sick patients over unfound claims would be
sanctioned.

Adewole said that such a reaction from health workers who should know better might frustrate ongoing efforts to detect and treat suspected cases of Lassa fever. He insisted that sick patients or those with symptoms of Lassa fever should be taken to LASUTH, as doctors and nurses at the tertiary institution had been trained on how to quickly attend to such infectious diseases.

Adewole said,“ It is an unprofessional behaviour and if we investigate this, we would sanction such health workers. If there is a suspected case of fever, please go to LASUTH, it is a tertiary hospital and they have adequate health professionals to
handle many cases. No one should turn a patient away on the basis of a fever.” The minister said that a man died of Lassa fever at the National Hospital, Abuja on Wednesday.

Adewole said that the patient who came from Plateau State died shortly after he was admitted to the hospital. He said, “The man came in from
Plateau State because he was ill. The healthcare team at the private hospital failed to suspect Lassa fever.” The minister, however, had directed
that all those who had contact with the deceased should be traced.

Adewole noted that no case of Lassa fever had been confirmed in Sokoto and Gombe states; hence the reason the Federal Government would be
delisting them from the list of affected states while it would add Ondo State. He said,“We are removing Gombe and Sokoto states because none of the cases were confirmed but we are adding Ondo State. So, we still have 10 states that have been affected.” Adewole, who had visited Minna, the Niger State capital, one of the affected
states earlier in the day, said that the outbreak had been brought under control.

The minister, who also visited one of the affected communities during the Lassa fever surveillance and nationwide fact-finding visit, told the state Governor, Abubakar Bello, that despite the high rate of fatality in the last few months, efforts by all stakeholders in the country had brought the scourge under control.

“A nationwide alert system is on to track the disease. Except for the case in Plateau, no person-to-person or hospital-acquired infection has been
recorded. So far, things are under control but the state and local governments should put an alert
system in place to enable us to track new cases whenever they happen,” Adewole noted. He added that the Federal Ministry of Health must be notified of any strange death.

The minister blamed the current Lassa fever outbreak on the failure of notification system in the country. He cited the case of Niger State where it
took months after the outbreak before his ministry was notified. The Niger State governor, who was
represented by his deputy, Alhaji Ahmed Ketso, called for the inclusion of traditional healers in disease control programmes, saying they were the first healthcare givers that ruralcdwellers consult.

Meanwhile, a male patient who was receiving treatment for Lassa fever at the isolation ward of the Irrua Specialist Teaching Hospital, in Esan
West Local Government Area of Edo State, was said to be in a critical condition on Wednesday.

A medical personnel at the hospital expressed fears that he had a low chance of survival, having reported late for treatment.

Health Alert: Lassa Fever kills one in Abuja

The Minister of Health, has announced the death of one confirmed Lassa fever victim at National Hospital Abuja.


The Minister, Prof. Isaac Adewole, who made the announcement at the National Hospital Abuja this evening, has called on Health workers at all levels to be more vigilant and look out for patients with symptoms of Lassa fever.

The Minister also has directed that all primary and secondary contacts of the victim should be tracked including the staff of the private hospital in Kubwa where the  deceased was first managed for one week and subsequently became unconscious before referral to National Hospital.

Prof. Adewole also advised that family members should report at the nearest hospital if anyone has fever for more than two days

The Minister, however called on the residents of Abuja not to panic but to maintain high level vigilance and present themselves for test if they feel unhealthy or they feel symptoms of Lassa fever which includes high fever, stooling, tiredness, vomiting among others, adding that self-medication should be avoided at this period.

The Medical Director of the Hospital, Dr Jack Momoh, who briefed the Minister this evening during his visit to National Hospital, said that the patient was brought in unconscious from a Private Hospital in Kubwa, where he was admitted for 8 days.

According to Dr. Momoh, The 33 year old newly married lived in Jos Plateau but came to see a family member in Kubwa because of his illness, but however died within 24hours of presentation at the National Hospital.

The latest death from Lassa fever brings the total number of deaths to 43 in the country.

Wednesday, 13 January 2016

Nigerian Senate Passes Resolution On Lassa Fever

The Nigerian Senate on Tuesday passed a resolution urging the Federal Ministry of Health to intensify its efforts to curb the Lassa


The disease has claimed 41 lives so far across the country.
In the resolution the Senate also urged the Nigeria Centre for Disease Control (NCDC) and other relevant agencies to immediately work to deploy health workers to affected areas so as to make available adequate healthcare for the citizenry.
According to the Senate President, the Senate Committee on Health will also be working to ensure that aggressive and holistic hygiene sensitization interventions are embarked on.

Free Medical Treatment
Three weeks into the New Year, Nigeria is still contending with the recent outbreak of Lassa Fever.
The virus is being reported in ten states in the country.
The federal lawmakers in the Senate fear that if nothing is done immediately to curtail further outbreak and spread of the virus, it could end up being a national emergency.
On Monday the Federal Government said it has approved a free medical treatment for persons infected.
But the Medical practitioners at the Lassa Fever Research Centre at Irrua Specialist Teaching Hospital, Edo State, said that Lassa fever has been spreading in the country because authorities have not given the disease the attention it requires.
According to doctors at the institute, although Lassa fever is endemic in Nigeria, it has largely been ignored.
“Since 1969, Lassa fever became known as a clinical entity and now we are in 2016 many people are still not aware, the drugs are still largely unavailable, and vaccines are not available unlike other diseases that have had serious attention,” one of the doctors said.
The Senate further pointed out that Lassa Fever is a preventable disease that requires enhanced surveillance and social health education across the board.

Nigerian Government Intensifies Surveillance To Prevent Lassa Fever Spread



The Federal Government has promised to intensify surveillance to prevent the spread of Lassa Fever.


Part of the strategy is a free treatment for persons infected with the disease.
In an interview with Channels Television’s correspondent, Gbenga Ashiru, the Minister of Health, Professor Isaac Adewole, said authorities had been mandated to give the treatment.
Last week, the Minister confirmed that at least 40 deaths have been recorded in 10 states of the federation.
While speaking on the 221.7 billion Naira allocated to the health sector in the 2016 budget, Professor Adewole noted that the ministry would focus on providing quality public healthcare delivery while reducing infant and maternal mortalities.
“The first thing we have done is to say, look we have recurrent upsurge in the episode and unusual high case fatality, but we are engaging in massive public education campaign, staying in touch with Local State and Federal Government officials and dispatching of surveillance officers to the affected areas and surrounding states.
“We are in fact re-activating some of the laboratories, making sure that cases are properly diagnosed, we have dispatched drugs to affected states and we are also sending them protective gears so that health workers can manage well,” he explained.
According to him, the government had advised health workers to refer persons with malaria that are not responding well to treatment to appropriate hospitals where they could be taking care of.
He, however, expressed hopes that there would not be a hospital acquired infection, which would lead to the a lock-down of the health facility.
Meanwhile, Medical practitioners at the Lassa Fever Research Centre in Irua Specialist Teaching Hospital, Edo State attributed the Lassa fever spread to the poor attention given to it by authorities over the years.
The officials, who conducted Channels Television round the foremost and only Lassa Fever Research Institute in Nigeria, called on the government to set up more diagnostic centres across the country.

Stop The Spread of Lassa Fever now-know the Cause and Symptoms



 

 Symptoms of Lassa fever

The incubation period of Lassa fever ranges from 6-21 days. The onset of the disease, when it is symptomatic, is usually gradual, starting with fever, general weakness, and malaise. After a few days, headache, sore throat, muscle pain, chest pain, nausea, vomiting, diarrhea, cough, and abdominal pain may follow. In severe cases facial swelling, fluid in the lung cavity, bleeding from the mouth, nose, vagina or gastrointestinal tract and low blood pressure may develop. Protein may be noted in the urine. Shock, seizures, tremor, disorientation, and coma may be seen in the later stages. Deafness occurs in 25% of patients who survive the disease. In half of these cases, hearing returns partially after 1-3 months. Transient hair loss and gait disturbance may occur during recovery.
Death usually occurs within 14 days of onset in fatal cases. The disease is especially severe late in pregnancy, with maternal death and/or fetal loss occurring in greater than 80% of cases during the third trimester.

Facts: Lassa fever
While most humans are infected either from contact with an infected rat or inhalation of air contaminated with rat excretions, like other hemorrhagic fevers, Lassa fever can be transmitted directly from one human to another. It can be contracted through direct contact with infected human blood excretions and secretions, including through sexual contact. No evidence of airborne transmission person-to-person is seen. Transmission through breast milk has also been observed.

PREVENTION
1)      Clean your house inside and out:

Rodents will come to your house for food and water. If your house have improper food waste disposal or you don’t covered your garbage bin correctly, the mouse or any rodents will be the pest around your house and spreading the virus at the same time.

Clean your house every day inside and out to avoid any traces of infected rodents. Burn the garbage if you can or disposed it in the correct and safe procedure. Never let any food waste scatter around the house because it can attract the rodents. Make sure your house is always clean and clutter free to ensure you are not providing the rodents the food and place to live in your house.

2) Never clean the rodents dropping or stool, urine or dead body with bare hands:

While you are cleaning, you might found this around your house. For your safety and to avoid the virus transmission, you have to always wear personal protection equipment while you are cleaning your house from rodents dropping, urine, secretions and the decaying dead body of the animal. Wear a plastic hand glove and top it with a latex glove for extra protection while you are cleaning your house. Wear a single use plastic apron to protect your clothes and body. Wear a high knee boot to protect your feet from stepping on the infected dead body of the animal and its body secretion. Use the antibacterial detergent or antibacterial soap to clean your house floor and surfaces.

3) Personal Hygiene:

Never touch your kids or family at home before you clean your hands and change your clothes after cleaning your house or you just back from work outside. Never recycle your plastic hand gloves and single use apron after cleaning the house with it. Dispose it safely in a plastic bag or burn it. Ask your children to take their bath after back from school. Never touch a baby or a pregnant woman if you are not cleaning your hands or take a bath with soap after back from work or cleaning the house area. Make sure you wash your hand with soap and water before eating as well.


     Please go to hospital immediately you noticed any of these symptoms or take the person to hospital immediately..Please share this information to stop the spread of Lassa fever...





Saturday, 9 January 2016

Lassa fever named after a Nigerian town in 1969



Lassa fever


Lassa fever or Lassa hemorrhagic fever (LHF) is an acute viral hemorrhagic fever caused by the Lassa virus and first discovered in 1969 in the town of Lassa, in Borno State, Nigeria. Lassa fever is a member of the Arenaviridae virus family. Similar to ebola, clinical cases of the disease had been known for over a decade, but had not been connected with a viral pathogen

        Cause 

 

Lassa virus is zoonotic (transmitted from animals), in that it spreads to humans from rodents, specifically multimammate mice (Mastomys natalensis). This is probably the most common mouse in equatorial Africa, ubiquitous in human households and eaten as a delicacy in some areas. In these rodents, infection is in a persistent asymptomatic state. The virus is shed in their excreta (urine and feces), which can be aerosolized. In fatal cases, Lassa fever is characterized by impaired or delayed cellular immunity leading to fulminant viremia.

Prevention

Control of the Mastomys rodent population is impractical, so measures are limited to keeping rodents out of homes and food supplies, as well as maintaining effective personal hygiene.

Treatment

All persons suspected of Lassa fever infection should be admitted to isolation facilities and their body fluids and excreta properly disposed of.

Early and aggressive treatment using ribavirin was pioneered by Joe McCormick in 1979. After extensive testing, early administration was determined to be critical to success. Additionally, ribavirin is almost twice as effective when given intravenously as when taken by mouth.Ribavirin is a prodrug which appears to interfere with viral replication by inhibiting RNA-dependent nucleic acid synthesis, although the precise mechanism of action is disputed. The drug is relatively inexpensive, but the cost of the drug is still very high for many of those in West African states. Fluid replacement, blood transfusion, and fighting hypotension are usually required. Intravenous interferon therapy has also been used

Deadly Lassa Fever Kills More Nigerians

The outbreak of lassa fever in some Nigerian states seems to be gaining strength as the Federal Government confirms new death toll.
The Federal Government on Friday in Abuja said the mortality rate of the re-emergence of Lassa fever has increased to 43.2% and has claimed the lives of five more people.

With the development, the death toll has now hit 40 as against 35 that was recorded on Thursday, thereby bringing the total number of reported cases to 86.

The Minister of Health, Prof. Isaac Adewole, at a news conference, also stated that two more states, namely Plateau and Gombe, had been affected by the disease, which is in its sixth week. Meanwhile, laboratories have confirmed 17 cases, which are indicative of a new outbreak of the disease as 80 per cent of human infections are asymptomatic.

Adewole said, “The total number of reported cases, so far, is 86 while there have been 40 deaths, with a mortality rate of 43.2 per cent. Our laboratories have confirmed 17 cases, indicative of a new roundtrip of Lassa fever outbreak.”

According to him, modalities have been put in place to curb the spread of the disease, which can also occur and be transmitted in health facilities where infection prevention and control practices are not observed.

The measures, according to the Minister, include, “Immediate release of adequate quantities of Ribavirin, the specific antiviral drug for Lassa fever to all the affected states for prompt and adequate treatment of cases.”

“We have deployed rapid response teams from the ministry to all the affected states to assist in investigating and verifying the cases, as well as tracing contacts. Clinicians and relevant health workers had been sensitised and mobilised in areas of patient management and care in the affected states, as well as intensifying awareness creation on the signs and symptoms, including preventive measures such as general hygiene.”

Adewole said Nigeria has the capability to diagnose Lassa fever as all reported cases were confirmed in the nation’s laboratories.

“However, due to the non-specific nature of Lassa fever symptoms and varied presentations, clinical diagnosis is often difficult and delayed, especially in the early course of the disease outbreak,” he added.

He, therefore, advised the public to “avoid contact with rodents/rats as well as food/objects contaminated with rats’ secretion and excretions.”
 

Friday, 8 January 2016

Lassa Fever Death Toll Hits 40 in Nigeria


The Minister of Health, Professor Isaac Adewole, has confirmed that death toll from the recent Lassa fever outbreak is now 40.



According to him, the disease has also spread to ten states since the last six weeks when the first case was reported in November.
The death toll represents over 43% of the 86 cases reported so far.
“In the last six weeks Nigeria has been experiencing Lassa fever outbreak which so far has affected 10 states in the country.
“The states affected include Bauchi, Nasarawa, Niger, Taraba, Kano, Rivers, Edo, Plateau, Gombe and Oyo state.
“The total number so far reported is 86 and 40 deaths with the mortality rate of 45%.
“Our laboratories have confirmed 22 cases so far, indicative of a new round trip of Lassa fever outbreak,” he said.

 In response to this reported outbreak, the Minister enumerated a number of measures taken by the Federal Ministry of Health under his leadership to curtail further spread and reduce mortality among those affected.

How to Lower Blood Pressure





1-Begin exercising right away. Exercise is an excellent way to control high blood pressure. It will help you lose weight, reduce stress, and feel good. Talk to your doctor before beginning a new exercise routine to make sure you are health enough. If your doctor gives you the ok, these are common recommendations
  • 75-150 minutes of endurance activity per week. You will enjoy it more if you chose activities that like to do. Many people join community sports teams, take classes at a local gym, or simply go outside and walk, run, or bike.
  • Exercise routines are most effective when they are also paired with strength training like weight lifting. This will help you to keep your bones strong and your muscles sculpted.
2-Start relaxing right away. Stress increases your blood pressure. If you are dealing with a lot of stress in your life, relaxation techniques may help you to keep it in perspective and reduce the physical toll it takes on your body. Things to try include:
3-Quit smoking or using tobacco. Tobacco hardens and narrows your arteries, which increases your blood pressure. This is true for both smokers and people who are exposed to secondhand smoke. Quitting will improve your health immediately. If you need help quitting you can:
  • Get support from friends, family, a counselor, a support group, or hotlines
  • Talk to your doctor about trying medications or nicotine replacement therapy
  • Try residential treatment. This would involve you living at a clinic or hospital for a little while. It would give you round the clock access to doctors, counselors, and other experts.
4-Drink less alcohol. Alcohol is high in calories, making you vulnerable to obesity and increasing your risk of high blood pressure. If you do drink, stay within the recommended limits.
  • Men should drink no more than one to two drinks per day. Women should have at most one drink per day.
  • A glass of wine, beer or shot of hard alcohol is a drink.
5-Evaluate the drugs you take. This includes both street drugs and medications. Street drugs can also increase your blood pressure. Some medications can also contribute to hypertension. If you think this might be the case for you, don’t stop taking your medications. Instead contact your doctor to discuss the problem. Your doctor may be able to recommend a different medication that will work better for you. Some substances and medications that can contribute to high blood pressure include:
  • Amphetamines, cocaine, and crystal methamphetamines
  • Some decongestants and cold medications
  • Some nonprescription painkillers (Ibuprofen and others)
  • Some birth control pills

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