A great move for health security in #Nigeria last week, as His Excellency President @MBuhari declared a state of emergency on water, sanitation and hygiene #WaSH
#NCDCSundayReflections Image
Poor water, sanitation and hygiene, is a recurrent risk factor for many infectious diseases we face in #Nigeria, especially with #Lassafever and #cholera. We simply cannot #endcholera if we do not address #WASH Image
One of the most interesting aspects of my work as head of Nigeria's NPHI is visiting communities. Across many towns and villages, we find heaps of refuse, dirty ponds, littered streets, open defecation etc. We can all do better ImageImage
These poor water and sanitation conditions provide a vehicle for the transmission of infectious diseases. We realised early enough that our response to disease outbreaks will not be effective without a strong #WaSH system in place
With this state of emergency declared on #WaSH by President @MBuhari, my Team at @NCDCgov and I will strengthen our collaboration with @FMWRNigeria and other agencies with this responsibility, to prevent the spread of infectious diseases Image

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More from @Chikwe_I

1 Mar
The last 4 days have been busier than normal for us at @NCDCgov

We‘ve been responding to our 1st #COVID19 case, & associated panic. One thing we’re grateful for, is that the structures we built in the last 4 years have enabled our response in last 4 days

#NCDCSundayReflections
Within 12 hours of the case presenting at the Lagos University Teaching Hospital, we carried out laboratory tests, confirmed #COVID19 and issued a press release. Within 24 hours, we updated our advisory for the general public and other response activities
The 4 labs with the capacity to test for #COVID19 in #Nigeria are the NCDC Reference Lab & 3 other labs within our network of molecular labs

When #COVID19 started in China, we were able to set up testing in Nigeria in weeks, because we already had labs with required equipment
Read 8 tweets
23 Feb
There has been a lot of concern globally, about the capacity of African countries to respond in the event of #COVID19 outbreak

One clear difference between the 2014 Ebola outbreak and now, is the rise of regional health institutes- @OoasWaho & @AfricaCDC

#NCDCSundayReflections
Since the beginning of the #COVID19 outbreak in China, our coordination in Africa has been anchored by structures developed by @WHOAFRO, @AfricaCDC & @OoasWaho

These institutions have created a platform for collaboration, data sharing, training & capacity building
Through @AfricaCDC, colleagues from Member States have been trained in various areas in the last one month:

*Laboratory diagnosis
*Infection prevention and control
*Point of entry surveillance
*Risk communications

The use of regional resources for these training is exemplary!
Read 7 tweets
16 Feb
Last week, I was honoured to be part of the global research and innovation forum on #COVID19 convened by @WHO. The discussions we had and decisions made will be key in defining outbreak response activities now and in the long term

#NCDCSundayReflections Image
We held important, sometimes difficult but critical discussions to develop a plan that will enable the global community access to interventions for us to quickly control the #COVID19 emergency

A research roadmap has been developed and can be accessed via who.int/blueprint/prio…
I applaud @WHO’s role in bringing various stakeholders together to agree on science, especially in a field where there is a race for recognition & resources

The forum had representation at leadership level of @AfricaCDC @wellcometrust @CEPIvaccines @LSMOH, other stakeholders ImageImage
Read 4 tweets
9 Feb
We can mitigate the impact of outbreaks by adequately funding national public health institutes at all times

Like @DrTomFrieden says, we must move from being reactive to stable, substantial & sustainable funding for outbreak preparedness #NCDCSundayReflections Image
The 2017 Joint External Evaluation & the midterm assessment in 2019 in Nigeria, helped us assess our capacity to detect, prevent & respond to outbreaks

Importantly, it helped us identify critical gaps that exist. To close these gaps,we need increased funding for health security Image
Tackling emerging infectious diseases such as the novel #coronavirus, requires substantial investment in national public health institutes

During large outbreaks, the focus should be on activating these systems to respond and not on developing new systems

Invest in peace time ImageImageImage
Read 4 tweets
2 Feb
In these critical times, the rapid spread of false information can be alarming and harmful.

“The decisions we make need to be guided by facts, not fear or panic” @DrTedros
#NCDCSundayReflections Image
In strengthening our surveillance & preparedness for the novel #coronavirus, we’ve put in place significant measures

We‘ve agreed an initial national case definition to identify suspect cases

We‘ll review these criteria as additional information on #nCoV2019 becomes available Image
On the 1st of February, we validated our capacity to test for the novel #coronavirus at the @NCDCgov National Reference Laboratory(NRL)

This means that we are now able to test samples from patients that meet the national case definition of the novel #coronavirus here in #Nigeria Image
Read 7 tweets
26 Jan
Increase in the no. of Lassa fever cases across the country has left many Nigerians asking why it keeps recurring

The answer is not lack of preparedness!

We are victims of our own success. Improved awareness & capacity to detect = detection of more cases

#NCDCSundayReflections ImageImage
The Lassa fever virus is spread by infected rats. These rats are found nearly everywhere in our environment and are very difficult to eliminate

With infected rats and without a vaccine, our country and several others, remain at high risk of #Lassafever transmission Image
Over the last 3 years, we‘ve invested in our diagnostic capacity for #Lassafever

In 2016, we had only 2 labs in #Nigeria for #Lassafever testing. Currently, there are 5 molecular labs running at full capacity & providing testing for all states in the country. 1 new lab=N100M Image
Read 7 tweets

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