This week, it was a great pleasure to visit Ebonyi state- the #Lassafever virology treatment centre, laboratory and the Ministry of Health. Encouraged by the progess this state has made in the last 18 months
#NCDCSundayReflections ImageImageImageImage
Ebonyi is one of the three #Lassafever hotspot states in #Nigeria. In the last 2 years, the state has improved its capacity to prepare for, detect and respond to outbreaks, with support from @NCDCgov and several partners ImageImage
I was very pleased to see the expansion of parts of the treatment centre, especially the creation of more triage areas in the hospital. The treatment centre has learnt from previous healthcare workers' infections and has put in more efforts to protect staff ImageImage
Since my last visit in February 2018, the virology laboratory in Abakaliki has improved its functions greatly. What this means is the state no longer depends on sending samples to other states- reducing time lag and improving management of cases ImageImageImage
The journey to improve Ebonyi state's capacity to detect and respond to #Lassafever cases is exemplary. The synergy among the state, teaching hospital, my Team at @NCDCgov & several partners especially @MSF_Belgique shows we are #strongertogether Image
The journey doesn't end here. We recognise there are several gaps that still need to be filled. As we approach the dry season when #Lassafever cases are usually high, we will work with all states to ensure a better level of preparedness and response 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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