Rajeev Profile picture
May 19, 2022 12 tweets 5 min read Read on X
For the period, 1st January 2020 to 1st May 2022, a total of 10 545 cases (suspected) and 362 deaths of Monkeypox were recorded in the Democratic Republic of Congo .

For 2022 alone, up to week 17, DRC has reported 1238 cases with 57 deaths. Image
There is an issue of having laboratory-confirmed diagnosis in DRC due to limited resources, hence suspected cases are reported. Image
DRC is suffering the most complex and longest humanitarian crises in the world.

Over 27 million Congolese are acutely food insecure at Crisis (IPC Phase 3) and Emergency (IPC Phase 4) level -- the highest number worldwide.

reliefweb.int/report/democra…
Already 57 Monkeypox deaths in 2022 in the DRC. I was unable to find in death data for 2016 and 2017 Image
In 2017, after 39 years without reporting a case of Monkeypox, Nigeria suffered an outbreak.

From 2017 to 2022 (1 May), a total of 558 confirmed cases have been reported with 8 deaths Image
Here are suspected cases of Monkeypox reported in Nigeria from 2017 to 2022. Image
Nigeria have very good surveillance of Monkeypox and the Nigeria Centre for Disease Control (NCDC) regurlarly prepare reports.

The public dashboard can be accessed here: ncdc.gov.ng/data Image
For 2000–2019, the numbers for the Central African clade are based largely on suspected cases, per the reporting system by the DRC.

journals.plos.org/plosntds/artic… Image
A good paper describing the genetic and epidemiological characteristics of Nigerian and exported cases.
academic.oup.com/jid/article/22…
The United States reported a multistate outbreak in 2003, when a shipment of small mammals (rope squirrels, tree squirrels, African giant pouched rats, brush-tailed porcupines, dormice, and striped mice) from Ghana spread the virus to pet prairie dogs. Image
This forced the CDC and FDA to prohibit the importation of African rodents into USA.

cdc.gov/poxvirus/monke…
Will end this thread by quoting a snippet of @arimoin and team's paper published in 2010
pnas.org/doi/10.1073/pn… Image

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More from @Rajeev_The_King

Sep 28, 2023
A rising trend in COVID-19 cases and test positivity rate has been observed over the last few weeks. Image
Data obtained from FluNet and comprise of testing done across the three sentinel surveillance programmes by the NICD

nicd.ac.za/wp-content/upl…
The sentinel surveillance data agrees with data from private laboratories such as Lancet

lancet.co.za/respiratory-vi…
Image
Read 6 tweets
Jun 14, 2023
Flu Update For South Africa 🇿🇦

Flu continues to circulate at high levels around the country. Contrast with the 2022 flu season with the current flu season. Image
Majority of the recent cases detected at the sentinel surveillance sites have been Influenza A(H3N2) Image
2019 was a terrible flu season, and 2023 is following a similar trajectory, in terms of detection rate Image
Read 8 tweets
Oct 20, 2022
We are now seeing a sustained rise in COVID-19 cases in SA.

Nothing too drastic at the moment, but nevertheless, an increasing trend. Image
We can see this growth over recent weeks more better on log scale.

Data up to 17 October '22 Image
Difficult to interpret test positivity rates as the testing rate dropped, but for the most recent week ending 14 Oct 22, both the number of PCR tests conducted and number of positive PCR tests increased, Image
Read 7 tweets
Sep 10, 2022
Influenza update for South Africa

The spike in week ending 6 Aug '22 resulted from fewer samples being submitted due to staff training.
Here's the breakdown by Influenza subtype and lineage.

Early in the Influenza season, we saw mostly circulation of Influenza A(H1N1 pdm09), but this was followed by the circulation of Influenza A(H3N2) and Influenza B(Victoria).
The NICD also mentioned that we had two cases of dual infections and they are Influenza A(H1N1)pdm09 and Influenza A(H3N2), and Influenza A(H1N1)pdm09 and Influenza B(lineage inconclusive) from Gauteng.
Read 7 tweets
Sep 2, 2022
Number of positive Influenza cases by influenza subtype and lineage across the three respiratory illnesse surveillance programmes in SA

Interesting to see H3N2 and Victoria starting to increase in prevalence.
Anecdotally, I have heard of people around me experiencing flu-like symptoms. Grateful to the NICD for having such surveillance programmes 🙏🏻
Here's the overall detection rate.

The sharp spike on week 31 represents data from the Viral Watch ILI surveillance programme (outpatients at private General Practioners)
Read 4 tweets
Jul 19, 2022
Trend in new cases from all districts in Maharashtra
Read 6 tweets

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