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    The One Health approach to incident management of the 2019 Lassa fever outbreak response in Nigeria

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    Author
    Nwafor, Chioma Dan
    Ilori, Elsie
    Olayinka, Adebola
    Ochu, Chinwe
    Olorundare, Rosemary
    Edeh, Edwin
    Okwor, Tochi
    Oyebanji, Oyeronke
    Namukose, Esther
    Ukponu, Winifred
    Olugbile, Michael
    Adekanye, Usman
    Chandra, Nastassya
    Bolt, Hikaru
    Namara, Geofrey
    Ipadeola, Oladipupo
    Furuse, Yuki
    Woldetsadik, Solomon
    Akano, Adejoke
    Iniobong, Akanimo
    Amedu, Michael
    Anueyiagu, Chimezie
    Bakare, Lawal
    Ahumibe, Anthony
    Joseph, Gbenga
    Eneh, Chibuzo
    Saleh, Muhammad
    Dhamari, Naidoo
    Okoli, Ihekerenma
    Kachalla, Mairo
    Okea, Rita
    Okenyi, Collins
    Makava, Favour
    Makwe, Catherine
    Ugbogulu, Nkem
    Fonkeng, Fritz
    Aniaku, Everistus
    Agogo, Emmanuel
    Mba, Nwando
    Aruna, Olusola
    Nguku, Patrick
    Ihekweazu, Chikwe
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    Date
    2021-11-08
    Journal
    One health (Amsterdam, Netherlands)
    Publisher
    Elsevier B.V.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1016/j.onehlt.2021.100346
    Abstract
    Globally, effective emergency response to disease outbreaks is usually affected by weak coordination. However, coordination using an incident management system (IMS) in line with a One Health approach involving human, environment, and animal health with collaborations between government and non-governmental agencies result in improved response outcome for zoonotic diseases such as Lassa fever (LF). We provide an overview of the 2019 LF outbreak response in Nigeria using the IMS and One Health approach. The response was coordinated via ten Emergency Operation Centre (EOC) response pillars. Cardinal response activities included activation of EOC, development of an incident action plan, deployment of One Health rapid response teams to support affected states, mid-outbreak review and after-action review meetings. Between 1st January and 29th December 2019, of the 5057 people tested for LF, 833 were confirmed positive from 23 States, across 86 Local Government Areas. Of the 833 confirmed cases, 650 (78%) were from hotspot States of Edo (36%), Ondo (26%) and Ebonyi (16%). Those in the age-group 21-40 years (47%) were mostly affected, with a male to female ratio of 1:1. Twenty healthcare workers were affected. Two LF naïve states Kebbi and Zamfara, reported confirmed cases for the first time during this period. The outbreak peaked earlier in the year compared to previous years, and the emergency phase of the outbreak was declared over by epidemiological week 17 based on low national threshold composite indicators over a period of six consecutive weeks. Multisectoral and multidisciplinary strategic One Health EOC coordination at all levels facilitated the swift containment of Nigeria's large LF outbreak in 2019. It is therefore imperative to embrace One Health approach embedded within the EOC to holistically address the increasing LF incidence in Nigeria.
    Rights/Terms
    © 2021 Published by Elsevier B.V.
    Keyword
    Emergency operation centre
    Incident management system
    Lassa fever
    One Health
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/17214
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.onehlt.2021.100346
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