NCDC Confirms 123 Diphtheria Cases, 38 Death

The Nigeria Centre for Disease Control and Prevention (NCDC) has confirmed 123 cases of Diphtheria disease and 38 deaths in four states.

Head of Special Projects and Partnerships Unit at NCDC, Dr Pricilla Ibekwe, disclosed this in Abuja on Monday, during the Ministerial bi-weekly meeting on the update of COVID-19 response and development in the country’s health sector.

Ibekwe noted that in addition to clinically suspected cases, there had been laboratory-confirmed cases of the disease.

She said the NCDC was working with State Ministries of Health and partners to enhance surveillance and response to the outbreak.

According to Ibekwe, as of January 22, there were 123 confirmed cases and 38 fatalities reported in four states based on the most recent reports states had submitted with the agency.

She then provided a breakdown by state as follows: 100 confirmed cases and thirty two fatalities were reported in Kano, five cases and three fatalities in Lagos, seventeen cases and three in Yobe, and one case and no fatalities were reported in Osun.

Ibekwe explains that, the bacteria Corynebacterium species causes the dangerous bacterial infection known as diphtheria, which typically affects a person’s nose, throat, and occasionally skin.

She also claims that contact with contaminated clothing and things, as well as direct touch with droplets from coughing or sneezing infected individuals, are the easiest ways for diphtheria to spread between individuals.

Ibekwe said, “People most at risk include children and adults who have not received any dose of the pentavalent vaccine.

“People who live in areas with poor sanitation, people who live in a crowded environment, and healthcare workers exposed to suspected or confirmed cases of the disease.

“The onset of signs of the disease usually starts after two to 10 days of exposure to the bacteria.

“In severe cases, a thick grey or white patch appears on the tonsils and/or at the back of the throat associated with difficulty in breathing.”

She said complications from diphtheria included airway blockage, damage to the heart muscle, nerve damage, and kidney failure. However, for some people, respiratory diphtheria can lead to death.

She said the agency was collaborating with the UK Health Security Agency (UKHSA) to organise a 5-day workshop on enhancing laboratory diagnosis of diphtheria in Nigeria.

Ibekwe said the workshop was for laboratory scientists working in NCDC’s National Reference Laboratories and its lab network.

“This was planned before cases were reported as part of preparedness,” she said.

Ibekwe said that the agency had written to all state Hospitals and Community Health Services to institute immediate and necessary public health measures for timely detection and response to diphtheria at the state level.

She disclosed that to reduce the risk of diphtheria, the NCDC had published a public health advisory, accessible on its website, educating Nigerians on risk factors and offering advice, to reduce the risk of diphtheria.

“Such advices included parents ensuring that their children are fully vaccinated against diphtheria with 3 doses of the pentavalent vaccine.

“Healthcare workers should maintain a high index of suspicion for diphtheria.

“Individuals with signs and symptoms suggestive of diphtheria should isolate themselves and notify the LGA, DSNO or the NCDC through our toll-free line (6232),” she said.