Trend and enhanced surveillance of Monkeypox during COVID-19 pandemic in Nigeria

Authors

  • Lateefat Kikelomo Amao Nigeria Centre for Disease Control, Abuja https://orcid.org/0000-0002-8031-5883
  • David Idowu Olatunji Nigeria Centre for Disease Control, Abuja https://orcid.org/0000-0003-2732-7794
  • Gordon Igbodo Nigeria Centre for Disease Control, Abuja
  • Solomon Chieloka Okoli Federal Ministry of Agriculture and Rural Development, Abuja https://orcid.org/0000-0003-3981-9710
  • Ifeanyichukwu Amaechi Nigeria Centre for Disease Control, Abuja https://orcid.org/0000-0002-0887-1375
  • Muhammad Isa Goni Nigeria Centre for Disease Control, Abuja https://orcid.org/0000-0002-8111-4856
  • Odianosen Ehiakhamen Nigeria Centre for Disease Control, Abuja
  • Olaolu Aderinola Nigeria Centre for Disease Control, Abuja
  • Adesola Ogunleye Nigeria Centre for Disease Control, Abuja
  • Oladipo Ogunbode Nigeria Centre for Disease Control, Abuja https://orcid.org/0000-0001-8337-796X
  • Adesola Adeleye Nigeria Centre for Disease Control, Abuja
  • Tajudeen Arowolo Nigeria Centre for Disease Control, Abuja
  • Kabiru Suleman Nigeria Centre for Disease Control, Abuja
  • Abubakar Hassan Nigeria Centre for Disease Control, Abuja
  • Mohammed Usman Yelwa Nigeria Centre for Disease Control, Abuja https://orcid.org/0000-0002-9402-7276
  • Nsikak Inam Nigeria Centre for Disease Control, Abuja
  • Afolabi Akinpelu Nigeria Centre for Disease Control, Abuja https://orcid.org/0000-0002-1837-6255
  • Fahad Muhammad Nigeria Centre for Disease Control, Abuja
  • Kola Jinadu Nigeria Centre for Disease Control, Abuja
  • Ikenna Onoh Nigeria Centre for Disease Control, Abuja https://orcid.org/0000-0002-2039-7215
  • Jessica Akinrogbe Nigeria Centre for Disease Control, Abuja
  • Elsie Ilori Nigeria Centre for Disease Control, Abuja https://orcid.org/0000-0002-1731-2604
  • Abaye Biobelu Bayelsa State Ministry of Health, Yenegoa
  • Ikwuogu Richard Delta State Ministry of Health, Asaba
  • Ifeoma Nwadiuto Rivers State Ministry of Health, Port Harcourt https://orcid.org/0000-0002-9020-8117
  • Oyaba Diemebonso Bayelsa State Ministry of Health, Yenegoa
  • Ogbue Nwakaego Delta State Ministry of Health, Asaba
  • Emmanuel Owhodar Rivers State Ministry of Health, Port Harcourt
  • John Oladejo Nigeria Centre for Disease Control, Abuja
  • Evaezi Okpokoro International Research Center of Excellence, Institute of Human Virology, Abuja https://orcid.org/0000-0002-3219-5995
  • Chikwe Ihekweazu Nigeria Centre for Disease Control, Abuja

DOI:

https://doi.org/10.4081/jphia.2022.2184

Keywords:

Monkeypox, COVID-19, Zoonosis, Enhanced Surveillance, Nigeria

Abstract

Monkeypox (MPX) is a viral zoonosis with lesions like smallpox. Though rare in Nigeria, sporadic outbreaks have been reported in 17 states since September 2017. Unfortunately, the COVID-19 pandemic has further reduced surveillance and reporting of MPX disease. This study seeks to assess the effect of an enhanced surveillance approach to detect MPX cases and measure the cumulative incidence of MPX in priority states in Nigeria. We identified three priority states (Rivers, Delta and Bayelsa) and their Local Government Areas (LGAs) based on previous disease incidence. We also identified, trained, and incentivized community volunteers to conduct active case searches over three months (January to March 2021). We supported case investigation of suspected cases and followed up on cases in addition to routine active surveillance for MPX in health facilities and communities. Weekly and monthly follow-up was carried out during the same period. Out of the three states, 30 hotspots LGAs out of the 56 LGAs (54%) were engaged for enhanced surveillance. We trained three state supervisors, 30 LGA surveillance facilitators and 600 Community informants across the three priority states. Overall, twenty-five (25) suspected cases of MPX were identified. Out of these, three (12%) were confirmed as positive. Enhanced surveillance improved reporting of MPX diseases in hotspots LGAs across the priority states. Extension of this surveillance approach alongside tailored technical support is critical intra and post-pandemic.

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Published

25-05-2022

How to Cite

Amao, L. K., Olatunji, D. I., Igbodo, G., Okoli, S. C., Amaechi, I., Goni, M. I., Ehiakhamen, O., Aderinola, O., Ogunleye, A., Ogunbode, O., Adeleye, A., Arowolo, T., Suleman, K., Hassan, A., Usman Yelwa, M., Inam, N., Akinpelu, A., Muhammad, F., Jinadu, K., Onoh, I., Akinrogbe, J., Ilori, E., Biobelu, A., Richard, I. ., Nwadiuto, I., Diemebonso, O., Nwakaego, O., Owhodar, E., Oladejo, J., Okpokoro, E., & Ihekweazu, C. (2022). Trend and enhanced surveillance of Monkeypox during COVID-19 pandemic in Nigeria. Journal of Public Health in Africa, 13(1). https://doi.org/10.4081/jphia.2022.2184

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Original Articles