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Nigeria receives first-ever meningitis vaccine

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Nigeria has become the first country to receive the new MenFive meningitis vaccine from the Vaccine Alliance-funded global stockpile, with a shipment delivered by the United Nations Children’s Fund.

This was disclosed in a press statement made available to our correspondent by Gavi on Thursday.

Meningitis, according to the World Health Organisation, is transmitted from person to person through droplets of respiratory and throat secretions, it is an infection of the meninges, the thin lining that surrounds the brain and spinal cord.

The disease is known to cause hearing loss, brain damage, seizures, limb loss or other disabilities and death, and can also be triggered by viruses, fungi or parasites.

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The African meningitis belt stretches from Senegal in the west to Ethiopia in the east (26 countries), including the northern part of Nigeria.

Meningitis in these countries follows a seasonal pattern, being most common during the dry season (December through June) with a peak between March and April when there is persistent low air humidity and high dust loads that are believed to damage the pharyngeal mucosa and ease the colonization of the nasopharyngeal epithelium by the meningococci.

The statement noted that the vaccine doses will be used to respond to an ongoing meningococcus C outbreak, targeting to vaccinate around a million children in six local government areas in Jigawa state – Babura, Birniwa, Gagarawa, Gumel, Maigatari, and Sule Tankarkar.

The MenFive vaccine, developed through a 13-year collaboration between PATH and Serum Institute of India, with support from the UK government’s Foreign, Commonwealth and Development Office, received WHO prequalification in July 2023. The vaccine protects against the five main serogroups of meningococcal meningitis impacting Africa – meningococcal serogroups A, C, W, Y, and X. It is the only vaccine that protects against serogroup X.

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As of end 2023, the global meningococcal vaccines stockpile had been accessed 62 times by 16 countries since 2009, with more than 29 million doses deployed from the stockpile in support to countries.

Alliance funds the global stockpiles of vaccines against cholera, Ebola, meningitis and yellow fever, and supports outbreak response campaigns in lower-income countries.

“Country requests to these stockpiles are managed by the WHO’s International Coordinating Group on Vaccine Provision.

“The ICG approved the deployment of 1,043,377 doses of MenFive in response to Nigeria’s request,” the statement noted.

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Commenting on the milestones, the Director of High Impact Countries at Gavi, the Vaccine Alliance, Dr Tokunbo Oshin said, “With outbreaks of infectious diseases on the rise worldwide, new innovations such as MenFive are critical in helping us fight back.

“Thanks to vaccines, we have eliminated large and disruptive outbreaks of meningitis A in Africa: now we have a tool to respond to other meningococcal meningitis serogroups that still cause large outbreaks resulting in long-term disability and deaths.

“Gavi will be working closely with the Nigerian government as well as our partners such as UNICEF and WHO to support the response to this outbreak.”

Gavi added that this first shipment signals the start of its support for a multivalent meningococcal conjugate vaccine programme, which will see the MenFive vaccine rolled out through outbreak response, routine immunisation, and catch-up campaigns in high-risk countries.

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“Over the years, Gavi has worked with countries to support vaccination against meningitis A, reaching nearly 400 million children through campaigns and routine immunisation. These efforts have helped Africa defeat meningitis A, with no new cases detected since 2017.

“The addition of MenFive into health systems’ toolkit holds out the possibility that the other circulating serogroups could also one day be defeated,” it said.

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UNICEF to vaccinate 3.8 million children in Northern Nigeria

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The United Nations Children’s Fund has disclosed that no fewer than 3.8 million children would be vaccinated against measles across four Northern states.

The UNICEF Health Officer in Bauchi state, Patrick Ako, disclosed this in a news conference on Friday, noting that the vaccination exercise would commence on Saturday and run for seven days.

He highlighted that the four Northern states where the integrated measles campaign would take place include Adamawa, Bauchi, Gombe, and Plateau.

“For the measles campaign, we have a target of 3.8 million children from nine months to 59 months, which we are targeting across the four states.

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“We have received in all the states a total of over 4 million doses of measles vaccines which have been supplied across the four states,” Ako stated.

The Health Officer explained that UNICEF is also going to launch an oral vaccination campaign against polio across five Northern states.

He said, “For the oral polio vaccination, we have a target of 6.8 million children that we are going to reach from zero to 59 months, which is less than five years across five states of Taraba, Plateau, Bauchi, Gombe,e, and Adamawa.

“The total number of vaccines that have already gotten to them is 7.4 million doses across these five states.

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“We are looking at it that no child should be left behind; all children of an eligible age group should be reached and be vaccinated.”

Also speaking, a Social Behavioural Change Specialist at UNICEF Bauchi Field Office, George Eki, said it became imperative for UNICEF to support the Nigerian government in protecting children against measles and other vaccine-preventable diseases.

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5 questions to ask your doctor before starting birth control

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It’s normal to have questions about what birth control method is right for you.

Starting birth control is a big decision, and it can feel overwhelming if you’re not sure what questions to ask your doctor.

With so many options available, from pills and patches to implants and IUDs, it’s understandable if you’re feeling confused or anxious.

Finding the right method isn’t just about preventing pregnancy; it’s also about making sure you feel comfortable and healthy with your choice. Your doctor is there to guide you, but it’s important to come prepared with questions that address your concerns, lifestyle, and future plans.

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1. What types of birth control are available?
When it comes to birth control, one size does not fit all. Ask your doctor about the different methods available, such as the pill, IUD (intrauterine device), patch, ring, implant, or shot.

Your doctor can explain how each method works, how effective they are, and what the pros and cons are. For example, if you prefer something long-term, an IUD might be a better option. But if you like having more control, the pill could work well.

2. What are the possible side effects?
Every type of birth control has possible side effects. Some people may experience nausea, headaches, weight changes, or mood swings, while others have no side effects at all. It’s important to ask your doctor about what you might expect. If you’re sensitive to hormones, your doctor can suggest non-hormonal options, like the copper IUD. Being aware of side effects in advance can help you know what to look out for and decide what you’re comfortable with.

3. How will birth control affect my period?
Birth control can change your menstrual cycle in different ways. Some methods may make your periods lighter or stop them completely, while others may cause irregular bleeding at first.

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If having regular periods is important to you, make sure to mention this to your doctor. They can help you choose a method that aligns with your preferences. If your periods are painful or heavy, certain types of birth control may even help reduce those symptoms.

4. Will birth control interact with my current medications or health conditions?
If you have existing health issues, like high blood pressure, diabetes, or a history of blood clots, some birth control options may not be safe for you. Also, if you’re taking medication for any condition, ask whether it might affect how well your birth control works. Your doctor can guide you to options that won’t interfere with your health or current treatments. Safety should always come first when choosing birth control.

5. What happens if I want to get pregnant in the future?
You’ll need to ask how quickly you can become fertile again after stopping birth control. Some methods, like the pill or the patch, allow for a quick return to fertility, while others, like the shot, may take longer.

If you’re thinking about starting a family in the future, talk to your doctor about which birth control options will work best for your timeline. Planning ahead can make transitioning easier when the time comes.

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Cholera claims 10 lives in Enugu

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The Enugu State Ministry of Health has confirmed the death of 10 people following a cholera outbreak in the state.

In a letter addressed to the Guild of Medical Directors on behalf of the Commissioner for Health, Prof. Emmanuel Obi, Dr Egwuonwu Samuel, Director of Medical Services, announced the outbreak and the swift actions being taken to prevent further spread.

The ministry reported several alarming cases of cholera, resulting in 10 fatalities so far. Efforts are already underway by the State Ministry of Health and its partners to contain the outbreak.

“Health facilities and personnel are advised to stay alert for symptoms like acute diarrhea, abdominal cramps, and vomiting,” said Dr. Egwuonwu.

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“We are calling for the immediate implementation of heightened Infection Prevention and Control (IPC) measures in all medical facilities to stop the spread.”

He urged medical practitioners to take extra precautions and report suspected cases swiftly.

“This outbreak poses a significant public health threat, as cholera is a highly contagious disease typically spread through contaminated water or food. The ministry’s swift action is critical to containing the outbreak and protecting public health.”

Dr. Egwuonwu also appealed to the public to practice strict hygiene measures, including boiling water before drinking, frequent hand washing, and avoiding poorly handled food.

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He noted that the Enugu State government would provide further guidelines and updates as the situation develops, while efforts continue in collaboration with local and international health partners to mitigate the outbreak.

(NAN)

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