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History-making Nigeria becomes 1st country to roll out new meningitis vaccine

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Nigeria has become the first country to roll out a new meningitis vaccine (Men5CV) recommended by the World Health Organisation (WHO).

According to WHO, this is especially important for countries like Nigeria where multiple serogroups are prevalent. The new vaccine uses the same technology as the meningitis A conjugate vaccine (MenAfriVac®), which wiped out meningococcal A epidemics in Nigeria.

The vaccine and emergency vaccination activities are funded by Gavi, the Vaccine Alliance, which funds the global meningitis vaccine stockpile and supports lower-income countries with routine vaccination against meningitis.

WHO stated that the revolutionary new vaccine offers a powerful shield against the five major strains of the meningococcal bacteria (A, C, W, Y and X) in a single shot. All five strains cause meningitis and blood poisoning.

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This, it noted, provides broader protection than the current vaccine used in much of Africa, which is only effective against the A strain.

The new vaccine is said to have the potential to significantly reduce meningitis cases and advance progress in defeating meningitis.

WHO Director-General, Dr. Tedros Adhanom Ghebreyesus said: “Meningitis is an old and deadly foe, but this new vaccine holds the potential to change the trajectory of the disease, preventing future outbreaks and saving many lives.

“Nigeria’s rollout brings us one step closer to our goal to eliminate meningitis by 2030″.

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Minister of Health and Social Welfare, Prof. Muhammad Ali Pate said: “Northern Nigeria, particularly the states of Jigawa, Bauchi and Yobe were badly hit by the deadly outbreak of meningitis, and this vaccine provides health workers with a new tool to both stop this outbreak but also put the country on a path to elimination.

“We’ve done a lot of work preparing health workers and the health system for the rollout of this new vaccine. We got invaluable support from our populations despite this fasting period and from our community leaders especially the Emir of Gumel in Jigawa state who personally launched the vaccination campaign in the state.

We’ll be monitoring progress closely and hopefully expanding the immunization in the coming months and years to accelerate progress”.

This new multivalent conjugate vaccine was 13 years in the making and was based on a partnership between PATH and the Serum Institute of India.

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Financing from the UK government’s Foreign, Commonwealth and Development Office was critical to its development.

Nigeria is one of the 26 meningitis hyper-endemic countries of Africa, situated in the area known as the African Meningitis Belt. Last year, there was a 50% jump in annual meningitis cases reported across Africa.

In Nigeria, an outbreak of Neisseria meningitidis (meningococcus) serogroup C outbreak led to 1742 suspected meningitis cases, including 101 confirmed cases and 153 deaths in seven of 36 Nigerian states (Adamawa, Bauchi, Gombe, Jigawa, Katsina, Yobe, Zamfara) between 1 October 2023 and 11 March 2024.

To quell the deadly outbreak, a vaccination campaign has been undertaken on 25–28 March 2024 to initially reach more than one million people aged 1-29 years.

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Meningitis is a serious infection that leads to the inflammation of the membranes (meninges) that surround and protect the brain and spinal cord.

There are multiple causes of meningitis, including viral, bacterial, fungal and parasitic pathogens. Symptoms often include headache, fever and stiff neck.

Bacterial meningitis is the most serious, can also result in septicaemia (blood poisoning), and can seriously disable or kill within 24 hours those that contract it.

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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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