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WHO: Nigeria’s Lassa fever outbreak is slowing, but remains a concern.After nearly 400 confirmed infections and 100 deaths, the spread of Lassa fever in Nigeria is beginning to slow but the epidemic is far from contained, the World Health Organization and the Nigeria Centre for Disease Control (NCDC) have warned. NCDC’s latest data shows that the number of new confirmed and probable cases has been falling for five consecutive weeks, indicating that public health measures are proving effective, but more infections are expected until the end of the dry season, as the viral haemorrhagic fever is endemic to the area. Between 1 January and 25 March 2018, the NCDC reported 394 laboratory confirmed cases. There were 18 new confirmed cases in the last reporting week (19-25 March 2018), compared to 54 confirmed cases a month earlier (19-25 February 2018). 

Health Ministers and Environment Ministers, Experts, Officials and other key stakeholders from Small Island Development States (SIDS) of Africa and South East Asian regions, namely Cabo Verde, Comoros, Madagascar, Maldives, Mauritius, Reunion Island, Sao Tome and Principes and Seychelles participated in the World Health Organization (WHO) Third Global Conference on Climate Change and Health on 21-22 March 2018 in Mauritius. This special Initiative was launched by the WHO in view of supporting SIDS countries in the adoption of a streamlined and concerted approach to climate change and health. During the conference, the participants focused on climate change and health, with a vision that by 2030 all health systems in SIDS will be resilient to climate variability and change. The importance of a collaborative approach towards having a regional and national institutional mechanism for mitigating the impacts of climate change has been stressed upon by the WHO. Dr Joy St John, Assistant Director-General Climate and Other Determinants of Health in WHO Head Quarters, Geneva, Dr Magaran Bagayoko, delegated by Dr Moeti, Regional Director of the WHO Regional Office for Africa, and representatives from various international institutions, including United Nations Environment Programme (UNEP) and the Indian Ocean Commission participated in the conference. Dr St John addressed the representatives from the different SIDS countries at the opening of the conference and said that ‘SIDS should speak in one strong voice to make them heard by the whole world as SIDS countries contribute little to climate change and yet, they suffer most of the adverse effects of climate change.’ She reiterated her full support and commitment in supporting SIDS countries in mitigating the impacts of climate change. She pointed out that ‘the outcome of deliberations once finalized will be submitted in the form of a Regional Action Plan at the forthcoming World Health Assembly in May 2018 in view of obtaining support and assistance to enable SIDS to cope with health and climate challenges’. During the two day conference, the SIDS countries recognise that climate change cannot be dissociated from health as it affects, in profoundly adverse ways, some of the most fundamental determinants of health, including clean air, safe drinking water, sufficient food and secure shelter.

Nafissa Ikerodah is both a detective and diplomat of sorts. On a Saturday morning in early March, the Disease Surveillance Officer in Edo State area rushes to a household where a man has just died of Lassa fever.

Nearly two hundred participants from East and Southern African (ESA) countries including EPI managers and partners are attending a three day annual EPI Managers’ Meeting for ESA in Kigali, Rwanda, to deliberate on the progress and remaining challenges in immunization  in the sub region, in order to reduce morbidity, mortality and disabilities due to vaccine preventable diseases.