It is safe to say that the cholera outbreak in the North East is under control.
In a synchronized event, the Commissioners of Health in Borno, Adamawa and Yobe States recently declared the end of the Cholera outbreak. It has been over two weeks since the last cases of Cholera were detected and as required by epidemiological protocols and standards, when the number of suspected cases in an epidemic area significantly declines and all samples from suspected cholera cases test negative for a minimum period of two weeks, the outbreak is considered controlled.
Following the intense outbreak response which was led and coordinated by the Nigerian Government with support from the World Health Organization (WHO), the last cases of cholera were reported in Borno state on 14 December 2018, while Adamawa and Yobe states reported their last cases on 23 November and 04 December 2018 respectively indicating an end of the outbreaks according to epidemiological standards.
Since the outbreaks of cholera were declared in each of the states at different times in 2018, close to 11,000 cases including 175 deaths with a case fatality ratio of 2.1% were reported across the three states as of 15th January 2019.
WHO Emergency manager for the North East Nigeria, Dr Collins Owili explained that the outbreaks affected close to 11,000 people across 28 Local Government Areas (LGAs) with Borno contributing 58%, Adamawa, 25% and Yobe state 17%.
“Atypical of cholera outbreaks, suspected cases were reported in early February 2018 from three wards in Kukawa LGA, Borno state,” said Owili. “Similarly, in Yobe state, on the 28th of March 2018, an outbreak of cholera was confirmed by the Honourable Commissioner for Health after samples collected from Gashua town in Bade LGA, tested positive to the bacteria vibrio cholerae. While, in Adamawa, cases were reported in Mubi north and South as early as 17 May 2018.”
In an address to the media on the official closure of the outbreak in Maiduguri, Borno state, the Commissioner for Health, represented by the Permanent Secretary, Alhaji Bukar Mustapha Allau commended WHO’s technical leadership and coordination of the health sector response.
Allau disclosed that 15 LGAs of Borno state accounted for 6,367 reported cases of cholera in 2018, with 73 associated deaths indicating a case fatality ratio (CFR) of 1.15%. According to him, “Jere LGA with 2,482 cases, Maiduguri Municipal Council with 1,556 and Ngala LGA with 1,052 contributed 80% of all reported cases in the state. Other LGAs that reported various cases include Magumeri Konduga, Kwaya-Kusar, Chibok, Shani, Damboa, Kaga, Askira-Uba, Bama, Dikwa, Guzamala and Kala/Balge.”
He commended the multi-sectoral approach, swift response and effective health partner coordination by all health partners as soon as the outbreak was confirmed.
n Yola, Adamawa state, the Commissioner for Health, Dr Fatima Atiku-Abubakar explained that WHO’s robust surveillance activities including early detection, timely reporting and coordinated response guided interventions and helped in controlling the spread of the outbreaks which reached 2, 755 cases including 43 deaths as of 23 November 2018.
Her counterpart in Yobe state, Dr Muhammed Bello Kawuwa, stated that WHO’s strategic community surveillance even in difficult to reach locations, effective health partner coordination and capacity building of health workers enabled timely control of the outbreaks.
Yobe state reported more than 1,800 cases with 61 associated deaths, giving a Case Fatality Rate (CFR) of 3.36% with 591 cases reported from Gulani LGA, 485 cases from Gujba LGA and 489 cases from Damaturu LGA. In Fune LGA, 181 cases were reported and 67 cases were reported in Potiskum LGA.
Although, cholera outbreaks are endemic in North East Nigeria, the outbreaks have remained persistent following the disruption of healthcare services as a result of the ongoing insurgency in the region. More than 1.7 million people have been internally displaced in Borno, Adamawa and
Yobe states, and thus, rendered vulnerable to communicable disease infections especially cholera, Yellow fever and meningitis. Through its health emergencies programme, WHO is coordinating 45 health sector partners to respond to multiple as well as concurrent outbreaks of diseases in the region.
How To Make Homemade Soft Cake: Know These Tips And Recipes
Is there anything better than preparing (and, of course, eating!) A homemade cake? The best of this dessert is that, because it is simple, children can help step by step, making the moment even more special! But did you know that, despite all the simplicity in the preparation, some tips are crucial to make the cake homemade cuddly and tasty? It is true! <a href=”https://bakedcomfortfood.com/”>Baked Comfort Food</a> will give you the tips for making Baked foods.
But before putting your hand in the dough, see the following tips that will make all the difference when you prepare the recipe!
If the recipe asks you to preheat the oven, then do so. This step is important so that the temperature is ideal when you put the cake to bake and with it, to cook it equally in full. One more tip is this: as the oven preheats, place a bowl (which can go into the oven, of course) with water inside it, which will prevent the dough from drying out.
Use The Correct Measures
Including the exact amounts of each ingredient in bulk is another critical care to make the cake even better. Who has meter to use, great! But of course, you can also try on the traditional method, which measures with cups and spoons. Put the ingredients in these containers and, above, pass a small knife to level. So, the measure is as exact as possible, which results in a cuddly homemade cake.
Beat Only The Liquid In The Blender
In the recipes that have been prepared in the blender, leave only the wet ingredients (milk, eggs …), in addition to the main ones (such as carrots for a carrot cake, for example), to hit the appliance. Add the dried ones later, manually. This is a great tip to leave your cuddly cake.
The Dry Ingredients
Flour, sugar, cocoa powder … In the case of dry ingredients like these, prefer to mix them by hand, without stirring much – which will give a softer batter in the final result (including flour, if much stirred, creates gluten, which leaves it elastic and less fluffy).
Step By Step Process
It is important to follow the steps that the recipe asks for, such as maintaining the order of ingredient inclusion. These details are crucial for the cake to be even tastier and cuddly!
It is no wonder that most recipes ask for butter (not margarine) because the ingredient is greasier, which attributes as in <a href=”https://www.thefreedictionary.com/velvet-textured”>velvety texture</a> to the dough. With margarine the recipe also works, but with the butter it will look better!
Leave The Yeast At Last
Yeast is what makes the cake grow and this process must take place inside the oven! So, leave to put it last in the recipe, so it does not start to act in advance. And, before using it, give a stir to mix all the chemical ingredients.
Tap On Shape
After putting the dough in the greased form. And before taking it to the oven, give a few beats in the form – a process that makes possible bubbles of air and also distributes the mass equally in the vessel.
Choose The Right Shape
To avoid running the risk of spilling or grounding the mass, choose to use a shape so that up to 3/4 of it is filled.
Forget The Toothpick
Putting a toothpick into the dough inside the oven is one of the best-known techniques to check if the cake is roasted. The problem is that if this is done ahead of time, the mass can “retract” by withdrawing air from the furrow. A more efficient way to know if it is time to take the cake out of the oven is to press the surface lightly with your finger – if the dough comes back, it’s done! Oh, and nothing to open the oven in the first 15 minutes to not interfere with the temperature required for baking, combined?
3.6% Fake Drugs Circulation in Nigeria, Not 70%, NAFDAC Clarifies
The National Agency for Food and Drug Administration (NAFDAC) has described the claim that 70 per cent of pharmaceutical products circulating in Nigeria are fake, as reckless, misleading, displeasing, and irresponsible.
This was made known by the Director of Special Duties in NAFDAC, Mr. Abubakar Jimoh, in Abuja yesterday while responding to questions from journalists on the issue.
According to him, the assertion as a great disservice to Nigeria and that it tends to undermine the efforts NAFDAC and other agencies are making in the fight against counterfeit medicines in the country.
Jimoh insisted that there are scientific proofs that indicated that there is a downward trend in the circulation of fake and substandard pharmaceutical products in the country.
He recalled that in 2001, when the former DG of NAFDAC, late Prof Akunyili, came on board, many people were giving different figures of the level of fake drugs in the country. Some were saying 60 % while others say 40%.
“We then approached the World Health Organisation (WHO) in 2005 and we carried out what we called a joint baseline study on all category of drugs which was sponsored by the WHO in Nigeria. The result of that national survey showed that the level of fake drugs in the country was in the neighbourhood of 16.7 per cent.
“In 2012, NAFDAC then carried out a survey for all category of medicines using the Truscan nationwide and the outcome showed that the 16.7 per cent we got in 2005 has gone down to 6.4 per cent.
“We decided to do a survey to determine the circulation of fake Anti-Malaria medicines alone also in 2012 and we got 19.6 per cent.
“In 2014, another national survey on the circulation of fake Anti-Malaria by United States (US) Pharmacopeia was conducted and the result was 3.6 per cent.
“We are mopping up all fake medicines from the system. We have evidence both research- wise and scientifically speaking to show that there has been a downward slide in the circulation of fake and counterfeit products in the country,” Jimoh explained.
Death Toll Rises in Niger Boat Accident
The State Emergency Management Agency (SEMA) has confirmed that at least 22 persons lost their lives and several missing following a boat accident in Niger State, on Wednesday.
The boat, which was ferrying about 60 passengers, capsized on Tuesday after smashing into a tree trunk in the rain-swollen River Niger.
The spokesman for SEMA, Mr Useni Abdulahi, confirmed that 22 bodies have been recovered from the river, 17 rescued while emergency workers and local divers were searching for at least 26 others.
He added that the dead bodies have been deposited at the mortuary of the General Hospital Yawuri, Kebbi State.
Officials, however, worried that the number of passengers may be higher than 60, as ferries in the riverine region are usually overloaded.
The boat had left Jilbabo Village in Kebbi State and was heading to Tetebo Village in neighbouring Niger State when the accident happened.
The incident occurred one month after 74 people were killed in three separate boats capsizes in Northern Nigeria.
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