Cholera - Platform Cholera Geographical representation of Cholera cumulative cases - Week W1 to W53 (2015) West and Central Africa

Résumé 5 298 cases Nigeria recorded cholera cases throughout the year, with a decline were reported in 2015 in 100 LGAs (Local Government Area) of overall incidence in the last weeks of 2015. The most affected The States of , Borno and Rivers recorded more than 1000 cases each. areas are similar to the ones from previous years: States in the surroundings of the Lake Chad and the ones in the South of the Guinean Gulf. Serious reporting discrepancies were observed 186 deaths between states and federal levels, suggesting underreporting in the have been reported for 2015 federal cholera database. Therefore, the allegedly decline in cholera cases at the end of 2015 should be taken with cautious; 3,5% additional efforts to reinforce surveillance system are mandatory in annual average case fatality rate order to effectively inform strategies to tackle and prevent cholera outbreaks in country. Temporal distribution Cumulative weekly cases and case fatality rate from 1 January to 31 December 2015. Sokoto Kukawa Batagarawa Guzamala # weekly cases weekly case fatality rate (%) Sule Tankakar 1000 25 Gwandu Birnin Kebbi Katsina Kunchi Marte 900 Aleiro Yobe Jigawa 800 20 Tofa Gamawa Jere Mafa Kebbi Zamfara Dikwa Kabo Maiduguri 700 GayaDutse Borno Kaga 600 15 Kiru KibiyaGarko Konduga Zuru Funtua Birnin Kudu Shira 500 Dandume Kano Kudan Gwoza 400 10 Sabon Gari Damboa Zaria 300 Igabi Ganjuwa 200 5 100 Ngaski Kaduna Toro Gombe Bayo Bauchi 0 0 Bauchi S1 S3 S5 S7 S9 S11 S13 S15 S17 S19 S21 S23 S25 S27 S29 S31 S33 S35 S37 S39 S41 S43 S45 S47 S49 S51 Dass Niger Jos North Week Tafawa-Balewa Geographical distribution (by state) Adamawa Kano 1094 PlateauLangtang North Rivers 1082 Kwara Akwanga Wamba Borno 1068 Abaji Keffi Nasarawa 372 FCT Ebonyi 371 Plateau 263 Nasarawa Obi Kaduna 221 Oyo Awe Jigawa 197 Surulere Anambra 169 Lokoja Taraba Bauchi 131 Kebbi 97 Ekiti Kogi Oyo Akinyele Osun 84 Ibadan North Katsina 53 Benue Lagos 23 Abia 23 Ogun Ondo Obi FCT/Abuja 22 Bayelsa 15 Ohaukwu Kogi Surulere 7 Lagos Edo Anambra West EbonyiIzzi Delta 3 Badagry Eti Osa Enugu Anambra East Ezza North Abakaliki Anambra Ezza South IkwoEbonyi Legend Umu-Nneochi Ivo Afikpo North

Bende Imo Cross River States boundaries LGA (Local Governmental Area) DeltaUdu Abia

LGA (Local Governmental Area) affected by Cholera Aba South Yenegoa Akwa Ibom BayelsaOgbia 41 to 111 cases 193 to 650 cases Southern Ijaw Rivers less than 40 cases Degema Nembe Andoni 112 to 192 cases 651 to 1074 cases 0 70 140 280 420 560 Kilometers

Date of production: January 21, 2016 Source: Nigeria Federal Ministry of Health

Contact : Cholera project - UNICEF West and Central Africa Regionial Office (WCARO) Feedback : Coordination : Julie Gauthier | [email protected] Information management : Alca Kuvituanga | [email protected] : of support the With The epidemiological data is certified and shared by national authorities towards the cholera platform members. Geographical names, designations, borders presented do not imply any official recognition nor approval from none of the cholera platform members