Dec 18, 2023

The Nigeria Centre for Disease Control and Prevention (NCDC), has reported 13 cases of Dengue fever in Sokoto state, sparking concerns about the low level of awareness among Nigerians regarding this mosquito-borne illness.

Despite efforts to combat the disease, there remains a pressing need for increased public education and preventive measures.

The NCDC said in a statement on Monday said that there were 64 suspected cases recorded in Sokoto state from three Local Government Areas (LGAs) – Sokoto South (60 cases), Wamako (three) and Dange Shuni (one).

It was restricted to Africa and Southeast Asia until the mid-20th century. The dengue viruses in viremic individuals and their Aedes aegypti mosquito vectors spread throughout tropical Southeast Asia via maritime shipments.

Nigeria, the most populous country in Africa, has an abundance of the Aedes aegypti mosquito which is known to transmit dengue, Zika, as well as chikungunya (CHIKV) and West Nile viruses.

The Nigerian Public Health Institute said the outbreak was detected in November 2023 with zero fatality recorded in the Sokoto state.

The agency disclosed that the majority of the suspected cases registered affected persons in the age range of 21 to 40 years.

According to it, Dengue fever is a viral infection caused by the dengue virus and transmitted to humans through the infected mosquito’s bite. Human-to-human transmission of the virus has not been established.

“The virus is found in tropical and sub-tropical climates, mostly in urban and semi-urban areas worldwide.

“Most people with dengue have mild or no symptoms and will get better in one to two weeks.

“If symptoms occur, they usually begin four to 10 days after infection and lasts for two to seven days.

“The symptoms of the fever may include high fever (40°C/104°F), severe headache, pain behind the eyes, muscle and joint pains, nausea, vomiting, swollen glands, and rash.

“Individuals who are infected for the second time are at greater risk of severe dengue.”

NCDC said that the NCDC-led multisectoral National Emerging Viral Haemorrhagic Diseases Technical Working Group (NEVHD TWG), collaborating with partners and relevant stakeholders, has conducted a rapid risk assessment to guide in-country preparedness activities.

“The NEVHD TWG coordinates preparedness efforts for Ebola virus disease and other emerging viral haemorrhagic fever diseases,” it said.

The agency said the current risk level of the dengue outbreak was moderate based on a dynamic risk assessment.

“There is currently adequate in-country capacity (including technical, health workforce, and diagnostic) to respond effectively in the event of a large-scale outbreak.

“Nigeria has also responded to viral haemorrhagic fever epidemics like the Ebola Outbreak in 2014 and subsequently Lassa fever.

“This has built our preparedness and response capabilities for viral haemorrhagic fevers like the dengue virus over the years,” NCDC said.

“Currently, there is a diagnostics capacity for the dengue virus at the NCDC National Reference Laboratory in Abuja and the Usman Dan Fodio University Sokoto Teaching Hospital Laboratory Centre for Human and Zoonotic Virology.

“However, the NCDC will proceed to optimise existing Lassa fever testing laboratories and others within the NCDC national laboratory network for DENV diagnosis to improve preparedness and readiness in the event of a large-scale outbreak,” it said.

It added that an effective response system was in place with the availability of control capacities to limit the risk of spread to other states.

Meanwhile, Dr Gabriel Adakole, a public health expert, said that prevention was crucial in reducing the risk of Dengue fever.

Adakole said that Nigerians could prevent themselves from Dengue fever by using mosquito repellent, wearing long clothing, avoiding peak mosquito times, eliminating breeding sites, using mosquito nets, and staying informed through local health advisories.

“Nigerians should be aware of Dengue fever symptoms such as high fever, severe headaches, pain behind the eyes, joint and muscle pain, rash, and mild bleeding.They should therefore seek medical attention promptly and avoid self-medication.

“Additionally, staying informed about local outbreaks and following health guidelines can contribute to effective prevention and control,” he advised.