Medical Alert 27 November – 4 December 2017 - week 48

Burundi: Malaria epidemic The malaria outbreak continues to increase across Burundi, heavily affecting the north and centre of the country were increased case numbers and fatalities. Malaria is consistently present throughout the country. It is spread through mosquito bites and can be fatal unless promptly treated

Nigeria: Yellow fever The first yellow fever case was identified mid-September in Ifelodun Local Government Area of Kwara state. Since then, at least 15 cases have been confirmed in Kogi, Kwara and Zamfara states, and suspected cases have been reported in Abia, Borno, Kebbi and Plateau states. At least 24 deaths have been reported. A vaccination campaign has been conducted in high risk areas of Kwara and Kogi states, to prevent spread of the disease in the affected area and surrounding communities. Further campaigns are planned in December for Abia, Kogi, Kwara and Plateau states. Nigeria is considered a country with a risk of yellow fever transmission. The last documented human case was in 2002

Uganda: Marburg outbreak Ugandan officials have confirmed an outbreak of Marburg virus in Kween district, Eastern Uganda. The number of cases remains at three (two confirmed and one probable case).  All three cases were from the one family and have died. The index case (probable case) was a hunter and had carried out his activities in areas where bats are present. He developed symptoms and died on 25 September. To date, all previously identified suspected cases have tested negative. No new cases Cases of Marburg virus.