Niger health officials the first cases of this most recent cholera outbreak in early July, and since that time, the outbreak has ballooned to thousands of cases that have spread to multiple regions of the country.

Niger (in red) Image/FireSky
Niger (in red)

As of 1 October 2018, 3692 cases (14% of these were cases in Nigerian residents seeking care in Niger) with 68 deaths (case fatality rate = 1.8%) have been reported from twelve health districts in four regions: Dosso, Maradi, Tahoua, and Zinder.

Four affected districts (Aguié, Guidam Roumji, Madarounfa, and Maradi commune) in Maradi Region and two affected districts (Birni Koni, and Mabalza) in Tahoua Region are on the border with Nigeria, while Gaya District in Dosso Region is close to the border with both Benin and Nigeria.

Poor sanitary conditions in the affected areas in addition to frequent population movement between Niger and neighboring Katsina State in Nigeria have been implicated in the spread of the outbreak.

Surveillance activities are being scaled up with support from WHO and other partners and the daily reporting and line listing of cases have been established.

Cholera treatment centres have been put in place by the Ministry of Health with the support of Médecins Sans Frontières, and the Non-governmental Organization (NGO) ALIMA (partnered with the local NGO Bien Être de la Femme et l’Enfant au Niger (BEFEN)). In total, six treatment sites have been set up in the affected districts and initial medical supplies have been dispatched. Niger has laboratory capacity through the national laboratory (CERMES) which confirmed Vibrio cholerae serotype O1 Inaba.

Social mobilization and risk communication activities are being scaled-up with support from UNICEF and Niger Red Cross, focusing on hygiene messages.

Currently, water, sanitation and hygiene (WASH) activities are focusing on the distribution of aqua tabs.