Exit Of An Icon: A Tribute To Chief Ezeogo Uma Nchege Nwoke

The Lagos State Government has revealed that unregistered tiger nut drinks were a significant factor in the recent cholera outbreak in the state. Dr. Kemi Ogunyemi, the Special Adviser to the Governor on Health, provided insights into the outbreak during an interview with Victoria Edeme.

Dr. Ogunyemi noted that while isolated cases of cholera are common in Nigeria, a surge between June 10 and 11, 2024, marked an outbreak. The most affected areas include Lagos Island, Kosofe, and Eti-Osa. The Nigeria Centre for Disease Control and Prevention (NCDC) anticipates cholera outbreaks, especially during the rainy season, due to environmental conditions and social determinants of health, such as inadequate clean water and poor sanitation.

The outbreak's rapid spread was linked to environmental health issues. “Open defecation and reliance on well water, which gets contaminated during rains, are major factors,” Dr. Ogunyemi explained. In Eti-Osa, a survey identified unregistered tiger nut drinks as a common factor among patients. These drinks, not approved by the National Agency for Food and Drug Administration and Control (NAFDAC), were traced through empty bottles found during the investigation.

Stool samples confirmed Vibrio cholera subtype 01, the most infectious strain. Lagos Island, Eti-Osa, and Kosofe reported the highest number of hospital cases. Dr. Ogunyemi highlighted the importance of early medical intervention, advising against self-medication with antibiotics. The state has set up an emergency office in Yaba and continues to test stool specimens.

The outbreak has significantly impacted health and daily lives in affected areas. Awareness campaigns have led to a noticeable reduction in the sale of tiger nut drinks in Eti-Osa. Residents have been urged to boil water, practice regular handwashing, and avoid open defecation. Dr. Ogunyemi reported that fatalities increased to 21 as of Thursday, with some patients dying before reaching the hospital.

Cholera symptoms include abdominal pain, diarrhoea, vomiting, muscle cramps, rapid heart rate, and general fatigue. Symptoms can appear within 24 hours of infection. Immediate medical attention is crucial, and the NCDC has distributed rapid diagnostic tests to hospitals for on-site confirmation. Hospitals prioritize rehydration therapy for all patients presenting with diarrhoea or vomiting.

Lagos State is working with national and international health organizations, including UNICEF, the Red Cross, and the World Health Organization (WHO). These partnerships focus on monitoring, community surveillance, and providing necessary information and resources. The government has assured that treatment for cholera at public hospitals is free, addressing economic concerns that might deter individuals from seeking medical care.

Dr. Ogunyemi emphasized that the situation is under control and urged residents not to panic. The NCDC is closely monitoring the outbreak and conducting risk assessments to prevent further spread. The government's proactive measures aim to contain the outbreak and protect public health.