Department of Public Health, School of Health Studies, College of Health and Human Sciences, Northern Illinois University, DeKalb, Illinois, United States.
Department of Medicine and Surgery, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria.
Pan Afr Med J. 2023 Aug 28;45:186. doi: 10.11604/pamj.2023.45.186.41328. eCollection 2023.
Nigeria has endured several diphtheria outbreaks over the last few decades, mirroring a suboptimal population immunity across several demographics within the country. The country's northern region has been affected mainly by this infectious disease; it directly depicts the effect of poor DPT vaccine uptake amongst children in this region compared to other geopolitical zones in Nigeria. Whilst pharmaceutical intervention and surveillance activities have commenced as directed by the NCDC, to combat this public health menace, top leaders of the Nigerian healthcare system - public and private sectors, must understudy the predisposing factors gearing the recurrence of diphtheria in Nigeria and provide robust, research-based and scientific mechanisms to arrest the root causes of the incessant outbreaks. This article discusses the factors promoting the recurrent diphtheria outbreaks in Nigeria, the preexisting interventions with their existential deterrents, and new strategies recommended to curb the further resurgence of the disease.
尼日利亚在过去几十年中经历了多次白喉疫情爆发,反映出该国多个人群的人群免疫力不理想。该国北部地区主要受到这种传染病的影响;它直接描绘了与尼日利亚其他地缘政治区域相比,该地区儿童 DPT 疫苗接种率低的情况。虽然国家疾病控制中心已按照指示开展了药物干预和监测活动,以应对这一公共卫生威胁,但尼日利亚医疗保健系统的高层领导——公共和私营部门,必须研究导致白喉在尼日利亚反复爆发的潜在因素,并提供强有力的、基于研究的和科学的机制,以消除疫情不断爆发的根本原因。本文讨论了促进尼日利亚反复发生白喉疫情的因素、现有的干预措施及其存在的障碍,以及建议采取的新策略,以遏制该疾病的进一步蔓延。