Conference Abstract | Volume 8, Abstract ELIC202586 (Poster 087)| Published:  04 Aug 2025

Lassa fever outbreak response in Nasarawa State, Nigeria; Challenges and lessons learnt by the National Rapid Response Team

Jamiyu Ganiyu1, Patience Adeda1, Olufunmilola Adegbite1, Olugbenga Joseph2, Hadiza Yahaya Ahmed2, Moses Eki3,&, Tunde Jegede4

1Department of Public Health, Federal Ministry of Health and Social Welfare, Abuja, Nigeria, 2Nigeria Centre for Disease Control, Federal Ministry of Health and Social Welfare, Abuja, Nigeria, 3Federal Ministry of Agriculture and Rural Development, Abuja, Nigeria 4Nigeria Field Epidemiology and Laboratory Training Programme

&Corresponding author: Moses Eki, Federal Ministry of Agriculture and Rural Development, Abuja, Nigeria, Email: jamiyug@gmail.com

Received: 01 May 2025, Accepted: 09 Jul 2025, Published: 04 Aug 2025

Domain: Infectious Disease Epidemiology

This is part of the Proceedings of the ECOWAS 2nd Lassa fever International Conference in Abidjan, September 8 – 11, 2025

Keywords: Lassa fever, National Rapid Response Team, Community, Suspected Case, Confirmed Case, Index Case, Surveillance, Knowledge, Nasarawa State

©Jamiyu Ganiyu et al. Journal of Interventional Epidemiology and Public Health (ISSN: 2664-2824). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Jamiyu Ganiyu et al., Lassa fever outbreak response in Nasarawa State, Nigeria; Challenges and lessons learnt by the National Rapid Response Team 2025. Journal of Interventional Epidemiology and Public Health. 2025;8(ConfProc5):00231. https://doi.org/10.37432/JIEPH-CONFPRO5-00231

Introduction

Lassa fever is a major public health threat, and endemic in West Africa countries. It is primarily transmitted through contact with the urine or feces of infected multimammate rats or through contact with contaminated materials like food or household items.  In Nigeria, outbreaks of the disease are typically observed during the dry season (December-April). Following a report of confirmed case of Lassa fever in Nasarawa State on 9th January, 2025, the National Rapid Response (NRR) team was deployed to support the state to curtail the outbreak.

Methods

The National Rapid Response (NRR) team supported the outbreak response by conducting epidemiological investigation; capacity building of health workers on surveillance; de-ratization of markets; risk communication and community engagement; observational assessment of the environment as well as assessment of food safety practices among community members.

Results

The index case was a 43-year-old pregnant female who had onset of malaria-like symptoms and bleeding disorder on the 6th of January 2025 and was confirmed as a case of Lassa Fever on the 13th of January 2025 after her demise. The average age among 46 patients line listed was 33.5 ± SD 15.4 and 28 (60.9%) were males. Out of the total samples collected, 2 (4.3%) were positive and 2 (6.5%) died, with case fatality of 100%. There were knowledge gaps in surveillance among health workers and suspected cases.

Conclusion

There was about 72 hours delay in the referral of index case from a private to public health facilities. This challenge may be due poor knowledge of priority diseases among health workers in private health facilities and poor health seeking behaviour of patients. Therefore, continuous public awareness and capacity building of private health workers on enhance surveillance for Lassa fever and priority diseases should be scale up and sustained.

 

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Keywords

  • Lassa fever
  • National Rapid Response Team
  • Community
  • Suspected Case
  • Index Case
  • Surveillance
  • Knowledge
  • Nasarawa State
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