A GUIDE FOR HEALTH WORKERS AND AUTHORITIES IN NIGERIA
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                A GUIDE FOR HEALTH WORKERS AND AUTHORITIES IN NIGERIA
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                Since the re-emergence of monkeypox in Nigeria in September 2017, the Nigeria Centre
for Disease Control(NCDC) has continued to receive reports and respond to cases of the
disease from States across the country. Between September 2017 when the outbreak started and November 2018, about 300 suspecte...d cases had been reported from 26 out of 36 states and the Federal Capital Territory. The highest number of cases were reported from States in the South-South region of Nigeria. Monkeypox is a zoonotic orthopox virus, which presents in humans with symptoms such as fever, headache, body pain, malaise, lymphadenopathy (enlargement of glands),
sore throat and the typical generalised vesiculopustular rash. Transmission is via direct or
indirect contact with infected animals, human, or contaminated materials.
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                                                                This document provides information and recommendations for action, based on the current available knowledge around monkeypox. It is a first draft which will be updated in light of evolving evidence and additional information as they become available.
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                The  most  significant  finding  of  the  case  study  for  integrating antimicrobial  resistance  (AMR)into existing programs and mobilising resources for funding in Nigeria, is that most of the AMR activities  within  the Nigerian  National  Action  Plan  (NAP)canalready be incorporated within exi...sting  programs  of  the  Federal  Ministry  of  Health  (FMOH),  Federal  Ministry  of  Agriculture and  Rural  Development  (FMARD)  and  their  agencies  or  institutes. Certain  programs  and initiatives already have an AMR element incorporated or could,with little effort,include some additional AMR actions, however much is already being planned and has started with existing federal  funding  and  existing  staffing  and  other  resources  including  development  partner support  and  is  being  driven  by  significant  political  will  from  the  ministries  as  well  as implementation support from the Nigerian Centers for Disease Control as the focal point.
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                                                                As  part  of  our  commitment  to  the  fight  against  NCDs,  Nigeria was  signatory  to  the  political declaration  at  the  UN  General  Assembly  High  Level  Meeting  on  NCDs  in  September  2011. Thus, the purpose of this document is to develop and ensure the implementation of policies and p...rogrammes  that  will  engender  and  guarantee  a  healthy  lifestyle  and  quality  health  for  all  Nigerians.  The  core  sections  include  background,  scope  of  the  policy,  policy  goal,  strategic  thrusts for implementation, programme management and coordination, roles of stakeholders and partnership  coordination.  It  is  expected  that  with  the  adoption  of  this  policy,  the  control  and  prevention  of  NCDs  and  their  associated  risk  factors  will  be  well  integrated  at  all  levels  of  government  and  health  care  delivery  system  in  Nigeria.  This  policy  document  is  therefore a stepping  stone  towards  the  development  of  guidelines  for  the  prevention  and  management  of  NCDs.
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                                                                Towards Universal Access to Prevention, Diagnosis and Treatment
                                                            
                         
                     
                                                        
                        
                        
                            
                            
                                                                The brief concludes that sustaining the continuity of EHS requires policies that ensure a whole-society and systems strengthening approach. This involves increased health care investment, community engagement, disease control regulations, and multisector approaches to improve resilience, EHS quality..., and equity.
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                                                                This manual details a collaboratively developed intervention to detect and refer Buruli ulcer, Hydrocele, Leprosy
and Lymphedema cases through the use of integrated approaches at community levels. This intervention has
been developed as part of the consortium in partnership with the Nigerian Feder...al Ministry
of Health, and Ogun and Kaduna State Ministries of Health. This manual is designed to assist community and
primary level health workers to identify, refer, diagnose and treat people affected by Buruli ulcer, Hydrocele,
Leprosy and Lymphedema, within the existing patient care pathway
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