Review

Infectious disease outbreak preparedness and response in Nigeria: history, limitations and recommendations for global health policy and practice

  • Received: 08 July 2020 Accepted: 18 September 2020 Published: 22 September 2020
  • Effective disease outbreak response has historically been a challenging accomplishment for the Nigerian health system due to an array of hurdles not unique to Nigeria but also found in other African nations which share its large size and complexity. However, the efficiency of the response mounted against the Ebola Virus Disease (EVD) outbreak of 2014 proved that indeed, though challenging, proactive and effective outbreak response is not impossible. With over 20 public health emergencies and infectious disease outbreaks between 2016 and 2018 alone, Nigeria is one of only five members of the World Health Organization (WHO) African Region to report five or more public health events per annum. There are many lessons that can be drawn from Nigeria's experience in handling outbreaks of infectious diseases. In this review, we discuss the history of emerging and re-emerging infectious disease outbreaks in Nigeria and explore the response strategies mounted towards each. We also highlight the significant successes and note-worthy limitations, which we have then utilized to proffer policy recommendations to strengthen the Nigerian public health emergency response systems.

    Citation: Testimony J Olumade, Oluwafolajimi A Adesanya, Iyanuoluwa J Fred-Akintunwa, David O Babalola, Judith U Oguzie, Olusola A Ogunsanya, Uwem E George, Oluwawapelumi D Akin-Ajani, Damilola G Osasona. Infectious disease outbreak preparedness and response in Nigeria: history, limitations and recommendations for global health policy and practice[J]. AIMS Public Health, 2020, 7(4): 736-757. doi: 10.3934/publichealth.2020057

    Related Papers:

  • Effective disease outbreak response has historically been a challenging accomplishment for the Nigerian health system due to an array of hurdles not unique to Nigeria but also found in other African nations which share its large size and complexity. However, the efficiency of the response mounted against the Ebola Virus Disease (EVD) outbreak of 2014 proved that indeed, though challenging, proactive and effective outbreak response is not impossible. With over 20 public health emergencies and infectious disease outbreaks between 2016 and 2018 alone, Nigeria is one of only five members of the World Health Organization (WHO) African Region to report five or more public health events per annum. There are many lessons that can be drawn from Nigeria's experience in handling outbreaks of infectious diseases. In this review, we discuss the history of emerging and re-emerging infectious disease outbreaks in Nigeria and explore the response strategies mounted towards each. We also highlight the significant successes and note-worthy limitations, which we have then utilized to proffer policy recommendations to strengthen the Nigerian public health emergency response systems.


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    Author's contribution



    TJO conceptualized and designed the study. All authors contributed to the article searching and writing of the review. All authors approved the final version of the manuscript.

    Conflict of interest



    All authors declare no conflicts of interest in this paper.

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