The National Tuberculosis, Leprosy & Buruli Ulcer Control Programme (NTBLCP) has urged Nigerians to promptly report chronic ulcers to health facilities, warning that delayed reporting could hinder treatment, following 82 suspected cases in Adamawa State.
The federal government, through the NTBLCP, called for immediate reporting of any unusual chronic ulcer signs to ensure early diagnosis and treatment. This plea comes as health authorities investigate 82 suspected cases of chronic ulcers in Malabu and Fufore local government areas of Adamawa State.
Investigation and Findings
Adesigbin Olufemi, the Acting National Coordinator of the NTBLCP, noted that while the lesions appeared consistent with Buruli ulcer, diagnostic confirmation is essential.
- Negative Confirmation: Out of the 22 samples already tested, the results have returned negative for Buruli ulcer.
- Alternative Causes: Mr Olufemi clarified that other common causes of chronic leg ulcers in tropical regions are being considered, including diabetes, hypertension, trauma, and venous ulcers.
- Challenges: Surveillance and access to treatment are particularly challenging because the affected areas are marshy and hard to reach.
What is Buruli Ulcer?
Buruli ulcer is a neglected tropical disease caused by the bacterium Mycobacterium ulcerans. If left untreated, it can cause severe destruction of the skin and soft tissue, potentially leading to permanent disability.
Public Health Advice
To prevent the disease and ensure good outcomes, the NTBLCP advised Nigerians to:
- Avoid Contact with Stagnant Water: Do not swim or wade in stagnant or marshy water, as this is where the bacteria may thrive.
- Wear Protective Gear: Use protective clothing, such as boots and gloves, when working in swampy environments.
- Practice Good Hygiene: Promptly clean any cuts or wounds to prevent infection.
- Seek Immediate Medical Care: Avoid self-treatment of chronic ulcers and instead seek professional medical care if persistent or unusual ulcers develop.
A team from AFENET and the Nigeria Centre for Disease Control (NCDC) is currently on the ground in Adamawa State, where some patients are already receiving surgical treatment at Modibbo Adama Teaching Hospital, Yola, while others undergo daily wound dressing in the community. No deaths have been recorded.
