Diphtheria Surveillance Dashboard in Kano
Author : MSF WaCA, Med Department, Epidemiology
As of Week 10 of 2026, diphtheria transmission in Kano State remains ongoing. Weekly reported cases decreased slightly to 222 cases in Week 10, compared with 236 cases in Week 9. Although transmission persists, weekly case counts remain lower than those observed earlier in 2026 (275 cases in Week 6 and 247 cases in Week 7), suggesting a moderate stabilization in transmission levels. Two deaths were reported in Week 10.
Transmission continues to be driven predominantly by individuals aged 5 years and above, who account for the majority of reported cases in Week 10. Cases among children under 5 years remain comparatively low and stable. Although two deaths were reported in Week 10, the overall CFR for Weeks 9-10 remains low at 0.4%, indicating continued improvement compared with earlier phases of the outbreak. This sustained low CFR suggests ongoing improvements in early detection, referral, and clinical management.
The spatial distribution in Week 10 of 2026 shows that transmission remains concentrated in a limited number of urban and peri-urban LGAs, particularly those surrounding Kano Municipal. The geographic pattern remains consistent with previous weeks, with most cases occurring within a cluster of densely populated metropolitan LGAs, while many peripheral LGAs continue to report few or no new cases.
Up to Week 10 of 2026, Ungogo, Nasarawa, Dala, Kumbotso, Gwale, and Fagge continue to report the highest cumulative numbers of diphtheria cases, confirming their role as persistent transmission hotspots since the beginning of the outbreak.
| LGA | Cases (2026-W10) | Deaths (2026-W10) | Cases (2026-W09-2026-W10) | Deaths (2026-W09-2026-W10) | AR (2026-W09-2026-W10, per 100,000) | CFR (2026-W09-2026-W10, %) | Total cases (2025-2026) | Total deaths (2025-2026) | CFR (2025-2026, %) |
|---|---|---|---|---|---|---|---|---|---|
| Ungogo | 53 | 1 | 109 | 1 | 16.1 | 0.92 | 1863 | 84 | 4.51 |
| Nasarawa | 54 | 1 | 98 | 1 | 8.97 | 1.02 | 1342 | 67 | 4.99 |
| Dala | 36 | 0 | 71 | 0 | 9.26 | 0 | 940 | 27 | 2.87 |
| Gwale | 27 | 0 | 50 | 0 | 7.54 | 0 | 861 | 32 | 3.72 |
| Fagge | 25 | 0 | 50 | 0 | 13.73 | 0 | 525 | 15 | 2.86 |
| Kumbotso | 8 | 0 | 29 | 0 | 5.35 | 0 | 713 | 42 | 5.89 |
| Kano Municipal | 8 | 0 | 21 | 0 | 3.14 | 0 | 400 | 17 | 4.25 |
| Tarauni | 5 | 0 | 14 | 0 | 3.45 | 0 | 329 | 25 | 7.6 |
| Warawa | 3 | 0 | 6 | 0 | 2.54 | 0 | 30 | 2 | 6.67 |
| Gezawa | 0 | 0 | 3 | 0 | 0.58 | 0 | 106 | 7 | 6.6 |
| Bichi | 0 | 0 | 2 | 0 | 0.39 | 0 | 13 | 7 | 53.85 |
| Dawakin Tofa | 1 | 0 | 1 | 0 | 0.22 | 0 | 87 | 10 | 11.49 |
| Tofa | 0 | 0 | 1 | 0 | 0.56 | 0 | 18 | 2 | 11.11 |
| Out Of Area | 1 | 0 | 1 | 0 | 0 | 0 | 55 | 21 | 38.18 |
| Kabo | 1 | 0 | 1 | 0 | 0.35 | 0 | 3 | 0 | 0 |
| Minjibir | 0 | 0 | 1 | 0 | 0.26 | 0 | 31 | 9 | 29.03 |
| Dawakin Kudu | 0 | 0 | 0 | 0 | 0 | 0 | 56 | 7 | 12.5 |
| Katagum | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 |
| Wudil | 0 | 0 | 0 | 0 | 0 | 0 | 19 | 4 | 21.05 |
| Garun Mallam | 0 | 0 | 0 | 0 | 0 | 0 | 11 | 1 | 9.09 |
| Tudun Wada | 0 | 0 | 0 | 0 | 0 | 0 | 9 | 1 | 11.11 |
| Kura | 0 | 0 | 0 | 0 | 0 | 0 | 34 | 5 | 14.71 |
| Garko | 0 | 0 | 0 | 0 | 0 | 0 | 6 | 1 | 16.67 |
| Albasu | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 |
| Kiru | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 1 | 25 |
| Tsanyawa | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 |
| Sumaila | 0 | 0 | 0 | 0 | 0 | 0 | 8 | 4 | 50 |
| Unknown | 0 | 0 | 0 | 0 | 0 | 0 | 141 | 40 | 28.37 |
| Madobi | 0 | 0 | 0 | 0 | 0 | 0 | 8 | 1 | 12.5 |
| Gaya | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 50 |
| Bebeji | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 |
| Dambatta | 0 | 0 | 0 | 0 | 0 | 0 | 11 | 2 | 18.18 |
| Bunkure | 0 | 0 | 0 | 0 | 0 | 0 | 11 | 5 | 45.45 |
| Gabasawa | 0 | 0 | 0 | 0 | 0 | 0 | 20 | 5 | 25 |
| Rimin Gado | 0 | 0 | 0 | 0 | 0 | 0 | 21 | 0 | 0 |
| Bagwai | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 50 |
| Rano | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 1 | 33.33 |
| Takai | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 |
| Kibiya | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 50 |
| Makoda | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 |
| Ajingi | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 |
| Rogo | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Shanono | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Doguwa | 0 | 0 | 0 | 0 | 0 | 0 | 3 | 1 | 33.33 |
| Gwarzo | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Karaye | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Kunchi | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Garun Malam | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| TOTAL | 222 | 2 | 458 | 2 | 2.66 | 0.44 | 7712 | 449 | 5.82 |
During Weeks 9-10 of 2026, transmission remained concentrated in a small number of high-burden LGAs. Ungogo reported the highest number of cases (109 cases over the two-week period) and the highest attack rate (16.1 per 100,000), followed by Nasarawa, Dala, Gwale, Fagge, and Kumbotso, which also reported substantial case numbers, confirming continued transmission in densely populated urban LGAs. Two deaths were reported during Weeks 9-10, occurring in Ungogo and Nasarawa, resulting in an overall CFR of 0.4% for the two-week period. Despite these deaths, the overall CFR remains low, suggesting continued improvements in clinical management and access to treatment.