Unusual cough, fever stir panic in Lagos

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A recent surge in cases of unusual, persistent cough and fever has been reported in Lagos, Nigeria, leading to increased public concern and crowding at healthcare facilities. This rise in upper respiratory infections has prompted some residents to fear a resurgence of the COVID-19 pandemic, given the similarity of symptoms.

The Current Situation and Symptoms

Healthcare professionals in Lagos State, including those at general hospitals, primary health centers, and private facilities, have confirmed an upsurge in patients presenting with upper respiratory tract infections.

  • Symptoms: The most frequently reported symptoms include a persistent cough, fever (which can be low-grade or very high), runny nose (catarrh), and headaches. Some patients also report chills and sweating.
  • Healthcare Strain: Waiting areas in hospitals have reportedly become crowded, and pharmacies have seen a notable increase in the demand for and prices of over-the-counter cold and flu medications.
  • Misdiagnosis: There is a concern that many people are initially self-medicating for malaria or typhoid due to the non-specific nature of the fever, delaying proper diagnosis and treatment.

Expert Explanations and Concerns

Consultant physicians have addressed the panic by confirming the increase in respiratory illnesses while urging the public to avoid self-medication and seek proper testing.

  • Multiple Viral Infections: Experts suggest the observed surge could be due to the interplay of several viral infections, including COVID-19, Influenza (Flu), and Respiratory Syncytial Virus (RSV), all of which share similar symptoms. The resemblance to COVID-19 has naturally triggered anxiety based on past experiences.
  • Climate Change Factor: The spike in cases is also being linked to unusual and erratic weather patterns—such as unexpected heavy rainfall and dust at times of the year—which can lower general immunity and create favorable conditions for the spread of respiratory viruses.
  • Call for Vigilance: Medical advice stresses that heightened surveillance is critical. It is essential for residents presenting with these symptoms to get properly tested at a hospital to determine the exact cause of the illness rather than assuming it is a common ailment like malaria.

Public Health Advice

To manage the situation and reduce the spread of infections, health experts recommend that the public:

  • Avoid Panic: While vigilance is necessary, public panic should be avoided.
  • Seek Testing: Visit a healthcare facility for proper diagnosis and avoid self-medication.
  • Practice Hygiene: Maintain good hand hygiene (washing hands frequently with soap and water or using alcohol-based sanitizer).
  • Wear Masks: Use face masks in crowded or dusty areas.
  • Stay Home When Sick: Avoid close contact with others if showing symptoms of cough or fever.
  • Boost Immunity: Prioritize adequate rest, hydration, and stress reduction.

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