Skin Ulcer Outbreak Spreads Across 27 Communities

By Sallieu S. Kanu

Sierra Leone – January 2026: The National Public Health Agency (NPHA) and the Ministry of Health have confirmed an active outbreak of cutaneous ulcers caused by Haemophilus ducreyi in the northern region.

The outbreak was first detected on November 17 in the Kayassic Community of Safroko Limba Chiefdom and has since spread to 27 communities in Bombali District, primarily affecting children aged 5 to 15 years, according to NPHA Executive Director Dr. Foday Sahr.

As of December 24, officials reported 267 suspected cases, with 150 recoveries and no fatalities. Active follow-up is ongoing for 211 contacts, with males accounting for 56 percent of cases. Clinical symptoms include:

  • Painful skin ulcers on the extremities
  • Regional lymphadenopathy
  • Mild constitutional symptoms

No severe cases requiring hospitalization have been documented.

NPHA has activated comprehensive response protocols, including:

  • Enhanced surveillance
  • Community-based case management
  • Infection prevention and control measures
  • Training of healthcare workers
  • Environmental decontamination

Authorities  urged the public to report suspicious skin lesions immediately, avoid sharing personal items, and practice strict hygiene to curb the spread.

Authorities assured that the outbreak is under control but stressed the importance of community cooperation and timely reporting. Regular updates will be provided as the situation evolves.