Health Alert: Cutaneous Ulcer Outbreak Reported in Sierra Leone…267 Cases Confirmed in Bombali District

The National Public Health Agency (NPHA) and the Ministry of Health and Sanitation (MOHS) have confirmed an outbreak of cutaneous ulcers in Bombali District, Northern Province. In a joint statement released on Friday, 9 January 2026, health authorities reported that the outbreak has primarily affected children aged 5 to 15 years.

The outbreak was first detected in the Kayassic Community of Safroko Limba Chiefdom on 17 November 2025. To date, 267 suspected cases have been reported across 27 communities, with 96 cases confirmed through laboratory testing. Encouragingly, 150 individuals have already recovered, and no deaths have been recorded. Authorities are actively following up 211 close contacts to prevent further spread.

Health officials report that the disease is caused by the bacterium Haemophilus ducreyi. Common symptoms include:

• Painful skin ulcers, typically on the arms and legs
• Swollen lymph nodes near the site of infection
• Mild fever, fatigue, or other general symptoms

Data indicates a slight male predominance, with 56% of cases affecting boys. Despite the painful nature of the ulcers, no severe cases requiring hospitalization have been recorded so far.

Prof. Foday Sahr, Executive Director of the NPHA, assured the public that the outbreak is under control. The agency has activated a comprehensive response plan, which includes:

• Community-based management and clinical care at local health facilities
• Environmental decontamination in affected communities
• Training of healthcare workers on wound care, hygiene, and infection control

Health authorities are also working to raise public awareness and ensure community cooperation in controlling the outbreak.

Residents are urged to:

• Report immediately any suspicious skin lesions to the nearest health facility
• Practice good hygiene, including frequent handwashing
• Keep wounds clean and covered
• Avoid sharing personal items such as towels, sponges, or clothing
• Cooperate with community health volunteers and follow all infection control measures

The NPHA has promised to provide regular updates as the situation evolves. Citizens with concerns or suspected cases are encouraged to contact their nearest health facility without delay.

This outbreak underscores the importance of vigilance and hygiene in controlling the spread of infectious diseases. Early reporting and cooperation with health authorities remain key to preventing further transmission.