A reported unknown skin disease outbreak was investigated in a community in Maryland County, Liberia in May 2016.
The disease affected children aged between 3-16years, median age = 8.5years; males and females were equally affected. The epidemic curve showed a propagated type of spread with no deaths since 2013.
From our investigation, the disease is most likely yaws, caused by Treponema Pallidum because: the lesions looked like Yaws, there was poor personal hygiene among affected children and it was very responsive to treatment with Ampicillin, which are all features of Yaws.
As a control measure, we conducted health education on good personal hygiene (regular bath, wearing of clean clothes, avoiding dirty water etc.), good sanitation (cleaning the surrounding) and regular medical check-up at the clinic.
We also recommended to the County Health Team and partners that the confirmation of
the diagnosis using syphilis RDT as proxy is done as well as mass treatment of each child under 15 years in the community with one dose on Benzyl penicillin.