MINISTRY OF HEALTH Situation Report

TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 177 EPID-WEEK 31 DATE 02 – 08 August 2021

HIGHLIGHTS:  No new confirmed case was reported in week 31  The total number of confirmed COVID-19 cases remains four hundred and ninety-nine (499)  Four hundred and seventy-three (473) samples were collected in week 31  Sample testing is stalled due to the stock-out of the testing reagents for nearly 9 weeks. 926 additional samples were taken to the National Reference Laboratory in Abuja on 8 August, 2021 for testing.  Yobe SPHCMB, through WHO support for Active Case Search strategy, conducted sensitization for 2297 households on COVID-19 prevention at international border settlements and POEs  Yobe SPHCMB, in collaboration with WHO HTR teams, Community Health Champions and AVADAR Informants, UNICEF, and CGPP VCMs, conducted mass community sensitization, reaching 4,793 people with COVID-19 prevention messages  The YSPHCMB, in collaboration with WHO and partners, conducted mass sensitization on COVID-19 preventive measures through phone-in program at Yobe State Broadcasting Cooperation (YBC) .

EPIDEMIOLOGICAL SUMMARY:  The total number of confirmed COVID-19 cases is four hundred and ninety-nine (499). Ninety-four (94) cases from Damaturu, seventy-five (75) cases from Nguru, fifty-five (55) cases from Fika, forty-seven (47) cases from , thirty-seven (37) cases from Bade, thirty-one (31) cases from , twenty-nine (29) cases from , twenty-two (22) cases from , twenty-one (21) cases from , nineteen (19) cases from , sixteen (16) cases each from , fourteen (14) cases from , twelve (12) cases from , nine (9) cases from , eight (8) cases from , and five (5) cases each from , and Machina LGAs  The total number of active confirmed cases in the state is zero (0) 1 | P a g e

 The total confirmed cases of COVID-19 amongst Health Care Workers (HCWs) is nineteen (19). These include nine (9) doctors, seven (7) nurses, one (1) physiotherapist, and two (2) laboratory, scientists  The total number of deaths from COVID-19 in the state is nine (9)  The total number of patients who recovered from COVID-19 is four hundred and ninety (490)  The total number of contacts who completed 14 days of monitoring without symptoms is two thousand, one hundred and twenty-six (2,126)  The total number of samples collected is nineteen thousand, four hundred and thirty-four (19,434). Four hundred and ninety-nine (499) results are positive, sixteen thousand, six hundred and forty-four (16,644) are negative, forty-two (42) for a repeat test, and two thousand, two hundred and forty-nine (2,249) remaining sample results are pending.

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Figure 1: Epi-curve of Confirmed COVID-19 Cases in Yobe state

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Figure 2: Trend in the weekly testing, number of confirmed cases, and positivity rates in Yobe state

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Figure 3: Distribution of Confirmed COVID-19 Cases by LGA in Yobe state

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Table 1: Summary of COVID-19 Case(s)

Total Epi-week 31 Cumulative (1 Jan 2020- S/No. (Monday-Sunday) 8 August 2021) Description 1 Suspected case(s) 473 19,392 2 Lab-confirmed positive case(s) 0 499 Lab-confirmed positive cases amongst 3 health care worker(s) 0 19 4 Probable case(s) 0 0 5 Rumor under investigation 99 4,938 Number of the confirmed case(s) 6 discharged 0 490 7 Number of death in confirmed case(s) 0 9 Number of death amongst health care 8 workers 0 0

9 Number of death in suspected cases 0 0

Table 2: Summary of Contact(s) Total epi-week 31 Cumulative (1 Jan 2020 S/No. Description (Monday-Sunday) - 8 August 2021) 1 Contact(s) line-listed 0 2,147 2 Contact(s) seen 0 2,126 3 Contact(s) currently under follow-up 0 0 4 Symptomatic contacts(s) 0 31 5 Contact confirmed positive 0 18 6 Contact(s) who completed 14 days follow-up 0 2,126 7 Contact(s) lost to follow up 0 0

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Figure 2: Risk Mapping of Yobe LGAs

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Figure 3: Map of Yobe State Showing the Number of Laboratory Confirmed COVID-19 Cases by LGA.

Table 3: Summary of Laboratory Result(s)

Total epi-week 31 Cumulative (1 Jan

(Monday-Sunday) 2020 - 8 August 2021) S/No. Description 1 Total number of samples collected 473 19,434 2 Number of samples tested negative 0 16,644 3 The number of samples confirmed positive 0 499 4 Number of samples pending in the laboratory 473 2,249 5 Number of samples for a repeat test 0 42

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THEMATIC INTERVENTIONS Coordination:  The SMOH, with the support of WHO and partners, is coordinating the implementation of COVID-19 response activities in all LGAs of the state  Conducted regular COVID-19 response coordination meetings with partners and stakeholders.

Surveillance and Epidemiology:  All 17 LGAs have recorded at least a confirmed COVID-19 case (s)  The case fatality rate amongst confirmed cases is 1.8%  The positivity rate for week 31 is 0%. This represents the same positivity rate compared to the previous week (0% positivity rate in week 30)  The case to contact ratio is 1:4  The percentage of contacts that were confirmed positive is 3.6%.

Point of Entry (POE):  Conducted screening of passengers at the international border Points of Entries (POEs)  Conducted supportive supervision at the international border POEs in Machina, Yunusari, and Yusufari LGAs.

Case Management:  The total number of active confirmed cases in the state is zero (0)  No discharge amongst confirmed cases, and no COVID-19 related mortality.

Infection Prevention and Control (IPC):  Conducted decontamination and disinfection of State Specialist Hospital (SSH) COVID-19 molecular diagnostic laboratory  Yobe SPHCMB, through WHO support for Active Case Search strategy, conducted sensitization for 2297 households on COVID-19 prevention at international border settlements and POEs.

Laboratory and Diagnostic Support:  Following up with the laboratory team to retrieve pending sample results  Four hundred and seventy-three (473) samples were collected in week 31  926 additional samples were taken to the National Reference Laboratory in Abuja on 8 August, 2021 for testing

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 The total number of samples collected is nineteen thousand, four hundred and thirty-four (19,434). Four hundred and ninety-nine (499) results are positive, sixteen thousand, six hundred and forty-four (16,644) are negative, forty-two (42) for a repeat test, and two thousand, two hundred and forty-nine (2,249) remaining sample results are pending.

Risk Communication and Social Mobilization:  Yobe SPHCMB, in collaboration with WHO HTR teams, Community Health Champions and AVADAR Informants, UNICEF, and CGPP VCMs, conducted mass community sensitization, reaching 4,793 people with COVID-19 prevention messages  Conducted mass sensitization on COVID-19 prevention through phone-in program at Yobe State Broadcasting cooperation (YBC).

Logistics and Operational Support:  Distributed COVID-19 IPC commodities to SSH molecular diagnostic laboratory, FMC Nguru, and GH Bade  Distributed PPEs and IEC materials to the IPC, Surveillance, POE, and Risk Communication teams.

CHALLENGES:  Stock-out of reagent in the molecular laboratory interrupting COVID-19 testing within the state  Massive population displacement and attacks on hospitals and PHC centers by the Non-state Armed Groups (NSAGs) are disrupting COVID-19 response and health services in affected LGAs (Geidam, Yunusari, and Gujba LGAs)  Insecurity and military operations are limiting contact tracing, active case search, and community sensitization in security-compromised LGAs  Bad geographical is limiting access to remote communities to sustain COVID-19 prevention activities

NEXT STEP(S):  Provide additional support for active case search strategy, contact tracing, and sample collection in high-burden LGAs  Continue sensitization and capacity building for community stakeholders to reduce fear and stigmatization, and lead COVID-19 control efforts in remote and security-compromised communities  Follow-up with NCDC to supply reagent and continue transporting COVID-19 samples to the nearest laboratory.

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