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COVID-19 NORTH EAST NIGERIA As of 13Th September 2020

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COVID-19 NORTH EAST NIGERIA As of 13Th September 2020 COVID-19 NORTH EAST NIGERIA As of 13th September 2020 Data Source: Situation Update Nol 1 The COVID-19 pandemic continues to gain infection traction in the North East states of Borno, Adamawa and Yobe, since the first index case was reported on the 18th of April 2020 in Borno State. With over 7.5 million people in need of humanitarian assistance due to the ongoing humanitarian crisis in the region, the COVID- 19 pandemic presents a more difficult challenge to an already complex humanitarian situation. The threat of the COVID-19 pandemic looms, particularly for its 1.8 million Internally displaced persons (IDPs) in the three states, and even more for the 413,271 IDPs living in the 51 highly congested camps (28 in Maiduguri metropolitan area and 23 in deep field locations) with an average of 12 m2/person. The stealth of the virus in the extremely congested living conditions and interacting with a population characterized by high prevalence of comorbidities, including high incidences of chronic malnutrition and endemic malaria coupled with the current measles and expected cholera outbreaks can result in serious implications. In the meantime, humanitarian assistance continues to be provided (based on program criticality) with adapted implementation modalities to ensure compliance with social distancing and other mitigation measures th As of 13 September 2020, a total of 1,043 confirmed cases have been recorded including 59 deaths, 42 active cases and 942 recoveries in the three states. Coordination • Daily Coordination meetings are held across BAY states. • In Yobe State, SMoH is working with WHO and partners, on the management and implementation of REDISSE IAP activities Funded by the World Bank grant. • WHO, UNICEF and other partners are supporting the Response Teams. Surveillance • In Borno State, 2 confirmed cases were reported for week 37 • A total of 20 contacts are being closely monitored in Borno State. • In Yobe State, case fatality rate amongst confirmed cases is 11.1% and positivity rate of 10.1% of the 710 samples tested. Case to contact ratio is 1:10 and percentage of LGAs that reported at least one confirmed case in the state is 76.1%. The percentage of confirmed cases amongst healthcare workers is 19.4% and the positivity rate for week 37 is 8% while the positivity rate for the preceding week was 0%. 25 contacts of newly confirmed cases were line listed. • In Adamawa State, a total of 15 contacts are being monitored. 230 out of 1,826 samples tested are positive, giving a positivity rate of 12.6%. Also, 49.6% of confirmed cases are known contacts of previously confirmed cases. • 13.9% of confirmed cases in Adamawa State are health workers. Contact to case ration in Adamawa State is 5:4. • 14 out of 21 LGAs (67%) have reported at least one confirmed case in Adamawa State. • Community case search is ongoing in all locations reporting cases in Borno State, in all high-burden LGAs in Yobe State as well as in Adamawa State. Laboratory • Cumulative Positivity rate is 7.2% in Borno State and Test per million of population is 1,554 while case per million Population is 112. • A total of 10,629 COVID-19 test has been conducted in Borno State, initial test stands at 10,301 while follow up test Stands at 328. In Adamawa State, 1,826 samples have been tested, 17 results are pending, and 1 is inconclusive. • In week 37 in Yobe State, 61 additional samples were collected for testing in the Yobe Molecular Laboratory. 34 samples are pending. Case Management • No case is presently on admission in any of the isolation centres at the end of ep-week 37. 1 patient was discharged at the end of the week. • In Yobe State, there are 5 new confirmed cases, and all are in stable condition. In Adamawa State, 2 patients are on admission in treatment centre while 7 are still in-home care. CFR=6.5%. 1 Situation Update Point of Entry Nol 1 • In Borno State, a total of 11,255 individuals were screened at 23 Points of Entries locations. • Supportive supervision of PoE teams was conducted in Bade, Potiskum, Nguru, Geidam & Yusufari LGAs in Yobe State. Infection Prevention and Control • In Borno State, fumigation of public schools in MMC and Jere LGAs continues. • In Yobe State, SPHCMB, with support from NCDC, WHO, and partners, commenced refresher training for LGA Rapid Response Teams (RRT) on COVID-19 surveillance and IPC. Risk Communication and Social Mobilization • Over 22, 104 caregivers were sensitized with messages on COVID-19 by UNICEF VCMs in 20 LGAs in Borno State. Messages focus on voluntary sample testing, timely reporting of cases and de-stigmatization. • In Borno State, COVID-19 phone in live program supported by Lafiya project is ongoing on Television and Radio. • In Yobe State, SPHCMB in collaboration with support from WHO Community Resource Persons conducted mass community sensitization on COVID-19 prevention reaching up to 33,695 people in high-burden LGAs. • Motorized Community Sensitization and daily Radio and TV broadcast of jingles are ongoing across different media platforms in Borno, Adamawa and Yobe. BORNO Confirmed Cases 741 Active Cases 02 Discharged Cases 703 Total Deaths 36 ADAMAWA Confirmed Cases 230 Active Cases 35 Discharged Cases 180 Total Deaths 15 YOBE Confirmed Cases 72 Active Cases 05 Discharged Cases Total Deaths 59 08 2 Technical Guidance CONSIDERATIONS FOR SCHOOL-RELATED PUBLIC HEALTH MEASURES IN THE CONTEXT OF COVID-19 Countries around the world are taking broad public health and social measures (PHSM), including closure of schools, to prevent the spread of the SARS-CoV-2 virus, which causes COVID-19.1 This Annex examines considerations for school operations, including openings, closures and re-openings and the measures needed to minimize the risk to students and staff of COVID-19. This Annex applies to educational settings for children under the age of 18 years and outlines general principles and key recommendations that can be tailored not only to schools but to specific school-related contexts, such as extracurricular activities. This Annex replaces a document published by the World Health Organization on 10 May 2020 entitled Considerations for school- related public health measures in the context of COVID-19.2 This document was developed with input from the Technical Advisory Group (TAG) of Experts on Educational Institutions and COVID-19 and experts from WHO, UNICEF, and UNESCO, who jointly reviewed the latest evidence to develop this interim guidance, which considers equity, resource implications, and feasibility. The main changes introduced in this document are a risk-based approach for school operations in the context of COVID-19 based on the level and intensity of the transmission at administrative levels lower than the national level, age-appropriate considerations for both physical distancing and the use of masks in the school setting and comprehensive, multi-layered measures to prevent introduction and spread of SARS-COV-2 in educational setting. This Annex is intended to help policy makers and educators with making decisions on running schools as safely as possible during the COVID-19 pandemic. At the forefront of all considerations and decisions should be the continuity of education for children for their overall well-being, health and safety. Nonetheless, all decisions will have implications for children, parents or caregivers, teachers and other staff and more broadly, their communities and societies.3 Readers may also wish to refer to WHO-issued guidance on adapting PHSM as the epidemiology of COVID-19 evolves, while managing the risk of resurgence of cases.3 1 General principles The principles underlying the considerations for school-related public health measures to prevent and minimize SARS-CoV-2 transmission in school settings are as follows: • Ensuring continuity of safe, adequate and appropriate educational and social learning and development of children • Minimizing the risk of SARS-CoV-2 transmission within school and school-associated settings among children, teachers and other school staff • Guarding against the potential for schools to act as amplifiers for transmission of SARS-COV-2 within communities • Ensuring school-related PHSM are integrated into and support the wider measures implemented at the community level Considerations in Decisions on School Operations From a public health perspective, deciding to close or re-open schools should be guided by a risk-based approach, taking into consideration the epidemiology of COVID-19 at the local level, the capacity of educational institutions to adapt their system to operate safely; the impact of school closures on educational loss, equity, general health and wellbeing of children; and the range of other public health measures being implemented outside school. Decisions on full or partial closure or reopening should be taken at a local administrative level, based on the local level of transmission of SARS-CoV-2 and the local risk assessment, as well as how much the reopening of educational settings might increase transmission in the community. The shutting down educational facilities should only be considered when there are no other alternatives. Based on the best available data, COVID-19 appears to have a limited direct burden on children’s health, accounting for about 8.5% of reported cases globally, and very few deaths (see the box Research on COVID-19 in children and in schools on page 8). In contrast, school closures have clear negative impacts on child health, education and development, family income and the overall economy. National and local governments should consider prioritizing continuity of education by investing in comprehensive, multi- layered measures (see Table 2) to prevent introduction and further spread of SARS-CoV-2 in educational settings, while also limiting transmission in the wider community.
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