MINISTRY OF HEALTH Situation Report

TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 150 EPID-WEEK 04 DATE 25 – 31 January 2021

HIGHLIGHTS:  Twenty (20) new confirmed cases were reported in week 04, 2021  The total number of confirmed COVID-19 cases is now two hundred and forty-one (241)  Four (4) patients have recovered and got discharged  No COVID-19 related mortality was recorded for 36 consecutive weeks  All 17 LGAs in Yobe state have now recorded at least one confirmed COVID-19 case(s)  Two hundred and sixty-two (262) samples were collected in week 04. This is a significant increase in sample collection compared to the preceding week (76 samples collected in week 03)  Twenty (20) samples tested positive, two hundred and nineteen (219) are negative, and the results of the remaining twenty-three (23) samples are pending  The SPHCMB team, in collaboration with partners, conducted the motorized awareness creation campaign in high-burden LGAs (Damaturu, Bade, , and Nguru)  Yobe SMOH team, in collaboration with WHO HTR teams and AVADAR informants, UNICEF VCMs, and CGPP volunteers, conducted mass community sensitization, reaching 13,754 people with COVID- 19 prevention messages  The SMOH team, in collaboration with National Orientation Agency (NOA) and partners, conducted sensitization on COVID-19 prevention 12 in primary and secondary schools to scale-up IPC measures.

EPIDEMIOLOGICAL SUMMARY:  The total number of confirmed COVID-19 cases is two hundred and forty-one (241). Fifty-nine (59) cases from Damaturu, fifty-two (52) cases from Nguru, thirty (30) cases from Fika, twenty-six (26) cases from Bade, twenty-cases (21) cases each from Potiskum, and , six (6) cases from , five (5) cases from , four (4) cases from , three (3) cases each from , , and , , , and have two (2) cases each, and two (2) other LGAs (, and Machina) have one (1) case each

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 The total number of active confirmed cases in the state is thirty (30)  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 scientist  The total number of deaths from COVID-19 in the state is eight (8)  The total number of patients who recovered from COVID-19 is two hundred and three (203)  The total number of contacts who completed 14 days of monitoring without symptoms is one thousand, four hundred and twenty-four (1,424)  The total number of samples collected is five thousand, three hundred and eighteen (5,318). Two hundred and forty-one (241) results are positive, five thousand, and twelve (5,012) are negative, forty- two (42) for a repeat test, and twenty-three (23) 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 of 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 4 Cumulative (1 Jan S/No. (Monday-Sunday) 2020- 31 Jan 2021) Description 1 Suspected case(s) 262 5,276 2 Lab-confirmed positive case(s) 20 241 Lab-confirmed positive cases amongst 3 health care worker(s) 0 19 4 Probable case(s) 0 0 5 Rumor under investigation 49 1,788 6 Number of confirmed case(s) discharged 4 203 7 Number of death in confirmed case(s) 0 8 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) S/No Total epi-week 4 Cumulative (1 Jan . Description (Monday-Sunday) 2020 - 31 Jan 2021) 1 Contact(s) line-listed 99 1,583 2 Contact(s) seen 99 1,562 3 Contact(s) currently under follow-up 99 138 4 Symptomatic contacts(s) 0 26 5 Contact confirmed positive 0 16 6 Contact(s) who completed 14 days follow-up 38 1,424 7 Contact(s) lost to follow up 0 0

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Figure 2: Risk Mapping of Yobe LGAs

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

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Table 3: Summary of Laboratory Result(s)

Total epi-week 4 Cumulative (1 Jan

(Monday-Sunday) 2020-31 Jan 2021) S/No. Description 1 Total number of samples collected 262 5,318 2 Number of samples tested negative 219 5,012 3 The number of samples confirmed positive 20 241 4 Number of samples pending in the laboratory 23 23 5 Number of samples for a repeat test 0 42

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

Surveillance and Epidemiology:  All 17 LGAs in Yobe state have now recorded confirmed COVID-19 case(s)  The case fatality rate amongst confirmed cases is 3.3%  The positivity rate for week 4 is 8.4.1%, which represents a decrease compared to the positivity rate of the preceding week (16.1 %). The case to contact ratio is 1:7  The percentage of contacts that were confirmed positive is 6.6%  Ninety-nine (99) additional contacts were line-listed by the contact tracing teams in Bade, Damaturu, Jakusko, Fika, Gujba, Potiskum, Yusufari, Nangere, Nguru, and Yunusari LGAs  Thirty-eight (38) contacts have completed 14 days of monitoring without symptoms in week 3.

Point of Entry (POE):  Conducted screening of passengers at the Points of Entries (POEs)  Conducted supportive supervision at the POE in Bade, Geidam, Potiskum, Nguru, and Yusufari LGAs.

Case Management:  Twenty (20) newly confirmed cases have been reported  Four (4) patients have recovered and were discharged from isolation facilities  No COVID-19 related mortality was recorded for 36 consecutive weeks.

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Infection Prevention and Control (IPC):  Conducted decontamination and disinfection of SSH molecular diagnostic laboratory, SSH, and FMC Nguru Isolation centers  Conducted decontamination and disinfection of house-holds of confirmed cases  The SMOH team, in collaboration with National Orientation Agency (NOA) and partners, conducted sensitization on COVID-19 prevention in Primary, and Secondary schools to scale-up IPC measures.

Laboratory and Diagnostic Support:  Twenty (20) samples tested positive, two hundred and nineteen (219) are negative, and the results of the remaining twenty-three (23) samples are pending  Following-up with the laboratory team to retrieve pending sample results  The total number of samples collected is five thousand, three hundred and eighteen (5,318). Two hundred and forty-one (241) results are positive, five thousand, and twelve (5,012) are negative, forty- two (42) for a repeat test, and twenty-three (23) remaining sample results are pending.

Risk Communication and Social Mobilization:  Conducted mass community sensitization through radio jingles and phone-in program at Yobe State Broadcasting Cooperation (YBC)  The SPHCMB team, in collaboration with partners, conducted the motorized campaign in high-burden LGAs (Damaturu, Bade, Potiskum, and Nguru)  Yobe SMOH team, in collaboration with WHO HTR teams and AVADAR informants, UNICEF VCMs, and CGPP volunteers, conducted mass community sensitization, reaching 13,754 people with COVID- 19 prevention messages.

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

CHALLENGES:  Non-state Armed Groups (NSAGs) attacks on hospitals and PHC centers across the state are disrupting COVID-19 response and health services in the affected LGAs (Geidam 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  Fear of stigmatization leading to non-disclosure and refusal of sample collection.

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NEXT STEP(S):  Scale-up Hard-To-Reach (HTR) mobile health services in Geidam and Gujba LGAs to mitigate the impacts of disruption of health services due to COVID-19 pandemic and attacks on health care  Scale-up active case search and sample collection in remote LGAs and communities  Scale-up COVID-19 sensitization training for school administrators and teachers on COVID-19 prevention and IPC  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

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