MINISTRY OF HEALTH Situation Report

TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 167 EPID-WEEK 21 DATE 24 – 30 May 2021

HIGHLIGHTS:  Fifteen (15) new confirmed cases were reported in week 21  The total number of confirmed COVID-19 cases is four hundred and sixty (460)  The total number of active confirmed cases is sixteen (16)  Eight (8) patients have recovered, and no COVID-19 related mortality  Three hundred and seventy-eight (378) samples were collected. This represents a modest improvement in the state-led sample collection and testing  Yobe SPHCMB, in collaboration with WHO and partners, has commenced administration of the second dose of Oxford/AstraZeneca COVID-19 vaccine to Health Care Workers (HCWs) and strategic leaders on 29 May 2021, as a continuation of the first phase  The administration of the second dose is taking place in all 17 LGAs of the state including LGAs experiencing population displacement (, Yunusari, , , , etc.) due to the activities of Non-State Armed Groups (NSAGs).  The vaccination is supported by 34 independent monitors (2 monitors per LGA). And from 29 - 30 May 2021, 421 people were provided with the second dose of the vaccine with 470 doses. So far, only 9 non-serious AEFIs were reported.  Yobe SMOH, with support from WHO, has trained 60 HCWs on COVID-19 home-based care and management to sustain essential health services and COVD-19 care in LGAs and communities hosting a large population of IDPs from Geidam and Yunusari LGAs.

EPIDEMIOLOGICAL SUMMARY:  The total number of confirmed COVID-19 cases is four hundred and sixty (460). Ninety-three (93) cases from , seventy-four (74) cases from Nguru, forty-three (43) cases from Fika, forty (40) cases from , thirty-six (36) cases from Bade, thirty (30) cases from , twenty-one (21) cases from , twenty (20) cases from Gulani, nineteen (19) cases from , seventeen (17) cases

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each from Gujba, sixteen (16) cases each from , fourteen (14) cases from , eleven (11) cases from , eight (8) cases each from Bursari, and Yunusari, and five (5) cases each from Geidam, and Machina LGAs  The total number of active confirmed cases in the state is sixteen (16)  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 thirty-five (435)  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 seventeen thousand, two hundred and seventy-two (17,272). Four hundred and sixty (460) results are positive, fifteen thousand, four hundred and forty-one (15,441) are negative, forty-two (42) for a repeat test, and one thousand, three hundred, and twenty-nine (1,329) remaining sample results are pending.

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18-Apr-21* 23-May-21* Confirmed COVID-19 Deaths 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 21 Cumulative (1 Jan 2020- S/No. (Monday-Sunday) 30 May 2021) Description 1 Suspected case(s) 378 17,230 2 Lab-confirmed positive case(s) 15 460 Lab-confirmed positive cases amongst 3 health care worker(s) 0 19 4 Probable case(s) 0 0 5 Rumor under investigation 0 4,839 6 Number of confirmed case(s) discharged 8 435 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 21 Cumulative (1 Jan S/No. Description (Monday-Sunday) 2020 - 30 May 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

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 21 Cumulative (1 Jan

(Monday-Sunday) 2020 - 30 May 2021) S/No. Description 1 Total number of samples collected 378 17,272 2 Number of samples tested negative 185 15,441 3 The number of samples confirmed positive 15 446 4 Number of samples pending in the laboratory 178 1,329 5 Number of samples for a repeat test 0 42

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 2.0%  The positivity rate for week 21 is 2.3%. This represents an increase in positivity rate compared to the previous week (0.34% positivity rate in week 20). The case to contact ratio is 1:5  The percentage of contacts that were confirmed positive is 3.9%.

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

Case Management:  The total number of active confirmed cases in the state is sixteen (16)  Eight (8) patients have recovered, and no COVID-19 related mortality.

Infection Prevention and Control (IPC):  Conducted decontamination and disinfection of SSH molecular diagnostic laboratory, SSH Damaturu, and FMC Nguru Isolation centers  Conducted sensitization on uptake of COVID-19 second dose vaccination. 6 | P a g e

Laboratory and Diagnostic Support:  Following up with the laboratory team to retrieve pending sample results  The total number of samples collected is seventeen thousand, two hundred and seventy-two (17,272). Four hundred and sixty (460) results are positive, fifteen thousand, four hundred and forty-one (15,441) are negative, forty-two (42) for a repeat test, and one thousand, three hundred, and twenty-nine (1,329) remaining sample results are pending.

Risk Communication and Social Mobilization:  Yobe SHCMB, in collaboration with WHO HTR teams, Community Health Champions and AVADAR Informants, UNICEF, and CGPP VCMs, conducted mass community sensitization, reaching 6,402 people with COVID-19 prevention messages.

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

CHALLENGES:  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):  Continue providing the second dose of COVID-19 vaccine to health workers and strategic leaders  Scale-up Hard-To-Reach (HTR) mobile health services in Yunusari and Geidam LGAs to mitigate the impacts of disruption of health services  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.

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