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Yobe State Cholera Outbreak Situation Report No. 21: 10Th October 2018 Yobe State Ministry of Health

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Yobe State Cholera Outbreak Situation Report No. 21: 10Th October 2018 Yobe State Ministry of Health Yobe State Cholera Outbreak Situation Report No. 21: 10th October 2018 Yobe State Ministry of Health Highlights: • 13 new cases were reported on 9th October 2018 from 4 LGAs (Gujba, Gulani, Damaturu and Fune). • 0 death was reported. Epidemiological Summary: The total number of suspected cholera cases reported in Yobe state is 1,481 with 61 associated deaths (CFR 4.1%). In the state, up to 447 cases have been reported in Gulani LGA (affecting 10 wards), 434 cases in Gujba LGA (affected 8 wards) and 358 cases in Damaturu LGA (affecting 11 wards). In Fune LGA, 175 cases were reported (from 9 wards) and 67 cases were reported in Potiskum LGA (from 10 wards). Out of 61 samples collected and tested using cholera RDTs, 48 (79%) were positive and 13 (21%) were negative. Again, 9 (47%) out of 19 samples cultured were positive for Vibrio Cholerae. However, the 9 positive samples were taken to national reference laboratory for quality checks and further analysis samples and Vibrio Cholerae O1 (Inaba) serotype was isolated in 4 out of the 9 samples. Table 1: Summaries of suspected cholera cases in Yobe State from July to 9th October2018. Gulani Gujba Damaturu Fune Potiskum Total Cases New suspected cholera cases 1 7 5 0 0 13 Cumulative suspected AWD 447 434 358 175 67 1481 cases Number of wards in the LGA 12 10 11 13 10 56 Number of wards affected 10 8 11 9 10 48 Deaths New deaths 0 0 0 0 0 0 Cumulative deaths 20 19 6 12 4 61 Laboratory Number of specimen tested (RDT) 8 10 31 12 0 61 Specimen Positive RDT 7 9 23 9 0 48 Pending result for RDT 0 0 0 0 0 0 Number of samples cultured 5 8 5 1 0 19 Specimen Positive Culture 2 4 2 1 0 9 Pending result for 0 0 0 0 0 0 Culture Thirteen (13) new suspected cholera cases were reported in Yobe state on 10th October 2018, representing 13% decrease in the number of cases reported the previous day (Fig. 2). Seven (7) of the new cases were reported from Gujba, representing 30% increase in number of cases reported the previous day from Gujba (Fig. 6). One (1) case was reported from Gulani (Fig. 4). Five (5) cases were reported from Damaturu (Fig. 10). No case was reported in Fune (Fig 8). However, there was no case from Potiskum over two weeks (Fig. 12). 1 Figure 1: Map of Yobe State showing number of suspected cholera cases in affected wards and LGAs 60 350 300 50 250 40 200 30 150 state 100 20 Yobes Yobes tate 50 10 0 0 number of suspected cholera cases in in Yobe cases cholera suspected of number 2-8 Jul 9-15 Jul 1-7 Oct 3-9 Sept 6-12 Aug 16-22 Jul 23-29 Jul number suspected of cholera cases in 27-2 Sept 27-2 7-Jul 13-19 Aug 20-26 Aug 5-Oct 5-Sep 1-Aug 6-Aug 12-Jul 17-Jul 22-Jul 27-Jul 10-16 Sept 17-23 Sept 30-5th Aug 30-5th 24-30 Sept 10-Oct 8-13 Oct **8-13 Oct 10-Sep 15-Sep 20-Sep 25-Sep 30-Sep 11-Aug 16-Aug 21-Aug 26-Aug 31-Aug Cases Deaths Cases Deaths Figure 2: Epi-curve of suspected cholera cases in Yobe state. Figure 3: Epi-curve of suspected cholera cases in Yobe state. 2 25 90 80 20 70 60 15 50 40 30 10 Gulani 20 10 5 0 0 3-9 Sep 1-7 Oct number of suspected in cholera suspected number cases of 27-2 Sep 6-12 Aug 6-12 16-22 Jul 23-29 Jul 10-16 Sep 17-23 Sep 8-Oct 6-Sep 13-19 Aug 20-26 Aug 5-Aug 20-Jul 28-Jul 24-30 Sep number of Suspected Cholera cases in in Gulani cases Cholera Suspected of number 30-5th Aug 30-5th 14-Sep 22-Sep 30-Sep 13-Aug 21-Aug 29-Aug 8-13 Oct **8-13 Oct Cases Deaths Cases Deaths s Figure 4: Epi-curve of suspected cholera cases in Gulani LGA. Figure 5: Weekly Epi-curve of suspected cholera cases in Gulani LGA. 35 140 30 120 25 100 80 20 60 15 40 10 Gujba 20 0 in Gujba 5 0 8 Jul 2 Sep 9 Sep - 15 Jul 22 Jul 29 Jul 7 Oct - - 16 Sep 23 Sep 30 Sep 2 - - - - 12 Aug 19 Aug 26 Aug 3 - - - - - - 5th Aug 9 1 number of suspected in cholera cases suspected ofnumber - 6 16 23 7-Jul 13 Oct ** 10 17 24 5-Oct 13 20 5-Sep 1-Aug 6-Aug 12-Jul 17-Jul 22-Jul 27-Jul - 10-Oct 15-Sep 10-Sep 20-Sep 25-Sep 30-Sep 11-Aug 16-Aug 21-Aug 26-Aug 31-Aug 8 27 Aug number suspected of cholera cases 30 Jul Cases Deaths Cases Deaths Figure 6: Epi-curve of suspected cholera cases in Gujba LGA. Figure 7: Weekly Epi-curve of suspected cholera cases in Gujba LGA. 18 50 16 45 40 14 35 12 30 10 25 8 20 15 6 10 4 5 2 0 0 number of suspected cholera cases in in Fune cases cholera suspected of number number of Suspected Cholera cases in in Fune cases Cholera Suspected of number 3-Oct 8-Oct 8-Sep 3-Sep 13-Sep 18-Sep 23-Sep 28-Sep 24-Aug 29-Aug Cases Deaths Cases Deaths Figure 8: Epi-curve of suspected cholera cases in Fune LGA. Figure 9: Weekly Epi-curve of suspected cholera cases in Fune LGA 3 25 90 80 20 70 60 15 50 40 10 Damaturu 30 20 in Damaturu 5 10 0 0 in cases cholera suspected of number 20-26 27-2 3-9 10-16 17-23 24-30 1-7 8-13 Aug Sep Sep Sep Sep Sept Oct Oct number suspected of cholera cases 1-Oct 5-Oct 9-Oct 3-Sep 7-Sep 15-Sep 19-Sep 23-Sep 27-Sep 11-Sep ** 22-Aug 26-Aug 30-Aug Cases Death Cases Deaths Figure 10: Epi-curve of suspected cholera cases in Damaturu LGA. Figure 11: Weekly Epi-curve of suspected cholera cases in Damaturu LGA 7 350 6 300 5 250 200 4 150 3 100 2 state Potiskum 50 1 0 0 2-8 Jul Jul Oct Oct Sep Sep Sep Sep Sep Sep - number of Suspected Cholera cases in in cases Cholera Suspected of number 9-15 Jul Aug Aug Aug Aug Aug Aug 1-7 Oct 3-9 Sept 3-9 - - - - - - - - - - - - - - 6-12 Aug 16-22 Jul 23-29 Jul number of suspected cholera cases in in Yobe cases cholera suspected of number 27-2 Sept 4 9 4 9 13-19 Aug 20-26 Aug 5 31 10-16 Sept 17-23 Sept 30-5th Aug 30-5th 24-30 Sept 8-13 Oct **8-13 Oct 14 19 24 29 10 15 20 25 30 Cases Death Cases Deaths Figure 12: Epi-curve of suspected cholera cases in Potiskum. Figure 13: Weekly Epi-curve of suspected cholera cases in Potiskum. Response Activities Surveillance: • Continues line listing of new suspected cases from 4 LGAs (Fune, Gujba, Damaturu, Gulani) • WHO supported EHAs conducted house-house active case search and covered 1000 households in 5 affected locations. • MSF-Spain supported Field volunteer conducted active case search in Bakin Kasuwa and Kandahar, Damaturu LGA. During the search they identify 3 cases and referrer them CTU • WHO supported EHAs have identified 5 new suspected cases during house-to-house search in 4 LGAs and referred them all to CTUs/ORPs locations. • Priority areas have been identified and communicated to WASH and risk communication teams to scale- up interventions. In Damaturu the areas are: Sumsumma, Old Market, Ali Marami extension Bakin Kasuwa 4 settlements. In Gujba the areas are Buni Yadi, Gotala and Gonori. In Gulani; Kushimaga. In Fune area is Shango settlement. Case Management: Gulani Gujba Damaturu Fune Potiskum Total Admissions New admissions 1 7 5 0 0 13 New Discharges 7 4 4 1 0 16 On admission 1 7 2 0 0 10 • No suspected cholera case was reported in Potiskum LGA since 24th September 2018 • No mortality was reported in all affected LGAs. • Ten patients were currently on admission at various CTU in the state while remaining 6 were manage at ORP Risk Communication: • MSF-Spain supported field volunteer have reach out 708 households and sensitized up to 1538 in pomppmari communities and Farin Masallaci on personnel and environmental hygiene. • MSF-Spain supported field volunteers conducted sensitization in Pompomari primary school with 208 pupils in attendance. Practical demonstration of importance of good hand washing was showcase to the pupils • CRS-CGPP supported VCM conducted house-to-house sensitization reaching up to 5149 households in Fune, Potiskum and Gulani LGAs with basis hygiene promotions practice • UNICEF-supported VCMs have reach out to 1250 household and sensitized 2,838 persons on key hygiene promotion in 14 settlements across the five LGAs. • Continues sensitization of religious leaders during congregation in mosques and churches • Continues airing of radio jingles on key hygiene promotion as well as cholera prevention by Yobe state broadcasting cooperation (YBC). • WASH: • UNICEF supported Environment Health Assistants have chlorinated 3 water points in Damaturu affected communities. • UNICEF VCMs and WHO supported Environmental Health Assistants has distributed 2,800 strips of Aqua tab to 1000 household in Damaturu, Gujba, Gulani, Potiskum and Fune.
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