MINISTRY OF HEALTH Situation Report

TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 20 EPID-WEEK 21 DATE 19 May 2020

HIGHLIGHTS: No new confirmed case(s) reported today Twenty-two (22) contacts of the newly confirmed cases have been identified and line-listed by the contact tracing teams in , Gujba, and Nguru LGAs Twenty-eight (28) new samples have been collected and transported to NCDC-accredited laboratory for testing Five (5) new alerts have been received and investigated in Damaturu, Nguru, and Bade LGAs.

EPIDEMIOLOGICAL SUMMARY: The total number of confirmed COVID-19 case(s) is thirty-four (34): Sixteen (16) cases from Damaturu, eight (8) cases from Bade, seven (7) cases from Nguru, and one (1) case each from , , and Gujba LGAs Total confirmed case(s) of COVID-19 amongst Health Care Workers (HCWs) in the state is eleven (11): Seven (7) nurses, three (3) doctors, and one (1) laboratory scientist The total number of deaths due to COVID-19 in the state is six (6) Total number of case(s) who recovered and discharged from the isolation center in the state is six (6) The total number of contacts who completed the 14-days follow-up without any symptoms as of today is one hundred and thirty-two (132) Twenty-two (22) confirmed cases in the isolation center are in stable condition The total number of samples taken for testing is ninety-one (91). Of these, thirty-four (34) returned positive, twenty-two results (22) are negative and the results of thirty-five (35) remaining samples are being awaited.

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Table 1: Summary of Case(s) Cumulative New Cases Total Epi-week 21 S/No. (1 Jan-19 (Daily) (Monday-Sunday) Description May 2020) 1 Suspected case(s) 24 24 79 2 Lab-confirmed positive case(s) 0 0 34 Lab-confirmed positive cases amongst 3 health care worker(s) 0 0 11 4 Probable case(s) 0 0 0 5 Rumor under investigation 5 7 132 Number of the confirmed case(s) on 6 admission 0 0 22 7 Number of confirmed case(s) discharged 0 0 6 8 Number of death in confirmed case(s) 0 0 6 Number of death amongst health care 9 workers 0 0 0 10 Number of death in suspected cases 0 0 0

Table 2: Summary of Contact(s) New Cumulative Total epi-week 21 S/No. Cases (1 Jan-19 (Monday-Sunday) Description (Daily) May 2020) 1 Contact(s) listed 22 57 365 2 Contact(s) seen 22 53 348 3 Contact(s) currently under follow-up 22 53 216 4 Symptomatic contacts(s) 5 6 11 5 Contact confirmed positive 0 0 6 Contact(s) who completed 14 days follow- 6 up 8 8 132 7 Contact(s) lost to follow up 0 0 0

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Figure 1: Risk Mapping of Yobe LGAs

Figure 2: Map of Yobe State Showing Number of Laboratory Confirmed COVID-19 Cases by LGA

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Table 3: Summary of Laboratory Result(s) New Total epi-week 21 Cumulative S/No. Cases (Monday- (1 Jan-19 Description (Daily) Sunday) May 2020) 1 Number of specimens collected 0 0 63 2 Number of specimens tested negative 0 0 22 3 Number of specimens confirmed positive 0 0 34 4 Number of pending laboratory samples 28 28 35

THEMATIC INTERVENTIONS Coordination: SMOH and partners are also supporting LGA teams to scale-up contact tracing, monitoring contacts in quarantine, and risk communication for the prevention and control of COVID-19 infections Conducted daily COVID-19 response coordination meetings with partners and stakeholders.

Surveillance and Epidemiology: Twenty-two (22) contacts of the newly confirmed cases have been identified and line-listed by the contact tracing teams in Damaturu, Gujba, and Nguru LGAs Continued monitoring of two hundred and sixteen (216) contacts of confirmed cases Five (5) new alerts have been received and investigated in Damaturu, Nguru, and Bade LGAs.

Point of Entry (POE): Continued monitoring of 58 quarantined Almajiris who were deported from Adamawa to Yobe state four days ago Continued monitoring of 62 Almajiris who were deported from Nasarawa to Yobe state twelve days ago.

Case Management: No new admissions in the state isolation center No new discharges from the isolation center today Twenty-two (22) confirmed cases on admission in the state isolation centers are in stable condition.

Infection Prevention and Control (IPC): Conducted decontamination and fumigation of three (3) schools, four (4) health care facilities in Bade, Damaturu, and LGAs, with support from Plan International

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Provided additional technical support to LGA RRT and IPC teams to scale-up contact tracing and disinfection of confirmed or suspected households in Bade, Gujba, Tarmuwa, Geidam, Damaturu, and Nguru LGAs. Laboratory and Diagnostic Support: Twenty-eight (28) samples collected today The total number of samples taken for testing is ninety-one (91). Of these, thirty-four (34) returned positive, twenty-two results (22) are negative and the results of thirty-five (35) remaining samples are being awaited Following-up with NCDC to retrieve pending sample results.

Risk Communication and Social Mobilization: Conducted sensitization on COVID-19 to eight thousand eight hundred and forty-four (8844) persons in the markets, motor parks and streets of Bade, Damaturu, and Potiskum LGAs, with support from Plan International Distributed IEC material to eleven thousand one hundred and four thousand (11104) in Bade, Damaturu, and Potiskum LGAs, with support from Plan International Continued public sensitization via radio jingles, motorized campaigns, and TV programs.

Logistics and Operational Support: Sorted and documented COVID-19 commodities donated by Future Assured project Commenced distribution of commodities supplied by the government, Future Assured project, Victim Support Fund to major hospitals and clinics Developed a distribution plan for handwashing units.

CHALLENGES: Inadequate PPEs and IPC commodities to sustain large scale response in the state Passengers from other parts of the country still illegally sneaking into Yobe state Insecurity and military operations affecting risk communication activities in remote communities of Geidam and Gujba LGA.

NEXT STEP(S): • Scale-up risk communication activities in Nguru, Geidam and Gujba LGAs • Continue active case search, contact tracing, and monitoring of contacts of new cases • Strengthen enforcement of interstate border closure • Scale-up IPC measures in all COVID-19 isolation centers in the state • Follow-up with NCDC to retrieve pending sample results.

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