MINISTRY OF HEALTH Situation Report

TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 152 EPID-WEEK 06 DATE 8 – 14 February 2021

HIGHLIGHTS:  Ten (10) new confirmed cases were reported in week 06, 2021  The total number of confirmed COVID-19 cases is now two hundred and sixty (260)  One (1) death was recorded amongst confirmed cases in week 06, 2021  The total number of deaths from COVID-19 in the state is nine (9)  Nineteen (19) patients have recovered and got discharged  One hundred and seventy-three (173) samples were collected in week 06. This is about a 47% increase in sample collection and testing compared to the preceding week  Ten (10) samples tested positive, one hundred and sixty (160) are negative, and the results of the remaining thirteen (13) samples are pending  The SPHCMB team, in collaboration with partners, conducted the motorized awareness creation campaign in high-burden LGAs (, 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 7,268 people with COVID-19 prevention messages.

EPIDEMIOLOGICAL SUMMARY:  The total number of confirmed COVID-19 cases is two hundred and sixty (260). Sixty-seven (67) cases from Damaturu, fifty-four (54) cases from Nguru, thirty (30) cases from Fika, twenty-six (26) cases from Bade, twenty-five (25) cases from , twenty-cases (21) cases from Potiskum, seven (7) cases from Karasuwa, five (5) cases each from , , and, , three (3) cases each from , , and , , and have two (2) cases each, and two (2) other LGAs (, and Machina) have one (1) case each  The total number of active confirmed cases in the state is nineteen (19)

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 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 nine (9)  The total number of patients who recovered from COVID-19 is two hundred and thirty-two (232)  The total number of contacts who completed 14 days of monitoring without symptoms is one thousand, five hundred and sixty-two (1,562)  The total number of samples collected is five thousand, six hundred and nine (5,609). Two hundred and sixty (260) results are positive, five thousand, two hundred and ninety-four (5,294) are negative, forty- two (42) for a repeat test, and thirteen (13) 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 6 Cumulative (1 Jan S/No. (Monday-Sunday) 2020- 14 Feb 2021) Description 1 Suspected case(s) 173 5,567 2 Lab-confirmed positive case(s) 10 260 Lab-confirmed positive cases amongst 3 health care worker(s) 0 19 4 Probable case(s) 0 0 5 Rumor under investigation 29 1,840 6 Number of confirmed case(s) discharged 19 232 7 Number of death in confirmed case(s) 1 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) S/No Total epi-week 6 Cumulative (1 Jan . Description (Monday-Sunday) 2020 - 14 Feb 2021) 1 Contact(s) line-listed 38 1,664 2 Contact(s) seen 38 1,643 3 Contact(s) currently under follow-up 38 81 4 Symptomatic contacts(s) 0 26 5 Contact confirmed positive 0 16 6 Contact(s) who completed 14 days follow-up 99 1,562 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 6 Cumulative (1 Jan

(Monday-Sunday) 2020-14 Feb 2021) S/No. Description 1 Total number of samples collected 173 5,609 2 Number of samples tested negative 160 5,294 3 The number of samples confirmed positive 10 260 4 Number of samples pending in the laboratory 13 13 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 3.5%  The positivity rate for week 6 is 6.3%, which represents a significant decrease compared to the positivity rate of the preceding week (12.3 %). The case to contact ratio is 1:7  The percentage of contacts that were confirmed positive is 6.2%  Thirty-eight (38) additional contacts were line-listed by the contact tracing teams in Damaturu, Yusufari, Nangere, Nguru, Gujba, and Karasuwa LGAs  Ninety-nine (99) contacts have completed 14 days of monitoring without symptoms in week 6.

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:  Ten (10) newly confirmed cases have been reported  Nineteen (19) patients have recovered and were discharged from isolation facilities  One (1) death was recorded amongst confirmed cases in week 06, 2021.

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Infection Prevention and Control (IPC):  Conducted decontamination and disinfection of SSH molecular diagnostic laboratory, SSH Damaturu, Nayinawa PHCC, and FMC Nguru Isolation centers  Conducted decontamination and disinfection of house-holds of confirmed cases.

Laboratory and Diagnostic Support:  Ten (10) samples tested positive, one hundred and sixty (160) are negative, and the results of the remaining thirteen (13) samples are pending  Following-up with the laboratory team to retrieve pending sample results  The total number of samples collected is five thousand, six hundred and nine (5,609). Two hundred and sixty (260) results are positive, five thousand, two hundred and ninety-four (5,294) are negative, forty- two (42) for a repeat test, and thirteen (13) 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 7,268 people with COVID-19 prevention messages.

Logistics and Operational Support:  Distributed COVID-19 IPC commodities to SSH molecular diagnostic laboratory, GH Potiskum, and GH Gashua  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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