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YOBE STATE MINISTRY of HEALTH Situation Report

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YOBE STATE MINISTRY of HEALTH Situation Report YOBE STATE MINISTRY OF HEALTH Situation Report TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 135 EPID-WEEK 42 DATE 12 – 18 October 2020 HIGHLIGHTS: No new confirmed case was reported in week 42 The total number of confirmed COVID-19 cases remains seventy-nine (79) One hundred and nine (109) additional samples were collected in week 42. Eighty (80) results returned negative while 29 results are pending Two (2) patients have been discharged from the isolation center No COVID-19 related mortality was recorded for 21 consecutive weeks Thirty-five (35) additional contacts were line-listed by the contacts tracing teams Five (5) contacts have completed 14 days of monitoring without any symptoms The SMOH, with support from WHO and NCDC, conducted training of 102 health officials including DSNOs and Clinicians on COVID-19 case detection and IPC to scale-up sample collection and testing The SPHCMB, with support from WHO, conducted sensitization training for 450 AVADAR informants on COVID-19 prevention Yobe SMOH teams, in collaboration with WHO HTR teams and AVADAR informants, UNICEF VCMs, and CGPP volunteers conducted mass community sensitization reaching 9,239 people with COVID-19 prevention messages in high-burden LGAs. EPIDEMIOLOGICAL SUMMARY: The total number of confirmed COVID-19 cases is seventy-nine (79). Twenty-three (23) cases from Damaturu, twenty-two (22) from Nguru, sixteen (16) from Bade, four (4) cases each from Karasuwa, and Potiskum LGAs. Bursari and Yusufari have two (2) cases each, and 6 other LGAs (Geidam, Tarmuwa, Fika, Fune, Gulani, and Gujba) have one (1) case each The total confirmed cases of COVID-19 amongst Health Care Workers (HCWs) is fourteen (14). These include five (5) doctors, seven (7) nurses, one (1) physiotherapist, and one (1) laboratory scientist The total number of deaths from COVID-19 in the state is eight (8) 1 | P a g e The total number of patients who recovered from COVID-19 is sixty-eight (68) The total number of active confirmed cases in the state is three (3) The total number of contacts who completed 14 days of monitoring without symptoms is seven hundred and seventy-two (772) The total number of samples collected is one thousand, two hundred, and thirty-two (1,232). Seventy- nine (79) results are positive, one thousand and eighty-three (1,083) are negative, forty-one (41) for a repeat test and one hundred and twenty-nine (29) remaining sample results are pending. 25 20 15 19 confirmed cases - 10 5 Number COVID of 0 Confirmed COVID-19 Deaths Deaths Figure 1: Epi-curve of Confirmed COVID-19 Cases in Yobe state COVID-19 confirmed cases in Yobe State Damaturu NGURU Bade Karasuwa Potiskum Bursari Yusufari LGAs Tarmuwa Gulani Gujba Geidam Fune Fika 0 5 10 15 20 25 Number of comfirmed COVID-19 cases reported Figure 2: Distribution of Confirmed COVID-19 Cases by LGA in Yobe state 2 | P a g e 0% 19% 28% 50% 72% 31% 12-59 months 5-9 years Male Female 10-19 years 20-40 years Figure 3: Distribution of Confirmed COVID-19 Cases by Age and Sex in Yobe state Table 1: Summary of COVID-19 Case(s) Total Epi-week 42 Cumulative (1 Jan-18 S/No. (Monday-Sunday) Oct 2020) Description 1 Suspected case(s) 109 1,191 2 Lab-confirmed positive case(s) 0 79 Lab-confirmed positive cases amongst 3 health care worker(s) 0 14 4 Probable case(s) 0 0 5 Rumor under investigation 31 686 6 Number of confirmed case(s) discharged 2 68 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 3 | P a g e Table 2: Summary of Contact(s) Total epi-week 42 Cumulative (1 S/No. Description (Monday-Sunday) Jan-18 Oct 2020) 1 Contact(s) line-listed 35 862 2 Contact(s) seen 35 841 3 Contact(s) currently under follow-up 69 69 4 Symptomatic contacts(s) 0 21 5 Contact confirmed positive 0 14 6 Contact(s) who completed 14 days follow-up 5 772 7 Contact(s) lost to follow up 0 0 Figure 2: Risk Mapping of Yobe LGAs 4 | P a g e Figure 3: Map of Yobe State Showing the Number of Laboratory Confirmed COVID-19 Cases by LGA. Table 3: Summary of Laboratory Result(s) Total epi-week 42 Cumulative (1 (Monday-Sunday) Jan-18 Oct 2020) S/No. Description 1 Total number of samples collected 109 1,232 2 Number of samples tested negative 80 1,083 3 Number of samples confirmed positive 0 79 4 Number of samples pending in the laboratory 29 29 5 Number of samples for a repeat test 0 41 THEMATIC INTERVENTIONS Coordination: The SMOH, with support of WHO and partners, is leading and coordinating the implementation of the REDISSE project funded by the NGN 100 million World Bank grant Conducted regular COVID-19 response coordination meetings with partners and stakeholders. 5 | P a g e Surveillance and Epidemiology: In Yobe, 14 LGAs of the 17 LGAs, representing 82.4%, have reported at least one confirmed case The case fatality rate amongst confirmed cases is 10.1% Overall, seventy-nine (79) of the one thousand and eighty-one (1,203) samples tested positive giving a positivity rate of 6.6%. The positivity rate for week 42 is 0% while the positivity rate for the preceding week was 3.3% The case to contact ratio is 1:10 The percentage of contacts that were confirmed positive is 17.7% Thirty-five (35) additional contacts were line-listed by the contact tracing team in Damaturu, Nguru, and Potiskum LGAs Five (5) contacts have completed 14 days of monitoring without any symptoms. Point of Entry (POE): Conducted screening of passengers at the Points of Entries (POEs) Conducted supportive supervision of POE teams in Bade, Geidam, Potiskum, Nguru, and Yusufari LGAs. Case Management: Two (2) patients have been discharged from the isolation center The three (3) remaining active confirmed cases are in stable condition No COVID-19 related mortality was recorded for 21 consecutive weeks. Infection Prevention and Control (IPC): Conducted decontamination and disinfection of isolation centers across the State The SMOH, with support from WHO and NCDC, conducted training of 102 health officials including DSNOs and Clinicians on COVID-19 case detection and IPC to scale-up sample collection and testing The SPHCMB, with support from WHO, conducted sensitization training for 450 AVADAR informants on COVID-19 prevention. Laboratory and Diagnostic Support: One hundred and nine (109) additional samples were collected in week 42. Eighty (80) results returned negative while 29 results are pending The total number of samples collected is one thousand, two hundred, and thirty-two (1,232). Seventy- nine (79) results are positive, one thousand and eighty-three (1,083) are negative, forty-one (41) for a repeat test and one hundred and twenty-nine (29) remaining sample results are pending 6 | P a g e Following-up with the laboratory team to retrieve the results of pending samples. Risk Communication and Social Mobilization: Yobe SMOH teams, in collaboration with WHO HTR teams and AVADAR informants, UNICEF VCMs, and CGPP volunteers conducted mass community sensitization reaching 9,239 people with COVID-19 prevention messages in high-burden LGAs Conducted mass community sensitization through radio jingles and phone-in program at Yobe State Broadcasting Cooperation (YBC). Logistics and Operational Support: Distributed COVID-19 IPC commodities to GH Gashua, FMC Nguru, and SSH Damaturu isolation centers Distributed PPEs and IEC materials to Surveillance, POE, and Risk Communication teams CHALLENGES: 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. NEXT STEP(S): 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 Scale-up active case search and sample collection in remote LGAs and communities Mobilize and distribute PPEs to schools, health facilities, and isolation centers. 7 | P a g e .
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