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Borno State Nigeria Emergency Response Integrated Disease Surveillance and Response (IDSR) W21 2021 (May 24-May 30) Table of Contents A. Key indicators B. Indicator-based surveillance C. System performance A. Key indicators Surveillance | Performance Indicators 25 25 277 221 79% 75% Number of Number of LGAs Number of health Number of health Completeness Timeliness LGAs* that reported facilities facilities that at health facility at health facility reported level. 92% at LGA level. 88% at LGA level. level. Alert | W21 Alert | Risk Assessment 68 93% 0 W21 Cumulative Total alerts % alerts verified # alerts requiring 0 19 Low risk raised** response 0 18 Moderate risk * The reporting of health facility level IDSR data is currently being rolled out across Borno State. Whilst this is taking place, some LGAs are continuing to report only at the level of local government area (LGA). Therefore, completenss and timeliness of reporting is displayed at both levels in this bulletin. 0 22 High risk ** Alerts are based on 7 weekly reportable diseases in the national IDSR reporting format (IDSR 002) and 8 additional diseases/health events of public health importance 0 1 Very high risk in the IDP camps and IDP hosting areas. Figure 1 | Trend in consultations 100000 75000 50000 Number 25000 0 W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020 New visits Repeat visits B. Indicator-based surveillance Summary Figure 1a | Proportional morbidity (W21) Figure 1b | Proportional mortality (W21) Malaria (confirmed) Severe Acute Malnutrition Malaria (confirmed) Severe Acute Malnutrition Malaria (suspected) Mental Health Malaria (suspected) Maternal death Acute Respiratory Infection Measles Acute Respiratory Infection Neonatal death Acute Watery Diarrhoea Other Acute Watery Diarrhoea Other Bloody diarrhoea Bloody diarrhoea Statistical tables Show Table 1a | Weekly and cumulative number of reported cases Table 1b | Weekly and cumulative number of reported deaths Syndrome W21 Cumulative Syndrome W21 Cumulative 2021 2021 # cases % morb.1 # cases % morb.1 # deaths % mort.2 # deaths % mort.2 Malaria (confirmed) 4,455 10.8% 126,299 13.1% Malaria (confirmed) 1 1.3% 26 3.1% Malaria (suspected) 8,993 21.8% 206,350 21.4% Malaria (suspected) 3 3.9% 39 4.7% Acute Respiratory 7,354 17.8% 178,698 18.5% Acute Respiratory 2 2.6% 9 1.1% Infection Infection Acute Watery Diarrhoea 602 1.5% 14,655 1.5% Acute Watery Diarrhoea 0 0.0% 1 0.1% Bloody diarrhoea 134 0.3% 3,321 0.3% Bloody diarrhoea 1 1.3% 1 0.0% Severe Acute Malnutrition 1,785 4.3% 42,961 4.5% Severe Acute Malnutrition 4 5.2% 28 3.4% Mental Health 84 0.2% 1,155 0.1% Maternal death 0 0.0% 15 1.8% Other 17,337 42.0% 384,194 39.8% Neonatal death 5 6.5% 60 7.2% Total cases 41,232 100% 964,695 100% Other 61 79.2% 653 78.5% 1 Proportional morbidity Total deaths 77 100% 832 100% 2 Proportional mortality Table 1c | Immediately notifiable diseases (IDSR 002) Disease W21 Cumulative 2021 # cases # deaths # cases # deaths AFP1/Polio 4 0 45 0 Measles (suspected) 488 7 7,062 88 Meningitis (suspected) 2 0 22 2 Cholera (suspected) 0 0 0 0 Viral Haemorrhagic Fever 0 0 1 1 (suspected) Yellow Fever (suspected) 4 0 38 0 Guinea worm (suspected) 0 0 0 0 Human Influenza 0 0 0 0 (suspected)2 1 Acute Flaccid Paralysis 2 caused by a new subtype Malaria Show Figure 2a | Age breakdown Figure 2b | Trend in number of cases over time (Borno State) 40000 30000 20000 Number 10000 Under 5 Over 5 0 Total case fatality due to malaria in W21 was 0.0% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020 Figure 2c | Number of cases by LGA 3000 2000 Number 1000 0 Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar Measles (suspected) Show Figure 3a | Age breakdown Figure 3b | Trend in number of cases over time (Borno State) 1500 1250 1000 750 Number 500 250 Under 5 Over 5 0 Total case fatality due to measles in W21 was 1.4% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020 Figure 3c | Number of cases by LGA 400 300 200 Number 100 0 Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar Acute Respiratory Infection Show Figure 4a | Age breakdown Figure 4b | Trend in number of cases over time (Borno State) 15000 10000 Number 5000 Under 5 Over 5 0 Total case fatality due to acute respiratory infection in W21 was 0.0% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020 Figure 4c | Number of cases by LGA 3000 2000 Number 1000 0 Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar Acute Watery Diarrhoea Show Figure 5a | Age breakdown Figure 5b | Trend in number of cases over time (Borno State) 5000 4000 3000 Number 2000 1000 Under 5 Over 5 0 Total case fatality due to Acute Watery Diarrhoea in W21 was 0.0% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020 Figure 5c | Number of cases by LGA 300 200 Number 100 0 Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar Bloody diarrhoea Show Figure 6a | Age breakdown Figure 6b | Trend in number of cases over time (Borno State) 400 300 200 Number 100 Under 5 Over 5 0 Total case fatality due to bloody diarrhoea in W21 was 0.7% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020 Figure 6c | Number of cases by LGA 40 30 20 Number 10 0 Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar Severe Acute Malnutrition Show Figure 7a | Age breakdown Figure 7b | Trend in number of cases over time (Borno State) 5000 4000 3000 Number 2000 1000 Under 5 Over 5 0 Total case fatality due to SAM in W21 was 0.2% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020 Figure 7c | Number of cases by LGA 300 200 Number 100 0 Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar C. System performance Statistical tables Show Table 9a | Surveillance performance indicators by LGA (W21) Table 9b | Alert performance indicators by LGA Location Reporting Performance Syndrome W21 Cumulative 2021 # sites # reports Comp.3 Time.4 received # alerts % verif. # alerts % verif. Table test Table test Askira Uba 29 26 90% 86% Askira Uba 2 100% 54 98% Bama 4 3 75% 75% Bama 3 100% 29 100% Bayo 11 10 91% 91% Bayo 3 100% 41 100% Biu 22 20 86% 86% Biu 1 100% 37 95% Chibok 11 10 91% 82% Chibok 3 100% 36 92% Damboa 14 11 79% 71% Damboa 5 100% 61 100% Dikwa 6 4 67% 67% Dikwa 0 0% 9 100% Gubio 5 4 80% 80% Gubio 0 0% 38 95% Guzamala 0 0 0% 100% Guzamala 0 0% 0 0% Gwoza 7 5 71% 71% Gwoza 0 0% 26 100% Hawul 14 12 86% 79% Hawul 4 100% 39 100% Jere 24 14 58% 54% Jere 11 73% 171 95% Kaga 5 5 100% 100% Kaga 1 100% 20 90% Kala/Balge 3 0 0% 0% Kala/Balge 0 0% 0 0% Konduga 16 9 56% 56% Konduga 6 100% 115 99% Kukawa 0 0 0% 100% Kukawa 0 0% 0 0% Kwaya Kusar 11 9 82% 73% Kwaya Kusar 0 0% 13 100% Mafa 6 3 50% 50% Mafa 2 100% 14 93% Magumeri 9 8 89% 67% Magumeri 8 100% 151 99% Maiduguri 22 18 77% 68% Maiduguri 16 88% 251 97% Mobbar 2 1 50% 50% Mobbar 0 0% 11 100% Monguno 20 20 100% 100% Monguno 0 0% 46 100% Ngala 6 4 67% 67% Ngala 0 0% 1 100% Nganzai 4 4 100% 100% Nganzai 1 100% 17 88% Shani 26 21 81% 77% Shani 2 100% 32 100% Borno State 277 221 79% 75% Borno State 68 93% 1,212 97% 3 Completeness of reporting (at health facility level) 4 Timeliness of reporting (at health facility level) Samuel B Thliza Dr Uzoma Ugochukwu State Epidemiologist Health Information Management Unit Contact Information Ministry of Health WHO Health Emergencies Programme Office Maiduguri, Nigeria Maiduguri, Nigeria Email: [email protected] Email: [email protected] Telephone: 0708 093 0851 Telephone: 0703 729 5937 Nigeria EWARS has been deployed since September 2016 in response to the humanitarian crisis in North-Eastern Nigeria. It is supporting Learn more about EWARS MoH and partners to strengthen mortality and disease http://ewars-project.org surveillance. http://ng.ewars.ws/login.