MINISTRY OF HEALTH Situation Report

TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 173 EPID-WEEK 27 DATE 5 – 11 July 2021

HIGHLIGHTS:  No new confirmed case was reported in week 27  The total number of confirmed COVID-19 cases remains four hundred and ninety-nine (499)  Sample testing is stalled due to the stock-out of the testing reagents for nearly 5 weeks. 1472 samples have been taken to the National Reference Laboratory in Abuja. Sample results are pending  Yobe SPHCMB has completed the administration of the second dose of Oxford/AstraZeneca vaccine in all 17 LGAs of the state including the security-compromised LGAs  From 29 May - 7 July 2021, 18,866 people were provided with the second dose. This represents about 64% of people vaccinated with the first dose of the vaccine (29,528) across the state. So far, 275 non- serious AEFIs were reported. No serious AEFI % of First Dose Recipients AEFI Total Vaccinated (1st Total Vaccinated Vaccinated with the LGA Dose) (2nd Dose) Second Dose Serious Non-Serious Bade 2052 1,284 63% 0 24 742 602 81% 0 7 3216 1,710 53% 0 16 Fika 2951 1,869 63% 0 17 1219 831 68% 0 3 1343 619 46% 0 0 1324 946 71% 0 20 1393 1,132 81% 0 41 1795 1,214 68% 0 3 1606 1,363 85% 0 11 Machina 959 728 76% 0 30 1082 929 86% 0 35 Nguru 1759 1,036 59% 0 37 4080 1,947 48% 0 3 649 607 94% 0 4 1780 919 52% 0 3 1578 1,130 72% 0 21 Total/Average 29528 18,866 64% 0 275  Yobe SMOH in collaboration with the FMOH Ministerial Expert Advisory Committee on COVID-19 (MEACoC) and WHO, completed sample collection as part of the national ‘Population-Based Age- Stratified Seroprevalence Survey in 12 states with high- and low-burden of COVID-19 infection’ in the country. In Week 26 and week 27, 410 samples, representing 102.5% of the total samples required

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from the state, have been collected, processed, and transported to the central Laboratory in Abuja, for further analysis  Yobe SPHCMB, in collaboration with WHO HTR teams, Community Health Champions and AVADAR Informants, UNICEF, and CGPP VCMs, conducted mass community sensitization, reaching 14,649 people with COVID-19 prevention messages.

EPIDEMIOLOGICAL SUMMARY:  The total number of confirmed COVID-19 cases is four hundred and ninety-nine (499). Ninety-four (94) cases from Damaturu, seventy-five (75) cases from Nguru, fifty-five (55) cases from Fika, forty-seven (47) cases from Potiskum, thirty-seven (37) cases from Bade, thirty-one (31) cases from Nangere, twenty-nine (29) cases from Gulani, twenty-two (22) cases from Yusufari, twenty-one (21) cases from Gujba, nineteen (19) cases from Jakusko, sixteen (16) cases each from Karasuwa, fourteen (14) cases from Tarmuwa, twelve (12) cases from Fune, nine (9) cases from Bursari, eight (8) cases from Yunusari, and five (5) cases each from Geidam, and Machina LGAs  The total number of active confirmed cases in the state is one (1)  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, scientists  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 four hundred and eighty-nine (489)  The total number of contacts who completed 14 days of monitoring without symptoms is two thousand, one hundred and twenty-six (2,126)  The total number of samples collected is eighteen thousand, seven hundred and fifty-seven (18,757). Four hundred and ninety-nine (499) results are positive, sixteen thousand, six hundred and forty-four (16,644) are negative, forty-two (42) for a repeat test, and one thousand, five hundred and seventy-two (1,572) remaining sample results are pending.

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11-May-20 18-May-20 25-May-20 16-May-21 23-May-21 30-May-21 18-Apr-21* Confirmed COVID-19 Deaths

Figure 1: Epi-curve of Confirmed COVID-19 Cases in Yobe state

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Figure 2: Trend in the weekly testing, number of confirmed cases, and positivity rates in Yobe state

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100

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0 Damaturu Nguru Fika Potiskum Bade Nangere Gulani Yusufari Gujba Jakusko Karasuwa Tarmuwa Fune Bursari Yunusari Machina Geidam LGAs

Figure 3: Distribution of Confirmed COVID-19 Cases by LGA in Yobe state Table 1: Summary of COVID-19 Case(s)

Total Epi-week 27 Cumulative (1 Jan 2020- S/No. (Monday-Sunday) 11 July 2021) Description 1 Suspected case(s) 108 18,715 2 Lab-confirmed positive case(s) 0 499 Lab-confirmed positive cases amongst 3 health care worker(s) 0 19 4 Probable case(s) 0 0 5 Rumor under investigation 0 4,839 Number of the confirmed case(s) 6 discharged 0 489 7 Number of death in confirmed case(s) 0 9 Number of death amongst health care 8 workers 0 0

9 Number of death in suspected cases 0 0

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Table 2: Summary of Contact(s) Total epi-week 27 Cumulative (1 Jan S/No. Description (Monday-Sunday) 2020 - 11 July 2021) 1 Contact(s) line-listed 0 2,147 2 Contact(s) seen 0 2,126 3 Contact(s) currently under follow-up 0 0 4 Symptomatic contacts(s) 0 31 5 Contact confirmed positive 0 18 6 Contact(s) who completed 14 days follow-up 0 2,126 7 Contact(s) lost to follow up 0 0

Figure 2: Risk Mapping of Yobe LGAs

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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 27 Cumulative (1 Jan

(Monday-Sunday) 2020 - 11 July 2021) S/No. Description 1 Total number of samples collected 108 18,757 2 Number of samples tested negative 8 16,644 3 The number of samples confirmed positive 0 499 4 Number of samples pending in the laboratory 100 1,572 5 Number of samples for a repeat test 0 42

THEMATIC INTERVENTIONS Coordination:  The SMOH, with the support of WHO and partners, is coordinating the implementation of COVID-19 response activities in all LGAs of the state  Conducted regular COVID-19 response coordination meetings with partners and stakeholders.

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Surveillance and Epidemiology:  All 17 LGAs have recorded at least a confirmed COVID-19 case (s)  The case fatality rate amongst confirmed cases is 1.8%  The positivity rate for week 27 is 0%. This represents the same positivity rate compared to the previous week (0% positivity rate in week 26). The case to contact ratio is 1:4  The percentage of contacts that were confirmed positive is 3.6%.

Point of Entry (POE):  Conducted screening of passengers at the Points of Entries (POEs)  Conducted supportive supervision at the POE in Nangere, Yusufari, Potiskum, Jakusko, and Nguru LGAs.

Case Management:  The total number of active confirmed cases in the state is one (1)  No discharge amongst confirmed cases, and no COVID-19 related mortality.

Infection Prevention and Control (IPC):  Conducted decontamination and disinfection of State Specialist Hospital (SSH) COVID-19 molecular diagnostic laboratory.  Continued mass sensitization on uptake of COVID-19 second dose vaccination.

Laboratory and Diagnostic Support:  Following up with the laboratory team to retrieve pending sample results  The total number of samples collected is eighteen thousand, seven hundred and fifty-seven (18,757). Four hundred and ninety-nine (499) results are positive, sixteen thousand, six hundred and forty-four (16,644) are negative, forty-two (42) for a repeat test, and one thousand, five hundred and seventy-two (1,572) remaining sample results are pending.

Risk Communication and Social Mobilization:  Yobe SHCMB, in collaboration with WHO HTR teams, Community Health Champions and AVADAR Informants, UNICEF, and CGPP VCMs, conducted mass community sensitization, reaching 4,649 people with COVID-19 prevention messages.

Logistics and Operational Support:  Distributed COVID-19 IPC commodities to SSH molecular diagnostic laboratory, and YSUTH Damaturu

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 Distributed PPEs and IEC materials to the IPC, Surveillance, POE, and Risk Communication teams.

CHALLENGES:  Stock-out of reagent in the molecular laboratory interrupting COVID-19 testing within the state  Massive population displacement and attacks on hospitals and PHC centers by the Non-state Armed Groups (NSAGs) are disrupting COVID-19 response and health services in affected LGAs (Geidam, Yunusari, 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

NEXT STEP(S):  Continue providing the second dose of COVID-19 vaccine to health workers and strategic leaders  Provide additional support for active case search strategy, contact tracing, and sample collection in high- burden LGAs  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  Follow-up with NCDC to supply reagent and continue transporting COVID-19 samples to the nearest laboratory.

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