Yobe State Cholera Outbreak Situation Report No. 16: 5Th October 2018 Yobe State Ministry of Health

Yobe State Cholera Outbreak Situation Report No. 16: 5th October 2018 Yobe State Ministry of Health

Highlights: 17 new cases were reported on 5th October 2018 from 4 LGAs (Gujba, Gulani, Damaturu and Fune) 0 death was reported.

Epidemiological Summary: The total number of suspected cholera cases reported in Yobe state is 1,405 with 61 associated deaths (CFR 4.3%). In the state, up to 426 cases have been reported in Gulani LGA (affecting 10 wards), 400 cases in Gujba LGA (affected 8 wards) and 344 cases in Damaturu LGA (affecting 11 wards). In Fune LGA, 168 cases were reported (from 9 wards) and 67 cases were reported in Potiskum LGA (from 10 wards). Out of 60 samples collected and tested using cholera RDTs, 47 (78%) were positive and 13 (22%) were negative. Again, 9 (47%) out of 19 samples cultured were positive for Vibrio Cholerae. However, the 9 positive samples were taken to national reference laboratory for quality checks and further analysis samples and Vibrio Cholerae O1 (Inaba) serotype was isolated in 4 out of the 9 samples.

Table 1: Summaries of suspected cholera cases in Yobe State from July to 5th October2018. Gulani Gujba Damaturu Fune Potiskum Total

Cases

New suspected cholera cases 0 5 6 6 0 17

Cumulative suspected AWD 426 400 344 168 67 1405 cases Number of wards in the LGA 12 10 11 13 10 56 Number of wards affected 10 8 11 9 10 48 Deaths New deaths 0 0 0 0 0 0 Cumulative deaths 20 19 6 12 4 61

Laboratory

Number of specimen tested (RDT) 8 10 30 12 0 60 Specimen Positive RDT 7 9 22 9 0 47 Pending result for RDT 0 0 0 0 0 0 Number of samples cultured 5 8 5 1 0 19 Specimen Positive Culture 2 4 2 1 0 9 Pending result for 0 0 0 0 0 0 Culture

Seventeen (17) new suspected cholera cases were reported in Yobe state on 5th October 2018, representing 15% decrease in the number of cases reported the previous day (Fig. 2). Five (5) of the new cases were reported from Gujba, representing 50% decrease in number of cases reported the previous day from Gujba (Fig. 6). No case was reported from Gulani (Fig. 4), Six (6) cases were reported from Damaturu (Fig. 10) and Fune LGA (Fig. 8). No suspected case was reported from Potiskum over last 10 ten days LGA (Fig. 12). 1

Figure 1: Map of Yobe State showing number of suspected cholera cases in affected wards and LGAs

60 350 300 50 250 40 200 30 150

state 100 20

Yobes Yobes tate 50 10 0

0 2-8 Jul number of suspected cholera cases in in Yobe cases cholera suspected of number 9-15 Jul 3-9 Sept 6-12 Aug 16-22 Jul 23-29 Jul 7-Jul 27-2 Sept number suspected of cholera cases in 5-Oct 13-19 Aug 20-26 Aug 5-Sep 1-7 Oct **1-7 Oct 1-Aug 6-Aug 12-Jul 17-Jul 22-Jul 27-Jul 10-16 Sept 17-23 Sept 30-5th Aug 30-5th 10-Sep 15-Sep 20-Sep 25-Sep 30-Sep 24-30 Sept 11-Aug 16-Aug 21-Aug 26-Aug 31-Aug

Cases Deaths Cases Deaths

Figure 2: Epi-curve of suspected cholera cases in Yobe state. Figure 3: Epi-curve of suspected cholera cases in Yobe state.

25 90 80 20 70 60 15 50 40 10 30 Gulani 20 5 10 0 0 number of suspected in cholera suspected number cases of number of Suspected Cholera cases in in Gulani cases Cholera Suspected of number

Cases Deaths Cases Deaths

Figure 4: Epi-curve of suspected cholera cases in Gulani LGA. Figure 5: Weekly Epi-curve of suspected cholera cases in Gulani LGA.

35 140 30 120 25 100 80 20 60 15 40 10 Gujba 20 0

in Gujba 5 0 number of suspected in cholera suspected number cases of 7-Jul 5-Oct 5-Sep 1-Aug 6-Aug 12-Jul 17-Jul 22-Jul 27-Jul 10-Sep 15-Sep 20-Sep 25-Sep 30-Sep 11-Aug 16-Aug 21-Aug 26-Aug 31-Aug number suspected of cholera cases Cases Deaths Cases Deaths

Figure 6: Epi-curve of suspected cholera cases in Gujba LGA. Figure 7: Weekly Epi-curve of suspected cholera cases in Gujba LGA.

18 50 16 45 40 14 35 12 30 10 25 8 20 6 15 4 10 2 5 0 0 20-26 27-2 3-9 Sep 10-16 17-23 24-30 1-7 Oct 2-Oct 5-Oct 2-Sep 5-Sep 8-Sep number of suspected cholera cases in in Fune cases cholera suspected of number number of Suspected Cholera cases in in Fune cases Cholera Suspected of number 11-Sep 14-Sep 17-Sep 20-Sep 23-Sep 26-Sep 29-Sep

24-Aug 27-Aug 30-Aug Aug Sep Sep Sep Sept **

Cases Deaths Cases Deaths

Figure 8: Epi-curve of suspected cholera cases in Fune LGA. Figure 9: Weekly Epi-curve of suspected cholera cases in Fune LGA

25 90 80 20 70 60 15 50 40

10 Damaturu 30

in Damaturu 5 20 10 0 in cases cholera suspected of number 0 20-26 27-2 3-9 Sep 10-16 17-23 24-30 1-7 Oct number suspected of cholera cases 1-Oct 5-Oct 3-Sep 7-Sep

11-Sep 15-Sep 19-Sep 23-Sep 27-Sep Aug Sep Sep Sep Sept ** 22-Aug 26-Aug 30-Aug

Cases Death Cases Deaths

Figure 10: Epi-curve of suspected cholera cases in Damaturu LGA. Figure 11: Weekly Epi-curve of suspected cholera cases in Damaturu LGA

7 25

6 20 5 15 4 3 10

2 Potiskum 5 Potiskum 1 0 0 number of suspected cholera cases in in cases cholera suspected of number Jul Oct - Sep Sep Sep Sep Sep Aug Aug Aug Aug Aug - number of Suspected Cholera cases in in cases Cholera Suspected of number ------5 5 6 31 11 17 23 29 12 18 24 30

Cases Death Cases Deaths

Figure 12: Epi-curve of suspected cholera cases in Potiskum. Figure 13: Weekly Epi-curve of suspected cholera cases in Potiskum.

Response Activities

Surveillance: Continue line listing of new suspected cases from 4 LGAs (Fune, Gujba, Damaturu, Gulani)

WHO supported EHAs conducted house-house active case search and sensitization in affected and at-risk households in various LGAs.

EHAs identified 5 suspected cases during house-to-house search in the LGAs and referred them all to CTUs/ORPs in the respective LGAs Priority areas have been identified and communicated to WASH and risk communication teams to scale-up interventions.

Case Management: Gulani Gujba Damaturu Fune Potiskum Total Admissions

New admissions 0 5 6 6 0 17

New Discharges 0 10 4 14 0 28

On admission 0 5 9 2 0 16

SMOH deployed six (6) trained health workers to support ORPs in Ngurbuwa and Wagir PHCs in Gujba LGA No suspected cholera case has been reported in Potiskum LGA since 24th September 2018 No mortality was reported in all affected LGAs.

Risk Communication: UNICEF deployed one (1) Toyota Hilux vehicle to provide logistical support and improve accessibility to remote communities of Gujba and Gulani LGAs UNICEF-supported VCMs sensitized 1628 persons on hygiene promotion in Nayi-nawa and Pawari settlements of Damaturu LGA Airing of radio jingles on health seeking behavior and cholera prevention by Yobe Broadcasting Corporation continued Community volunteers working with VCMs sensitized 1281 persons on health and hygiene promotion in Shamka, Jajere and Kollere settlements of Fune LGA

WASH: UNICEF supported Environment Health Assistants have collected water samples and chlorinated 6 water points in Gujba, Sola and Buni-Yadi settlments of Gujba LGA. WHO supported Environmental Health Assistants has distributed 1250 aquatab to household in Damaturu-Ganye Uku, Fune-shamka, and Gulani-Maikomo settelements ACF-International sensitized 912 people in Mutai and Buni-Yadi settlements on hygiene promotion and cholera prevention during nutrition and food distribution programme WASH and IRC teams distributed 1017 Aqutabs in affected households in Gwange, Pompomari and Kasaisa areas of Damaturu LGA.

Coordination: LGA RRTs in Gujba, Gulani, Damaturu and Fune LGA conducted daily local coordination meetings, and provided updates to state RRT to mobilize additional resources and technical support State and WASH sector partners have mobilized LGA teams and local partners, and segmented affected communities in Fune, Gujba and Gulani to scale-up WASH interventions in areas with accessibility challenges; difficult terrain and poor communication networks.