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ISTH NEWS BULLETIN

TITLE: COVID-19 OUTBREAK SITUATION REPORT

DATE: WEEKLY SUMMARY (WEEK ENDING 11TH JULY 2020) 92 0 1 0 1

Highlights Situation Report From 27th February 2020-11th July 2020 Total cases 31987 No of confirmed deaths 724 Case fatality rate 2.3%

For the week- 5th July-11th July 2020, New cases 3820 No of confirmed deaths 90 Case fatality rate 2.4% New states reporting cases 1(Cross river)

Distribution by states

States No. of Cases (Lab No. of Cases (on No. No. of Affected Confirmed) admission) Discharged Deaths

Lagos 12,275 10,329 1,786 160

FCT 2,538 1,755 747 36

Oyo 1,706 695 992 19

Edo 1,678 692 929 57

Delta 1,359 745 583 31

Rivers 1,357 460 851 46

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States No. of Cases (Lab No. of Cases (on No. No. of Affected Confirmed) admission) Discharged Deaths

Kano 1,303 221 1,030 52

Ogun 1,080 353 705 22

Kaduna 978 330 636 12

Ondo 670 525 124 21

Katsina 655 191 441 23

Borno 586 96 455 35

Gombe 530 102 407 21

Bauchi 519 8 498 13

Plateau 516 258 242 16

Ebonyi 508 5 497 6

Enugu 476 199 263 14

Abia 405 107 295 3

Imo 386 309 69 8

Jigawa 321 2 308 11

Kwara 311 131 168 12

Bayelsa 299 128 153 18

Nasarawa 244 123 113 8

Osun 231 140 84 7

Sokoto 153 2 135 16

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States No. of Cases (Lab No. of Cases (on No. No. of Affected Confirmed) admission) Discharged Deaths

Niger 135 20 108 7

Akwa Ibom 134 60 71 3

Benue 121 80 35 6

Adamawa 110 32 71 7

Anambra 93 19 65 9

Kebbi 86 16 63 7

Zamfara 76 0 71 5

Yobe 62 3 51 8

Ekiti 49 7 40 2

Taraba 27 16 11 0

Kogi 5 0 3 2

Cross River 5 1 3 1

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Covid-19 Confirmed cases in Nigeria(27th Feb 2020-11th July 2020)

Edo State Situation Report From 6th March 2020-12th July 2020 (not fully updated) Total cases 1731 Health care worker cases 255 No of confirmed deaths 57 Deaths in health care workers 0 Case fatality rate 3.3%

For the week- 6th July-12th July 2020(not fully updated) New cases 348 Health care worker cases 49 No of confirmed deaths 10 Deaths in health care workers 0 Case fatality rate 2.9%

This makes the 3rd state in Nigeria with the highest number of cases after Lagos and FCT as at the end of the epiweek dating 6th-12th July 2020.

Epi-summary for Edo state by LGA from 6th July 2020- 12th July 2020 ( not fully updated) S/No. LGA NEW TOTAL CASES NEW HCW TOTAL NEW TOTAL CASES CASES HCWS DEATHS DEATHS (for the (for the CASES (for the week) week) week)

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1 61 507 0 17 0 9 2 Ikpoba-Okha 23 196 0 0 0 4 3 25 293 0 0 0 19 4 Ovia North East 6 98 0 1 0 1 5 50 199 10 39 1 3 6 Uhunmwode 2 17 0 0 0 1 7 17 134 11 69 0 1 8 Esan South East 2 10 0 0 0 0 9 Akoko-Edo 1 3 0 0 0 0 10 0 2 0 0 0 0

11 Ovia South West 7 28 0 0 0 1

12 0 1 0 0 0 0 13 Esan North East 10 60 0 3 0 3 14 7 31 0 0 1 2 15 2 11 0 2 0 0 16 1 4 0 0 0 1 17 Owan West 0 2 0 0 0 0 18 1 2 0 0 0 0

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500 Dead Alive 450

400

350

300 19 19 Cases - 250

200 No of Covid of No 150

100

50

0 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Epid-week

Figure 1: Epicurve of Confirmed cases of COVID-19 as at 10thJuly, 2020

Confirmed Covid-19 cases- Nigeria 2020

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1593 Confirmed cases of Covid-19 by Age and Sex as at 10th July, 2020 300

248 250

Female 200 200

176 Male 19 19 Cases

- 148 150 136 % of Total

114 113 No ofCovid No

100 75 73 69 54 50 48 50 45 26% 24 21% 20 16% 12% 8% 7% 3% 7% 0 1-10 11-20 21-30 31-40 41-50 51-60 61-70 71 & Above

Age-Group

Confirmed Cases of COVID-19 according to age and sex distribution as at 10thJuly, 2020

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LET’S BE MINDFUL

IN OTHER NEWS

World Hepatitis day is around the corner

World Hepatitis Day is commemorated each year on 28 July to enhance awareness of viral hepatitis, an inflammation of the liver that causes a range of health problems, including liver cancer. There are five main strains of the hepatitis virus – A, B, C, D and E. Together, Hepatitis B and C are the most common cause of deaths, with 1.4 million lives lost each year. Amid the COVID-19 pandemic, viral hepatitis continues to claim thousands of lives every day.

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This year’s theme is “Hepatitis-free future,” with a strong focus on preventing Hepatitis B (HBV) among mothers and newborns. On 28 July, WHO will publish new recommendations on the prevention of mother-to-child transmission of the virus. HBV can be prevented among newborns through the use of a safe and effective vaccine.

Telehealth – The next viable option to keep health workers safe

COVID-19 has brought to the fore the crucial role technology can play in the delivery of health care Telehealth is the viable option (where applicable) to reduce health care worker exposure as well as protect high risk patients from exposure to the COVID-19 virus. As healthcare providers we can can still communicate with patients by telephone (instead of visits), reducing the number of those who seek face-to-face care. To achieve this we must:

 Determine algorithms to identify which patients can be managed by telephone and advised to stay home, and which patients will need to be sent for emergency care or come to our facility.  Instruct patients that if they have respiratory symptoms they should call before they leave home, so staff can be prepared to care for them when they arrive.

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