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Yobe State – COVID-19 Weekly Situation Report

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Yobe State – COVID-19 Weekly Situation Report YOBE STATE MINISTRY OF HEALTH Situation Report TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 134 EPID-WEEK 41 DATE 5 – 11 October 2020 HIGHLIGHTS: Three (3) new confirmed cases were reported in week 41 The total number of confirmed COVID-19 cases is now seventy-nine (79) One (1) patient has been discharged from the isolation center No COVID-19 related mortality was recorded for 20 consecutive weeks Twenty-five (25) contacts have completed 14 days of monitoring without any symptoms One hundred and fifty-nine (159) additional samples were collected and tested in week 41, which represents a 22% increase in sample collection compared to week 40 The SMOH and SPHCMB, with support from WHO and partners, conducted training for 69 state and partners’ technical facilities (STFs and LGFs) on COVID-19 case detection and IPC The SMOH and SPHCMB teams, in conjunction with WHO HTR teams, AVADAR informants, UNICEF VCMs, and CGPP volunteers conducted community sensitization reaching 52,615 people with COVID- 19 prevention massages in high-burden LGAs The SMOH, with support from WHO and partners, conducted sensitization training for 310 schoolteachers, supervisors, and administrators on COVID-19 prevention ahead of school re-opening across the state. 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-six (66) The total number of active confirmed cases in the state is five (5) The total number of contacts who completed 14 days of monitoring without symptoms is seven hundred and sixty-seven (767) The total number of samples collected is one thousand, one hundred, and twenty-three (1,123). Seventy- nine (79) results are positive, nine hundred and sixty-one (961) are negative, forty-one (41) for a repeat test and one hundred and forty-two (42) 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 41 Cumulative (1 Jan-11 S/No. (Monday-Sunday) Oct 2020) Description 1 Suspected case(s) 159 1,082 2 Lab-confirmed positive case(s) 3 79 Lab-confirmed positive cases amongst 3 health care worker(s) 0 14 4 Probable case(s) 0 0 5 Rumor under investigation 27 655 6 Number of confirmed case(s) discharged 1 66 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 41 Cumulative (1 S/No. Description (Monday-Sunday) Jan-11 Oct 2020) 1 Contact(s) line-listed 39 827 2 Contact(s) seen 39 806 3 Contact(s) currently under follow-up 39 39 4 Symptomatic contacts(s) 3 21 5 Contact confirmed positive 0 14 6 Contact(s) who completed 14 days follow-up 25 767 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 41 Cumulative (1 (Monday-Sunday) Jan-11 Oct 2020) S/No. Description 1 Total number of samples collected 159 1,123 2 Number of samples tested negative 114 961 3 Number of samples confirmed positive 3 79 4 Number of samples pending in the laboratory 42 42 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 Conducting regular COVID-19 response coordination meetings with partners and stakeholders. 5 | P a g e Surveillance and Epidemiology: In Yobe, up to 76.1% of the LGAs (14 out of 17) 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 (1,081) samples tested positive giving a positivity rate of 7.3%. The positivity rate for week 41 is 3.3% while the positivity rate for the preceding week was 0% The case to contact ratio is 1:10 The percentage of contacts that were confirmed positive is 17.7% Thirty-nine (39) additional contacts were line-listed by the contact tracing team in Damaturu, Nguru, and Potiskum LGAs Twenty-five (25) 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: One (1) patient has been discharged from the isolation center in week 41 No COVID-19 related mortality was recorded for 20 consecutive weeks The five (5) active confirmed cases in the state are in stable condition. Infection Prevention and Control (IPC): Conducted decontamination and disinfection of isolation centers across the State The SMOH and SPHCMB, with support from WHO and partners, conducted training for 69 state and partners’ technical facilities (STFs and LGFs) on COVID-19 case detection and IPC The SMOH, with support from WHO and partners, conducted sensitization training for 310 schoolteachers, supervisors, and administrators on COVID-19 prevention ahead of school re-opening across the state. Laboratory and Diagnostic Support: One hundred and fifty-nine (159) additional samples were collected and tested in week 41, which is a 22% increase in sample collection compared to week 40 The total number of samples collected is one thousand, one hundred, and twenty-three (1,123). Seventy- nine (79) results are positive, nine hundred and sixty-one (961) are negative, forty-one (41) for a repeat test and one hundred and forty-two (42) 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: The SMOH and SPHCMB teams, in conjunction with WHO HTR teams, AVADAR informants, UNICEF VCMs, and CGPP volunteers conducted community sensitization reaching 52,615 people with COVID- 19 prevention massages 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 Potiskum, FMC Nguru, GH Gashua, and SSH Damaturu Distributed PPEs and IEC materials to Surveillance, POE, and Risk Communication teams Received COVID-19 commodities procured by the state through the REDISSE World Bank grant. CHALLENGES: Bad geographical terrain and flood water are limiting access to remote communities to sustain COVID- 19 prevention activities Insecurity and military operations are limiting contact tracing, active case search, and community sensitization in security-compromised LGAs Fear of stigmatization leading to non-disclosure and refusal of sample collection. NEXT STEP(S): Scale-up COVID-19 sensitization and training of teachers in LGAs 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 additional PPEs to health facilities and isolation centers. 7 | P a g e .
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