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 , twenty-two (22) from Nguru, sixteen (16) from Bade, four (4) cases each from , and LGAs. and have two (2) cases each, and 6 other LGAs (, , Fika, , , and ) 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)

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 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.

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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

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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

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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

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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 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.

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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.

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