Emergency Response Integrated Disease Surveillance and Response (IDSR) W17 2021 (Apr 26-May 02)

Table of Contents

A. Key indicators B. Indicator-based surveillance C. System performance

A. Key indicators

Surveillance | Performance Indicators 25 25 274 203 74% 70%

Number of Number of LGAs Number of health Number of health Completeness Timeliness LGAs* that reported facilities facilities that at health facility at health facility reported level. 92% at LGA level. 88% at LGA level. level.

Alert | W17 Alert | Risk Assessment 49 98% 0 W17 Cumulative Total alerts % alerts verified # alerts requiring 0 19 Low risk raised** response

0 18 Moderate risk * The reporting of health facility level IDSR data is currently being rolled out across Borno State. Whilst this is taking place, some LGAs are continuing to report only at the level of local government area (LGA). Therefore, completenss and timeliness of reporting is displayed at both levels in this bulletin. 0 22 High risk

** Alerts are based on 7 weekly reportable diseases in the national IDSR reporting format (IDSR 002) and 8 additional diseases/health events of public health importance 0 1 Very high risk in the IDP camps and IDP hosting areas.

Figure 1 | Trend in consultations

100000

75000

50000 Number

25000

0 W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020

New visits Repeat visits

B. Indicator-based surveillance

Summary

Figure 1a | Proportional morbidity (W17) Figure 1b | Proportional mortality (W17)

Malaria (confirmed) Severe Acute Malnutrition Malaria (confirmed) Severe Acute Malnutrition Malaria (suspected) Mental Health Malaria (suspected) Maternal death Acute Respiratory Infection Measles Acute Respiratory Infection Neonatal death Acute Watery Diarrhoea Other Acute Watery Diarrhoea Other Bloody diarrhoea Bloody diarrhoea

Statistical tables Show

Table 1a | Weekly and cumulative number of reported cases Table 1b | Weekly and cumulative number of reported deaths

Syndrome W17 Cumulative Syndrome W17 Cumulative 2021 2021

# cases % morb.1 # cases % morb.1 # deaths % mort.2 # deaths % mort.2

Malaria (confirmed) 4,587 12.5% 104,916 13.4% Malaria (confirmed) 0 0.0% 22 3.2%

Malaria (suspected) 7,485 20.3% 167,558 21.4% Malaria (suspected) 15 44.1% 51 7.5%

Acute Respiratory 6,514 17.7% 148,606 19.0% Acute Respiratory 0 0.0% 4 0.6% Infection Infection

Acute Watery Diarrhoea 546 1.5% 11,437 1.5% Acute Watery Diarrhoea 0 0.0% 0 0.0%

Bloody diarrhoea 110 0.3% 2,679 0.3% Bloody diarrhoea 0 0.0% 0 0.0%

Severe Acute Malnutrition 1,658 4.5% 34,421 4.4% Severe Acute Malnutrition 3 8.8% 17 2.5%

Mental Health 60 0.2% 831 0.1% Maternal death 1 2.9% 11 1.6%

Other 15,347 41.7% 308,133 39.3% Neonatal death 2 5.9% 49 7.2%

Total cases 36,825 100% 783,261 100% Other 13 38.2% 525 77.3%

1 Proportional morbidity Total deaths 34 100% 679 100%

2 Proportional mortality

Table 1c | Immediately notifiable diseases (IDSR 002)

Disease W17 Cumulative 2021

# cases # deaths # cases # deaths

AFP1/Polio 1 0 36 0

Measles (suspected) 518 5 4,680 61

Meningitis (suspected) 0 0 21 1

Cholera (suspected) 0 0 0 0

Viral Haemorrhagic Fever 0 0 1 1 (suspected)

Yellow Fever (suspected) 3 0 40 0

Guinea worm (suspected) 0 0 0 0

Human Influenza 0 0 0 0 (suspected)2

1 Acute Flaccid Paralysis 2 caused by a new subtype

Malaria Show

Figure 2a | Age breakdown Figure 2b | Trend in number of cases over time (Borno State)

40000

30000

20000 Number

10000

Under 5 Over 5 0 Total case fatality due to malaria in W17 was 0.1% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020

Figure 2c | Number of cases by LGA

3000

2000

Number 1000

0

Biu Bayo Jere Kaga Shani Bama Chibok Askira UbaGuzamala Kala/Balge

Measles (suspected) Show

Figure 3a | Age breakdown Figure 3b | Trend in number of cases over time (Borno State)

1500

1250

1000

750 Number 500

250 Under 5 Over 5 0 Total case fatality due to measles in W17 was 1.0% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020

Figure 3c | Number of cases by LGA

400

300

200 Number

100

0

Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar

Acute Respiratory Infection Show

Figure 4a | Age breakdown Figure 4b | Trend in number of cases over time (Borno State)

15000

10000 Number 5000

Under 5 Over 5 0 Total case fatality due to acute respiratory infection in W17 was 0.0% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020

Figure 4c | Number of cases by LGA

2500

2000

1500

Number 1000

500

0

Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar

Acute Watery Diarrhoea Show

Figure 5a | Age breakdown Figure 5b | Trend in number of cases over time (Borno State)

5000

4000

3000

Number 2000

1000 Under 5 Over 5 0 Total case fatality due to Acute Watery Diarrhoea in W17 was 0.0% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020

Figure 5c | Number of cases by LGA

250

200

150

Number 100

50

0

Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar

Bloody diarrhoea Show

Figure 6a | Age breakdown Figure 6b | Trend in number of cases over time (Borno State)

400

300

200 Number

100

Under 5 Over 5 0 Total case fatality due to bloody diarrhoea in W17 was 0.0% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020

Figure 6c | Number of cases by LGA

30

20

Number 10

0

Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar

Severe Acute Malnutrition Show

Figure 7a | Age breakdown Figure 7b | Trend in number of cases over time (Borno State)

5000

4000

3000

Number 2000

1000 Under 5 Over 5 0 Total case fatality due to SAM in W17 was 0.2% . W52 2016 W26 2017 W01 2018 W26 2018 W01 2019 W27 2019 W01 2020 W27 2020 W53 2020

Figure 7c | Number of cases by LGA

400

300

200 Number

100

0

Biu Bayo Mafa Jere Gubio Ngala Kaga Shani Bama Gwoza Chibok Hawul Dikwa Kukawa Mobbar Nganzai Damboa Konduga Monguno Magumeri Askira UbaGuzamala Kala/Balge Maiduguri Kwaya Kusar

C. System performance

Statistical tables Show

Table 9a | Surveillance performance indicators by LGA (W17) Table 9b | Alert performance indicators by LGA

Location Reporting Performance Syndrome W17 Cumulative 2021 # sites # reports Comp.3 Time.4 received # alerts % verif. # alerts % verif. Table test Table test

Askira Uba 29 28 97% 97% Askira Uba 4 100% 46 93%

Bama 4 2 50% 50% Bama 2 100% 19 100%

Bayo 11 11 100% 91% Bayo 1 100% 30 97%

Biu 22 19 82% 77% Biu 3 100% 27 81%

Chibok 11 10 91% 91% Chibok 2 100% 29 97%

Damboa 14 10 71% 64% Damboa 4 100% 41 95%

Dikwa 6 3 50% 50% Dikwa 0 0% 7 100%

Gubio 5 4 80% 80% Gubio 1 100% 36 100%

Guzamala 0 0 0% 100% 0 0% 0 0%

Gwoza 7 5 71% 57% Gwoza 1 100% 21 81%

Hawul 14 11 79% 79% Hawul 2 100% 31 90%

Jere 24 12 50% 46% Jere 8 100% 128 95%

Kaga 5 5 100% 100% Kaga 2 100% 13 92%

Kala/Balge 3 0 0% 0% Kala/Balge 0 0% 0 0%

Konduga 16 7 44% 44% Konduga 4 100% 90 99%

Kukawa 0 0 0% 100% Kukawa 0 0% 0 0%

Kwaya Kusar 11 10 91% 82% Kwaya Kusar 2 100% 11 73%

Mafa 6 1 17% 17% Mafa 0 0% 5 60%

Magumeri 9 7 78% 56% Magumeri 4 75% 93 95%

Maiduguri 19 8 42% 37% Maiduguri 7 100% 162 93%

Mobbar 2 0 0% 0% Mobbar 0 0% 11 100%

Monguno 20 20 100% 100% Monguno 0 0% 39 82%

Ngala 6 4 67% 67% Ngala 0 0% 1 100%

Nganzai 4 4 100% 100% Nganzai 0 0% 13 100%

Shani 26 22 85% 85% Shani 2 100% 24 96%

Borno State 274 203 74% 70% Borno State 49 98% 877 94%

3 Completeness of reporting (at health facility level) 4 Timeliness of reporting (at health facility level)

Samuel B Thliza Dr Uzoma Ugochukwu State Epidemiologist Health Information Management Unit Contact Information Ministry of Health WHO Health Emergencies Programme Office Maiduguri, Nigeria Maiduguri, Nigeria Email: [email protected] Email: [email protected] Telephone: 0708 093 0851 Telephone: 0703 729 5937

Nigeria EWARS has been deployed since September 2016 in response to the humanitarian crisis in North-Eastern Nigeria. It is supporting Learn more about EWARS MoH and partners to strengthen mortality and disease http://ewars-project.org surveillance. http://ng.ewars.ws/login