MINISTRY OF HEALTH Situation Report

TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 149 EPID-WEEK 03 DATE 18 – 24 January 2021

HIGHLIGHTS:  Ten (10) new confirmed cases were reported in week 03, 2021  One (1) of the newly confirmed COVID-19 patients is a health care worker (a doctor)  The total number of confirmed COVID-19 cases is now two hundred and twenty one (221)  Six (6) patients have recovered and got discharged  No COVID-19 related mortality was recorded for 35 consecutive weeks  Seventy-six (76) samples were collected in week 03. This is an increase in sample collection compared to the preceding week (39 samples collected in week 02)  Ten (10) samples tested positive, fifty-two (52) are negative, and the results of the remaining fourteen (14) samples are pending  The SPHCMB team, in collaboration with Catholic Relief Services (CRS), distributed COVID-19 WASH commodities and NFI kits to 700 households in high-burden LGAs  Yobe SMOH team, in collaboration with WHO HTR teams and AVADAR informants, UNICEF VCMs, and CGPP volunteers, conducted mass community sensitization, reaching 18,067 people with COVID- 19 prevention messages.

EPIDEMIOLOGICAL SUMMARY:  The total number of confirmed COVID-19 cases is two hundred and twenty-one (221). Fifty-two (52) cases from , fifty-one (51) cases from Nguru, twenty-nine (29) cases from Fika, twenty-five (25) cases from Bade, twenty (20) cases from , seventeen (17) cases from , six (6) cases from , four (4) cases from , three (3) cases each from , , and , Geidam, , and have two (2) cases each, and three (2) other LGAs (, and Machina) have one (1) case each  The total number of active confirmed cases in the state is fourteen (14)

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 The total confirmed cases of COVID-19 amongst Health Care Workers (HCWs) is nineteen (19). These include nine (9) doctors, seven (7) nurses, one (1) physiotherapist, and two (2) laboratory scientist  The total number of deaths from COVID-19 in the state is eight (8)  The total number of patients who recovered from COVID-19 is one hundred and ninety-nine (199)  The total number of contacts who completed 14 days of monitoring without symptoms is one thousand, three hundred and eighty-six (1,386)  The total number of samples collected is five thousand and fifty-six (5,056). Two hundred and twenty- one (221) results are positive, four thousand, seven hundred and seventy-nine (4,779) are negative, forty-two (42) for a repeat test, and fourteen (14) remaining sample results are pending.

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11-May-20 18-May-20 25-May-20 17-Jan-21* Confirmed COVID-19 Deaths

Figure 1: Epi-curve of Confirmed COVID-19 Cases in Yobe state

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900 80%

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12-03-2020, (wk11) 12-03-2020, (wk14) 03-04-2020, weeks

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Figure 2: Trend of the weekly testing, number of confirmed cases, and positivity rates in Yobe state

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Figure 3: Distribution of Confirmed COVID-19 Cases by LGA in Yobe state

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Table 1: Summary of COVID-19 Case(s)

Total Epi-week 3 Cumulative (1 Jan S/No. (Monday-Sunday) 2020- 24 Jan 2021) Description 1 Suspected case(s) 76 5,014 2 Lab-confirmed positive case(s) 10 221 Lab-confirmed positive cases amongst 3 health care worker(s) 1 19 4 Probable case(s) 0 0 5 Rumor under investigation 17 1,739 6 Number of confirmed case(s) discharged 6 199 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

Table 2: Summary of Contact(s) S/No Total epi-week 3 Cumulative (1 Jan . Description (Monday-Sunday) 2020 - 24 Jan 2021) 1 Contact(s) line-listed 54 1,484 2 Contact(s) seen 54 1,463 3 Contact(s) currently under follow-up 54 77 4 Symptomatic contacts(s) 0 26 5 Contact confirmed positive 0 16 6 Contact(s) who completed 14 days follow-up 39 1,386 7 Contact(s) lost to follow up 0 0

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Figure 2: Risk Mapping of Yobe LGAs

Figure 3: Map of Yobe State Showing the Number of Laboratory Confirmed COVID-19 Cases by LGA. 5 | P a g e

Table 3: Summary of Laboratory Result(s) Cumulative (1 Total epi-week 3 Jan 2020-24 Jan (Monday-Sunday) S/No. Description 2021) 1 Total number of samples collected 76 5,056 2 Number of samples tested negative 52 4,779 3 The number of samples confirmed positive 10 221 4 Number of samples pending in the laboratory 14 14 5 Number of samples for a repeat test 0 42

THEMATIC INTERVENTIONS Coordination:  The SMOH, with the support of WHO and partners, is leading and coordinating the implementation of COVID-19 response activities in all affected LGAs of the state  Conducted regular COVID-19 response coordination meetings with partners and stakeholders.

Surveillance and Epidemiology:  In Yobe, 16 LGAs of the 17 LGAs, representing 94.1%, have reported at least one confirmed case  The case fatality rate amongst confirmed cases is 3.6 %  The positivity rate for week 3 is 16.1%, which represents an increase compared to the positivity rate of the preceding week (10.8 %). The case to contact ratio is 1:7  The percentage of contacts that were confirmed positive is 7.2%  Fifty-four (54) additional contacts were line-listed by the contact tracing teams in Bade, Geidam, Nangere, Nguru, and Karasuwa LGAs  Thirty-nine (39) contacts have completed 14 days of monitoring without symptoms in week 3.

Point of Entry (POE):  Conducted screening of passengers at the Points of Entries (POEs)  Conducted supportive supervision at the POE in Bade, Geidam, Potiskum, Nguru, and Yusufari LGAs.

Case Management:  Ten (10) newly confirmed cases have been reported  Six (6) patients have recovered and were discharged from isolation facilities  No COVID-19 related mortality was recorded for 35 consecutive weeks.

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Infection Prevention and Control (IPC):  Conducted decontamination and disinfection of SSH molecular diagnostic laboratory, SSH, and FMC Nguru Isolation centers  Conducted decontamination and disinfection of house-holds of confirmed cases.

Laboratory and Diagnostic Support:  Ten (10) samples tested positive, fifty-two (52) are negative, and the results of the remaining fourteen (14) samples are pending  Following-up with the laboratory team to retrieve pending sample results  The total number of samples collected is five thousand and fifty-six (5,056). Two hundred and twenty- one (221) results are positive, four thousand, seven hundred and seventy-nine (4,779) are negative, forty-two (42) for a repeat test, and fourteen (14) remaining sample results are pending.

Risk Communication and Social Mobilization:  Conducted mass community sensitization through radio jingles and phone-in program at Yobe State Broadcasting Cooperation (YBC)  Yobe SMOH team, in collaboration with WHO HTR teams and AVADAR informants, UNICEF VCMs, and CGPP volunteers, conducted mass community sensitization, reaching 18,067 people with COVID- 19 prevention messages  The SPHCMB team, in collaboration with Catholic Relief Services (CRS), distributed COVID-19 WASH and NFI kits to 700 households.

Logistics and Operational Support:  Distributed COVID-19 IPC commodities to SSH molecular diagnostic laboratory and FMC Nguru isolation center  Distributed PPEs and IEC materials to the IPC, Surveillance, POE, and Risk Communication teams

CHALLENGES:  Non-state Armed Groups (NSAGs) attacks on hospitals and PHC centers across the state are disrupting COVID-19 response and health services in the affected LGAs (Geidam and Gujba LGAs)  Insecurity and military operations are limiting contact tracing, active case search, and community sensitization in security-compromised LGAs  Bad geographical is limiting access to remote communities to sustain COVID-19 prevention activities  Fear of stigmatization leading to non-disclosure and refusal of sample collection.

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NEXT STEP(S):  Scale-up Hard-To-Reach (HTR) mobile health services in Geidam and Gujba LGAs to mitigate the impacts of disruption of health services due to COVID-19 pandemic and attacks on health care  Scale-up active case search and sample collection in remote LGAs and communities  Scale-up COVID-19 sensitization training for school administrators and teachers 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

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