Borno State Nigeria Emergency Response Integrated Disease Surveillance and Response (IDSR) W20 2021 (May 17-May 23)
Table of Contents
A. Key indicators B. Indicator-based surveillance C. System performance
A. Key indicators
Surveillance | Performance Indicators 25 25 275 209 76% 71%
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 | W20 Alert | Risk Assessment 70 96% 0 W20 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 (W20) Figure 1b | Proportional mortality (W20)
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 W20 Cumulative Syndrome W20 Cumulative 2021 2021
# cases % morb.1 # cases % morb.1 # deaths % mort.2 # deaths % mort.2
Malaria (confirmed) 4,141 11.0% 119,160 13.2% Malaria (confirmed) 0 0.0% 22 3.3%
Malaria (suspected) 7,808 20.8% 193,641 21.4% Malaria (suspected) 0 0.0% 30 4.4%
Acute Respiratory 6,847 18.3% 169,563 18.7% Acute Respiratory 0 0.0% 7 1.0% Infection Infection
Acute Watery Diarrhoea 653 1.7% 13,393 1.5% Acute Watery Diarrhoea 1 4.5% 1 0.1%
Bloody diarrhoea 123 0.3% 3,069 0.3% Bloody diarrhoea 0 0.0% 0 0.0%
Severe Acute Malnutrition 1,718 4.6% 40,095 4.4% Severe Acute Malnutrition 3 13.6% 24 3.6%
Mental Health 38 0.1% 1,065 0.1% Maternal death 0 0.0% 13 1.9%
Other 15,591 41.6% 358,369 39.6% Neonatal death 1 4.5% 54 8.0%
Total cases 37,512 100% 904,575 100% Other 17 77.3% 524 77.6%
1 Proportional morbidity Total deaths 22 100% 675 100%
2 Proportional mortality
Table 1c | Immediately notifiable diseases (IDSR 002)
Disease W20 Cumulative 2021
# cases # deaths # cases # deaths
AFP1/Polio 2 0 41 0
Measles (suspected) 593 6 6,220 78
Meningitis (suspected) 1 1 23 2
Cholera (suspected) 0 0 0 0
Viral Haemorrhagic Fever 0 0 1 1 (suspected)
Yellow Fever (suspected) 1 0 34 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 W20 was 0.0% . 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
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
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 W20 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 W20 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 W20 was 0.2% . 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 W20 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
40
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 W20 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
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 (W20) Table 9b | Alert performance indicators by LGA
Location Reporting Performance Syndrome W20 Cumulative 2021 # sites # reports Comp.3 Time.4 received # alerts % verif. # alerts % verif. Table test Table test
Askira Uba 29 28 97% 90% Askira Uba 3 100% 54 94%
Bama 4 3 75% 75% Bama 3 100% 29 90%
Bayo 11 10 91% 82% Bayo 4 100% 41 93%
Biu 22 22 95% 95% Biu 3 100% 35 97%
Chibok 11 8 73% 73% Chibok 1 100% 32 94%
Damboa 14 10 71% 64% Damboa 5 100% 54 96%
Dikwa 6 3 50% 50% Dikwa 2 100% 9 100%
Gubio 5 4 80% 80% Gubio 0 0% 36 100%
Guzamala 0 0 0% 100% Guzamala 0 0% 0 0%
Gwoza 7 2 29% 29% Gwoza 0 0% 23 100%
Hawul 14 11 79% 71% Hawul 1 100% 37 95%
Jere 24 13 54% 54% Jere 7 100% 158 96%
Kaga 5 5 100% 100% Kaga 2 100% 18 94%
Kala/Balge 3 0 0% 0% Kala/Balge 0 0% 0 0%
Konduga 16 9 56% 56% Konduga 6 100% 105 99%
Kukawa 0 0 0% 100% Kukawa 0 0% 0 0%
Kwaya Kusar 11 11 100% 91% Kwaya Kusar 0 0% 13 100%
Mafa 6 2 33% 17% Mafa 2 50% 9 67%
Magumeri 9 7 78% 67% Magumeri 6 100% 117 100%
Maiduguri 20 11 55% 40% Maiduguri 13 85% 210 94%
Mobbar 2 1 50% 50% Mobbar 0 0% 11 100%
Monguno 20 20 100% 100% Monguno 6 100% 46 100%
Ngala 6 4 67% 67% Ngala 0 0% 1 100%
Nganzai 4 4 100% 75% Nganzai 1 100% 14 100%
Shani 26 21 81% 81% Shani 5 100% 33 91%
Borno State 275 209 76% 71% Borno State 70 96% 1,085 96%
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