YOBE STATE MINISTRY OF HEALTH Situation Report TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 167 EPID-WEEK 21 DATE 24 – 30 May 2021 HIGHLIGHTS: Fifteen (15) new confirmed cases were reported in week 21 The total number of confirmed COVID-19 cases is four hundred and sixty (460) The total number of active confirmed cases is sixteen (16) Eight (8) patients have recovered, and no COVID-19 related mortality Three hundred and seventy-eight (378) samples were collected. This represents a modest improvement in the state-led sample collection and testing Yobe SPHCMB, in collaboration with WHO and partners, has commenced administration of the second dose of Oxford/AstraZeneca COVID-19 vaccine to Health Care Workers (HCWs) and strategic leaders on 29 May 2021, as a continuation of the first phase The administration of the second dose is taking place in all 17 LGAs of the state including LGAs experiencing population displacement (Geidam, Yunusari, Gujba, Gulani, Bursari, etc.) due to the activities of Non-State Armed Groups (NSAGs). The vaccination is supported by 34 independent monitors (2 monitors per LGA). And from 29 - 30 May 2021, 421 people were provided with the second dose of the vaccine with 470 doses. So far, only 9 non-serious AEFIs were reported. Yobe SMOH, with support from WHO, has trained 60 HCWs on COVID-19 home-based care and management to sustain essential health services and COVD-19 care in LGAs and communities hosting a large population of IDPs from Geidam and Yunusari LGAs. EPIDEMIOLOGICAL SUMMARY: The total number of confirmed COVID-19 cases is four hundred and sixty (460). Ninety-three (93) cases from Damaturu, seventy-four (74) cases from Nguru, forty-three (43) cases from Fika, forty (40) cases from Potiskum, thirty-six (36) cases from Bade, thirty (30) cases from Nangere, twenty-one (21) cases from Yusufari, twenty (20) cases from Gulani, nineteen (19) cases from Jakusko, seventeen (17) cases 1 | P a g e each from Gujba, sixteen (16) cases each from Karasuwa, fourteen (14) cases from Tarmuwa, eleven (11) cases from Fune, eight (8) cases each from Bursari, and Yunusari, and five (5) cases each from Geidam, and Machina LGAs The total number of active confirmed cases in the state is sixteen (16) 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 scientists The total number of deaths from COVID-19 in the state is nine (9) The total number of patients who recovered from COVID-19 is four hundred and thirty-five (435) The total number of contacts who completed 14 days of monitoring without symptoms is two thousand, one hundred and twenty-six (2,126) The total number of samples collected is seventeen thousand, two hundred and seventy-two (17,272). Four hundred and sixty (460) results are positive, fifteen thousand, four hundred and forty-one (15,441) are negative, forty-two (42) for a repeat test, and one thousand, three hundred, and twenty-nine (1,329) remaining sample results are pending. 40 35 30 25 19 confirmed cases - 20 15 10 Number COVID of 5 0 7-Jul-20 3-Jan-21 1-Jun-20 8-Jun-20 4-Oct-20 7-Feb-21 4-Apr-21 7-Sep-20 6-Dec-20 3-Aug-20 8-Aug-20 13-Jul-20 20-Jul-20 27-Jul-20 1-Nov-20 8-Nov-20 7-Mar-21 4-May-20 2-May-21 9-May-21 10-Jan-21 17-Jan-21 24-Jan-21 31-Jan-21 15-Jun-20 22-Jun-20 29-Jun-20 11-Oct-20 18-Oct-20 25-Oct-20 27-Apr-20 14-Feb-21 21-Feb-21 28-Feb-21 11-Apr-21 25-Apr-21 14-Sep-20 20-Sep-20 27-Sep-29 13-Dec-20 20-Dec-20 27-Dec-20 17-Aug-20 31-Aug-20 15-Nov-20 22-Nov-20 29-Nov-20 14-Mar-21 21-Mar-21 28-Mar-21 11-May-20 18-May-20 25-May-20 16-May-21 18-Apr-21* 23-May-21* Confirmed COVID-19 Deaths Figure 1: Epi-curve of Confirmed COVID-19 Cases in Yobe state 2 | P a g e 3000 80% 70% 2500 60% 2000 50% 1500 40% test test and cases 30% 1000 rate positivity % test 20% 500 10% 0 0% weeks Tests Confirmed COVID-19 %Positivity Rate Figure 2: Trend in the weekly testing, number of confirmed cases, and positivity rates in Yobe state 100 90 80 70 60 50 40 30 Number confirmed Number cases of 20 10 0 LGAs Figure 3: Distribution of Confirmed COVID-19 Cases by LGA in Yobe state 3 | P a g e Table 1: Summary of COVID-19 Case(s) Total Epi-week 21 Cumulative (1 Jan 2020- S/No. (Monday-Sunday) 30 May 2021) Description 1 Suspected case(s) 378 17,230 2 Lab-confirmed positive case(s) 15 460 Lab-confirmed positive cases amongst 3 health care worker(s) 0 19 4 Probable case(s) 0 0 5 Rumor under investigation 0 4,839 6 Number of confirmed case(s) discharged 8 435 7 Number of death in confirmed case(s) 0 9 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) Total epi-week 21 Cumulative (1 Jan S/No. Description (Monday-Sunday) 2020 - 30 May 2021) 1 Contact(s) line-listed 0 2,147 2 Contact(s) seen 0 2,126 3 Contact(s) currently under follow-up 0 0 4 Symptomatic contacts(s) 0 31 5 Contact confirmed positive 0 18 6 Contact(s) who completed 14 days follow-up 0 2,126 7 Contact(s) lost to follow up 0 0 4 | P a g e 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) Total epi-week 21 Cumulative (1 Jan (Monday-Sunday) 2020 - 30 May 2021) S/No. Description 1 Total number of samples collected 378 17,272 2 Number of samples tested negative 185 15,441 3 The number of samples confirmed positive 15 446 4 Number of samples pending in the laboratory 178 1,329 5 Number of samples for a repeat test 0 42 THEMATIC INTERVENTIONS Coordination: The SMOH, with the support of WHO and partners, is coordinating the implementation of COVID-19 response activities in all LGAs of the state Conducted regular COVID-19 response coordination meetings with partners and stakeholders. Surveillance and Epidemiology: All 17 LGAs have recorded at least a confirmed COVID-19 case (s) The case fatality rate amongst confirmed cases is 2.0% The positivity rate for week 21 is 2.3%. This represents an increase in positivity rate compared to the previous week (0.34% positivity rate in week 20). The case to contact ratio is 1:5 The percentage of contacts that were confirmed positive is 3.9%. Point of Entry (POE): Conducted screening of passengers at the Points of Entries (POEs) Conducted supportive supervision at the POE in Potiskum, Nangere, Bade, and Nguru LGAs. Case Management: The total number of active confirmed cases in the state is sixteen (16) Eight (8) patients have recovered, and no COVID-19 related mortality. Infection Prevention and Control (IPC): Conducted decontamination and disinfection of SSH molecular diagnostic laboratory, SSH Damaturu, and FMC Nguru Isolation centers Conducted sensitization on uptake of COVID-19 second dose vaccination. 6 | P a g e Laboratory and Diagnostic Support: Following up with the laboratory team to retrieve pending sample results The total number of samples collected is seventeen thousand, two hundred and seventy-two (17,272). Four hundred and sixty (460) results are positive, fifteen thousand, four hundred and forty-one (15,441) are negative, forty-two (42) for a repeat test, and one thousand, three hundred, and twenty-nine (1,329) remaining sample results are pending. Risk Communication and Social Mobilization: Yobe SHCMB, in collaboration with WHO HTR teams, Community Health Champions and AVADAR Informants, UNICEF, and CGPP VCMs, conducted mass community sensitization, reaching 6,402 people with COVID-19 prevention messages. Logistics and Operational Support: Distributed COVID-19 IPC commodities to SSH molecular diagnostic laboratory, and YSUTH Damaturu Distributed PPEs and IEC materials to the IPC, Surveillance, POE, and Risk Communication teams. CHALLENGES: Massive population displacement and attacks on hospitals and PHC centers by the Non-state Armed Groups (NSAGs) are disrupting COVID-19 response and health services in affected LGAs (Geidam, Yunusari, 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. NEXT STEP(S): Continue providing the second dose of COVID-19 vaccine to health workers and strategic leaders Scale-up Hard-To-Reach (HTR) mobile health services in Yunusari and Geidam LGAs to mitigate the impacts of disruption of health services Provide additional support for active case search strategy, contact tracing, and sample collection in high- burden LGAs 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. 7 | P a g e .