YOBE STATE MINISTRY OF HEALTH Situation Report TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 15 EPID-WEEK 20 DATE 14 May 2020 HIGHLIGHTS: Twelve (12) new confirmed case(s) reported today: Six (6) cases from Bade LGA, three (3) cases from Damaturu, and one (1) case each from Nguru, Gujba, and Tarmuwa LGAs. Three (3) cases have been discharged from the State Specialist Hospital (SSH) Damaturu isolation center today Twenty-four (24) confirmed cases are on admission in isolation centers. All are in stable condition Six (6) new alerts have been received and investigated in Damaturu, Jakusko, Gashua, and Potiskum LGAs Twenty-five (25) contacts of the new confirmed cases have been identified and line-listed by the contact tracing teams. And they are being [closely] monitored. EPIDEMIOLOGICAL SUMMARY: The total number of confirmed COVID-19 cases is now thirty-two (32): Sixteen (16) cases from Damaturu, eight (8) cases from Bade, five (5) cases from Nguru, and one (1) case each from Geidam, Tarmuwa, and Gujba LGAs Total confirmed cases of COVID-19 amongst Health Care Workers (HCWs) in the state are nine (9): Six (6) nurses, two (2) doctors, and one (1) laboratory scientist. Twenty-four (24) confirmed cases are on admission in isolation centers. All are in stable condition Three (3) cases have been discharged from the State Specialist Hospital (SSH) Damaturu isolation center today Total number of deaths due to COVID-19 in the state is five (5) The total number of samples collected so far is sixty-three (63). Of these, thirty-two (32) returned positive, eighteen (18) are negative and the result of thirteen (13) remaining samples is being awaited. 1 | P a g e Table 1: Summary of Case(s) Cumulative New Cases Total Epi-week 20 S/No. (1 Jan-14 (Daily) (Monday-Sunday) Description May 2020) 1 Suspected case(s) 0 20 55 2 Lab-confirmed positive case(s) 0 19 32 Lab-confirmed positive cases amongst 3 health care worker(s) 7 9 9 4 Probable case(s) 0 0 0 5 Rumor under investigation 6 62 111 Number of the confirmed case(s) on 6 admission 6 10 24 7 Number of confirmed case(s) discharged 3 3 3 8 Number of death in confirmed case(s) 0 3 5 Number of death amongst health care 9 workers 0 0 0 10 Number of death in suspected cases 0 0 0 Table 2: Summary of Contact(s) New Cumulative Total epi-week 20 S/No. Cases (1 Jan-14 (Monday-Sunday) Description (Daily) May 2020) 1 Contact(s) listed 25 70 206 2 Contact(s) seen 25 64 198 3 Contact(s) currently under follow-up 25 64 105 4 Symptomatic contacts(s) 0 0 5 5 Contact confirmed positive 0 0 6 Contact(s) who completed 14 days follow- 6 up 26 93 93 7 Contact(s) lost to follow up 0 0 0 2 | P a g e Figure 1: Risk Mapping of Yobe LGAs Figure 2: Map of Yobe State Showing Number of Laboratory Confirmed COVID-19 Cases by LGA 3 | P a g e Table 3: Summary of Laboratory Result(s) New Total epi-week 20 Cumulative S/No. Cases (Monday- (1 Jan-14 Description (Daily) Sunday) May 2020) 1 Number of specimens collected 0 30 63 2 Number of specimens tested negative 4 7 18 3 Number of specimens confirmed positive 12 12 32 4 Number of pending laboratory samples 0 13 13 THEMATIC INTERVENTIONS Coordination: Conducted daily COVID-19 response coordination meeting with partners and stakeholders SMOH and partners are also supporting LGA teams to scale-up contact tracing, monitoring contacts in quarantine, and risk communication for the prevention and control of COVID-19 infections. Surveillance and Epidemiology: Conducted contact tracing and line-listed twenty-five (25) new contacts of the confirmed cases in Bade and Nguru LGAs. Ninety-three (93) Contact(s) completed 14 days follow-up. None developed symptoms. Continued monitoring of one hundred and five (105) contacts of confirmed cases. Conducted active case search in across all LGAs in collaboration with the LGA RRT teams. Point of Entry (POE): Conducted supportive supervision and monitoring of screening exercise at POE in Potiskum LGAs. Continued monitoring of 62 Almajiris in quarantine facility who were deported from Nasarawa to Yobe state eight days ago. Case Management: Twelve (12) new confirmed case(s) reported today: Six (6) cases from Bade LGA, three (3) cases from Damaturu, and one (1) case each from Nguru, Gujba, and Tarmuwa LGAs Three (3) cases have been discharged from the State Specialist Hospital (SSH) Damaturu isolation center today Twenty-four (24) confirmed cases are on admission in isolation centers. All patients are in stable condition. 4 | P a g e Infection Prevention and Control (IPC): Conducted training of drivers and warehouse staff on COVID-19 IPC with support from WHO Providing additional technical support to LGA RRT and IPC teams to scale-up contact tracing and disinfection of confirmed or suspected households in Geidam, Damaturu, and Nguru LGAs. Laboratory and Diagnostic Support: No samples collected today. Following-up with NCDC to retrieve pending sample results. The total number of samples collected so far is sixty-three (63). Of these, thirty-two (32) returned positive, eighteen (18) are negative and the result of thirteen (13) remaining samples is being awaited. Risk Communication and Social Mobilization: Conducted engagement meeting with the leadership of NURTW, Keke-Napep, traders associations on compulsory use of face-mask, social distancing, number of passengers and compliance with lockdown order in Nguru LGA Continued house to house mobilization by Voluntary Community Mobilizers (VCMs) in high-risk LGAs Supported printing of additional posters and flyers on COVID-19 self-assessment with support from NSHIP-AF. Logistics and Operational Support: Conducted training of 8 health workers (6 drivers and 3 warehouse staff) on COVID-19 IPC with support from WHO. Distributed chlorine solution, face-mask, and hand sanitizers to the drivers for use in their vehicles Provided pamphlet on IPC to be pasted on warehouse vehicles regarding IPC for passengers. Distributed commodities and PPEs to the surveillance team, SSH, and YSUTH Isolation centers. CHALLENGES: Inadequate PPEs and IPC commodities to sustain large scale response across the state Delay in retrieving sample results from NCDC Laboratory Leakage and weak enforcement of interstate border closure at POEs. NEXT STEP(S): • Scale-up IPC measures amongst HCWs and in all COVID-19 isolation centers • Continue resource mobilization and community sensitization on COVID-19 prevention and control • Continue active case search, contact tracing, and monitoring of contacts of new cases • Follow-up with NCDC and retrieve pending sample results. 5 | P a g e .