YOBE STATE MINISTRY OF HEALTH Situation Report TITLE COVID-19 Pandemic Situation Report SERIAL NUMBER 20 EPID-WEEK 21 DATE 19 May 2020 HIGHLIGHTS: ñ No new confirmed case(s) reported today ñ Twenty-two (22) contacts of the newly confirmed cases have been identified and line-listed by the contact tracing teams in Damaturu, Gujba, and Nguru LGAs ñ Twenty-eight (28) new samples have been collected and transported to NCDC-accredited laboratory for testing ñ Five (5) new alerts have been received and investigated in Damaturu, Nguru, and Bade LGAs. EPIDEMIOLOGICAL SUMMARY: ñ The total number of confirmed COVID-19 case(s) is thirty-four (34): Sixteen (16) cases from Damaturu, eight (8) cases from Bade, seven (7) cases from Nguru, and one (1) case each from Geidam, Tarmuwa, and Gujba LGAs ñ Total confirmed case(s) of COVID-19 amongst Health Care Workers (HCWs) in the state is eleven (11): Seven (7) nurses, three (3) doctors, and one (1) laboratory scientist ñ The total number of deaths due to COVID-19 in the state is six (6) ñ Total number of case(s) who recovered and discharged from the isolation center in the state is six (6) ñ The total number of contacts who completed the 14-days follow-up without any symptoms as of today is one hundred and thirty-two (132) ñ Twenty-two (22) confirmed cases in the isolation center are in stable condition ñ The total number of samples taken for testing is ninety-one (91). Of these, thirty-four (34) returned positive, twenty-two results (22) are negative and the results of thirty-five (35) remaining samples are being awaited. 1 | Page Table 1: Summary of Case(s) Cumulative New Cases Total Epi-week 21 S/No. (1 Jan-19 (Daily) (Monday-Sunday) Description May 2020) 1 Suspected case(s) 24 24 79 2 Lab-confirmed positive case(s) 0 0 34 Lab-confirmed positive cases amongst 3 health care worker(s) 0 0 11 4 Probable case(s) 0 0 0 5 Rumor under investigation 5 7 132 Number of the confirmed case(s) on 6 admission 0 0 22 7 Number of confirmed case(s) discharged 0 0 6 8 Number of death in confirmed case(s) 0 0 6 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 21 S/No. Cases (1 Jan-19 (Monday-Sunday) Description (Daily) May 2020) 1 Contact(s) listed 22 57 365 2 Contact(s) seen 22 53 348 3 Contact(s) currently under follow-up 22 53 216 4 Symptomatic contacts(s) 5 6 11 5 Contact confirmed positive 0 0 6 Contact(s) who completed 14 days follow- 6 up 8 8 132 7 Contact(s) lost to follow up 0 0 0 2 | Page Figure 1: Risk Mapping of Yobe LGAs Figure 2: Map of Yobe State Showing Number of Laboratory Confirmed COVID-19 Cases by LGA 3 | Page Table 3: Summary of Laboratory Result(s) New Total epi-week 21 Cumulative S/No. Cases (Monday- (1 Jan-19 Description (Daily) Sunday) May 2020) 1 Number of specimens collected 0 0 63 2 Number of specimens tested negative 0 0 22 3 Number of specimens confirmed positive 0 0 34 4 Number of pending laboratory samples 28 28 35 THEMATIC INTERVENTIONS Coordination: ñ 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 ñ Conducted daily COVID-19 response coordination meetings with partners and stakeholders. Surveillance and Epidemiology: ñ Twenty-two (22) contacts of the newly confirmed cases have been identified and line-listed by the contact tracing teams in Damaturu, Gujba, and Nguru LGAs ñ Continued monitoring of two hundred and sixteen (216) contacts of confirmed cases ñ Five (5) new alerts have been received and investigated in Damaturu, Nguru, and Bade LGAs. Point of Entry (POE): ñ Continued monitoring of 58 quarantined Almajiris who were deported from Adamawa to Yobe state four days ago ñ Continued monitoring of 62 Almajiris who were deported from Nasarawa to Yobe state twelve days ago. Case Management: ñ No new admissions in the state isolation center ñ No new discharges from the isolation center today ñ Twenty-two (22) confirmed cases on admission in the state isolation centers are in stable condition. Infection Prevention and Control (IPC): ñ Conducted decontamination and fumigation of three (3) schools, four (4) health care facilities in Bade, Damaturu, and Potiskum LGAs, with support from Plan International 4 | Page ñ Provided additional technical support to LGA RRT and IPC teams to scale-up contact tracing and disinfection of confirmed or suspected households in Bade, Gujba, Tarmuwa, Geidam, Damaturu, and Nguru LGAs. Laboratory and Diagnostic Support: ñ Twenty-eight (28) samples collected today ñ The total number of samples taken for testing is ninety-one (91). Of these, thirty-four (34) returned positive, twenty-two results (22) are negative and the results of thirty-five (35) remaining samples are being awaited ñ Following-up with NCDC to retrieve pending sample results. Risk Communication and Social Mobilization: ñ Conducted sensitization on COVID-19 to eight thousand eight hundred and forty-four (8844) persons in the markets, motor parks and streets of Bade, Damaturu, and Potiskum LGAs, with support from Plan International ñ Distributed IEC material to eleven thousand one hundred and four thousand (11104) in Bade, Damaturu, and Potiskum LGAs, with support from Plan International ñ Continued public sensitization via radio jingles, motorized campaigns, and TV programs. Logistics and Operational Support: ñ Sorted and documented COVID-19 commodities donated by Future Assured project ñ Commenced distribution of commodities supplied by the government, Future Assured project, Victim Support Fund to major hospitals and clinics ñ Developed a distribution plan for handwashing units. CHALLENGES: ñ Inadequate PPEs and IPC commodities to sustain large scale response in the state ñ Passengers from other parts of the country still illegally sneaking into Yobe state ñ Insecurity and military operations affecting risk communication activities in remote communities of Geidam and Gujba LGA. NEXT STEP(S): • Scale-up risk communication activities in Nguru, Geidam and Gujba LGAs • Continue active case search, contact tracing, and monitoring of contacts of new cases • Strengthen enforcement of interstate border closure • Scale-up IPC measures in all COVID-19 isolation centers in the state • Follow-up with NCDC to retrieve pending sample results. 5 | Page .