NIGERIA: COVID-19 Situation Report – #12 Reporting Period: June 8– June 21, 2020 Situation Overview and Humanitarian Needs As of 21 June, there are 20,244 reported cases of COVID-19 in Nigeria. 115,760 people have been tested with 35 states and the Federal capital Territory (FCT) having reported at least one Situation in Numbers confirmed case. 20 local government areas are currently responsible for 60 percent of the COVID- 19 cases in the country. 1 They are concentrated in FCT, Lagos, Katsina, Jigawa, Ogun, Kano and Borno States. In addition, the Presendential Task Force stated that 80% of cases are not being 20,244 COVID- treated in isolation centres out of fear of stigmatization and the remaingin 20% present 19 confirmed 2 themselves quite late. The RCCE pillar is developing plans to addresss these challenges to reduce cases (June 21) stigma in the community. Of the total admitted cases, 6,879 have been discharged and 518 deaths 3 have been officially recorded. 518 deaths Findings from an investigation on the multiple mysterious deaths that occurred in Kano few weeks ago, undertaken by the Irrua Infectious Diseases centre, suggested that between 50-60 percent of the deaths may be due to COVID-19, with most of the affected being over 65 years of age.4 This 46,000,000 further suggests that the death toll currently recorded might be much higher, as these numbers Children are not collated in the national figures. Also within the reporting period, the Federal government affected by signed a bilateral agreement with the Democratic People’s Republic of Korea on cooperation in the area of public health and medical sciences including visit and information exchanges. In their COVID-19 100 days review, the PTF highlighted the following achievements: • Increase in the number of laboratories from 2 to 30 with at least one per State; • Over 80,000 tests have been conducted in the country; US$ 65 M • Over 13,000 health workers have been trained; funding • Increase in procurement of testing kits and Personal Protection Kits (PPE); • Over 5000 beds number available for isolation and case management nationwide; required • Developed guidelines for homecare and general case management; • Over 1000 Nigerians evacuated from different parts of the world; and • Gradual reopening the economy while balancing between lives and livelihoods. UNICEF’s COVID-19 response RCCE/C4D In Sokoto ,live interactive radio programs on COVID 19 were Based on a gap analysis on community engagement as conducted by experts on Garkuwa FM and Rima FM. 40 identified by the Presidential task Force and joint UN team, stakeholders including religious and traditional leaders were UNICEF intensified technical support for the capacity sensitized on COVID-19 who in turn cascaded the messages building of state facilitators responsible for providing to another key 40 religious stakeholders at the LGA level. leadership at the local levels in 17 focus States. Bauchi office continues RCCE through mobile messages and In Sokoto, the LGA facilitators supported the state health radio discussion forum and addressing stigmatization, workers training on COVID-19 organized by National Primary stereotyping and COVID-19 prevention awareness in Bauchi, Health Care Development Agency (NPHCDA), while 20 Taraba, Gombe, Plateau and Adamawa states. The number journalist were orientated on COVID-19 at state level. of religious institutions providing key messages to their Volunteer Community Mobilizer (VCMs) continued the followers on COVID-19 awareness and prevention were routine house to house sensitisation and mobilization in all increased to 1,101 Mosques and 1,000 churches in Bauchi, targeted states while promoting testing for COVID-19. Adamawa, Gombe, Plateau and Taraba states Additionally, 1000 community mobilizers were trained on raising awareness in non-VCM areas on prevention. The In Kaduna, UNICEF trained 70 persons from Civil Society community was sensitized on measles and COVID-19 Organization (CSOs), Inter Faith First Aid Groups, new RCCE prevention in markets, malls, car parks and sports venues as members from SMOH and other volunteers on COVID-19 including messaging on stigma and testing. LGA consultants supported the NPHCDA training for maintining PHC services 1 https://www.premiumtimesng.com/news/headlines/398606-ptf-reveals-20-local-govt-areas-with-60-of- covid-19-in-nigeria.html 2 https://thenationonlineng.net/80-of-infected-persons-not-in-isolation-centres-says-fed-govt/ 3 COVID-19 SitRep June 21st 4 National Briefing, June 8, 2020 – Remarks by Minister of Health in the context of COVID-19 for health personnel. 22 radio is supporting focused IPC interventions in high burden LGAs discussions, aried on four stations, were conducted with in four states (Kano, Jigawa, Oyo and Edo). religious leaders engaged as resource persons. Announcements were made during Jumat prayers in six The case management pillar is being supported to review central mosques across six LGAs reaching 480 people, while home-based care guidelines, and community testing scale 70 people were sensitized in two churches. up plan is also being reviewed. Support is being provided in piloting community sample collection and testing in 2 high UNICEF engaged representatives of ulani Associations and burden LGAs (KMC and Gwale) in Kano state. 450 religious leaders from 12 emirates across Kano, Katsina and Jigawa States for the dissemination of COVID-19 Bauchi FO supported the ward level training of 1200 ICCM messages. 1,938 religious leaders across 57 LGAs in Enugu, CORPs, 483 VCMs and 48 VWSs on COVID-19 response and Abia and Cross River states integrated COVID-19 messages preparedness and the Sokoto FO supported the training of on prevention, reporting and testing in their congregation over 9,000 PHC workers and community volunteers across sessions. “COVID-19 Talks”, the joint radio magazine Zamfara, Kebbi and Sokoto states. In Ondo state, UNICEF programme by radio stations in Enugu is in its sixth week of supported the training of 61 health care workers from iso- airing and during the reporting period, the programme aired treatment centres and 657 health care workers from for 540 minutes at 30 minutes per episode per station. secondary and tertiary health facilities on Infection “COVID-19 Talk’ expressed the views and concerns of the Prevention and Control. community on the issues of fear/stigma that are associated with the outbreak of the COVID-19 pandemic. UNICEF supported Enugu state to review the expected deliverables, terms of reference and scheduling the UNICEF in Lagos developed and disseminated short movement of ad-hoc technical team consisting of skilled messages on home-based care, existence of COVID-19, health workers to track Persons of Interest in 11 points of stigmatisation, proper use of face masks and proper hand- entry at the interstate borders. UNICEF provided logistics washing with soap. Market and community sensitisation support to the COVID-19 TWG/RRT to carry out supportive activities continue to feature as part of RCCE pillar initiatives. supervision activities in 17 LGAs of the state. The sensitization exercise conducted in Amu plank market addressed physical distancing, use of face masks and hand Kaduna State has expanded its COVID-19 testing capacity washing with soap. following the roll out of the mobile Wellness on Wheels mobile testing equipment. Selected wards of the active LGAs UNICEF in Akure developed 40 standing banners on are targeted for community level COVID-19 case search and prevention and fight against the spread of COVID-19 which testing. UNICEF is fully involved in the mobilization and risk were displayed in public places. Oyo state used social media communication component of the community testing, with (WhatsApp and Facebook) to create awareness on COVID-19 the deployment of VCMs and other supported community prevention. The office continued to work with town platforms. UNICEF is supporting the training of 3200 PHC announcers to sensitize communities in 18 LGAs and in health care workers on IPC, risk communication, stigma and collaboration with National Orientation Agencies (NOA). discrimination, triaging, case identification, Notification and referral. UNICEF is also supporting the activation of the North-east RCCE/C4D response 4th COVID-19 diagnostic laboratory in Yusuf Dantsoho 796 religious leaders were sensitized resulting in 189 Memorial Hospital, with capacity to conduct both PCR and mosques/church announcements and 111 Tsangaya schools molecular test using GeneXpert. with 5,373 children taught measures to prevent COVID-19. In Lagos state, UNICEF supported the development of the IAP for the state to cover the next three months. On case Health management, training of doctors and Nurses on ICU care for UNICEF continues to support the COVID-19 health response COVID-19 patients was conducted at General Hospital Lagos. under the different functional areas led by the Presidential Task Force. In the Epidemiology and Surveillance pillar, North-east Health response UNICEF, is supporting the DQIP (Data driven quality In the North-east, 49 health care workers in UNICEF improvement in primary care) process. UNICEF continues to supported health facilities and communities in Borno and support the Testing and Laboratory pillar of the PTF with Yobe States were provided with essential PPEs. 73 health testing capacity increasing with arrival of supplies (18,333 facility staff and community health workers were trained on Cobas tests, 42000 Thermo fisher tests, and 15000 VTMs).