YOBE STATE MINISTRY OF HEALT - PDF document

1 1 | Page YOBE STATE MINISTRY OF
1 | Page YOBE STATE MINISTRY OF HEALT H Situation Report TITLE COVID - 19 Pandemic Situation R eport SE RIAL NUMBER 156 EPID - WEEK 10 DATE 8 – 14 March 2021 HIGHLIGHTS :  No new confirme d case w as reported in week 10  The total number o f confirmed COVID - 19 cases remains two hundred and ninety - three (293 ) , and t wenty (20) patients have recovered  The total number of d eaths from COVID - 19 is nine (9)  Two thousand, two hundred and ninety - three ( 2,293) samples were collected in week 10. This is a very significant [40 - fold] increase in sample collection compared to the preceding week.  This increase is mainly due to the commencement of the WHO - supported Active Case Search (ACS), conta ct tracing & sample collection strategies in high - risk areas & peripheral health facilities.  However, o n ly 22 samples were tested due to a technical problem developed by the state testing machine. The 22 test results are all negative, and the remaining samples have been preserved for testing after quick breakdown maintenance [ to commence tomorrow]  Yobe SMOH and SPHCMB received 61,630 doses of Oxford/AstraZeneca COVID vaccine for the vaccination of frontline health workers  The SPHCMB, in collabor ation with WHO , UNICEF, and partners, has compl eted preparations including the training of 2001 vaccinators at the state , LGA , and w ard levels

2 to administer COVID - 19 vaccine to fr
to administer COVID - 19 vaccine to frontline health workers across the state  The flag - off of the COVID - 19 vaccination by the His Excellen cy, the State Executive Governor, i s set to take place in week 11 [ 18 March 2021].  Yobe SPHCMB, with support from WHO through the Active Case Search strategy, conducted sensitization for 25,869 households on COVID - 19 prevention in high - burden LGAs. EPIDEMIOLOGICAL SUMMARY :  The total number of confirmed COVID - 19 cases is two hundred and nine ty - three ( 293 ). Seventy - nine ( 79 ) cases fro m Damaturu, fif ty - eight (58 ) cases from Nguru , thirty (30 ) cases from Fika, twenty - nine 2 | Page cases (29) cases from Potiskum, twenty - seven ( 27 ) cases from Bade , twenty - five (25 ) cases from Nangere , nine (9) cases from Jakusko seven (7 ) cases from Karasuwa, six (6) cases from Yusufari, five (5) cases from Tarmuwa , four (4) cases from Gujba, and Fune, three (3) cases each from Gulani , and Bursari, and Geidam have two (2) cases , and tw o ( 2 ) other LGAs ( Yunusari , and Mac hina ) have one (1) case each  The total number of active confirmed cases in the state is five ( 5 )  T he t otal confirmed cases of COVID - 19 amongst Health Care Workers (HCWs) is nine t een (1 9 ). These include nine (9 ) doctors , s even (7) nurses, one (1) physiotherapist, and two ( 2 ) l aboratory scient ist  The total number of deaths fr

3 om COVID - 19 in the s tate is nine (9
om COVID - 19 in the s tate is nine (9 )  T he t otal number of patients who recovered from COVID - 19 is two hundred and seven ty - nine ( 27 9 )  The total number of contacts who completed 14 days of monitoring without symptoms is one thousand , seven hundred and ninety - one ( 1 , 791 )  The total num ber of samples collected i s eight thousand , three hundred and nineteen ( 8,319 ). Two hundred and nine ty - three ( 293 ) results are positive, five thousand , seven hundred and thirteen ( 5 , 713 ) are negative, forty - two (4 2 ) for a repeat test , and two thousand, two hundred and seventy - one ( 2,271 ) remaining sample results are pending. Figure 1: Epi - curve of C onfirmed COVID - 19 C ases in Yobe state 0 5 10 15 20 25 30 35 40 27-Apr-20 4-May-20 11-May-20 18-May-20 25-May-20 1-Jun-20 8-Jun-20 15-Jun-20 22-Jun-20 29-Jun-20 7-Jul-20 13-Jul-20 20-Jul-20 27-Jul-20 3-Aug-20 8-Aug-20 17-Aug-20 31-Aug-20 7-Sep-20 14-Sep-20 20-Sep-20 27-Sep-29 4-Oct-20 11-Oct-20 18-Oct-20 25-Oct-20 1-Nov-20 8-Nov-20 15-Nov-20 22-Nov-20 29-Nov-20 6-Dec-20 13-Dec-20 20-Dec-20 27-Dec-20 3-Jan-21 10-Jan-21 17-Jan-21 24-Jan-21 31-Jan-21 7-Feb-21 14-Feb-21 21-Feb-21 28-Feb-21* 7-Mar-21* Number of COVID - 19 confirmed cases Confirmed COVID-19 Deaths 3 | Page Figure 2: Trend in the weekly tes ting, number of confirmed cases , and positivity rate s in Yobe state Figure 3 : Distribution of Confirmed COVID - 19 Cases by L

4 GA in Yobe state 0% 10% 20% 30% 40% 5
GA in Yobe state 0% 10% 20% 30% 40% 50% 60% 70% 80% 0 500 1000 1500 2000 2500 12-03-20, (wk11) 03-04-20, (wk14) 21-04-20,(wk17) 01-05-20,(wk18) 10-05-20(wk19) 11-05-20,(wk20) 20-05-20,(wk21) 26-05-20,(wk22) 01-06-20,(wk23) 08-06-20,(wk24) 15-06-20,(wk25) 22-06-20,(wk26) 29-06-20,(wk27) 08-07-20(wk28) 14-07-20(wk29) 23-07-20(wk30) 30-07-20(wk31) 07-08-20,(wk32) 12-08-20,(wk33) 18-08-20,(wk34) 26-08-20,(wk35) 02-09-20,(wk36) 11-09-20,(wk37) 14-09-20,(wk38) 23-09-20,(wk39) 04-10-20,(wk40) 05-10-20,(wk41) 13-10-20,(wk42) 19-10-20,(wk43) 01-11-20,(wk44) 08-11-20,(wk45) 15-11-20,(wk46) 22-11-20,(wk47) 29-11-20,(wk48) 06-12-20(wk49) 13-12-20(wk50) 20-12-20(wk51) 27-12-20(wk52) 3-01-21(wk53) 10-01-21(WK1) 17-01-21(wk2) 24-01-21(wk3) 31-01-21(wk4) 7-02-21(wk5) 14-02-21(wk6) 21-02-21(wk7) 28-02-21(wk8) 7-03-21(wk9) 14-03-21(wk10) % test positivity rate test and cases weeks Tests Confirmed COVID-19 %Positivity Rate 0 10 20 30 40 50 60 70 80 90 Number of confirmed cases LGAs 4 | Page Table 1: Summary of COVID - 19 Case (s) S/No. Description Total Epi - week 10 (Monday - Sunday) Cumulative (1 Jan 2020 - 14 Mar 2021 ) 1 Suspected case ( s ) 2,293 8,277 2 Lab - confirmed positive case (s) 0 293 3 L ab - confirmed positive cases amongst health care worker (s) 0 1 9 4 Probable case ( s ) 0 0 5 Rumor under investigation 502 2,429 6 Number of confirmed case ( s ) discharged 20 27 9 7 Number of death in confirmed case ( s ) 0 9 8 Number of death amongst h

5 ealth care workers 0 0 9 Number
ealth care workers 0 0 9 Number of death in suspected cases 0 0 Table 2: Summary of Contact ( s ) S/No. Description Total epi - week 10 (Monday - Sunday) Cumulative (1 Jan 2020 - 14 Mar 2021 ) 1 Contact(s) line - l isted 0 1, 843 2 Contact(s) s een 0 1, 822 3 Contact(s) currently under follow - up 0 31 4 S ymptomatic contacts(s) 0 26 5 Contact confirmed positive 0 16 6 Conta ct(s) who completed 14 days follow - up 102 1,791 7 Contact (s) lost to follow up 0 0 5 | Page Figure 2 : Risk M apping of Yobe LGAs Figur e 3 : Map of Yobe State S howing the N umber of Laboratory C onfirmed COVID - 19 C ases by LGA . 6 | Page Table 3: Summary of Laboratory R esult (s) S/No. Description Total epi - week 10 (Monday - Sunday) Cumulative (1 Jan 2020 - 14 Mar 2021 ) 1 Total number of samples collected 2,293 8,319 2 Number of samples tested negative 22 5,713 3 The n umber of samples confirmed positive 0 293 4 Number of sample s pending in the laboratory 2,271 2,271 5 Number of samples for a repeat test 0 4 2 THEMATIC INTERVENTIONS Coordination:  The SMOH, with the support of WHO and partners, is leading and coordinating the implementation of COVID - 19 response activities in all affected LGAs of the state  Conducted regular COVID - 19 response coordination meetings with partners and stakehol

6 ders . Surveillance and Epidemiology
ders . Surveillance and Epidemiology:  All 17 LGAs in Yobe state have now recorded confirmed COVID - 19 case ( s )  The case fatality rate amongst confirmed cases is 3.1 %  T he positivity rate for week 10 is 0 %, which represents a de crease compared to the p ositivity rate of the preceding week ( 9.4 % ) . The case to contact ratio is 1: 6  The percentage of contacts that were confirmed positive is 5 . 5 %  One hundred and two (102 ) contacts have co mpleted 14 days of monit oring without symptoms  Yobe SPHCMB, with support from the WHO ACS team, conducted sensitization for 25,869 households on COVID - 19 prevention across 17 LGAs of the state. Point of Entry (POE):  Conducted screening of passengers at the Points of Entries ( POEs )  Con ducted supportive supervision at the POE in Bade, Potiskum, and Nguru LGAs. Case Management :  No new admission in week 10  Twenty (20 ) patients have recovered and were discharged from isolation facilities . 7 | Page Infection Prevention and Control (IPC):  Conducted decontamination and disinfection of SSH molecular diagnostic laboratory, SSH Damaturu , and FMC Nguru Is olation centers  Conducted decontamination and disinfection of h ouse holds of confirmed cases  The SPHCMB, in collaboration with the WHO communications team, conducted motorized awareness creation campaigns in high - burden LGAs of Dama turu, Bade,

7 Potiskum, and Nguru . Laboratory and
Potiskum, and Nguru . Laboratory and Diagnostic Support:  The COVID - 19 test ing machine developed a technical problem leading to very low testing despite a significant increase in sample collection  Twenty - two (22) sampl es are negative, and the remaining two thousand, two hundred and seventy - one (2,271) samples have been preserved for testing after breakdown main tenance of the machine  The total num ber of samples collected is eight thousand, three hundred and nineteen (8,319). Two hundred and ninety - three (293 ) results are positive, five thousand, seven hundred and thirteen (5,713 ) are negative, forty - two (4 2 ) for a repeat test , and two thousand, two hundred and seventy - one (2,271) remaining sample results are pending. Risk Communication and Social Mobilization:  The SPHCMB, in collaboration with the WHO communications team , conducted the motorize d campaign in high - burden LGAs of Dama turu, Bade, Potiskum, and Nguru  Yobe SMOH , in collaboration with WHO HTR teams and AVADAR informants, UNICEF VCMs, and CGPP volunteers, conducted mass comm unity sensitization, reaching 8,401 people with COVID - 19 preven tion messages  The SPHCMB and CRS, with support from WHO, conducted mass community sensitization through radio jingles and phone - in program s at Yobe State Broadcasting Cooperation (YBC) and Radio Nigeria Sunshine on FM 88.1. Logistics and Operational Suppo rt:  Distributed COVID - 19 IPC commodities to SSH mo

8 lecular diagnostic laboratory , SSH Dama
lecular diagnostic laboratory , SSH Damaturu, and FMC Nguru isolation center  Distributed PPEs and IEC materials to the IPC , Surveillance, POE, and Risk Communication teams . CHALLENGES:  B reakdown of the COVID - 19 testing machine leading low COVID - 19 testin g in week 10  Non - state Armed Groups (NSAGs) attacks on hospitals and PHC centers are disrupting COVID - 19 response and health services in the affected LGAs (Geidam and Gujba LGAs) 8 | Page  Insecurity and military operations are limiting contact tracing, active case search, and community sensitization in security - compromised LGAs  Bad geograph ical is limiting access to remote communities to sustain COVID - 19 prevention activities . NEXT STEP(S ) :  Facilitate an urgent deployment of T echnicians to carry - out machine b reakdown maintenance  Continue ACS, contact tracing, and sample collection in remote LGAs and communities  Continue daily COVID - 19 response and SERICC coordination meetings preparatory to the commencement of the vaccination exercise  Scale - up Hard - To - Reach (HTR) mobile h ealth services in Geidam and Gujba LGA s to mitigate the impacts of disruption of health services due to the attacks on health care and COVID - 19 pandemic  Continue sensitization an d capacity building for community stakeholders to reduce fear and stigmatization , and lead C OVID - 19 control efforts in remot e and security - compromised communi