nlp-thedeep/humsetbias huggingface dataset:
[ 11 Jun 2021, Yobe State ]  Critical gaps: ACF/AAH has highlighted the challenge it is facing to secure human resources for the children's nutrition stabilization centers it supports. The essential staff needed include 1 medical doctor, 5 nurses, 5 nurse aids, 2 psycho social support staff and 4 supporting staff across Fune and Fika LGAs. This has affected the treatment of about 57 severe acute malnutrition  ( SAM )  cases in these two LGAs. The staff needed are planned to be seconded by the State Ministry of Health, while ACF/AAH provides other support packages to help in the management of the stabilization centers.
[ 20th 26th Sep 2021, Yobe ]  Yobe SPHCMB, in collaboration with WHO HTR teams, Community Health Champions and AVADAR Informants, UNICEF, and CGPP VCMs, conducted mass community sensitization in high burden LGAs, reaching 12,108 people with COVID 19 prevention messages.
[ 11 Jun 2021, Yobe State ]  Nutrition Needs: • There is a need to increase exclusive breast feeding practice in Yobe State, which is a strategy to improve nutritional status and growth in children.
[ 26th July 2021, Nigeria ] In response to this health emergency, SOLIDARITÉS INTERNATIONAL, with the support of the European Union, partnered with the NGO INTERSOS to implement activities to limit the spread of the virus among IDP and host communities in Borno, Adamawa and Zamfara states. Our teams carried out mass awareness campaigns, built hand washing stations and distributed ‘COVID 19' kits including soap, detergent, and jerry cans for water storage. Leaflets were also distributed to the population with messages raising awareness of protective measures and instructions for use, cleaning and disinfection.
The security situation in Yobe state remained calm during the week, but is still largely unpredictable. State authorities are optimistic that most of the IDPs from Geidam and Kanamma towns may return to their homes ahead of the rainy season as the security situation improves following the deployment of more Security Forces in the area.
[ 31st July 2021, Northeast Nigeria ] The IHC – ITC laboratory has continued its support through PCR testing for COVID 19, both for surveillance and travel purpose. Nasopharyngeal and oropharyngeal samples were collected. Testing turnaround time now less than 12hours, testing booking, and results dissemination done electronically to staff or dependent. Total samples tested at the IOM lab since accreditation by NCDC is 2,146, of which 1,765 are from Yobe state.
[ 20th 26th Sep 2021, Yobe ]  Yobe SPHCMB, with WHO support for Active Case Search strategy, conducted community sensitization in high burden LGAs and reached 1855 households with COVID 19 prevention messages
[ 31st July 2021, Northeast Nigeria ] Leading cause of morbidity and mortality in week 31: Malaria  ( suspected n= 10,520; confirmed n= 6,253 )  was the leading cause of morbidity reported through EWARS accounting for 37% of the reported cases. Apart from deaths due to other causes  ( 27 ) , severe acute malnutrition deaths  ( 3 )  was the leading cause of mortality reported through EWARS accounting for 57% of the reported deaths.
[ 28th Jun 2021, Borno State ]  An OCHA mission that visited Damasak on 14 June reported relative calm, including for many IDPs recently relocated from Maiduguri, the state capital. Deployment of security has increased and additional measures such as the extension of trenches are being implemented. Several IDPs and returnees who initially fled to the Nigerien side continue to arrive in Damasak town in dire need of urgent assistance. The gradual resumption and scale up of multi sectoral operations is expected to continue in the coming weeks, although renovation of damaged assets, including the humanitarian hub that enables overnight missions will be critical.
[ 28th Jun 2021, Borno State ]  More than 40,000 people, including IDPs and returnees in Damasak town were reached with food assistance and vital nutrition supplies during the week. It was the second major food distribution in the town near the border with Niger Republic since international humanitarian partners temporarily reduced footprints in mid April due to escalating insecurity marked by attacks and clashes that targeted and affected aid assets.
[ 17th   23rd July 2021, Borno State ]  IOM WASH volunteers continued COVID 19 sensitization and hygiene promotion campaigns in various camps. In the past week, the hygiene promotion included a cholera prevention campaign in case an outbreak should occur. On a weekly basis, the environmental and sanitation situation is assessed by the IOM WASH volunteers.
[ 4th June 2021, Yobe state ] The SMoH, with support from the World Health Organization  ( WHO ) , conducted a state level training for a seasonal malaria chemoprevention program that will be rolled out during the rainy season in July and August 2021. The program involves giving medicine to children to prevent or reduce the chance of being infected with malaria. Last week, some 13 staff from the SMoH and WHO attended the national level malaria chemoprevention training in Gombe. After being piloted in 2019 the full scale program started in 2020 across 17 LGAs where an average of 779,790 children aged 3 59 months received support. WHO is coordinating the program this year.
[ 4th June 2021, Yobe state ] Nine water wells were allegedly poisoned on 3 June 2021 in Kassaisa village, some 7 kilometers on the south outskirts of Damaturu town. The Ministry of Water Resources, which leads the WASH sector, tested the water and is yet to confirm the nature of the contamination. The incident is an indication that communal suspicion between farmers and nomads may remain high. Last year, communal clashes resulted in the death and injury of civilians, destruction of crops and the displacement of farmers across eight LGAs in the state. Efforts are on going by the state government to ensure that similar clashes do not repeat this year.
[ 31st December 2020, Borno state ] SPECIFIC NEEDS OF PLDs ACROSS ALL LGAs: From the information collated from the FGDs conducted across all six local government areas, it was observed that the only LGA where information was provided in sign language as well as verbally was in Dikwa local government. “There is no information provided in sign language' FGD IDP Men Ngurno Camp Monguno “A NGO provides awareness on the corona virus and there is no information provided for people with disability'  FGD Women, Konduga
[ 26 April 2021, Yobe state ] Education Needs: • Most of the children from the estimated 30,000 households that were displaced from Geidam and Kanamma one month ago are out of school. The sector estimates that there may be more than 60,000 school aged children among the IDPs across 11 LGAs hosting the IDPs. The improving security situation in Geidam and Kanamma following the enhanced security forces presence provides hope that schools may reopen soon and some of the children may return to school. It is however, reported that some of the school teachers are reluctant to return at this time in fear that they may be targeted in the event of deterioration in the security situation. During the attack on Geidam on 26 April 2021, two teachers were reportedly killed by the suspected insurgents.
[ 4th June 2021, Yobe state ] Protection Needs: • The needs of the estimated 180,000 persons, including 60,000 children displaced from Geidam and Kanamma towns in the past one month continues to be the key protection challenge in Yobe State. • With the rainy season now underway, several farmers are unable to engage in wet season cultivation activities due to unresolved safety and security concerns impeding access to farming areas.
[ 17th   23rd July 2021, Borno State ] As a result of the attacks between 17 and 23 July 2021, a total of 1,097 individuals were displaced from Dikwa LGA towards the LGAs Jere, Konduga and Maiduguri Metropolitan Council. They arrived at Dikwa Motor Park from various camps and communities in Dikwa LGA. As presented on the map below, their intended destinations were locations in the LGAs Jere, Konduga and Maiduguri Metropolitan Council in Borno State. Since the first attack in Dikwa on 1 March 2021, a total of 27,884 IDPs have been recorded by DTM in Dikwa Motor Park. They were displaced from Dikwa LGA and en route to destinations in the LGAs Jere, Konduga and Maiduguri Metropolitan Council in Borno State. Additionally, since 1 May 2021, a total of 14,440 returnees have been recorded by DTM in the same transit point. They are returning from locations in the LGA Maiduguri Metropolitan Council towards Dikwa LGA.
Malaria: In Epi week 31, 6,253 cases of confirmed malaria were reported through EWARS. Of the reported cases, 345 were from General Hospital Biu, 286 were from Hausari IDP Camp Clinic  ( MDM )  in Damboa, 170 were from Uba General Hospital in Askira Uba, 163 were from Damboa MCH, 160 cases each from Banki Health Clinic in Bama and Muna Garage Camp Clinic B in Jere, 159 were from Gwange 3 PHC  ( MSF F )  in MMC, 139 were from Azir Health Clinic in Damboa, 119 were from Fatima Ali Sheriff PHC in MMC and 112 were from Gwange PHC in MMC. Two  ( 2 )  associated deaths were reported from Gwange 3 PHC  ( MSF F )  in MMC  ( 1 )  and MCH Miringa in Biu  ( 1 ) .
[ 27th July 2021, Nigeria ]  Inter community transmission is particularly active in Bauchi and Kano states which have recorded 2,535 cases and 18 deaths  ( case fatality rate 0.7% )  and 572 cases including 19  ( case faltality rate 3.3% )  deaths respectively in the last two weeks. 27.8% of the cases since the beginning of the year are children aged 5 to 14.
[ 4th June 2021, Yobe state ]  Over the course of this week there was an observed increase in the return of internally displaced persons  ( IDPs )  from 11 LGAs in Yobe. The IDPs returned to their homes in Geidam and Kanamma towns following the return of the SF to their positions in Kanamma town and their enhanced presence in Geidam. The state government is monitoring the return process and has distributed in kind food materials to the returned households. The returnees require lifesaving support as most lost their sources of livelihoods. The area is still inaccessible to humanitarian staff due to security concerns.
[ 4th June 2021, Yobe state ] Camp Coordination and Camp Management / Non Food Items / Shelter Needs: • The start of the rains in Yobe State is raising grave concern over the shelter needs of displaced persons who have not received any support so far this year. Over 10,000 IDPs from Borno and rural parts of Yobe state who arrived over the past six months and living among host community and informal settlements within host community. • While there are no formal IDP camps in Yobe state, there are informal settlements hosting IDPs from Borno and rural areas in Yobe. All the settlements lack adequate shelter materials, which poses a high risk during the approaching rainy season.
[ 10th Aug 2021, Nigeria ]  Yunusari: The IDP population increased as a result of the attacks by NSAGs in the wards Bultuwa/Mar/Yaro and Mairari within Yunusari and the influx of IDPs from Geidam LGA as a result of the attack on Geidam town
[ 10th Aug 2021, Nigeria ]  Geidam: The IDP population in Geidam LGA decreased as a result of attacks launched on the community by NSAGs. Many IDPs fled to the neighbouring LGA Yunusari.
[ 10th Aug 2021, Nigeria ]  Bade: The increase of the IDP population in Bade LGA was a result of new arrivals from Geidam and Yunusari LGAs due to continued attacks by NSAGs on the communnities in the mentioned LGAs.
[ 10th Aug 2021, Nigeria ]  Abadam, Guzamala, kukawa, Marte and Nganzai LGAs were inaccessible during Round 37 assessments because of the recent attacks by Non State Armed Groups  ( NSAGs ) .
[ 31st July 2021, Northeast Nigeria ] Suspected Yellow Fever: Two  ( 2 )  suspected yellow fever cases were reported through EWARS from Kuburbula Dispensary in Chibok  ( 1 )  and Zanari PHC in Mafa  ( 1 ) . Two  ( 2 )  additional suspected yellow fever cases were reported through IDSR from Biu LGA  ( 2 ) . No associated death was reported.
[ 1st June 2021, Nigeria ] Price inflation due to Covid 19 was reported as an issue by everyone we interviewed, with many struggling to buy all their monthly necessities with the CVA they receive.
[ 31st July 2021, Northeast Nigeria ] Malnutrition: 1,888 cases of severe acute malnutrition were reported through EWARS in week 31. Of the reported cases, 68 were from ICRC FSP Clinic in Monguno, 63 were from General Hospital Ngala  ( FHI360 ) , 61 cases each from AAH Waterboard Extension IDP Camp Clinic in Monguno and Kurbagayi MCH in Kwaya Kusar, 59 were from Gajiram FSP in Nganzai, 54 were from ISS IDP Camp Clinic in Ngala, 52 cases each from AAH Water Board IDP Camp Clinic and ACF NRC IDP Camp Clinic both in Monguno, 45 cases from Banki Health Clinic in Bama LGA and 42 Dikwa MCH Clinic. Three  ( 3 )  associated deaths were reported from Gwange 3 PHC  ( MSF F )  in MMC  ( 1 ) , Madlau Dispensary in Biu  ( 1 )  and Gumsuri Clinic in Damboa  ( 1 ) .
[ 6th May 2021, Nigeria ]  The United Nations verified 250 grave violations against 208 children  ( 114 boys, 92 girls, 2 sex unknown )  in North East Nigeria. Most violations occurred in Borno State.
[ 6th May 2021, Nigeria ]  Seven children  ( 4 boys, 3 girls )  were recruited and used by Boko Haramaffiliated or splinter groups, including JAS  ( 4 )  and Islamic State West Africa Province  ( ISWAP )   ( 1 ) ; and by the Civilian Joint Task Force  ( CJTF )   ( 2 ) . Two girls were used in combat. Two boys were used by CJTF at a checkpoint.
[ 31st July 2021, Northeast Nigeria ] Alerts and Outbreaks: Fifty eight  ( 58 )  indicator based alerts were generated from the weekly reports submitted through EWARS in week 31. Ninety five percent of the alerts were verified. Within the recent weeks, there has been a continuous decline in the number of measles cases reported in the LGAs  ( cases peaked at week 22, where over 600 cases were reported ) . This week, three  ( 3 )  new measles case were laboratory confirmed. So far, a total of 11,761 suspected measles cases have been reported in Borno state  ( 123 Lab confirmed cases )  with 118 associated deaths. The State and LGA teams have conducted measles reactive vaccinations in most of the affected locations.
[ 6th May 2021, Nigeria ]  The Nigerian authorities released 230 children  ( 215 boys, 15 girls )  held for periods ranging from one week to several years for alleged association with armed groups. Nine other children  ( 4 boys, 5 girls )  remain detained as at December 2020. The United Nations was unable to verify the number of children in detention, as access to detention facilities was denied.
[ 6th May 2021, Nigeria ]  The United Nations verified the killing  ( 77 )  and maiming  ( 47 )  of 124 children  ( 83 boys, 39 girls, 2 sex unknown )  by JAS  ( 46 ) ; ISWAP  ( 30 ) ; unidentified perpetrators  ( 27 ) , including 9 in crossfire between the Nigerian Security Forces/CJTF joint operations and ISWAP; and the Nigerian Security Forces  ( 21 ) .
[ 6th May 2021, Nigeria ]  Ten girls were raped by JAS  ( 9 ) , following their abduction, and by CJTF  ( 1 ) .
[ 6th May 2021, Nigeria ]  The United Nations verified 15 attacks on schools  ( 5 )  and hospitals  ( 10 )  attributed to JAS  ( 9 )  and ISWAP  ( 6 ) .
[ 6th May 2021, Nigeria ]  A total of 76 children  ( 27 boys, 49 girls )  were abducted by JAS  ( 63 )  and ISWAP  ( 13 )  for sexual violence  ( 9 )  and unknown purposes  ( 67 ) . The whereabouts of 73 children are unknown, while 3 children escaped.
[ 6th May 2021, Nigeria ]  The United Nations verified 18 incidents of denial of humanitarian access attributed to ISWAP  ( 11 ) , JAS  ( 5 )  and unidentified perpetrators  ( 2 ) .
[ 28th Jun 2021, Borno State ]  Security : General deterioration of security and shrinking operational contexts remained major concerns during the week. Although no direct or indirect attacks were reported in IDP locations during the week, non state armed group  ( NSAG )  operatives maintained illegal vehicle checkpoints  ( IVCPs )  across key supply routes in the northern and southern axes of the state. All through the week, NSAG operatives mounted IVCPs along Damboa Biu road, in Damboa LGA, stopping civilian commuters and demanding to see their identity documents before allowing them to go. An aid worker abducted at one of such IVCPs along Maiduguri Damaturu road in early January regained freedom during the reporting week after over five months in captivity.
[ 13th July 2021, Nigeria ]  The 2021 agricultural season is underway across the country. Farmers are engaged in land preparation and planting in the northern areas and weeding in central and southern areas. However, high input costs for items such as improved seeds, herbicides, and fertilizers coupled with insecurity are constraining the level of crop cultivation, which to date is below average. Households engaged in agriculture based labor earn below average wages due to increased competition from the oversupply of labor, constraining income earned. For market dependent households, this is constraining access to food and non food items.
[ 28th Jun 2021, Borno State ]  Emergency flood response : Flash flooding from heavy downpours continued to cause damages to critical facilities and infrastructure across camps and host communities in the state. Some 377 IDP households  ( approximately 1,100 people )  across six camps in Dikwa were directly affected during the week, according to a rapid assessment conducted by local partners. Urgent needs of affected households include non food items  ( NFIs ) , food and shelters. The entire area is in dire need of WASH services, including the expansion of water channels. Response capacity is currently low with only one partner actively responding to priority needs. The humanitarian presence remains low in the LGA following an escalation of violence since mid April. In Bama LGA, partners are scaling up assistance to some 77 households directly affected by flash flooding from a heavy downpour at the GSSS camp during the week. Rehabilitation of damaged shelters and sand filling activities are ongoing to push back floodwater in the camp. As the rainy season gathers momentum, partners across sectors continue to intensify measures to mitigate impacts and risks of water borne disease outbreaks.
[ 26th July 2021, Nigeria ]  In 2020, 375,825 people benefitted from water supply. This was achieved by drilling nine new boreholes in Jere, MMC, Konduga, and Yola North LGA camps, while 12 existing boreholes have been rehabilitated and upgraded with solar power in MMC, Konduga, Dikwa, and Bama LGA camps. Moreover, three camps have been supported by water trucking to fill the water gap and more than 600,000 liters of water have been distributed every week.
[ 26th July 2021, Nigeria ]  In 2020, 350 beneficiaries, among which 20 per cent were women, were given short term employment through cash for work  ( CfW )  engagement. The CfW beneficiaries were engaged in the following projects: · Rehabilitation of Yolde pate primary health care centre and modification of its fencing perimeter; · Rehabilitation of Women Development Centre  ( WDC ) ; · Rehabilitation of Gwoza Primary Health Care's spaces.
[  12th  18th Jun 2021, Borno State ]  As a result of the attacks between 12 and 18 June 2021, a total of 1,194 individuals were displaced from Dikwa LGA towards the LGAs Jere, Konduga and Maiduguri Metropolitan Council. They arrived at Dikwa Motor Park from various camps and communities in Dikwa LGA. As presented on the map below, their intended destinations were locations in the LGAs Jere, Konduga and Maiduguri Metropolitan Council in Borno State. Since the first attack in Dikwa on 1 March 2021, a total of 21,480 IDPs have been recorded by DTM in Dikwa Motor Park. They were displaced from Dikwa LGA and en route to destinations in the LGAs Jere and Maiduguri Metropolitan Council in Borno State. Additionally, since 1 May 2021, a total of 8,347 returnees have been recorded by DTM in the same transit point. They are returning from locations in the LGA Maiduguri Metropolitan Council towards Dikwa LGA.
[ 26th July 2021, Nigeria ]  The year 2020 was characterized by increased insecurity and violence by the Non State Armed Groups  ( NSAG )  whereby attacks against civilians in the BAY states have increased by 24 per cent compared to 2019. Furthermore, hostilities have taken its toll also on humanitarian community working to deliver aid to people in need, as attacks targeting humanitarian workers have continued throughout 2020, including an attack on the Humanitarian Hub in Monguno hosting over 50 humanitarian workers.
[ 26th July 2021, Nigeria ]  Under its leadership role of the Nigeria WASH Sector Technical Working Group  ( TWG ) , IOM designed sanitation facilities for People with Special Needs  ( PWSN ) , improved mudbrick shared sanitation facilities and foot operated handwashing stations. IOM also played a key role in supporting, leading, and implementing camp rationalization strategy. As part of the COVID 19 response, IOM supported the Sector with the provision of COVID 19 kits, the development of a COVID 19 response strategy and guidelines to tailor the response.
[ 31st December 2020, Borno state ] With households across all three respondent groups  ( IDPs, residents and returnees )  earning an average monthly income of N11,007 which is less than the minimum wage of N30,000 in Nigeria, dealing with loss of livelihood and partially functional markets; resorting to coping mechanisms to cover basic needs such as food and rent has become widespread.
[ 31st December 2020, Borno state ] For instance, as a result of lack of income and increase in food prices, households resorted to borrowing money from relatives and neighbours. Feeding frequency was limited to 2 square meals instead of three square meals. “Some households only eat two times a day instead of three times due to the lockdown – FGD  ( WOMEN's GROUP )  BIU LGA
[ 26th July 2021, Nigeria ]  In a context where people experience tremendous hardships due to the crisis in the Northeast, IOM seeks to strengthen the well  being of crisis affected populations, including in areas of voluntary return. Beneficiaries are able to access various services, including counselling, sensitization on COVID 19, specialized mental health services, Focus Group Discussions  ( FGD )  etc.
[ 31st December 2020, Borno state ] The pandemic led to the closure of schools, markets and businesses. Thus, the members of the community began to experience increase in prices of food and other non food items alongside reductions in income generating activities  ( especially agriculture )  and income. This invariably affected the health, nutrition and education of households negatively.
[ 26th July 2021, Nigeria ]  Through construction, operation, and maintenance of sanitation facilities, 435,890 people have improved access to sanitation. IOM constructed 655 latrine and shower stances in Bama, MMC, Gwoza, Konduga, and Jere LGA camps and conducted daily operation, cleaning, and maintenance for 6,419 IOM sanitation facilities in 11 sites. More than 16,235 other WASH partners' latrines were dislodged, and 659 foot operated handwashing stations have been designed, installed, and operated in Borno and Adamawa States.
[ 26th July 2021, Nigeria ]  At the inception of the COVID 19 pandemic in Nigeria, face masks were sold at extremely high prices making it impossible for the majority of the camp residents to afford them while there was a fear of contracting the virus in camps. IOM selected and engaged 41 women and girls, including those with disabilities, who had participated in the Women Participation Project  ( WPP )  piloted in 2019 to participate in the production of 21,000 face masks. These masks were then distributed to the camp residents.
[ 31st December 2020, Borno state ] Loss of means of livelihood had an indirect impact on education because parents could hardly afford school supplies or fees.
[ 20th Aug 2021, Yobe State ]  A total of 2,899 households  ( 17,394 persons )  living in lowland communities across 11 local government areas  ( LGAs )  in Yobe State have been affected by severe flooding.
[ 16th June 2021, Nigeria ]  Cholera: Coordination: Response is being coordinated by the national multi sectoral EOC hosted at NCDC, in collaboration with Federal Ministry of Water Resources  ( FMWR ) , National Primary Health care Development Agency  ( NPHCDA )  and partners. State level EOC s were activated in Nasarawa, Benue and Gombe. Currently, Zamfara, Kaduna, Bauchi, Plateau, FCT and Kano State EOCs are in response mode. National Rapid Response Teams  ( RRTs )  with response commodities were deployed to support the response in four states  Benue, Kano, Kaduna and Zamfara States  Developed the 2021 Annual Cholera Preparedness and Response Workplan, Developed draft Cholera Incident Action Plan  ( IAP )  for 2021. Finalised plan to conduct cholera hot spot mapping in all 36 States + FCT. Participated virtually in the 8th Annual General Meeting of the GTFCC.
[ 16th June 2021, Nigeria ]  Cholera: Fourteen states have reported suspected cholera cases in 2021. These are Benue, Delta, Zamfara, Gombe, Bayelsa, Kogi, Sokoto, Bauchi, Kano, Kaduna, Plateau, Kebbi, Cross River and Nasarawa. In the reporting week, five states reported suspected cases–Bauchi ( 900 ) , Kano, ( 575 ) , Kaduna ( 70 ) , Plateau ( 98 )  and Zamfara ( 114 )  . As at week 24, there are active out breaks in six states   Sokoto , Zamfara, Bauchi, Kano, Gombe, Plateau, Kaduna and Niger. The national multi  sectoral EOC at level has been activated at the Nigeria Centre for Disease Control ( NCDC )  to coordinate the response.
[ 16th June 2021, Nigeria ]  Cholera: There has been an increase in the number of new cases in the last two weeks. Zamfara  ( 158 ) , Bauchi ( 1268 )  and Kano ( 590 )  States account for 95% of 2,117 cases reported in the last two weeks  ( 23and24 )  . A total of 210 samples were collected with positive cases as follows  96 RDT positive only ;23 culture positive ;112 RDT and culture positive ) . The test positivity rate  ( TPR )  for laboratory confirmation by culture is13.3%.
[ 16th June 2021, Nigeria ]  Cholera: Laboratory surveillance: 160 packs of Crystal VCR DT Kits supported through WHO deployed to two states . JHU has donated crystal VC 01 dip sticks contained in 10 packs of 100 quantity to support the ongoing response.
[ 16th June 2021, Nigeria ]  Cholera: Risk communications: Cholera jingles are being aired in English and local languages. Community social mobilisation , distribution of Information, Education and Communication  ( IEC )  materials and awareness campaigns ongoing in affected communities.
[ 16th June 2021, Nigeria ]  Cholera: CHALLENGES:  Difficulty in accessing some communities due to security concerns. Open defecation in the affected communities. Lack of potable drinking water in some rural areas and urban slums. Inadequate vaccines to cover all LGAs, wards and settlements with cholera outbreaks.  In adequate health facility infrastructure and cholera commodities for management of patients.
[ 21st   27th Jun 2021, Nigeria ]  There were 939 suspected cases of cholera reported from 59 LGAs in four states & FCT  ( Ebonyi – 1, FCT – 1, Kano – 795, Kebbi – 60 & Plateau – 82 ) . One case was laboratory confirmed and 18 deaths were recorded
[ 21st   27th Jun 2021, Nigeria ]  National Cholera Multi Sectoral Technical Working Group  ( TWG )  is monitoring all states and supporting affected states ● National Rapid Response Teams  ( RRTs )  with response commodities were deployed to support the response in four states – Benue, Kano, Kaduna and Zamfara States ● Cholera jingles being aired in English and local languages across the country
[ 21st   27th June 2021, Nigeria ]  Coordination: Response is being coordinated by the national multi sectoral EOC hosted at NCDC, in collaboration with Federal Ministry of Water Resources ( FMWR ) , National Primary Health care Development Agency  ( NPHCDA ) and partners. State level EOCs were activated in Nasarawa, Benue and Gombe. Currently, Zamfara, Kaduna, Bauchi, Plateau, FCT and Kano State EOCs are in response mode. National Rapid Response Teams ( RRTs )  with response commodities were deployed to support the response in four states Benue, Kano, Kaduna and Zamfara States. Conducted planning meeting with the GTFCC team on OCV reactive campaigns
[ 21st   27th June 2021, Nigeria ]  Challenges:  Difficulty in accessing some communities due to security concerns  Open defecation in affected communities  Lack of potable drinking water in some rural areas and urban slums  Inadequate vaccines to coverall LGAs, wards and settlements with cholera outbreaks  Inadequate health facility infrastructure and cholera commodities for management of patients
[ 21st   27th June 2021, Nigeria ]  Cholera: As at June 27, 2021,a total of 14,343 suspected cases including 325 deaths  ( CFR =2.7% )  have been reported from 16 states  ( Benue, Delta, Zamfara, Gombe, Bayelsa, Kogi,Sokoto,Bauchi,Kano,Kaduna,Plateau,Kebbi,CrossRiver,Niger,FCTand Nasarawa )  since the beginning of 2021  Of the reported cases since the beginning of the year, 27.6% are aged 5 14years  Of all suspected cases, 51% are males and 49% are females
[ 7th   13th Jun 2021 Nigeria ]   There were 376 suspected cases of cholera reported from 29 LGAs in four states  ( Kano – 175, Kwara – 7, Plateau – 188 & Yobe – 6 ) . Three were laboratory confirmed and four deaths were recorded
[ 7th   13th Jun 2021 Nigeria ]  National Cholera Multi Sectoral Technical Working Group  ( TWG )  is monitoring all states and supporting affected states ● National Rapid Response Teams  ( RRTs )  with response commodities were deployed to support the response in four states – Benue, Kano, Kaduna and Zamfara States ● Cholera jingles being aired in English and local languages across the country
[ 14th Aug 2021. Adamawa State ]  Surveillance and Laboratory: 37 new suspected cases with one death were reported. Two new LGAs  ( Gombi and Shelleng )  affected within the reporting week. DSNOs are line listing suspected Cases and collecting samples.
[ 14th Aug 2021. Adamawa State ]  Case management: 8 cases on admission in the CTC SHY and 7 at GH Garkida. 5 patients discharged from CTC within the reporting week.
[ 31st July 2020,North east  Nigeria ] Once again, the percentage of people who were in need for food remained high. Seventy six per cent of IDPs cited food as their main unmet need  ( up from 61% in the last round of assessment ) . Non food items  ( NFIs )  were cited as the second highest unfulfilled need by 12 per cent  ( an improvement from 21% cited in the last round of assessment ) . Six per cent cited shelter as their main unmet need. These results are somewhat consistent with the trend observed in previous assessments.
[ 16th July 2021, Nigeria ]  Detailed analysis among arrival population with good quality and adequate sample size showed near Extremely Critical  ( Phase 5 )  GAM rates in Gwoza, Magumeri and Kukawa. Among inaccessible population in Bama LGA, the rates of severe acute malnutrition  ( 15% )  indicated recent and extreme population stresses e.g. food shortage or disease outbreak.
[ 16th July 2021, Nigeria ]  Majority  ( 70 percent )  of the individuals from the inaccessible areas spent relatively longer than time traveling to and returning from health facilities with 46 percent achieving this between 30mins and 1 hours, and about 23 percent making it in more than 1 hour or even up to half a day as in Gwoza and Geidam LGAs. In  and out patient health services are most available in the communities of origin of interviewed new arrivals as reported by 19 percent and 14 percent respectively. Community outreach health services was confirmed by 7 percent and nutrition services  ( 7 percent )  only. There is serious lack of health services in places like Madagali  ( Adamawa ) , Bama, Ngala  ( Borno )  and Geidam  ( Yobe )  where only out patient services were skeletally offered.
[ 16th July 2021, Nigeria ]  In relation to health services and facilities, over 66 percent of the interviewed new arrivals said there were not functional accessible health and nutrition services in the locations they came from. However, majority of the individuals from Abadam and Nganzai  ( 92 percent each ) , Dikwa  ( 82 percent )  and Gubio  ( 63 percent )  said there were functional and accessible health and nutrition services in the communities they arrived from. Status of health and nutrition services in settlement is such that 65 percent of the interviewed new arrivals claimed they are fully functional and free while 25 percent said the facilities in settlement and partially functional  ( free or paid ) . All the new arrival from Geidam LGA said the health and nutrition services are fully functional but are paid for.
[ 1st May 2021, North East Nigeria  ] In Borno State, the resurgence of attacks by NSAG in the Northern axis has caused massive populations to face risks of further attacks and continued displacement. Other impacts of population movements include the risk of killing and abductions by NSAG, who continue to launch ambushes and establish illegal vehicle checkpoints on the main supply routes. The presence of landmines on the main supply routes, on the other hand, underpins the risk civilians continue to face when traveling on the affected roads. Protection actors will continue with advocacy for a principled return in safety and dignity, in line with the Borno State Return Strategy and other international best practices. The ongoing risk reduction activities at the field level will continue to orient the affected population.
[ 1st May 2021, North East Nigeria  ] In Borno State, NSAG attacked Rann, Marte, Dikwa and Bama towns, causing widespread destructions and generalized violence, which led to the displacement of civilians to various towns in the State and neighbouring countries. More than 60 security incidents were reported. As a result, the Humanitarian Country Team  ( HCT )  temporary suspended humanitarian activities in Gujba and Yusufari in Yobe State, in addition to Dikwa and Damasak in Borno, pending an improvement in the security situation. The main supply routes of MaiduguriDamaturu, Maiduguri Mungono and Maiduguri Gajiram remained extremely volatile due to illegal vehicle checkpoints, adversely impacting delivery of humanitarian assistance to the affected communities.
[ 1st May 2021, North East Nigeria  ] Impact of protection incidents on civilian populations: NSAG attacks have continued, targeting civilians during their daily activities, causing trepidation and presenting a challenge to durable solutions. The mounting of illegal vehicle checkpoints on the main supply routes, especially Maiduguri Damaturu, continues to cause delays in the movement of humanitarian aids such as food and NFIs. The destruction of humanitarian cargo such as the one on the Mungono Ngala MSR denies the affected population from accessing humanitarian aid in time, thereby increasing human suffering. Fire outbreak recorded in various camps in Mungono continues to defy all the measures put in place by the humanitarian actors, with each occurrence causing loss of food, NFIs and livestock.
[ 28th Jun  4th July 2021, Nigeria ]  It is extremely important that schools, workplaces, businesses, religious and other public settings continue to enforce adherence to COVID 19 public health and social measures. This includes regular handwashing, physical distancing and proper use of face masks. Physical distancing measures such as staying two metres apart, working from home, holding virtual meetings, avoidance of large gatherings and ordering take out food items should be encouraged. NCDC also encourages that regular temperature checks, provision of hand sanitiser and no mask no entry policy even if vaccinated should continue to be widely enforced in public spaces such as shops, schools, and transport service facilities. Frequent hand washing, one of the most effective ways to prevent the spread of COVID 19 and other infectious diseases, should be widely accepted and practiced in our homes and health facilities.
[  21st   27th Jun 2021, Nigeria ]  Ongoing assessment of oxygen capacity of treatment/isolation centres • Concluded Epidemic Control  ( EpiC )  project aimed at distributing, and installing 200 ventilators donated by the United States government • Conducted training for data entry clerks and case managers on use of the assessment tool for oxygen readiness and availability • Ongoing review and finalisation of interim guideline for Clinical Management of COVID19 • Ongoing enhanced surveillance at points of entry • Continued communication to state IPC focal persons on improved preparedness for possible surge in cases • Continued sensitisation of schools, hospitals, patients and relations and religious bodies on hand hygiene.
[  21st   27th Jun 2021, Nigeria ]  Ongoing National IPC Policy review with expert working group • Deployed Lumira Dx Point of Care kit to screen staff of Ministry of Budget and Planning • Conducted Training of Trainers  ( ToT )  on the appropriate and safe use of approved AgRDTs for COVID 19 diagnosis for states in South South zone • Continued genomic sequencing of all positive samples from travellers arriving in Nigeria • Supported University of Nigeria Teaching Hospital Enugu, Irrua Specialist Teaching Hospital, Edo state, National Reference Laboratory Gaduwa, Yusuf Dantsoho Memorial Hospital Kaduna state, Nigeria Navy Reference Hospital Calabar, and Lawrence Henshaw Memorial Hospital Calabar with diagnostic commodities, sample collection materials and personal protective equipment  ( PPE )
[ 28th Jun  4th July 2021, Nigeria ]  RESPONSE On 28th February 2020, a multi sectoral Emergency Operations Centre  ( EOC )  was activated at Level 3 which is the highest emergency level in Nigeria. This is led by NCDC in close coordination with the State Public Health EOCs  ( PHEOC )  and through the deployment of 53 Rapid Response Teams  ( RRT )  to states. Currently, response activities include: • Concluded review and finalisation of interim guideline for Clinical Management of COVID 19 • Continued follow up with states for daily reporting, contact tracing and key challengesOngoing health facilities IPC focal persons' refresher workshop • Concluded plans to conduct hand hygiene improvement and compliance auditing • Continued workshop on multimodal approach to hand hygiene improvement and compliance in health facilities.Conducted Ag RDT testing for athletes for the Japan Olympics at FCT, Lagos and Bayelsa State camps
[ 4th June 2021,Borno state ]  Worsening insecurity, marked by a spate of non state armed group  ( NSAG )  attacks and clashes with government forces continues to impact ongoing aid operations across local government areas  ( LGAs )  of Borno State, especially in the northern axis. Operations in Mobbar  ( Damasak town )  and Dikwa LGAs have been limited to critical life saving response sustained through third parties/community based actors since mid April and humanitarian footprints remain low across some locations including Ngala, Monguno and Damboa LGAs due to heightened risks of violence. This affects quality of programming, especially timely follow up and resolution of emerging issues in the affected areas.
[ 13th July 2021, Nigeria ]  The Central Bank of Nigeria recently signaled a shift towards the government instituting a single exchange rate policy and floating the currency by no longer indicating a fixed value of the NGN. Despite this, as of mid June, the official rate is currently exchanging at 410 NGN/USD and exchanging at 500 NGN/USD on the parallel market. In recent months, the parallel and official exchange rates have depreciated by about three percent. The parallel market rate also depreciated by about one percent, with the official and parallel market rates narrowing relative to the previous month. Additionally, domestic petrol prices remain elevated, pushing up transportation costs. These economic factors are putting pressure on staple food prices across the country, particularly in deficit producing areas.
[ 5th   11th July 2021, Nigeria ]  Concluded the distribution of IPC supplies donated by Global Alliance for Vaccines and Immunization  ( GAVI )  to support primary health care facilities across the country, in collaboration with NPHCDA • Concluded the distribution of IPC commodities to Borno and Oyo StatesSupported Federal Ministry of Defense, Medical Outreach to Ogbomosho, Oyo State and National Reference Laboratory  ( NRL )  Abuja with Laboratory consumables, reagents, and Personal protective Equipment  ( PPE )  • Supported Oyo State Ministry of Health  ( MoH )  with Rapid Diagnostic Test  ( RDT )  Kits for increase COVID 19 testing.
[ 19th July 2021, Jigawa State, Nigeria ]  At least 30 people died from cholera in Jigawa State in the past month, an official has said. The Jigawa casualties add to the increasing death toll from the disease across Nigeria. Other states that have reported deaths from cholera in the past few weeks include Enugu, Benue, Plateau and Bayelsa. The Permanent Secretary, Ministry of Health in Jigawa, Salisu Mu'azu, said the deaths were from the over 2,000 patients who tested positive for the disease in nine of the 27 local government areas of the state. Hadejia and Dutse local governments are the most affected, he said. He blamed open defecation for the spread of the disease.
[ 1st July 2021, Nigeria ] At the Sub national level, 982 front line health workers were trained on Integrated management of childhood  ( IMCI )  illness in February 2020 in 13 states  ( 3 LGAs each )  before the pandemic, with supervisory follow  up visits to the health facilities conducted in this quarter, total of 1.285,008 sick children have received appropriate treatment using the IMCI guideline with improved under five morbidity in those Health facilities Introduction of second dose of Measles Containing Vaccine  ( MCV2 )  into the Routine Immunization Schedule in the 19 Northern States including FCT was achieved.
[ 3rd  9th July 2021, Borno State ]  IDPs across Fulatari, Masarmari, Klagaru, Sangaya, Mohammed Kyari and Agric Camps complained about damaged shower and toilet facilities due to rain. The Site Management Committees are seeking support for the toilets and showers to be rehabilitated and reinforced. IOM WASH volunteers continued COVID 19 sensitization and hygiene promotion campaigns in various camps. In the past week, the hygiene promotion included a cholera prevention campaign in case an outbreak should occur. On a weekly basis, the environmental and sanitation situation is assessed by the IOM WASH volunteers.
[ 1st July 2021, Nigeria ] In September 2020, WHO supported 29 PHCs in Borno State, 26 in Adamawa State and 13 in Yobe State on the management of mental health disorders through mhGAP. A total of 45 PHC workers were trained in Borno, 46 in Adamawa and 34 PHC in Yobe State. These PHCs were supported with psychotropic medications and data tools to commence treating patients with mental health disorders in November 2020. By end of December 2020, a total of 1,509 patients were treated from 14 health facilities across 7 LGAs in Borno State  ( Bama, Damboa, Jere, Konduga, Mafa, MMC, and Ngala LGA ) . WHO is planning to train staff from SMoH and SPHCDA on mhGAP on supportive supervision between January – March 2021, to ensure provision of quality services.
[ 5 July 2021, Yobe state ] Government and partners continued responding to cases of acute watery diarrhea  ( AWD )  in Gadine community, Bursari LGA which remained at 24 cases including 4 deaths, with no new cases reported this week according to the State Ministry of Health  ( SMoH ) . Distribution of water, sanitation and hygiene  ( WASH )  kits, active case search/testing, training of community health workers, and awareness/messaging on positive hygiene practices continued across communities in the LGA. State Rapid Response Teams  ( RRTs )  are activating LGA response in densely populated/high risk locations including Bade, Potiskum, Nguru and Damaturu to intensify risk mitigation and preparedness measures as the rainy season gathers momentum, bringing with it a potential increase of risk to water borne diseases.
[ 15th Jan   15th Feb 2020, Nigeria ]  1E: MOBILITY Most IDPs have been displaced two times and often three times. Fifty four per cent  ( down from 57% )  of IDPs have been displaced two times in the six most affected north eastern states. In Borno, 66 per cent  ( down from 68% )  of displaced persons said they have been displaced before. Also, this most affected state has the lowest percentage  ( 4%   down from 7% )  of IDPs who say they have been displaced only once. Adamawa, which has historically been affected by communal clashes, has the highest percentage of people  ( 61% )  who say they have been displaced more than three times.
[ 15th July 2021, Nigeria ]  School kidnappings pose a serious threat to education in northern Nigeria. The region already has the worst statistics for educational performance in the country and persistent attacks on schools have forced six states to close most or all schools, until security is restored. It could also affect school enrollment rates which are already low to begin with due to cultural animosity against “western education' in the North. Furthermore, these kidnappings could encourage teachers and other school staff to quit and seek employment elsewhere, thus limiting more children from accessing quality education.
[ 14th July 2021, Nigeria ]  The Nigerian government's COVID 19 public health campaign and the historical investment in vaccine awareness – dating back to the WHO's polio campaign in the country – may have helped to counter Boko Haram's messaging. First, the survey found 85 per cent of respondents heard and consistently recalled messages from government or community leaders about public health and vaccination, demonstrating a high degree of message penetration and recall. Secondly, although it had been marred by its own challenges and delays, the WHO's polio vaccine campaign helped create familiarity and comfort with vaccines in Nigeria, with long term payoffs up until today.
[ 14th July 2021, Nigeria ]  A new report out this week by the United Nations University Centre for Policy Research  ( UNU CPR )  suggests that at least in and around Maiduguri, North East Nigeria, evidence from a 3,500 person survey shows that those who trusted Boko Haram's messages were almost twice as likely to believe conspiracy theories about the virus, particularly that COVID 19 was part of a foreign attack. Likewise, trusting the group's messages about COVID 19 is associated with a 10 percentage point increase in believing you are immune to the virus. The government's public health messaging campaign around COVID 19, while widely received, did not attempt to cover – or counter – such claims.
[ 16th July 2021, Nigeria ]  In terms of individual strategies specifically for emergency, 50 percent sent family members to beg, 11 percent engaged in illegal income activities and 10 percent sold their assets – particularly land and house, whereas in the crisis category, 38 percent of households spent their savings and 27 percent withdrew their children from school. While reliance on these severe livelihood coping strategies  ( crisis and/or emergency )  might alleviate the brunt of food insecurity in the short term, their pervasive usage is particularly worrisome on the longer term given their negative impact on future productivity of the affected households.
[ 16th July 2021, Nigeria ]  The children ages 6  17 months were four times more likely to be acutely malnourished than older children  ( 30 – 59 months ) . The younger children are more vulnerable to shocks but also an indication of poor infant and young child feeding practices especially continued breastfeeding up to two years and poor complementary feeding. The very poor nutritional status of the inaccessible population could be attributed to data collection period  ( rainy / hunger peak )  which is characterized by food shortage, diarrhea, and poor childcare practices due to increased workload among the farming communities.