nlp-thedeep/humsetbias huggingface dataset:
[ 23rd Sept 2021, Nigeria ]  Stunting and Underweight: Chronic malnutrition  ( stunting )  is determined by comparing the height and age of the children measured. Stunting is a measure of chronic malnutrition that occurs because of inadequate nutrition over a longer period. Underweight refers to the proportion of children with low weight for age Stunting and Underweight: According to the FMS over a half of the children are stunted  ( 58.2% )  and underweight  ( 42.2% ) . The high stunting and underweight is a clear indication of a population that is chronically stressed with poor nutrition and repeated infection. Stunted children fall sick more often, miss opportunities to learn, perform less well in school and grow up to be economically disadvantaged, and more likely to suffer from chronic diseases.
[ 23rd Sept 2021, Nigeria ]  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. Other nutrition sector data sources  ( such as the ETT screening )  show that new arrivals from inaccessible areas are 5 times more likely to be acutely malnourished compared to those from accessible locations. This indicates the FMS data is highly probable and confirms the extremely poor nutritional status of the inaccessible population.
[ 23rd Sept 2021, Nigeria ]  For health services and facilities, 77 percent of the surveyed householdslacked access to functional health and nutrition services in their locations of origin, which was quite consistent in most locations with sufficient sample, notably Madagali  ( 94 percent ) , Bama  ( 93 percent ) , Damboa and Gwoza  ( 92 percent each )  and Konduga  ( 57 percent ) . Regarding the cost of access to such services in places where they are existent, 55 percent of households access for free whereas 23 percent either access for free or pay for such services. More than half  ( 65 percent )  of respondents spend more than 30 minutes to access health facilities. In  and out patient health services are mostly available in the communities of origin of interviewed households as reported by 26 percent of households.
[ 23rd Sept 2021, Nigeria ]  Children under 5 years of age were most vulnerable to illness as reported by 50 percent of the new arrivals, followed by children between five and 18 years  ( 44 percent ) . Monguno has the highest prevalence  ( 72 percent )  of under 5 years illness, followed by Nganzai  ( 70 percent ) ; while illness of older people  ( 60 years and above )  and lactating mothers are most common in Gwoza, Monguno and Tarmuwa. Fever ( 74 percent )  and cough/flu  ( 44 percent )  constitute the most common illness across the inaccessible areas of origin of the respondents.
[ 23rd Sept 2021, Nigeria ]  Food Access: Markets were either completely non functional or functioning at sub optimal levels some of the inaccessible areas as confirmed by 69 percent of the surveyed newly arrived households. More than 80 percent of households in areas with sufficient sample  ( Madagali, Bama, Damboa, Gwoza )  reported complete lack of functioning market or sub optimal functional markets in their places of origin, except for Konduga, where 53 percent of households lacked such access  ( please see digital data tables for LGA level breakdown ) .
[ 23rd Sept 2021, Nigeria ]  Conflict remains the most significant shock  ( 85 percent )  that affected IDPs' settlements of origin four to five months prior to their arrival, followed by sickness of household member  ( 49 percent )  and high food prices  ( 44 percent ) .
[ 13th Sep 2021, Adamawa ]  Food Security Needs: • The scale up of dry season farming support is urgently required to mitigate food shortages going into 2022. Shortage of farming and agricultural input impacted agricultural practices during the lean season especially in LGAs such as Hong, Shelleng, and Numan. • The scale up of emergency food assistance is needed in several LGAs, especially Fufore and Mayo Belwa, where acute shortages have been reported. There is also a need to intensify advocacy for the scale up of emergency agricultural livelihoods by the Government and partners.
[ 13th Sep 2021, BAY states ]  The recent nutrition SMART survey conducted in some LGAs in Yobe and Borno indicated a GAM level over the 15% critical threshold, due to worsening food insecurity and high prevalence of diarrhea and other morbidities. There has also been an influx of IDPs with very high levels of malnutrition. Acute funding shortages have severely impacted the response, resulting in poor overage particularly for inpatient nutrition care facilities.
[ 23rd Sept 2021, Nigeria ]  Health and WASH: The assessment of inaccessible areas collected data bordering on water, sanitation, hygiene and health services in the inaccessible areas from where the new arrivals left. About 36 percent of the interviewed individuals across the inaccessible LGAs accessed water from unsafe sources  ( surface water {river, dam, pond, etc}, rain water, unprotected spring and tanker truck ) . The highest preponderance of surface water sources was reported for Michika  ( 100 percent ) , Damboa  ( 80 percent )  and Askira/Uba  ( 79 percent ) .
[ 23rd Sept 2021, Nigeria ]  The proportion of households with severe consumption deficits  ( poor food consumption )  stood out in Bama  ( 69 percent ) , Damboa  ( 85 percent )  and Madagali  ( 62 percent ) . Regarding the diversity of diets consumed, the average daily consumption of cereals was reported at about five out of every seven days whereas all other food groups  ( pulses, vegetables, proteins, dairy, sugar, and fats )  were consumed for two days or less in every typical seven day period.
[ 23rd Sept 2021, Nigeria ]  Based on the metrics presented, HHS for inaccessible areas of BAY States was classified as CH Phase 3  ( crisis ) , albeit Bama was classified in CH Phase 5  ( catastrophe/famine )  because more than 20 percent  ( 21 percent )  of the surveyed households fell within the catastrophe/famine category. This suggests worrisome HHS trends and significant food deprivation and widespread hunger especially in the highlighted LGAs in the catastrophe/famine CH phase classification.
[ 13th Sep 2021, Adamawa ]  Needs: • With the rainy season now at its peak, flooding incidences and windstorms continue to cause significant damage to shelter facilities across camps and host communities that are also in dire need of non food item  ( NFI )  assistance.
[ 23rd Sept 2021, Nigeria ]  While the global findings were consistent in some of the areas at indicative levels, Bama, Damboa and Madagali LGA, all of which had a relatively higher level of confidence interval given their sample, showed quite concerning findings, with 88 percent, 93 percent and 92 percent of the surveyed households respectively reporting inadequate diets in their places of origin.
[ 23rd Sept 2021, Nigeria ]  Mortality: The Crude and Under five Mortality Rates were; 4.09 and 7.13 deaths/10,000/day respectively. Based on the SPHERE Humanitarian Standards handbook, both the crude and under five mortality rates were above the emergency thresholds of 1 and 2 deaths/10000/day respectively. The results indicate that the New Arrivals IDPs from inaccessible areas face a prospect of elevated mortality, approximately 3 times the average mortality rate of NE Nigeria general population.
[ 23rd Sept 2021, Nigeria ]  About 50 percent of the interviewed households indicated that it takes more than 30mins to access water, with the highest proportions of such recorded in Michika  ( 100 percent ) , Abadam  ( 75 percent ) , Gubio  ( 74 percent )  and Kukawa  ( 72 percent ) . Moreover, access to sanitary services is constrained in inaccessible areas as evidenced in majority of surveyed households  ( 99 percent )  that lacked access to improved toilet facilities. Ordinary pit latrine remained the most common toilet facility  ( 53 percent ) , closely followed by open defecation in the bush/open field which was reported in 26 percent of the interviewed households  ( please see digital data tables for further information ) .
[ 23rd Sept 2021, Nigeria ]  Household Hunger Scale  ( HHS ) : Findings from the HHS, which is a perception based measure of food deprivation and experience of hunger in the surveyed households, showed that more than four in every five households  ( 80 percent )  experienced crisis or higher levels  ( CH Phase 3 and above )  of food deprivation and hunger according to the CH analysis guidelines. Specifically, 5.9 percent and 4.9 percent of households reported emergency and catastrophe/famine levels of HHS respectively, suggesting severe consumption deficit and pervasive incidence of hunger episodes in these affected households
[ 13th Sep 2021, Adamawa ]  Protection Needs: • There is an urgent need to scale up the provision of legal counselling assistance and access to justice services in camps, host communities, and return areas in the state. The limited presence of operational partners for the Protection response in Madagali LGA, due to funding constraints, is a major gap.
[ 13th Sep 2021, BAY states ]  Both Borno and Adamawa states have officially declared cholera outbreaks, activating resource mobilization and response measures. Yobe state, despite having the largest number of suspected cases, has yet to officially declare an outbreak. This event is unfolding against the backdrop of the ongoing COVID 19 pandemic and a food insecurity and nutrition crisis. The sharp rise in cases is particularly alarming since the states do not have sufficient healthcare or emergency response capacity to absorb the potential caseload or test all potential suspected cases of cholera.
[ 13th Sep 2021, Adamawa ]  Water, Sanitation, and Hygiene Needs: • There is an urgent need for additional water point chlorinators to operate the remaining 128 water points across the state. • Lack of funding was reported across LGAs for mid term designs to improve water systems and fecal sludge management. • Urgent funding is required to sustain and scale up the ongoing response; especially chlorination, water trucking, and disinfection of water points to the cholera outbreak
[ 13th Sep 2021, Adamawa ]  Health Needs: • Although the State Government officially declared an outbreak of cholera and response activities in collaboration with partners are ongoing, limited resources remains a major challenge to sustain and scale up the response. Suspected cases are increasing in several locations indicating an urgent need to intensify the response.
[ 13th Sep 2021, Adamawa ]  Education Needs: • In preparation for the 2021/2022 academic year, the State Universal Basic Education Board  ( SUBEB )  and sector partners have emphasized the need to roll out enrollment drive campaigns across communities in all 21 LGAs of the state through the school based management committees  ( SBMCs ) . There is also an urgent need to mobilize teaching and learning materials for distribution across schools and temporary learning spaces  ( TLS ) . • The Adamawa State Government emphasized the need to increase security/protection around boarding schools to prevent the abduction of pupils by armed groups. • Flooding affected schools across Numan, Yola North, Yola South, Girei, Shelleng, Madagali LGAs, with varying levels of damage.
[ 13th Sep 2021, Adamawa ] Child Protection Sub Sector Needs: • There is a funding gap for Child Protection activities and programming in Adamawa State, impacting the delivery and implementation of critical services. • There is a need to scale up livelihood support interventions for adolescents to mitigate the risk of negative coping mechanisms that are already on the rise
[ 13th Sep 2021, Adamawa ]  Nutrition Needs: • A significant increase in the number of acute malnutrition cases was recorded in all LGAs. • Limited access to health and nutrition services was reported in formal IDP camps in the state following the suspension of UNICEF's health emergency response, due to funding shortfall. • Absence of stabilization centers/inpatient care facilities in all LGAs remains a major gap, as many children with severe acute malnutrition  ( SAM )  with medical complications are not receiving the appropriate care. • The stabilization center/inpatient care facility in Mubi South LGA is currently overwhelmed by the number of cases.
[ 13th Sep 2021, Adamawa ]  Health and WASH teams continue were deployed to affected locations to respond. Response activities were comprised of active case search/isolation and treatment of suspected cases, chlorination and disinfection of water points, desludging of latrines and the delivery of vital kits such as aqua tabs, knapsack sprayers, soaps, to households receiving sensitization messages. Lack of funding across response pillars remains a critical challenge for ongoing response and scale up plans, which is critical over the coming weeks, as the rainy season enters its peak and the risk of further spread increases.
[ 13th Sep 2021, Adamawa ]  Suspected cholera cases climb to 169, including 7 fatalities, across six local government areas  ( LGAs ) . • Six deaths reported in Fufore internally displaced persons  ( IDP )  camp as partners ramp up health response. • 100,000 people directly affected by flash floods in 15 LGAs, raising concerns of a potential surge of water borne diseases. • Partners intensify engagement with Government lead agencies to address food shortage across IDP camps
[ 13th Sep 2021, Adamawa ]  The number of suspected cholera cases continued to climb across 6 LGAs of Yola North, Yola South, Shelleng, Gombi, Girei, and Fufore, reaching 169 as of 7 September with 7 fatalities  ( 4.1 per cent case fatality rate ) . The official declaration of an outbreak by the State Government two weeks ago enabled the rapid scale up of emergency response by WASH and health partners in collaboration with state health teams. This resulted in the establishment of cholera treatment centers  ( CTCs )  in affected locations and an emergency operations center  ( EOC )  to treat cases as well as track and coordinate response.
[ 13th Sep 2021, Adamawa ]  Flash floods from heavy rains directly affected over 100,000 people across communities in 15 LGA, including the state capital of Yola, according to government emergency agencies. Varying levels of destruction to homes and property were reported with populations temporarily displaced and forced to take shelter in nearby locations until floodwaters receded.
[ 13th Sep 2021, Adamawa ]  Early Recovery Needs: • Heavy rainfall has cut off some roads and the main bridge connecting Michika and Mubi LGAs, impeding the delivery of supplies to some areas. • There is a general need to scale up livelihood support, restore productive assets and ramp up skills acquisition programmes for populations across LGAs in the state.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  Sixty nine per cent of the respondents stated that there was frequent communication on the pandemic  ( down from 72% in Round 6 ) , while 31 per cent of respondents stated that there was no sufficient communication on COVID 19. The availability of routine communication on COVID 19 was reported highest in Gombe at 84 per cent, and lowest in Taraba at 41 per cent.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  When considering levels of COVID 19 awareness in camps and camp like settings specifically, it was reported that in 42 per cent of the camps/camp like settings assessed, everyone was aware of the pandemic  ( no change since Round 6 ) . In 37 per cent  ( a increase from 36% )  of camps/camp like settings, most people were aware of the pandemic and in 18 per cent of the camps/camp like settings, about half of the population was aware of the pandemic  ( a decrease from 20% ) . In Bauchi, 80 per cent of the respondents in the camps/ camplike settings felt that everyone knew about the pandemic.
[ 13th Sep 2021, Adamawa ]  The significant spike in the number of cases is attributed to food shortages during the lean season and an increase in prevalence of diarrhea as a result of the ongoing rainy season. The planned delivery of food should have peaked at the end of September, reaching some 2.8 of the most vulnerable food insecure people. Because of funding shortages this figure is being revised downwards to 2.5 million people. Despite the gradual increase in food deliveries throughout the lean season it falls short of reaching the estimated 4.4 million people in need of food assistance. The food pipeline will be compromised by October, meaning that rations will be cut, or the number of beneficiaries reduced or both.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  COVID 19 AWARENESS: During the 7th round of the COVID 19 Situation Analysis in north east Nigeria, it was reported that Internally Displaced Persons  ( IDPs )  were aware of the ongoing pandemic in 99 per cent of locations assessed. This number remained unchanged compared to the sixth round of assessments published in June 2020.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  Similar to the sixth round of assessments, awareness campaigns were reported as the most common source of information on COVID 19 during Round 7  ( reported in 36% of locations – a decrease from 38% in Round 6 ) . Awareness campaigns were followed by news outlets, reported in 34 per cent of locations  ( increased from 32% in Round 6 )  and word of mouth, reported in 29 per cent of locations  ( no change since Round 6 ) . When comparing the reach of awareness campaigns per state, they have been proven the most effective in the states Borno and Yobe where they were reported as the most common mean of information in respectively 50 per cent and 42 per cent of locations. However, in the state of Adamawa, awareness campaigns were reported as the most common source of information in only 19 per cent of the locations assessed, behind news outlets  ( 54% )  and word of mouth  ( 27% ) .
[ 1st Jan  1st Jun 2021, Nigeria ] The return patterns of those previously displaced are causing an influx in new arrivals to already overstretched host communities. There are few employment opportunities in this fragile local economy, worsened by the impact of COVID 19. The needs of people continue to rise, especially in return areas where newcomers are finding refuge, which has resulted in increased tensions between members of the host communities who are already under resourced and new arrivals who require more resources that do not exist or are extremely limited in these host populations.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  In locations where IDPs were living among host communities, respondents in 39 per cent  ( an increase from 35% )  of the locations assessed felt that everyone knew about the pandemic. In 43 per cent of the locations  ( a decrease from 45% ) , it was perceived that most inhabitants knew about COVID 19, and in 14 per cent of the locations, about half of the population was aware of the pandemic  ( a decrease from 16% ) . In the state Taraba, the perception that most inhabitants knew about the coronavirus pandemic was the highest at 49 per cent, followed by Yobe and Adamawa, at 48 per cent and 46 per cent respectively. The perception that everyone knew about the pandemic was highest in Bauchi as reported in 63 per cent of the locations assessed.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  MITIGATION MEASURES AND PREPAREDNESS: As living conditions in locations of displacement are often cramped, mitigation measures to prevent the spread of COVID 19 are highly necessary. However, in 73 per cent of the locations assessed in both camps/ camp like settings and host communities, respondents reported that no specific mitigation measures have been put in place  ( an increase from 72% in Round 6 ) . Adamawa and Borno were the states best protected against the virus with mitigation measures set up in respectively 43 and 33 per cent of the locations assessed. In Gombe, mitigation measures were established in only 9 per cent of the locations assessed.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  When considering camps and camp like setting specifically, the establishment of mitigation measures was reported in 46 per cent of the sites  ( no change since Round 6 ) . Camps and camp like settings in the states of Borno and Adamawa were best prepared to handle the pandemic with mitigation measures installed in 50 per cent and 45 per cent of the sites, respectively. Camps and camp like settings in the state of Yobe were the least prepared to handle the pandemic as mitigation measures were established in only 15 per cent of the locations assessed.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  EVICTION THREATS /ACCESS TO SERVICES: A small minority or 8 per cent of respondents  ( no change since Round 6 )  reported an increase in evictions or eviction threats since the start of the pandemic in March 2020. Ninety two per cent of respondents did not experience an increase of evictions or suchlike threats. In the states of Bauchi and Taraba, only 1 per cent of respondents reported an increase in eviction threats while in Adamawa, 18 per cent of respondents reported an increase in evictions or eviction threats, being the highest of all 6 states in north east Nigeria.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  Twenty seven per cent of respondents  ( down from 32% in the sixth round of assessment )  reported that access to services  ( including food, markets, WASH, health, education, protection, water trucking, etc. )  was disrupted because of the pandemic. From the 27 per cent of affected services, 14 per cent were located on the site of assessment while 13 per cent were located off the site of assessment.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  States where access to services was least affected by the pandemic were Bauchi, Taraba and Gombe where respondents in respectively 88 per cent, 80 per cent and 75 per cent of the locations stated that no access to services had been disrupted due to the COVID 19 outbreak. To the contrary, Adamawa had the highest number of respondents reporting that access to services had been affected by the pandemic at 37 per cent, followed by Yobe at 33 per cent and Borno at 27 per cent.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  When comparing the disruption of access to services between respondents living in camps/camp like settings and respondent living in host communities, the consequences of the COVID 19 outbreak affected the access to services in of both types of IDPs in similar ways. Twenty seven per cent  ( decreased from 31% )  of respondents in camps and camp like settings reported their access to services disrupted due to the pandemic. Similarly, 27 per cent  ( decreased from 32% )  of respondents living among host communities reported their access to services disrupted due to the pandemic. The consistent decrease in service disruption throughout the last rounds could be explained by the efforts to restore the access to services by the Government and the humanitarian community.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  ACCESS TO HANDWASHING STATIONS: The availability of handwashing stations is an important determinant of whether communities are equipped with basic hygienic facilities to prevent the spread of COVID 19. During the 7th round of assessments, in 80 per cent of the locations assessed  ( an increase from 77% ) , respondents reported that no handwashing station filled with water and soap was available on site.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  However, in 37 per cent of the locations assessed  ( both camps/camp like settings and host communities ) , most people had access to handwashing stations with soap and water  ( a decrease from 40% )  while in 27 per cent of locations, about half of the people had access to water and soap  ( an increase from 24% ) . In 16 per cent of the locations, only a few people had access  ( similar to Round 6 )  and in 17 per cent of the locations, everyone had access to handwashing stations filled with water and soap  ( an increase from 16% ) . Only in 3 per cent of the locations assessed, respondents stated that nobody in their community had access to water and soap  ( similar to Round 6 ) .
[ 21st Jun   27th Jul 2021, North East Nigeria ]  In Taraba, only 7 per cent of respondents reported that everyone in their location had access to water and soap, while in Adamawa 33 per cent of respondents reported that everyone in their location had access to water and soap. In Yobe, 9 per cent of respondents reported that nobody in the locations assessed had access to water and soap.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  VACCINE AWARENESS AND VACCINATION PREPAREDNESS: Eighty seven per cent of IDPs stated that they have heard about vaccines against COVID 19  ( a decrease from 94% in Round 6 ) . The highest rate of vaccine awareness was recorded in the state of Gombe where 91 per cent of respondents said to have heard about vaccines against COVID 19. Off the respondents that indicated that they did hear about vaccines, 36 per cent mentioned that they knew about vaccines through friends or family. Twenty eight per cent were informed about vaccines by government officials and 11 per cent were told by community leaders. Other sources of information on vaccines mentioned by the respondents were medical personnel  ( 10% ) , NGOs or INGOs  ( 7% ) , religious leaders  ( 3% ) , other IDPs  ( 3% )  and camp management  ( 2% ) .
[ 21st Jun   27th Jul 2021, North East Nigeria ]  Fifty eight per cent of respondents stated that they did not dispose of sufficient information on COVID 19 and the vaccines to be able to make an informed decision on whether to get vaccinated or not  ( increased from 50% in Round 6 ) . In the states of Bauchi and Gombe, this number surged at 70 per cent. On the contrary, in the state of Borno, 51 per cent of the respondents indicated that they did have sufficient information to be able to make an informed decision on whether to get vaccinated or not.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  From the respondents who felt sufficiently informed, 43 per cent indicated that they would not get vaccinated, even if the vaccine was available and free. Forty per cent of respondents stated that they would get vaccinated and 17 per cent of respondents were still undecided. In Adamawa, a high of 53 per cent of the respondents indicated that they would not get vaccinated. To the contrary, Bauchi was the state where the highest percentage of respondents indicated that they would get vaccinated at 62 per cent.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  Thirty seven per cent of the respondents that indicated that they would not get vaccinated mentioned that they were confused by the conflicting information on vaccines. Another 37 per cent mentioned that they did not trust the vaccines and were worried about the side effects and 16 per cent of respondents stated that they wanted more information to be able to make an informed decision.
[ 21st Jun   27th Jul 2021, North East Nigeria ]  As for the respondents that indicated that they would get vaccinated, 77 per cent mentioned that they believe that vaccination is the best way to combat the pandemic. Another 20 per cent said that they would get the vaccine to not have to follow the restrictions any longer  ( social distancing, quarantining, wearing a mask ) . Three per cent mentioned underlying health conditions as the primary reason to get vaccinated.
[ 30th Aug   5th Sept 2021, Nigeria ]  Cumulative Epi Summary: As at 5 th September 2021, a total of 69,925 suspected cases including 2,323 deaths  ( CFR 3.3% )  have been reported from 25 states and FCT in 2021. Of the suspected cases since the beginning of the year, age group 5   14 years is the most affected age group for both male and female. Of all suspected cases, 50% are males and 50% are females. Three states of Bauchi  ( 18,132 cases ) , Kano  ( 10,187 cases )  and Jigawa  ( 8,911 cases )  account for 53% of all cumulative cases. 9 LGAs across 4 states  ( Bauchi 3, Jigawa 2, Zamfara 2, Kano 1 and Katsina 1 )  have reported more than 1,000 cases each.
[ 30th Aug   5th Sept 2021, Nigeria ]  Twenty five states and FCT have reported suspected cholera cases in 2021. These are Adamawa, Bauchi, Bayelsa, Benue, Borno, Cross River, Delta, Ekiti, Enugu, FCT, Gombe, Jigawa, Kaduna, Kano, Katsina, Kebbi, Kogi, Kwara, Nasarawa, Niger, Osun, Plateau, Sokoto, Taraba, Yobe, and Zamfara. In the reporting week, 12 states reported 1,677 suspected cases   Bauchi  ( 566 ) , Katsina  ( 282 ) , Sokoto  ( 258 ) , Yobe  ( 183 ) , Borno  ( 179 ) , Niger  ( 94 ) , Kaduna  ( 66 ) , Adamawa  ( 34 ) , Gombe  ( 8 ) , Kano  ( 4 ) , Kebbi  ( 2 ) , and Nasarawa  ( 1 ) . There was a 58% decrease in the number of new suspected cases in week 35  ( 1,667 )  compared with week 34  ( 3,992 ) .
[ 30th Aug   5th Sept 2021, Nigeria ]  Bauchi  ( 566 ) , Katsina  ( 282 )  and Sokoto  ( 258 )  account for 66.3% of 1,667 suspected cases reported in week 35. During the reporting week, 195 Cholera Rapid Diagnostic Tests were conducted. RDT tests conducted were from Borno  ( 179, results pending ) , Kaduna  ( 8, 4 positive )  and Adamawa  ( 8, 6 positive ) . A total of 12 Culture tests were conducted in Adamawa  ( 8, 4 positive )  and Kaduna  ( 4, 4 positive ) . Of the cases reported, there were 46 deaths from Borno  ( 13 ) , Sokoto  ( 12 ) , Katsina  ( 8 ) , Bauchi  ( 6 ) , Niger  ( 3 ) , Kaduna  ( 2 ) , Adamawa  ( 1 )  and Kano  ( 1 )  states with a weekly case fatality ratio  ( CFR )  of 2.7%. Two new states  ( Osun and Ekiti )  reported cases though with dates of onset in weeks prior to week 35. The national multi sectoral EOC activated at level 02 continues to coordinate the national response.
[ 1st Jan  1st Jun 2021,Nigeria ] The Sector is facing challenges that are impacting the delivery of nutrition services, especially remote management in hard to reach/ high risk locations due to a major drop in donor funding for this component of the response. Nutrition services across hard  to reach/ high risk areas have either been suspended or are not being tracked or monitored. This suspension of services has reduced the treatment coverage of severe acute malnutrition by approximately 20 per cent, with possibly 20,000 severely malnourished children not able to access life saving support and services
[ 1st Aug 2021, North east Nigeria ] Measles Outbreak: Within the recent weeks, there has been a continuous decline in the number of measles cases reported in the LGAs  ( cases peaked at week 20, where over 700 cases were reported ) . This week, no new measles case was laboratory confirmed. So far, a total of 13,229 suspected measles cases have been reported in Borno state  ( 134 Lab confirmed cases )  with 119 associated deaths  ( CFR:0.89% ) . The State and LGA teams have conducted measles reactive vaccinations in most of the affected locations.
[ 1st Jan  1st Jun 2021, Borno ] Nutrition sector partners are also facing logistical and security challenges hindering plans to resume services in Dikwa and Damasak towns of Borno State where an upsurge of violence prompted a temporary reduction in the humanitarian footprint towards the end of the first quarter of 2021. The lack of safe storage facilities for nutrition supplies and inadequate health personnel are other challenges in the two locations, impacting efforts to preposition vital nutrition supplies ahead of the rainy season
[ 27th Aug 2021, Nigeria ]  Other areas with relatively low access to land include Damboa  ( 41.7 percent ) , Dikwa  ( 46.7 percent ) , Jere  ( 45.5 percent )  and Mobar  ( 50 percent ) . However, across most of the areas, the amount of land cultivated remains minimal with most households  ( 73.2 percent )  reporting 0.5 to 1 hectare of land being available for cultivation. Despite these challenges highlighted, farming continues to remain the mainstay for food availability in households with arable land access as 89.1 percent of such households were engaged in farming during the month that preceded their departure from places of origin.
[ 27th Aug 2021, Nigeria ]  Increased wave of insurgency has cut off major trade routes creating a serious clog in the supply of staple food and essential non food items. This has contributed to the abnormal rise in staple prices since the inception of COVID 19 induced economic impacts. As a result, thousands of farming households continue to flee their homes to seek shelter in internally displaced camps and host communities.
[ 1st Aug 2021, North east Nigeria ] Acute respiratory infection: In Epi week 35, 8,191 cases of acute respiratory infection were reported through EWARS. Of the reported cases, 433 were from FHI360 Clinic Banki, 293 were from Ngaranam PHC in MMC, 278 were from ICRC FSP Clinic in Monguno, 206 were from Damboa MCH, 196 were from ACF NRC IDP Camp Clinic in Monguno, 193 were from UNICEF WaterBoard IDP Camp Clinic in Monguno and 189 were from PUI WaterBoard IDP camp clinic in Monguno. One  ( 1 )  associated death was reported from Gwange 3 PHC  ( MSF F )  in MMC.
[ 27th Aug 2021, Nigeria ]  Malnutrition: Global Acute Malnutrition  ( GAM ) : According to the FMS findings, the levels of acute malnutrition among new arrivals from inaccessible areas is Critical  ( Phase 4 IPC Acute Malnutrition Classification )  The overall Global Acute Malnutrition  ( GAM )  rates were 20.0% and Severe Acute Malnutrition  ( SAM )  at 6.2%. The high levels of acute malnutrition indicate an extremely stressed population including food insecurity, poor sanitation and hygiene and health conditions, the key underlying causes of acute malnutrition.
BORNO STATE: Of the total targeted 31,608 persons for the Moderna 1st doses vaccination 26,848 persons have so far been vaccinated which account for 85% Coverage  ( Male   16,951 and Female   9,897 ) . A total of 21 non serious AEFI were also reported across 4 LGAs  ( Maiduguri 8, Gwoza 7, Biu 3 and Shani 3 )  as at day 23 of the Moderna 1st dose vaccination. Of the total 10,320 doses of AstraZeneca Vaccine for the 2nd Phase Vaccination, a total of 3,415 persons came for their 1st dose while 2,384 persons came for their 2nd dose vaccination  ( i.e. )  a total of 5,799 persons have so far been vaccinated during the 2nd phase vaccination with AstraZeneca Vaccines. A single AEFI with AstraZeneca 2nd dose vaccine was reported from Maiduguri LGA as well.
[ 1st Aug 2021, North east Nigeria ] Suspected Measles: One Hundred and Sixty nine  ( 169 )  suspected measles cases were reported through EWARS. Of the reported cases, 92 were from Gwange 3 PHC  ( MSF F )  in MMC, 10 cases each from Damboa Town dispensary and GSSSS IDP Camp INTERSOS Health Facility in Bama, 7 were from 1000 Housing Estate Health Clinic in Konduga, 6 were from Dalaram PHC in Jere and 4 cases each from Nana Kashim Premier PHC in MMC, Ngaranam PHC in MMC, Njimtilo Health Clinic in Konduga, PUI Baga Road PHCC in MMC and State Specialist Hospital in MMC. Ten  ( 10 )  additional suspected measles cases were reported through IDSR* from Bama  ( 3 ) , Biu  ( 1 ) , Gwoza  ( 1 )  and Jere  ( 5 )  LGAs making a total of 179 suspected measles cases. No associated death was reported.
BORNO STATE: Also recall that during the 1st phase vaccination, a total of 40,438 came for 1st dose and 23,763 came for 2nd dose. Therefore, the cumulative 1st dose AstraZeneca is  ( 40,438 + 2,384 = 43,853 persons )  and cumulative 2nd dose is  ( 23,763+5,799 = 26,147persons )  which thus account for 59.6% Fully vaccinated with AstraZeneca Vaccines
[ 27th Aug 2021, Nigeria ]  Other nutrition sector data sources  ( such as the ETT screening )  show that new arrivals from inaccessible areas are 5times more likely to be acutely malnourished compared to those from accessible locations. This indicates the FMS data is highly probable and confirms the extremely poor nutritional status of the inaccessible population.
[ 27th Aug 2021, Nigeria ]  However, most of these farmers that have expressed perception to cultivate might not be able to harvest all their produce due to insurgency. Some might abandon their crops on the field while others might have to share their harvest with the insurgents. Consequently, the identified shocks, food security and nutrition outcomes have continued to deteriorate.
YOBE STATE: Of the total targeted 38,895 persons for the AstraZeneca vaccination for first dose 30,987 persons have so far been vaccinated which account for 80% Coverage  ( Male   21,348 and Female   9,639 ) . A total of 576 non serious AEFI were also reported across all LGAs while two serious AEFI were reported from Bade and Tarmua LGAs. For Moderna vaccination, Yobe state have recorded a total of 19,572 vaccinated individuals across the 17 LGAs. This is to say that Moderna has covered 39% of 1st dose fully vaccinated population in the state.
[ 1st Aug 2021, North east Nigeria ] Suspected cholera: Thirty two  ( 32 )  suspected cholera cases were reported through EWARS from Gwange 3 PHC  ( MSF F )  in MMC  ( 16 ) , Azare General Hospital in Hawul  ( 6 ) , Ngamdu PHC in Kaga  ( 6 ) , Askira General Hospital  ( 3 )  and Umaru Shehu Hospital  ( 1 ) . One Hundred and Twenty six  ( 126 )  additional suspected cholera cases were reported through IDSR from Biu  ( 24 ) , Damboa  ( 15 ) , Gwoza  ( 64 ) , Jere  ( 22 )  and Magumeri  ( 1 )  LGAs making a total of Five Hundred and Seventeen  ( 517 )  suspected cholera cases. Three  ( 3 )  associated deaths were reported through EWARS from Ngamdu PHC in Kaga  ( 2 )  and Askira General Hospital  ( 1 ) .
ADAMAWA STATE: Of the total 50,022 doses received for the Moderna 1st doses vaccination 33,192 persons have so far been vaccinated  ( Male   20,691 and Female   12,501 ) . A total of 106 non serious AEFI were also reported across 11 LGAs  ( Demsa 4, Fufore 1, Ganye 6, Gombi 15, Jada 9, Maiha 3, Mayo Belwa 42, Michika 1, Shelleng 3 )  as at 17 9 2021 of the Moderna 1st dose vaccination.
[ 1st Jan  1st Jun 2021, BAY states ] The humanitarian crisis in the Bay States remains one of the largest in the world today. At the peak of the crisis in 2017, over 2.2 million people were displaced in the BAY states and 303,963 Nigerian refugees are in neighbouring countries Cameroon  ( 115,695 ) , Chad  ( 16,294 )  and Niger  ( 171,974 ) . The situation is also very dynamic with an estimated 1.9 million currently displaced in the worst affected states of Borno, Adamawa and Yobe. In addition, an estimated 1.6 million displaced people have returned to relatively safe areas in Bay States with limited basic services and livelihood opportunities
[ 1st Jan  1st Jun 2021,Nigeria ] IDPs who are living in camps that do not meet the minimum requirements for living conditions and vulnerable people residing in host communities are in critical need of shelter and NFI assistance and remain top priorities for the Sector. Emergency shelter assistance remains crucial in ensuring the safety, privacy, dignity, and protection of people, including from different forms of violence and also against harsh weather conditions.
[ 1st Jan  1st Jun 2021, Borno ] In June, the Nutrition sector released the “Borno Sentinel Surveillance Alert' report indicating serious deterioration of the nutrition situation of displaced and affected populations across 15 of the 23 accessible local government areas  ( LGAs )  of Borno State. Based on the findings of the report, the Sector and partners collaborated with others including WASH, Health and Food Security and Livelihoods to develop a response plan for the worst affected locations which are witnessing a surge of severe acute malnutrition  ( SAM )  and measles cases.
[ 1st Jan  1st Jun 2021, BAY states ] The number of acutely food insecure people has increased, pushing people to the brink of catastrophic food insecurity. There is a significant increase in communities that are food insecure this year when compared to the 2020 peak of the lean season. About 775,000 people will face emergency levels of food insecurity, according to the Cadre Harmonisé Phase 4 report. during the current 2021 lean season, which is an 84% and 16% increase compared to 2019 and 2020 figures respectively. This is the highest number of food insecure people in the BAY states since March 2017.
[ 1st Jan  1st Jun 2021, BAY states ] Ongoing sector support to enable affected populations across BAY states to access basic services and re establish sustainable livelihoods remain a challenge due to the deteriorating security context. More and more people are losing their productive assets and sources of income, reducing their buying power, making it difficult for them to meet their basic needs, leading to an increasing dependence on humanitarian assistance.
[ 1st Jan  1st Jun 2021, Borno ] The conflict continues to hamper the movement of health workers and patients as well as the supply of drugs and other vital commodities, further shrinking the operational space with a considerable number of affected and vulnerable populations unable to access critical health services. Multiple disease outbreaks have been recorded including cholera, meningitis, measles, and a high number of malaria cases which is the leading cause of morbidity and mortality in the north east region. Acute watery diarrhea  ( AWD ) , malnutrition, meningitis, measles  ( which has been reported across 20 Borno LGAs with 7,982 cases and 91 deaths as of end of June ) , and COVID 19 have also been of great concern with the latest Delta variant prompting a third wave in the country
[ 1st Jan  1st Jun 2021, BAY states ] Recent attacks targeting education facilities across several local government areas  ( LGAs )  in the BAY states have impeded or completely stopped children's access to educational services. In areas most affected by insurgents' attacks, teachers are reluctant to return to educational facilities putting more than 200, 000 children at risk of being cut off from education services
[ 1st Jan  1st Jun 2021, BAY states ] Food prices have continued to increase, resulting in the decrease of the purchasing power of households, reducing their ability to access food. The situation is even more critical in unreached areas in the north east, where the June Inaccessible Areas Famine Monitoring System Bulletin indicated worrying food security and nutrition situation with populations from four Local Government Areas  ( LGAs )  of Kukawa, Magumeri, Gwoza and Bama highlighted as being at a high risk of famine
[ 1st Jan  1st Jun 2021, BAY states ]  The ongoing conflict has resulted in a serious protection crisis with continued violations of international humanitarian and human rights law, violations of the rights of children, abduction, rape, arbitrary killings, gender based violence, and the collapse of traditional coping mechanisms. About 80% of people in need of humanitarian assistance across the Borno, Adamawa and Yobe states are women and children. Women and children are disproportionately affected by the Covid 19 pandemic and gender inequalities have been reinforced over the past few months.
[ 27th Aug 2021, Nigeria ]  Stunting and Underweight: Stunting and Underweight: According to the FMS over a third of the children are stunted  ( 38.3% )  and underweight  ( 33.9% ) . The high stunting an underweight is a clear indication of a population that is chronically stressed with poor nutrition and repeated infection. Stunted children fall sick more often, miss opportunities to learn, perform less well in school and grow up to be economically disadvantaged, and more likely to suffer from chronic diseases.
[ 1st Aug 2021, North east Nigeria ] Malnutrition: 2,250 cases of severe acute malnutrition were reported through EWARS in week 35. Of the reported cases, 85 were from Ngaranam PHC in MMC, 69 cases each from AAH Waterboard Extension IDP Camp Clinic and ICRC FSP Clinic both in Monguno, 65 were from AAH Water Board IDP Camp Clinic in Monguno, 60 cases each from Gwange 3 PHC  ( MSF F )  in MMC, ISS IDP Camp Clinic in Ngala and Kurbagayi MCH in Kwaya Kusar, 56 were from Gajiram FSP in Nganzai and 54 were from AAH GDSS IDP Camp Clinic in Monguno. Five  ( 5 )  associated deaths were reported from Gwange 3 PHC  ( MSF F )  in MMC
[ 1st Jan  1st Jun 2021, BAY states ] However, 8.7 million people in the BAY states need humanitarian assistance in 2021, requiring a total of US$ 1.01 billion. The ongoing conflict continues to be the main driver of humanitarian needs in north east Nigeria with the following challenges: • Deteriorating security situation and shrinking humanitarian space • Increasing humanitarian needs and declining funding • Security and access challenges • Increasing food insecurity and risk of catastrophic food insecurity if preventive measures are not scaled up and enhanced especially during the lean season. An estimated 4.4 million people need urgent humanitarian assistance with almost 800,000 in need of immediate assistance. • Returns to insecure areas beyond the reach of humanitarian partners • Challenges of implementing principled humanitarian response in a counter terrorism eco system. • Efficiency and effectiveness of humanitarian response in this environment • Critical gender/protection issues exacerbated by all of the above
[ 16th  22nd Aug 2021, Nigeria ]  As at 27th August 2021, a total of 58,698 suspected cases including 2,035 deaths  ( CFR 3.5% )  have been reported from 23 states and FCT in 2021. There was a 44% decrease in the number of new suspected cases in week 33  ( 3098 )  compared with week 32  ( 5476 )
[ 27th Aug 2021, Nigeria ]  Household Hunger Scale  ( HHS ) : Findings from the HHS, which is a perception based measure of food deprivation and experience of hunger in the surveyed households, showed that more than four in every five households  ( 83 percent )  experienced crisis or higher levels  ( CH Phase 3 and above )  of food deprivation and hunger according to the CH analysis guidelines. Specifically, 7.2 percent and 7.5 percent of households reported emergency and catastrophe/famine levels of HHS respectively, suggesting severe consumption deficit and pervasive incidence of hunger episodes in these affected households.
[ 27th Aug 2021, Nigeria ]  Based on the metrics presented, HHS for inaccessible areas of BAY States was classified as CH Phase 3  ( crisis ) , albeit Bama  ( 27 percent )  and Dikwa  ( 20 percent )  were classified in CH Phase 5  ( catastrophe/famine )  because more than 20 percent of the surveyed households fell within the catastrophe/famine category. This suggests worrisome HHS trends and significant food deprivation and widespread hunger especially in the highlighted LGAs in the catastrophe/famine CH phase classification.
[ 1st Aug 2021, North east Nigeria ] COVID 19 Pandemic: Two  ( 2 )  new cases of COVID 19 were reported. So far, One Thousand Three Hundred and Forty six  ( 1,346 )  confirmed cases of COVID 19 with 38 associated deaths  ( CFR: 2.82% )  have been reported in Borno State as at 12th September, 2021, 257 from Jere, 947 from MMC, 16 from Gwoza, 3 from Damboa, 14 from Bayo, 73 from Konduga, 1 from Gubio, 1 from Kaga, 1 from Dikwa, 2 from Mafa, 1 from Mobbar, 1 from Monguno, 2 from Nganzai, 2 from Shani, 7 from Hawul, 6 from Ngala and 12 from Biu LGAs. Response activities such as vaccinations, active case search, risk communication, Infection, Prevention and Control  ( IPC ) , case management and contact tracing are ongoing in all affected locations. State level coordination meetings are held with SMOH and partners at the Public Health Emergency Operations Centre  ( PHEOC )  in Maiduguri via Zoom to oversee the outbreak
[ 27th Aug 2021, Nigeria ]  In terms of individual strategies specifically for emergency, 40 percent sent family members to beg, 8 percent engaged in illegal income activities and 8 percent sold their assets – particularly land and house, whereas in the crisis category, 36 percent of households spent their savings and 26 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.