nlp-thedeep/humsetbias huggingface dataset:
[ 27th Aug 2021, Nigeria ]  Detailed analysis among arrival population with good quality and adequate sample size showed Extremely Critical  ( Phase 5 )  GAM rates in Magumeri while Bama, Gwoza, Konduga and Kukawa are almost in the Extremely Critical  ( Phase 5 ) . Among inaccessible population in Bama LGA, the rates of severe acute malnutrition  ( 18.1% )  indicated recent and extreme population stresses e.g. food shortage or disease outbreak.
[ 1st Aug 2021, North east Nigeria ] Cholera Outbreak: Borno state government officially declared the outbreak of cholera on August 31st, 2021 and thereby called on all stakeholders and partners to support the State in stop the transmission. As at 14th September 2021, a total of One Thousand Two Hundred and Twenty four  ( 1,224 )  suspected cholera cases have been line listed with seventy two  ( 72 )  associated deaths  ( CFR:5.8% ) . The Public Health Emergency Operations Centre is coordinating the response with all pillars on board.
[ 27th Aug 2021, Nigeria ]  Food Access: Markets were either completely non functional as confirmed by 64.9 percent of the surveyed newly arrived households, or functioning at sub optimal levels some of the inaccessible areas. Areas with higher preponderance of households reporting non functionality of market are Michika and Chibok  ( 100 percent ) , Hong  ( 90.9 percent ) , Askir/Uba  ( 92.3 percent )  that markets were non functional in their places of origin, most notably Magali  ( 90 percent ) , Askira Uba  ( 86 percent ) , and Damboa  ( 91.7 percent ) . Although 81.4 percent of the households from inaccessible areas said they had access to market in the last three months, however, 13.2 percent and 10 percent of them were constrained by insecurity and lack of money, respectively; while 4 percent said the markets were closed.
[ 27th Aug 2021, Nigeria ]  All the respondents  ( 100 percent )  from Kaga said their access to market is mainly constrained by insecurity. Households from inaccessible areas acknowledged small moderate  ( 21.3 percent )  to significant increase  ( 25.1 percent )  in prices of food commodities. Access to food would also be challenged by significant increase  ( 25.1 percent )  in prices of staple food commodities. Specifically, for access to major cereals, the main sources reported were own harvest  ( 21.2 percent ) , market purchase  ( 16.9 percent )  and labour exchange for food  ( 13.2 percent ) . Fishing and hunting are resorted to by 10.9 percent while gathering and wild food foraging is applied by 12.4 percent. The pervasive use of extreme coping measures such as wild food foraging and begging remains concerning as this accounts for the source of cereals for about 19 percent of the households.
[ 27th Aug 2021, Nigeria ]  The proportion of households with severe consumption deficits  ( poor food consumption )  stood out in Bama  ( 72 percent )  and Damboa  ( 67 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. The extremely limited diversity of diets in these inaccessible areas is indicative of significant macro and micronutrients deficiency, which would continue to have an implication for the health, wellbeing and economic productivity of the people trapped in these areas.
[ 26th Sept 2021, Borno State ]  The total number of suspected cholera cases reported as at 26th September 2021 stands at 1,681 with 96 associated deaths,  ( CFR – 5.7% ) . 970 cases from Gwoza, 114 from Damboa, 220 from Hawul, 7 from Magumeri, 56 from Kaga, 24 from MMC, 203 from Jere and 11 from Askira Uba LGAs.
[ 27th Aug 2021, Nigeria ]  More than half  ( 51 percent )  of respondents spend between 30mins and 1 hours to access near health facilities. Yet it takes as much as one to four hours for 18 percent of households. In  and out patient health services are mostly available in the communities of origin of interviewed households as reported by 29 percent of households. Community outreach health services was confirmed by 6 percent while nutrition services was acknowledged by another 6 percent of the interviewed households. There is serious lack of or only skeletal community health services in places like Gwoza, Jere, Nganzai, Geidam and several other areas.
[ 27th Aug 2021, Nigeria ]  Illness of household members is prevalent as confirmed by 82 percent of the surveyed households. Children under 5 years of age were most vulnerable to illness as reported by 56 percent of the new arrivals, followed by children between five and 18 years  ( 51 percent ) . Askira/Uba has the highest prevalence  ( 77 percent )  of under 5 years illness, followed by Chibok  ( 72 percent ) ; while illness of older people  ( 60 years and above )  and lactating mothers are most common in Tarmuwa  ( 50 percent )  and Monguno  ( 67 percent ) . Fever  ( 81 percent )  and cough/flu  ( 50 percent )  constitute the most common illness across the inaccessible areas of origin of the respondents.
[ 27th Aug 2021, Nigeria ]  High famine risk areas – Bama, Gwoza, Magumeri and Kukawa – should continue to be monitored closely considering elevated levels of food consumption gaps, malnutrition and extensive/unsustainable usage of emergency coping strategies, largely underscored by limited availability of food stocks, restricted access to functional markets and health services;
[ 27th Aug 2021, Nigeria ]  In this given context of the rCSI, households in inaccessible areas adopted multiple alimentary based coping strategies such as reliance on less preferred or less expensive food, reduction in the number of meals or portion size for an average of three days out of a typical seven day period. The frequency of adoption of these strategies was relatively higher in Bama where households typically adopt such strategies for almost five out of seven days for all food based coping strategies except for the category: “borrow food or reliance on help from friends and relatives'  ( 3.3 days )  which suggests limited access to this coping measure and invariably widespread vulnerability in this location. The pervasive use of food based coping strategies such as reduction in the number of meals and portion size has implication on nutrition, if protracted and unabated.
[ 27th Aug 2021, Nigeria ]  The children ages 6  17 months were three 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.
[ 27th Aug 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.
[ 27th Aug 2021, Nigeria ]  Hazards and Vulnerabilities: Protracted armed violence by non state armed groups  ( NSAG )  has forced hundreds of thousands of farming households out of their homes, seeking refuge in internally displaced camps, and host communities perceived to be safer. Livelihoods of many households have broken down, rendering them food insecure with high levels of severe acute and chronic malnutrition; while armed conflict has also disrupted trade and market functionality, food commodity flow and terminated other income generating activities.
[ 27th Aug 2021, Nigeria ]  Just over a third  ( 37 percent )  of respondents from the ongoing FMS assessments confirmed that some previously internally displaced persons  ( IDPs )  have been returning to their communities of origin in the past 3 4 months while 63 percent have not witnessed any returning IDPs. This confirms that the underlying drivers of displacement are yet to be resolved, and people do not feel safe/secure to return to their communities of origin. Indeed conflict and/or insecurity was considered the most significant shock  ( 82 percent )  that affected IDPs' settlements of origin 3 4 months prior to their departure, followed by sickness of household member  ( 51 percent )  and high food prices  ( 44 percent )  –
[ 27th Aug 2021, Nigeria ]  Despite the majority having access to farmland  ( 72.1 percent ) , the average size of the farmland reportedly available was predominantly less than one hectare  ( 73.2 percent ) . Moreover, more than 65.6 percent households had no food stocks left in their households before fleeing their homes, while 48.9 percent of those left behind are projected to cultivate mostly cereals and legumes  ( maize 52.3 percent, millet 44.4 percent, cowpea 53.3 percent and groundnut 42.3 percent )  during this year's wet season.
[ 27th Aug 2021, Nigeria ]  Food Availability: Among the surveyed households  ( 65.6 percent )  in most the inaccessible LGAs reported not having stock of foods from last season's harvest. Most of these households that do not have any food stock left at the time of departure are largely located in Marfa  ( 92.3 percent ) , Chibok  ( 88.9 percent )  and Bama  ( 83.5 percent ) . Bulk of the households that have food stock left said it could only last for less than 3 months  ( 57 percent ) . This suggests severe food deficit in the inaccessible areas, particularly during the lean season period. Generally, access to land for farming was as high as 100 percent in Michika  ( Adamawa )  and Tarmua  ( Yobe ) ; places like Kaga and Kala balge of Borno no access at all  ( 0 percent ) .
ADAMAWA STATE: Of the total 6,440 doses of AstraZeneca Vaccine for the 2nd Phase Vaccination, a total of 2,713 persons came for their 1st dose while 3,837 persons came for their 2nd dose vaccination i.e. a total of 5,897persons have so far been vaccinated during the 2nd phase vaccination with AstraZeneca Vaccines. One AEFI was reported from Michika during the 1st dose vaccination; a total of 7 non serious AEFI were also reported across 2 LGAs  ( Lamurde 6, Mayo Belwa 1 )  as at 18 9 2021 of the Moderna 2nd dose vaccination
[ 26th Sept 2021, Borno State ]  Konduga:  ( IRC, CRS, IOM, Malteser International ) : UNICEF plans to commence the drilling of an upper aquifer solar powered borehole in community hosting IDPs behind Dalori Quarters. IOM HPCVS/WASHCOMS carried out Hygiene Promotion Sessions and Cleaning campaign reaching 13104 persons. IRC Supplied 1,450,000 liters of safe water with routine chlorination of 11 boreholes and 6 hand pumps at boarding primary school IDP camp and 245,000 liters of water at Yandarari Kura/Gana host communities. Rehabilitation of 6 blocks of latrine and 6 blocks of bathroom and Disinfected 40 blocks of latrine at boarding primary IDP camp Konduga was completed. IRC reached 1,115 individuals with hygiene promotion messaging through home visits. Area cleaning campaign conducted by IRC trained Community volunteers reaching 1,778 individuals at boarding primary IDP camp, Yandarari Gana, Moshamari and Yandarari Kura.
[ 26th Sept 2021, Borno State ]  WASH: MMC : ( GGSI, SI, AAH, NRC, CIDAR, IOM ) : 75 hygiene promoters and 18 health workers were trained on water chlorination and disinfection. SI distributed a total of 298 hygiene and dignity kits at Bolori 2 ward. 37,218 people were reached with specific hygiene promotion messages on cholera and COVID19 prevention and mitigation measures across IDP Camps and host communities. Total of 2,122 m3 of water were chlorinated from the 20 water points in Ngarnam community. UNICEF completed the installation of dosing pump at Kasuwa borehole in Ngarnam community
[ 26th Sept 2021, Borno State ]  Magumeri:  ( CRS and IRC ) : CRS conducted hygiene promotion on cholera prevention reaching 564 households in Magumeri town. Vector control activities including Clean up campaign and Solid waste management activities was done in Ajari, Kajiri and Modu Kimeri community with 251 households reached and 81 individuals.
[ 26th Sept 2021, Borno State ]  Risk Communication and Community Engagement: UNICEF and WHO continues to support the state to curtail the outbreak of Cholera through the community health champion house to house intervention across the hotspot locations with cholera preventive messages 12,300 persons were sensitized. Mobile health teams continue to sensitize people in hard to reach locations on cholera awareness and prevention with 1,400 persons reached and 20 suspected cholera cases reported for investigation. WHO supported motorized campaign in IDP camps, host communities and densely populated areas with cholera preventive messages, over 125,000 persons were reached across Borno state.
[ 26th Sept 2021, Borno State ]  Challenges: Slow security clearance for transporting critical WASH supplies have delayed implementation of field activities. Water gap and need for NFI kit distribution at Ndolori Kogin Tifa host community Maisandari Ward, MMC LGA. High costs of water trucking with Inadequate funding for Cholera response. Lack of funding for mid term designs for improved water systems and fecal sludge management. Shortages of Aqua tabs and soaps and IEC materials.
[ 16th  22nd Aug 2021, Nigeria ]  Twenty three states and FCT have reported suspected cholera cases in 2021. These are Benue, Delta, Zamfara, Gombe, Bayelsa, Kogi, Sokoto, Bauchi, Kano, Kaduna, Plateau, Kebbi, Cross River, Nasarawa, Niger, Jigawa, Yobe, Kwara, Adamawa, Enugu, Katsina, Borno, Taraba and FCT. In the reporting week,12 states reported 3,098 suspected cases Bauchi ( 1,145 ) , Katsina ( 691 ) , Zamfara ( 454 ) , Yobe ( 216 ) , Sokoto ( 196 ) , Jigawa ( 187 ) , Kano ( 80 ) , Niger ( 79 ) , Borno ( 30 ) , FCT  ( 11 ) , Adamawa ( 6 )  and Kebbi ( 3 ) . Of this, there were 35 RDT confirmed cases from Katsina  ( 14 ) , Yobe  ( 7 ) , Adamawa ( 6 ) , Zamfara ( 4 ) , Borno ( 2 ) , Jigawa ( 1 )  and FCT  ( 1 ) .Also 13 culture confirmed cases from Yobe ( 6 ) , Adamawa ( 6 )  and FCT ( 1 ) .
[ 16th  22nd Aug 2021, Nigeria ]  In addition, there were 63 deaths from Katsina  ( 19 ) , Bauchi ( 16 ) , Niger ( 7 ) , Zamfara ( 6 ) , Jigawa  ( 4 ) , Sokoto ( 4 ) , Borno ( 4 ) , Yobe ( 1 ) , Kano ( 1 )  and Adamawa ( 1 )  states National CFR is 2.0%. No new state reported cases in epi week 33. The national multi sectoral EOC activated at level 02 continues to coordinate the national response.
[ 16th  22nd Aug 2021, Nigeria ]  Bauchi  ( 1,145 ) , Katsina  ( 691 ) and Zamfara  ( 454 )  account for 73.9% of 3,098 suspected cases reported in week 33. 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, 51% are males and 49% are females.
[ 13th 19th Sep 2021, Nigeria ]  Cholera: As at 19th September 2021, a total of 81,413 suspected cases including 2,791 deaths  ( CFR 3.4% )  have been reported from 28 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 male and female • Of all suspected cases, 50% are males and 50% are females • Three states of Bauchi  ( 19,309 cases ) , Kano  ( 11,783 cases )  and Jigawa  ( 10,758 cases )  account for 51% of all cumulative cases • Ten LGAs across five states  ( Bauchi  ( 4 ) , Jigawa  ( 2 ) , Zamfara  ( 2 ) , Kano  ( 1 )  and Katsina  ( 1 )  have reported more than 1,000 cases each this year
[ 13th 19th Sep 2021, Nigeria ]  Cholera: Of the cases reported, there were 55 deaths from Zamfara  ( 19 ) , Adamawa  ( 7 ) , Yobe  ( 7 ) , Jigawa  ( 6 )  Katsina  ( 5 ) , Borno  ( 5 ) , Kebbi  ( 2 ) , Bauchi  ( 2 ) , and Kwara  ( 2 )  states with a weekly case fatality ratio  ( CFR )  of 3.0% • No new state reported cases in week 37 and Rivers was added to reflect the backlog in early reporting • The national multi sectoral EOC activated at level 02 continues to coordinate the national response
[ 20th Aug 2021, Borno State ]  Nutrition Response: The Nutrition Sector is working with other sectors including FSS, WASH and Health to deliver integrated services to populations in unreached locations such as Gubio and Nganzai LGAs over the coming weeks. The strategy is to engage with LGA authorities to explore access measures to ensure some form of assistance to unreached populations facing dire conditions especially as the lean season enters its peak.
[ 20th Aug 2021, Borno State ]  Food Security/Livelihoods Needs: Funding shortfalls remain the most critical issue impacting efforts by FSS partners to scale up response to the required levels. Only WFP and ZOA have confirmed some levels of funding, which will enable FSS reach 3.1 million people  ( mostly in Borno State )  by September. That will still leave some 1.3 million people  ( most of whom are in Borno )  without any assistance. With the lean season now in its peak, immediate funding is critical to avert further escalation of food insecurity across the region.
[ 20th Aug 2021, Borno State ] Nutrition Needs: Despite the spike in severe acute malnutrition  ( SAM )  cases, nutrition partners are facing challenges in increasing the coverage and number of inpatient/stabilization facilities across LGAs due to funding shortfalls. Remote monitoring and programming activities especially in hard to reach/high risk locations that have reported surges in malnutrition cases are also hampered by lack of funding. High levels of SAM cases with medical complications, especially among children of new arrival IDP households, are overstretching the current capacities of inpatient care facilities across hard to reach locations in the state.
[ 20th Aug 2021, Borno State ]  Education Needs: • The Education Sector and partners continue to record severe damages to critical facilities and assets especially temporary learning spaces  ( TLS )  across locations due to flooding incidents as the rainy season enters its peak. Learning activities for some 180,000 pupils, mostly in Borno State, are being impacted by flooding across the region.
[ 20th Aug 2021, Borno State ]  Health Needs: • Sector partners continue to report increasing cases of measles across LGAs, especially Damboa, Konduga, Mafa, Magumeri and MMC. A total of 11,770 cases had been reported as of mid August, with a case fatality rate  ( CFR )  of 1 per cent. Some 27 IDP camps across nine LGAs are among affected locations.
[ 20th Aug 2021, Borno State ]  Health Response: • The sector conducted high level engagements with the Borno State Hospital Management Board  ( BHMB )  to advocate for the reactivation of secondary health care services at the Gwoza General Hospital, following the withdrawal of MSF. Delays in government take over of the health facility  ( as initially planned )  resulted in major health response gaps for over 60,000 people in the area. Following the engagements, the BHMB has commenced the mobilization of health staff including 12 nurses from two other nonfunctional hospitals in the LGA to reactivate critical services at the Gwoza General Hospital. The health sector and BHMB also agreed to hold monthly review meetings to ensure that key response indicators are met to ensure quality healthcare services to affected populations in the area.
[ 20th Aug 2021, Borno State ]  UNICEF is conducting hygiene promotion messages and awareness on COVID 19 preventive measures across host communities and camps. UNICEF also repairs and maintains latrines in the UNICEF hospital and facilitates water trucking across targeted camps and the host community.
[ 20th Aug 2021, Borno State ]  Water, Sanitation and Hygiene Needs: Access to WASH facilities and services continues to be impacted by wear and tear of emergency latrines and extreme weather conditions that have reduced privacy and utilization rates by about 50 per cent. Delays of several weeks in obtaining security clearance and access for the transportation of vital supplies to deep field/hard to reach locations are contributing to major response gaps for vulnerable households and increasing the risk of disease outbreaks. Ongoing rainstorms and flooding incidents have resulted in latrines being filled up faster, hiking up the operational costs, particularly for desludging activities which now must be carried out more frequently. There is an urgent need for the repair and re construction of about 54 per cent of latrines that are partially functional or totally broken.
Nigeria is experiencing one of its worst cholera outbreaks in years. According to Nigeria Centre for Disease Control  ( NCDC )  Cholera Situation Report No. 38, as of 21st September 2021, a total of 73,055 suspected cases including 2,407 deaths  ( CFR 3.3% )  have been reported from 27 states1 out of 36 states and in Abuja, the Federal Capital Territory  ( FCT ) . According to the NCDC, children between 5 and 14 are the most affected age group and the overall case fatality rate is 3.3%. So far, the affected states are Benue, Delta, Zamfara, Gombe, Bayelsa, Kogi, Sokoto, Bauchi, Ekiti, Osun, Kano, Kaduna, Plateau, Kebbi, Cross River, Nasarawa, Ogun, Niger, Jigawa, Yobe, Kwara, Adamawa, Enugu, Katsina, Borno, Taraba, Abia, and the FCT
With over 2,407 people dead from suspected cholera this year, there are concerns that there might be an undercount given that many affected communities are in hard to reach areas with high security challenges. Indeed, although the overall situation across the country seemed to be improving with significant reduction of cases as of week 32, it has also been highlighted those cases are being reported in additional states and cases increasing again as of week 38 in areas where it had dropped.
The National Cholera Emergency Operations Centre  ( EOC )  was activated on the 22 June 2021, following an increase in the number of cholera cases at the start of the rainy season. The Emergency Operations Center  ( EOC )  which is hosted at NCDC, is being coordinated in collaboration with the Federal Ministries of Health, Environment and Water Resources, National Primary Health Care Development Agency  ( NPHCDA ) , World Health Organization  ( WHO ) , IFRC, the Nigerian Red Cross Society  ( NRCS )  and other implementing partners. The national multi sectoral EOC activated at level 2 continues to coordinate the national response. According to sitrep from the EOC, cholera activity in Nigeria in 2021 has grossly surpassed the total case counts identified in 2020 and 2019, when 1,800 cases and 3,500 cases were reported, respectively
[ 20th Aug 2021, Yobe State ]  Nutrition Need: Nutrition partners indicated that the persistently high rate of malnutrition in the northern parts of Yobe State may be attributed to the impact of climate change, which has severely affected livelihoods, livestock and agricultural production. The migration of poor nomadic communities from neighboring countries and displaced persons mainly from Borno into the state have also contributed to the deterioration of the nutrition situation, as existing communities that are already overwhelmed and underresourced have had to absorb new arrivals and their needs. This has caused some tension as limited resources in these communities are now being shared with new arrivals in the northern parts of the state
[ 20th Aug 2021, Yobe State ]  Health: • The United Nations Children Fund  ( UNICEF )  delivered cholera treatment kits to the State Ministry of Health to help in the treatment of the increasing number of AWD/cholera cases in the state. The supplies include Intravenous  ( IV )  fluids, Oral Rehabilitation salt  ( ORS ) . More supplies are expected next week. No case management medication supplies were provided.
[ 20th Aug 2021, Yobe State ]  As the lean season and rainy season progresses, food insecurity in Yobe state is also rising. LGAs in the state that are hard to reach are the most vulnerable. • The number of Acute Watery Diarrhea  ( AWD ) /Cholera cases continue to rise with 671 cases reported on 20 August 2021.
[ 14th Aug 2021. Adamawa State ]   Challenges: Shortage of Aquatabs for household distribution to treat household drinking water. Inadequate water chlorinators No residual household spraying. No hygiene promoters & IEC materials distribution. Environmental sanitation yet to be carried out in affected communities. Open defecation still ongoing in some of the affected areas. Inadequate stool sample collection and testing. Inadequate supply of Iv fluids and other WASH commodities.
[ 28th Sep 2021, Nigeria ]  The crisis currently affecting the Lake Chad Basin states results from a complex combination of factors, including conflict with NonState Armed Groups, extreme poverty, underdevelopment and a changing climate, which together have triggered significant displacement of populations. As of 28 September 2021, Cameroon, Chad, Niger and Nigeria were hosting an estimated 5,232,636 affected individuals made up of Internally Displaced Persons  ( IDPs ) , Refugees  ( both in  and out of camp ) , Returnees  ( Former IDPs and Returnees from abroad )  and Third Country Nationals  ( TCNs ) . 75 per cent of the affected population  ( representing 3,944,677 individuals )  were located in Nigeria, while 11 per cent resided in Cameroon  ( 580,170 individuals ) , 9 per cent in Chad  ( 474,692 individuals )  and 4 per cent in Niger  ( 231,976 individuals ) .
[ 14th Aug 2021. Adamawa State ]  The total number of cases reported as at 14th August, 2021, stands at 62 suspected cases with 2 deaths  ( CFR=3.2% ) , Girei reported 23 cases with 1 death  ( CFR= 4.3% ) ; Yola North reported 4 suspected case with 0 death  ( CFR= 0% ) , Yola South reported 4 suspected cases with 0 deaths  ( CFR= 0% ) , Shelleng reported 16 cases with 0 death  ( CFR=0% )  and Gombi reported 15 cases with 1 death  ( CFR=6.7% ) . Of the 62 suspected cases, 16 are RDT positive, 17 yielded growth suggestive of Vibrio cholerae on culture media while the result of 1 isolate  ( Girei LGA )  from the reference laboratory revealed 01 serotype.
[ 14th Aug 2021. Adamawa State ]  Wash: A total of 102 water points mapped and tested for faecal contamination by IRC  ( see table 2 above ) . 40 Potties and 20 cups  ( with lids )  supplied to the CTC by UNICEF. Chlorination of some water points ongoing by SI, NRC, IOM and ICRC in Girei and Yola North LGAs. House to House Hygiene Promotion ongoing by SI, NRC, IOM and ICRC teams in Girei and Yola North LGAs. Disinfection ongoing at the CTC by SI. Disinfection of infected Household latrines and public dump sites by IOM and NRC ongoing in communities of Girei and Yola North LGAs. Distribution of IEC materials and Aquatabs at households by ICRC ongoing. Radio jingles on prevention of cholera by IRC and ICRC ongoing.
[ 14th Aug 2021. Adamawa State ]  Risk Communication: The state Ministry is yet to officially declared the outbreak in the state SOML and UNICEF supported sensitization of 100 persons  ( traditional leaders, community members, and other key stakeholders )  at state Level Flagg Off for OBR1 campaign which was also attended by representatives of WHO, UNICEF, CDC, ASPHCDA and ASMOH. UNICEF supported state Level sensitization of 65 persons including journalist and stakeholders from various MDAs, CSO, and representatives of traditional and religious held on Saturday, 14th August, 2021. Commencement of broadcast of Cholera PSA/Jingles in 3 stations  ( Fombina FM, ABC Radio and Pulaako FM )  facilitated by UNICEF.
[ 31st Aug 2021, Adamawa State ]  ( Cholera )   Wash: SI distributed 34 Cholera kits to the 34 HHs where AWD was reported as suspected/confirmed. Also distributed 1,152 pieces of soaps to the neighboring HHs and spraying/Disinfection of the HHs conducted. Radio jingles on prevention of cholera by IRC and ICRC ongoing. Also, mobile campaign and distribution of IEC materials in Motor parks, garages, and markets by Goal Prime ongoing.
[ 31st Aug 2021, Adamawa State ]  ( Cholera )   Challenges: Funds to support outbreak response is yet to be released by the state Government. LGA level coordination needs to be strengthened. Lack of stipends to support Case Managers in the CTC in SSH & GH Garkida. Ambulance services still a challenge especially for distant locations. Some of the health facilities in affected LGAs have inadequate manpower. Most referred cases from PHCs are coming in critical state. Most new Health workers across LGAs in PHCs have not been trained on cholera management and the old staff have not been re trained.
[ 31st Aug 2021, Adamawa State ]  ( Cholera )  Challenges: Inadequate Active case search in the affected communities Poor sanitation in affected areas. Shortage of Aquatabs for household distribution to treat household drinking water. Shortage of IEC materials. Open defecation still ongoing in some of the affected areas. Inadequate supply of Iv fluids and other WASH commodities. Shortage of soap for distribution at HH during Hygiene Promotion for personal hygiene. Shortage of Aquatabs for household distribution to treat household drinking water.
[ 31st Jul 2021, Adamawa State ]   ( Cholera )  The total number of cases reported as at 31st July 2021, stands at 15 cases with 0 deaths  ( CFR=0% ) , Girei has reported 5 cases with 0 deaths  ( CFR= 0% ) ; Yola North has reported 6 suspected case with 0 death  ( CFR= 0% )  while Yola South reported 4 suspected cases with 0 deaths  ( CFR= 0% ) . One of the 5 suspected cases from Girei has been confirmed positive for cholera by the reference lab Abuja. So far, only two samples tested positive by RDT and yielded growth suggestive of Vibrio cholerae on culture while the result of 1 isolate  ( Girei LGA )  from the reference laboratory revealed 01 serotype.
[ 9th Aug 2021, Adamawa State ]  Nutrition Response: IRC reached 46 pregnant and lactating mothers during one on one counseling sessions and 195 during group counseling sessions in both Askira and Michika LGA. IRC trained 21 caregivers on mother's MUAC in both Michika and Askira Uba LGAs.
[ 9th Aug 2021, Adamawa State ]  Water, Sanitation and Hygiene Needs: • Improved access to water supplies through water trucking, construction of new water points, rehabilitation, and operation and maintenance of broken down water supply facilities  ( motorized/hand pump bore holes )  in catchment communities in Michika and Askira Uba LGA is required.
[ 20th Aug 2021, Adamawa ] 774 cases of sexual and gender based violence reported between 2020 and the first half of 2021 Some 297 people were convicted for sexual and gender based violence  ( SGBV )  from 2020 to 2021 in Adamawa State out of about 774 cases reported. Due to the rising cases of GBV, the state Primary Healthcare Development Agency trained 50 participants across the 21 Local Government Areas  ( LGA )  to prevent a further spike in cases. The capacity building effort is expected to increase awareness of SGBV, detection of victims and suspects, reporting of suspects, and the management of victims undergoing trauma related to SGBV in communities across the state.
[ 20th Aug 2021, Adamawa ] Water, Sanitation and Hygiene Needs: • There is a need for a strengthened COVID 19 awareness campaigns and infection prevention and control across health facilities and catchment communities in Michika and Askira LGA. • Acceptable hygiene knowledge and practices in 13 health facilities and 22 catchment communities of Michika and Askira Uba LGA needs improvement.
[ 20th Aug 2021, Adamawa ] Child Protection Sub Working Group Needs: • Psychosocial support, livelihoods and life skills support is needed for adolescent boys and girls. • Adolescents and caregivers require strengthened access to health and reproductive health services.
[ 23rd Sept 2021, Nigeria ]  Food Consumption Score  ( FCS ) : The findings from the FMS continued to show concerning food consumption deficits and limited diversity of diets in the inaccessible areas surveyed. More than one in every two households  ( 63 percent )  did not have sufficient food intake  ( poor + borderline food consumption ) , with 38 percent of such households reporting severe food consumption deficit. This indicates potential widespread consumption gaps in inaccessible areas and as well infers that the FCS stands at emergency level  ( CH Phase 4 ) , the highest possible classification in the FCS categorization.
[ 27th Sept 2021, Adamawa State ]   ( Cholera ) The total number of cases reported as at 27th September, 2021 stands at 421 suspected cases with 22 deaths  ( CFR=5.2% ) ; Fufore reported 6 cases with 0 deaths  ( CFR=0 ) , Girei 75 cases with 2 deaths  ( CFR=2.7 )  , Gomo bi reported 34 cases with 3 deaths  ( CFR=8.8 )  Lamurde reported 120 cases with 10 deaths  ( CFR=8.3% ) , Numan reported 15 cases with 1 death  ( CFR= 6.7% ) , Shelleng reported 18 cases with 0 death  ( CFR=0% ) ,Song reported 6 cases with 1 death  ( CFR=16.7 ) , Yola North reported 80 suspected case with 1 death  ( CFR= 1.25% ) , Yola South reported 64 suspected cases with 4 death  ( CFR= 6,25% ) ,
[ 27th Sept 2021, Adamawa State ]   ( Cholera )  Surveillance and Laboratory: 49 new suspected cases with 1 death have been reported. WHO is supporting 2 data managers to harmonize the cholera line list in the CTC & the field. 49 ACS have been deployed by WHO to 7 LGAs and are carrying out active search based on hotspot analysis. DSNOs are line listing suspected Cases and collecting sample. Regular hot spot analysis has been shared to stakeholders to guide the response.
[ 27th Sept 2021, Adamawa State ]   ( Cholera )  Wash: Speaker campaign motor parks, markets, IDPs camps and cholera hotspot communities in Yola North, Yola South, Girei and Fufore LGAs ongoing by Goal Prime. SI distributed 23 Cholera kits to discharged patients in the CTC. Disinfection of 395 Household latrines/public dump sites and 375 infected neighbors HHs by SI while IOM and NRC disinfection ongoing in communities of Girei and Yola North LGAs. Radio jingles on prevention of cholera by IRC and ICRC ongoing. Also, mobile campaign and distribution of IEC materials in Motor parks, garages, and markets by Goal Prime ongoing.
[ 2nd   8th Aug 2021, Nigeria ]  Actions To date: 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 all affected states. Cholera jingles being aired in English and local languages across the country.
[ 27th Sept 2021, Adamawa State ]   ( Cholera )  Challenges: Lack of stipends to support Case Managers in the CTC in SSH, GH Garkida and GH Numan. Ambulance services still a challenge especially for distant locations. Some of the health facilities in affected LGAs have inadequate manpower. CTU and ORP have not been set up to standardized decentralization of response. Most new Health workers across LGAs in PHCs have not been trained on cholera management and the old staff have not been re trained.
[ 9th Aug 2021, Yobe State ]  The attack in Geidam and Kanama towns in April 2021 resulted in massive displacement of about 180,000 people. Although 80% of the displaced persons have returned to their homes, most still feel unsafe as the security situation remains volatile and unpredictable. Many households are still unable to access their farmlands and engage in other livelihood activities in rural areas due to security concerns. There were 6 incidents of attacks and looting of health facilities recorded in 2021, impacting access to health care.
[ 9th Aug 2021, Yobe State ]   Rising number of acute watery diarrhea  ( AWD ) /cholera cases results in 12 deaths:

As the rainy season continues, Yobe state has seen a rise in the number of acute watery diarrhea  ( AWD )  and cholera cases, reaching 137 cases including 12 deaths across nine LGAs. This is a significant increase from the 50 cumulative cases and 8 deaths reported last week. Of the total cases, 31 are still in admission while 91 cases have been discharged from health facilities. Humanitarian partners are still advocating with the state government to declare a cholera outbreak, in order to support resource mobilization to raise funds and scale up the response to the significant seasonal increase of water borne disease cases.
[ 2nd   8th Aug 2021, Nigeria ]  Actions To date: National COVID 19 multi partner Emergency Operations Centre  ( EOC )  continues to coordinate response activities across states. Received donations of ventilators and pulse oximeters from WHO to be distributed to the treatment centres for the management of COVID 19 cases. Held meeting with relevant stakeholders from South South region on the Delta variant and the response measures taken so far. This was convened by the Port Health Services  ( PHS )  Special Task Team on COVID 19 for Niger Delta and maritime borders. Ongoing supportive supervision in National Youth Service Corps  ( NYSC )  orientation camp activities to ensure adherence to COVID 19 protocols.
[ 9th Aug 2021, Borno State ]  Damasak: • Partners reported that the recent deterioration of security due to illegal vehicle checkpoints and attacks by NSAGs on the Maiduguri Damasak road is affecting the movement and delivery of critical supplies such as fuel, medicines, food and other household items. The worsening security on the route is negatively affecting the livelihoods of transporters, traders, farmers and small business owners who use the road to send and receive goods and engage in business.
[ 9th Aug 2021, Borno State ]   Mafa: • Partners in the area have reported an increase in gender based violence  ( GBV )  cases in IDP camps and host communities. The rise in the number of cases is likely due to the recent relocations of IDPs to Maiduguri and awareness of the prevention of GBV in the area.
[ 9th Aug 2021, Borno State ]  Gaps: Despite increasing needs and worsening vulnerabilities, the response remains severely underfunded, including the Humanitarian Response Plan  ( HRP )  which has only received about 30 per cent of the total funding requirement. The $383 million pledged by the G 7 to support the BAY states has also not been redeemed. The Humanitarian Coordinator's office wrote to the UK High Commission, which has been active in coordinating the process, to help follow up with Member States that made pledges for timely disbursement to support ongoing response. Given the current funding levels, WFP will only be able to scale up food assistance to reach 2.8 million people by September, leaving 1.3 million people without critical support. This must be urgently addressed through an examination of existing pipelines to see what can be mobilized to cover the gap. Advocacy efforts, including briefing for donors and the Chief of Staff to President Muhammadu Buhari, a press release and media engagements will be intensified over the coming weeks to promote visibility of the dire situation and urgency of resources to enable rapid scale up.
[ 20th 26th Sep 2021, Yobe ]  The total number of active confirmed cases in the state is zero  ( 0 )   The total confirmed cases of COVID 19 amongst Health Care Workers  ( HCWs )  is nineteen  ( 19 ) . These include nine  ( 9 )  doctors, seven  ( 7 )  nurses, one  ( 1 )  physiotherapist, and two  ( 2 )  laboratory, scientists  The total number of deaths from COVID 19 in the state is nine  ( 9 )   The total number of patients who recovered from COVID 19 is four hundred and ninety three  ( 493 )
[ 20th 26th Sep 2021, Borno ]  6 new case confirmed for the week. • Total number of confirmed cases as at end of epi week 38 stands at 1,353 • 6 active case receiving care. • 1 patient was discharged for the period of reporting. • Cumulative number discharged so far – 1,309 • No death recorded in the reporting period. • Total associated deaths – 38  ( 26 in Isolation facilities and 12 community death )  • Case fatality rate 2.8%
[ 25th August 2021, Adamawa ]   [ Cholera ]  Surveillance and Laboratory: 30 new suspected cases with 2 deaths have been reported DSNOs are line listing suspected Cases and collecting sample o 13,695 Households have so far been visited by the 3 WHO supported ACS teams in 11 hotspots communities of Yola North, Yola South & Girei LGAs. Regular hot spot analysis has shared to stakeholders to guide the response
[ 20th 26th Sep 2021, Borno ] Distribution of confirmed cases by LGA   257 from Jere, 951 from MMC, 16 from Gwoza, 3 from Damboa, 17 from Bayo, 12 from Biu, 1 from Gubio, 1 from Munguno, 1 from Kaga, 1 from Mobbar, 73 from Konduga, 2 from Nganzai, 2 from Shani, 7 from Hawul and 6 from Ngala LGAs • Total number of contacts line listed for follow up – 6,555 • Total initial Samples tested so far in UMTH laboratory stands at 20,795 • Cumulative positivity rate 6% • Cumulative samples collected for week 38 was 147. • EOC meets Monday and Friday to review the activities of all the pillars under the leadership of the IM
[ 13th  19th Sep 2021, Yobe ] The Yobe SMOH, in collaboration with WHO and partners, has continued the 2nd phase of COVID 19 vaccination across the 17 LGAs   including the security compromised LGAs. From 23 August to 19 September 2021, twenty thousand, three hundred and nine  ( 20,309 )  people have been vaccinated with the 1st dose of Moderna vaccine. And one thousand, eight hundred and fifteen  ( 1815 )  people received the 2nd dose of AstraZeneca vaccine. As it stands, one hundred and nineteen  ( 119 )  nonserious AEFIs have been reported
[ 20th 26th Sep 2021, Yobe ]  The total number of contacts who completed 14 days of monitoring without symptoms is two thousand, one hundred and fifty six  ( 2,156 )   The total number of samples collected is twenty thousand, four hundred and fifty seven  ( 20,457 ) . Five hundred and one  ( 502 )  results are positive, seventeen thousand, nine hundred and thirty five  ( 17,935 )  are negative, forty two  ( 42 )  for a repeat test, and one thousand, nine hundred and seventy eight  ( 1,978 )  remaining sample results are pending.
[ 13th  19th Sep 2021, Yobe ] The total number of confirmed COVID 19 cases is five hundred and two  ( 502 ) . Ninety four  ( 94 )  cases from Damaturu, seventy five  ( 75 )  cases from Nguru, fifty five  ( 55 )  cases from Fika, forty seven  ( 47 )  cases from Potiskum, thirty seven  ( 37 )  cases from Bade, thirty one  ( 31 )  cases from Nangere, twentynine  ( 29 )  cases from Gulani, twenty two  ( 22 )  cases from Yusufari, twenty one  ( 21 )  cases from Gujba, nineteen  ( 19 )  cases from Jakusko, sixteen  ( 16 )  cases each from Karasuwa, fourteen  ( 14 )  cases from 2 | P a g e Tarmuwa, twelve  ( 12 )  cases from Fune, nine  ( 9 )  cases from Bursari, eight  ( 8 )  cases each from Yunusari, and Machina, and five  ( 5 )  cases from Geidam LGAs
[ 20th 26th Sep 2021, Borno ] Risk communication/Social mobilization: • Jingles on COVID 19 protocols, rumors and misconceptions on de stigmatization is ongoing in Kanuri, Hausa, Shuwa Arab, and Mbura on BRTV, DANDAL KURA and PEACE FM radio station supported by UNICEF, IRC, Translators Without Borders and UK Aids
[ 20th 26th Sep 2021, Yobe ]  No new confirmed case was reported in week 38  The total number of confirmed COVID 19 cases is five hundred and two  ( 502 )   One hundred and twenty seven  ( 127 )  additional samples were collected. Sample testing is stalled due to the stock out of the testing reagents for nearly 16 weeks  The total number of patients who recovered from COVID 19 is four hundred and ninety three  ( 493 )
[ 25th August 2021, Adamawa ]  cholera: 30 new suspected cases with 2 deaths have been reported within the reporting week  ( Yola North=15 with 1 death, Girei=15 cases with 1 death )  o Total suspected case count now stands at 114 with 5 deaths  ( CFR=4.4 % )  o NCDC has donated 350 cholera RDT,100 pieces of petri dishes, 1 tin of triple sugar and 1 tin of nutrient agar
[ 13th  19th Sep 2021, Yobe ] The total number of samples collected is twenty thousand, three hundred and thirty  ( 20,330 ) . Five hundred and one  ( 502 )  results are positive, seventeen thousand, nine hundred and thirty five  ( 17,935 )  are negative, forty two  ( 42 )  for a repeat test, and one thousand, eight hundred and fifty one  ( 1,851 )  remaining sample results are pending
[ 20th 26th Sep 2021, Yobe ]  The total number of confirmed COVID 19 cases is five hundred and two  ( 502 ) . Ninety four  ( 94 )  cases from Damaturu, seventy five  ( 75 )  cases from Nguru, fifty five  ( 55 )  cases from Fika, forty seven  ( 47 )  cases from Potiskum, thirty seven  ( 37 )  cases from Bade, thirty one  ( 31 )  cases from Nangere, twentynine  ( 29 )  cases from Gulani, twenty two  ( 22 )  cases from Yusufari, twenty one  ( 21 )  cases from Gujba, nineteen  ( 19 )  cases from Jakusko, sixteen  ( 16 )  cases each from Karasuwa, fourteen  ( 14 )  cases from Tarmuwa, twelve  ( 12 )  cases from Fune, nine  ( 9 )  cases from Bursari, eight  ( 8 )  cases each from Yunusari, and Machina, and five  ( 5 )  cases from Geidam LGAs
[ 25th August 2021, Adamawa ]  cholera: The total number of cases reported as at 25th August, 2021 stands at 114 suspected cases with 5 deaths  ( CFR=4.4% ) , Girei reported 38 cases with 2 deaths  ( CFR= 5.3% ) ; Yola North reported 19 suspected case with 1 death  ( CFR= 5.3% ) , Yola South reported 4 suspected cases with 0 death  ( CFR= 0% ) , Shelleng reported 17 cases with 0 death  ( CFR=0% ) , Fufore reported 2 cases with 0 deaths  ( CFR=0% )  and Gombi reported 34 cases with 2 death  ( CFR=5.9% ) . Of the 114 suspected cases, 15 revealed 01 serotype
During the period 18   24 September 2021, 195 movements were observed at four Points of Entry in Borno state. Of the total movements recorded, 122 were incoming from the Far North Region in Cameroon and 1 incoming from Ndjamena in the Republic of Chad. Additionally, 72 outgoing movements were recorded from Borno State to the Far North Region in Cameroon.
[ 16th 19th Sep 2021, Borno ] Distribution of confirmed cases by LGA   257 from Jere, 948 from MMC, 16 from Gwoza, 3 from Damboa, 13 from Bayo, 12 from Biu, 1 from Gubio, 1 from Munguno, 1 from Kaga, 1 from Mobbar, 73 from Konduga, 2 from Nganzai, 2 from Shani, 7 from Hawul and 6 from Ngala LGAs • Total number of contacts line listed for follow up – 6,530 • Total initial Samples tested so far in UMTH laboratory stands at 21,847 • Cumulative positivity rate 6% • Cumulative samples collected for week 37 was 123. • EOC meets Monday and Friday to review the activities of all the pillars under the leadership of the IM
[ 13th  19th Sep 2021, Yobe ]  Yobe SPCHMB, with support from WHO, has conducted mass sensitization on COVID 19 vaccination and other preventive measures through phone in programs, motorized campaigns, and radio jingles aired by the Yobe State Broadcasting cooperation  ( YBC ) .
[ 27th Sept 2021, Adamawa State ]   ( Cholera )  Risk Communication: Another 1,120 house to house teams  ( in 20 LGAs )  and 1,312 house to house teams  ( in 21 LGAs )  sensitized 130,271 and 199,155 households respectively during the third and forth day of polio outbreak response  ( OBR2 )  held between 18th to 21st September, 2021. A total of 530,440 households comprising 52% of households in Adamawa State were reached with key cholera messages during the 4 days OBR2 held in 21 LGAs. House to house team detected and referred 10 suspected cases of cholera for testing in Lamurde LGA alone. Health talks on cholera prevention, management, and surveillance during ANC and RI sessions by LGA primary healthcare staff ongoing in at least 200 health facilities in 15 LGAs in Adamawa.
[ 16th 19th Sep 2021, Borno ] 1 new case confirmed for the week. • Total number of confirmed cases as at end of epi week 37 stands at 1,347 • 2 active case receiving care. • 1 patient was discharged for the period of reporting. • Cumulative number discharged so far – 1,308 • No death recorded in the reporting period. • Total associated deaths – 38  ( 26 in Isolation facilities and 12 community death )  • Case fatality rate 2.8%
[ 11th June 2021, Yobe state ] 53% of the households interviewed indicate that food is their priority need while 31% said they need cash support to meet other needs and 16% need NonFood Items  ( NFIs )  support as their priority need.
With the current severe economic downtown due to the COVID 19 pandemic, this situation is worsening the status of rural families, as well as, exposing vulnerable women and children to health and nutrition challenges.
Currently the ETS has received 59.3 per cent of the total budget of $2.95 million USD required to carry out its activities throughout the year. To maintain ETS services throughout the remainder of the year, the additional 40 per cent of funding will be required.
[ 1st Oct 2020,Nigeria ] 300,547 NIGERIAN REFUGEES REGISTERED IN CAMEROON, CHAD, AND NIGER