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Nigeria - Covid-19 cases and news - 55,829 cases; 1,075 deaths
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WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 36: 31 August - 6 September 2020
Data as reported by: 17:00; 6 September 2020
...
Coronavirus disease 2019
Nigeria
55 005 Cases
1 057 Deaths
1.1% CFR
EVENT DESCRIPTION
The overall number of new confirmed COVID-19 cases in Nigeria has been
gradually declining over the past four weeks (week 32 to week 35; week
ending 29 August 2020), with an average weekly decline of 262 cases.
At state level, the trend has plateaued in 18 states, declining in 14 states
and rising in five states (Plateau, Katsina, Anambra, Bauchi and Bayelsa).
However, at the same time, testing declined by 12% in week 35, with a 48%
decline in confirmed cases compared to week 34 (week ending 22 August
2020). Weekly test positivity also declined very slightly, from 13.8% at the
end of week 34 to 13.4% by the end of week 35.
As of 6 September 2020, a cumulative total of 55 005 cases have been
confirmed across all 36 states and the Federal Capital Territory (FCT), with
422 100 tests conducted. A total of 1 054 deaths have been reported from
all states and the FCT (case fatality ratio 1.9%). Lagos state accounts for
the highest cumulative number of cases and deaths, with a total of 18 347
(33%) cumulative cases and 202 (19%) deaths (case fatality ratio 1.1%).
A total of 42 922 (78%) cases have been discharged. Where sex is known,
a total of 34 880 males have been affected, with 20 025 females. The most
affected age group are those between the ages of 31-40 years. The median
age of those who have died was 60 years, with the median age of confirmed
cases at 36 years.
PUBLIC HEALTH ACTIONS
Weekly teleconferences continue under the auspices of the Incident
Management System at state and national level.
Contact tracing guidelines have been adapted at national level.
There is continued epidemiological analysis and generation of daily
and weekly COVID-19 situation reports.
A hotspot strategy is being implemented in 20 local government areas
(LGAs) from 10 states and in silent LGAs across the country.
Essential health services monitoring has indicated that outpatient
attendance gradually increased from May to July; immunization
for those aged less than one year increased from May to June, but
decreased again in July, while skilled birth attendance fell between
May and June, but increased again in July.
There is ongoing discussion with WHO and the Federal Ministry of
Health on the requirements for the health workforce for the COVID-19
response, as well as documentation of workforce activities, with
ongoing recruitment of consultants and orientation of consultants by
HQ and WHO AFRO scheduled for September 2020.
Infection Prevention and Control (IPC) training is planned for Oyo
and Plateau states, which have high numbers of healthcare worker
infections, as well as an integrated supportive supervision checklist
that has been developed for health facilities and case management.
Antigen rapid diagnostic tests from Abbot and Mologic are being
evaluated and a national COVID-19 vaccine strategy is being planned
with the Federal Ministry of Health.
Sensitization campaigns, counselling and psychological first aid is
being provided to internally displaced persons, host communities,
ports of entry and selected public health centres; sensitization on
gender-based violence has started in hard-to-reach areas; risk
communication strategies are targeting survivors to promote
behavioural change.
Clinical trials for three therapeutic agents are being planned and
an agreement on this is in progress between WHO and the Federal
Ministry of Health.
SITUATION INTERPRETATION
Along with the rest of the WHO African Region, Nigeria is starting to see a
decline in weekly case numbers. However, this is also coming at a time when
overall testing is declining, so the trend needs to be interpreted cautiously.
Test positivity would appear to be remaining more or less stable at around
13%, suggesting that community transmission is still well established. At
the same time national authorities and partners are working to continue
surveillance, as well as risk communication strategies to the population
and are addressing issues around maintenance of essential health services
in the face of the COVID-19 response. The provision of gender-based
violence services is to be commended, since this has been seen to have
worsened as an unintended consequence of measures such as lockdown
and the subsequent economic difficulties faced by many during the
pandemic, across many countries. Authorities and partners must continue
to strengthen surveillance measures and ensure that communities follow
all public health measures to prevent transmission of COVID-19 as much
as possible.
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
-Nelson Mandela
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