From 4 January to 23 September 2016, a total of 3,905 suspected cases of measles have been reported in four conflict affected states: 846 in Borno, 2,510 in Yobe, 273 in Adamawa and 276 cases in Gombe state. Of these, 129 cases were laboratory confirmed. (Nigeria Health Cluster, 4 Oct 2016)
Following the harmonization of the available data from the Early Warning and Response System (EWARS), IDP camp surveillance data from State Primary Health Care Development Agency (SPHCDA), Health sector partners and Integrated Diseases Surveillance and Response (ISDR), it was concluded that there is an ongoing measles outbreak in Borno State afflicting camp and non-camp populations.
The Borno State Ministry of Health (BSMOH) is already conducting a reactive vaccination campaign with the support of partners, targeting 18 IDP camps. So far, 35,742 children have been vaccinated in six camps. This campaign however is inadequate to interrupt the transmission of measles across the state, as it does not involve the host communities nor other settlements and IDP camps where measles cases have also been reported. As the BSMOH is expanding the present campaign to include all accessible estimated 2.3 million children aged six months to 15 years in the state without prejudice to the national measles campaign, a request for support (including vaccines and logistics) have been communicated to the Federal MoH. This expanded campaign was planned to take place from 27–30 November 2016. (Nigeria Health Cluster, 20 Nov 2016)
A mass vaccination campaign to protect more than 4 million children (4 766 214) against a measles outbreak in conflict-affected states in north-eastern Nigeria started on 13 January 2017. The Borno State Ministry of Health, with support from WHO and partners, has already vaccinated more than 83,000 children aged 6 months to 15 years living in camps for IDPs (internally displaced people) where measles cases had been reported. These campaigns have started to show results, with a reduction of measles cases around the camps. (WHO, 12 Jan 2017)
In Borno, 114 cases of measles were reported in UNICEF supported health facilities across Borno, Yobe and Adamawa, mostly among children who had not been vaccinated against measles and new arrivals. (UNICEF, 28 Feb 2017)
UNICEF and its partners supported the measles vaccination of 421,890 children during the reporting period. (UNICEF, 15 Mar 2017)
There were 631 suspected cases of measles reported from 33 States including the FCT. One was laboratory confirmed and no death was recorded. (Gov't Nigeria, 17 Mar 2017.)
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 18 June - 24 June 2017 and includes updates on measles, rubella, Ebola virus disease, influenza A(H7N9), Legionnaires' disease, poliomyelitis and West Nile fever.
Some 200,000 Nigerian refugees hosted in neighbouring countries – Cameroon, Chad and Niger –are starting to return to Nigeria, especially from Cameroon, which received 62% of those refugees. Since 12th May around 11,000 returnees have arrived in Banki-Bama LGA from Cameroon.
On 31 May in the afternoon, more than 1,000 additional persons arrived unexpectedly in Pulka from Banki. Once again,responders immediately mobilized to provide urgent relief and address the most immediate needs as effectively as possible despite the lack of notice. The operationalization of the Tripartite agreement between Nigeria, Cameroon and UNHCR signed in February in Oslo is underway to enable a smoother return process for Nigerian refugees currently in Cameroon.
SITUATION TO DATE (Needs and gaps)
In Diffa region, 8 security incidents caused 69 casualties, including 12 civilians. On April 9th, Boko Haram attacked again the health centre of Boudoum and looted medicines, and plumpynut. On another incident, in Gueskerou, a major attack to an army post, by heavily armed Boko Haram, caused 57 casualties on the side of the assailants and a few injured soldiers from the national army.
From 25 April to 15 May, IOM Emergency Tracking Tool (ETT) has reported arrival of over 2,700 new IDPs in Bama, around a thousand in Gwoza and over a thousand in Monguno, Kala Balge and Chibok.
The IOM Emergency Tracking Tool (ETT) (9-15 May) reported the arrival of an estimated 2,411 new IDPs in Banki, over 1,600 new IDPs in Gwoza and over 2,000 IDPs left Gwoza, Chibok and Banki for Maiduguri.
6.9 million people are living in areas with inadequate health services in the northeast, including more than 68% of the 1.8 million IDPs living in host communities across Adamawa, Borno, and Yobe states. The lack of qualified staff and essential medicines, and the destruction of medical facilities all continue to hamper the implementation of interventions.
WHO Country Representative, Nigeria, Dr. Wondi Alemu visited hard-to-reach areas in Yobe and in Borno state including Kukarieta and Ngamdu in order to personally appreciate the critical conditions of the affected population.
WHO provided technical support for the vaccination of 185 201 persons aged 9 – 15years with Men A vaccine and more than 5000 aged 2-8years with Pentavalent in Yobe state.
Trained 80 clinicians, laboratory scientists and nurses in Borno and Yobe states on CSM diagnosis and case management.
An upsurge of violence has been reported in some areas in central Borno State and at the border between Niger and Nigeria. This increase in casualties hampers the provision of humanitarian assistance.
As of 15 April 2017, 10.3% ($109 million) of the 2017 Humanitarian Response Plan (HRP) had been funded for North-East Nigeria. Over $120 million was also received outside the 2017 HRP, according to the Financial Tracking System. Additional funding is urgently required to continue to scale up the humanitarian response;
Due to critical funding shortages, Food Security partners started experiencing a pipeline break, forcing organisations to provide only half rations to beneficiaries;
IOM DTM Round XV (March 2017) estimates, a total of 1.69 million people are still internally displaced across the three northeastern states of Adamawa, Borno and Yobe, of which, 84 per cent are in Borno alone.
In the first 3 weeks of April, the IOM Emergency Tracking Tool (ETT) no. 11 reports the arrival of over 6,800 new IDPs in Bama, Dikwa, Damboa,
Kukawa, Ngala and Gowza.
278,136 From Central African Republic registered by UNHCR, of which 259,145 refugees in rural areas of East, Adamawa and North regions, and 18,991 in the urban areas of Yaounde and Douala
93,422 Nigerian refugees in the Far North region (of which 62,829 have been registered in Minawao camp)
223,642 Internally Displaced Persons in the Far North region (sources: DTM by IOM as of March 2017 and UNHCR protect
WORKING WITH PARTNERS
International Organization of Migration (IOM) Displacement Tracking Matrix (DTM) Round XV (March, 2017) estimates a total of 1.69 million internally displaced people (IDP) across Adamawa, Borno and Yobe, of which, 84 per cent are in Borno and children represent 56 per cent of the total IDP population and nine per cent are infants under a year old.