Nigeria Humanitarian Sitrep No. 15, 01-31 August 2017
• During the reporting period, IOM DTM Emergency Tracking Tool (ETT), recorded 7,415 new arrivals in 16 LGAs in Borno and 4 LGAs in Adamawa States. The mobility is attributed to influxes from rural villages to government protected towns due to continuing military actions, attacks by Boko Haram and people seeking better livelihood in more secured locations.
• Cholera was reported in Muna Garage IDP camp on 14 August with 2 cases tested positive. By 31 August, 105 cases had been confirmed in Muna IDP camp and CTC Dala with 8 deaths. • Access to safe water has been provided to 293,334 people, of whom 12,422 were reached during this reporting period in Borno, Yobe and Adamawa States.
• A total of 110,776 children under 5 suffering from severe acute malnutrition were admitted into treatment, including 25,989 reached during the reporting period in 523 UNICEF supported treatment facilities.
• UNICEF has provided critical child protection services to 111,319 boys and girls severely affected by the armed conflict in northeast Nigeria since the beginning of 2017.
Situation Overview & Humanitarian Needs
The IOM DTM Round XVIII (August 2017) estimates that a total of 1.62 million people are still internally displaced across the three north east states of Adamawa, Borno and Yobe, of whom 85 per cent are in Borno alone. This represents a decrease of about 4 per cent as compared to Round XVII (June 2017). Children represent 56% percent of the total IDP population.
During the reporting period (IOM ETT Reports 26, 27 and 28), 7,415 new arrivals were registered in 16 LGAs in Borno and 4 LGAs in Adamawa. The mobility is attributed to influxes from rural villages to government protected towns due to continuing military actions, attacks by Boko Haram and people seeking better livelihood in more secured locations as well as the relocation of Nigerians refugee returnees to newly accessible areas on account of improved security. The priority needs for the refugee returnees and the IDPs remain shelter, health and nutrition services, provision of food and access to sanitation.
Cholera was reported in Muna Garage IDP camp on 14 August with 2 cases tested positive. By 31 August, 105 cases had been confirmed in Muna IDP camp and CTC Dala with 8 deaths: 4 in Muna IDP camp and 4 in CTC, Dala. The outbreak is attributed to poor water and sanitation conditions, poor nutrition status and population mobility. UNICEF and partners identified key needs of the affected population and commenced response. In addition to WASH coordination with the Health sector, UNICEF’s response is prioritizing water chlorination, replenishment of hygiene kits, hygiene messages onair (radio and TV), desludging of toilets and environmental sanitation including mitigating risks at schools in the affected areas.
There were 874 suspected cases of HEP E as at 22 August: 697 in Ngala, 71 in Damasak and 62 in Monguno. Other HEP E cases were reported in Chibok (7), Kala Balge (6), Askira Uba (5), Maiduguri (5), Mafa (4), Damboa (3), Gubio (3), Dikwa (3), Konduga (3), Bayo (2), Guzamala (1), Gwoza (1) and Shani (1). UNICEF’s WASH, Health, C4D along with partners are responding in the affected areas. The Health Sector informed of a decrease in the number of infections but confirmed the risk of cross-border spread to Cameroon.
Preliminary results from the round 3 of North East Nutrition and Food Security Surveillance (NE NFSS) reveals that there is a significant increase in global acute malnutrition (GAM) and severe acute malnutrition (SAM) rates in the majority of the domains as compared to the previous two rounds carried out in October 2016 and March 2017. The weighted analysis reveals that GAM rates are at a serious level in Yobe (12.6 per cent) and Borno (11.4 per cent) and the SAM rates are also above the critical level (2 per cent) in Yobe (3 per cent) and Borno (2.2 per cent). However, in-depth analysis of the data shows pockets with SAM rates almost twice as much as the state level estimates (e.g. Northern Borno 4.0 per cent SAM rate, central Borno 3.1 per cent, Central Yobe: 3.8 per cent, North Yobe 3.0 per cent). In addition, the rapid SMART survey carried out in Jakusko LGA of Yobe identified a GAM rate of 17.8 per cent and a SAM rate of 4.4 per cent.
During the reporting period, the number of reported cases of Hepatitis E increased to 814 persons affecting mainly 3 LGAs; Ngala (677), Mobbar (71) and Monguno (45); others are Rann (14), Dikwa (2), Askira-Uba (1), Shani (1), Mafa (1), Gubio (1) and Chibok (1).