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Northeast Nigeria Response: Health Sector Bulletin #30, 16 - 30 August 2017

Attachments

Highlights

As of 30 August 105 cases of cholera including 8 deaths have been reported in / around Maiduguri. All suspected cases live in Muna Garage IDPs camp except for two in Bolori II. The Borno State MoH, MSF, UNICEF and WHO are responding along with support from WASH sector partners.

  • Infection control and case management centres have been set up in Muna Garage and Dala.
  • BSMOH/WHO has strengthened case investigation, active case search and surveillance in Muna Garage IDPs camp and surrounding communities and health facilities.
  • In addition to surveillance, IEC materials including television documentary and live community drama in Jere and Maiduguri LGAs is ongoing.
  • Discussion with ICG about releasing oral cholera vaccine for use in a mass vaccination campaign.

To reduce the number of acute watery diarrhea cases, and with the rainy season in full force, a stronger partnership is required with other sectors - especially water/sanitation partners - to improve the quality of the drinking water, sanitation conditions and community awareness in camps for displaced persons. A multisectoral integrated approach is also instrumental in preventing potential cholera outbreaks. To this end, health partners and WASH sector are taking part in the LGA-Level coordination forums and are also supporting camp-specific approaches.

Situation Update

As of 29 August, the security situation continues to worsen and is deteriorating. Between January - August, there have been 60 suicide attacks in Borno State, involving 200 deaths. This is the highest number of attacks since 2013. The number of attacks in Maiduguri alone has doubled over the previous year. LGAs such as Damboa, Jere, Konduga and Maiduguri metro have shown a marked increase in insurgent attacks and other security incidents. Analysts say, “This increase in attacks indicates a clear change in Boko Haram’s tactics, moving from one of occupation to a more disruption-focused insurgency.” This shift is seen as a strong indication of Boko Haram’s reduced ability from “fighting to capture territory to guerrilla-style hit and run attacks.” This includes “increasing its campaign of suicide bombings against soft targets.” Civilians continue to withstand the worst of these attacks.