• Out of 806 children screened for malnutrition amongst new arrivals, 131 of 146 children with severe acute malnutrition (SAM) were from inaccessible areas.
• With the declaration of cholera in Yobe on 19 September, all the three northeast states are now experiencing cholera outbreaks. Yobe has reported 1,147 cases (with a case fatality rate (CFR) of 5.4 per cent), while Borno has reported 3,537 cumulative cases (CFR 1.8 per cent), and Adamawa has reported 2,332 (CFR 1.5 per cent).
• In the reporting period, a total of 36,640 people accessed safe water, 37,950 people accessed improved sanitation and 147,837 people were reached with key hygiene messages.
• A total of 36,325 boys and girls from conflict-affected areas accessed improved quality education through learning materials, establishment of learning spaces, and access to psychosocial support.
• In the reporting period, 446,043 persons (including 133,624 children) were reached with integrated primary health care (PHC) services in internally displaced persons (IDP) camps and host communities.
4.5 million Children in need of humanitarian assistance (Humanitarian Response Plan, 2018)
7.7 million People in need of humanitarian assistance in the northeast states of Borno, Adamawa & Yobe (HRP, 2018)
6.1 million People targeted in the northeast states of Borno, Adamawa and Yobe (HRP, 2018)
1.76 million Internally displaced people in Borno,
Adamawa, and Yobe (IOM DTM Round XXIIII, August 2018)
128,793 Newly displaced people since February 2018 (IOM DTM Round XXIII, June 2018)
UNICEF Appeal 2018 US$ 142.5 million
Situation Overview & Humanitarian Needs
Ongoing conflict, poor living conditions, fear of attacks, military operations and flooding resulted in the movement of 10,493 persons in September, out of which 9,170 were new arrivals in 9 Local Government Areas (LGAs) in Borno and 2 LGAs in Adamawa. Amongst the new arrivals, a total of 806 children were screened for malnutrition out of which 112 were moderately malnourished and 146 children were severely malnourished. Of the 146 children with SAM, 131 boys and girls were from inaccessible areas.
A cholera outbreak was declared in Yobe State on 19 September, which means that all three northeast states are now experiencing a cholera outbreak. As of 26 September, Yobe had a cumulative cholera caseload of 1,147 cases in five LGAs: Gulani (364 cases with 9 affected wards), Gujba (311 cases with 7 affected wards), Damaturu (288 cases with 6 affected wards), Fune (117 cases with 6 affected ward) and Potiskum (67 cases with 4 affected wards).
Cholera hotspots in Borno, which reported 3,537 cumulative cases, included Jere (1,398), MMC (642), and Ngala (681) – though cases were also observed in 8 additional LGAs: Magumeri (334), Kaga (33), Konduga (101), Chibok (120), Shani (11), Damboa (42), Askira-Uba (47) and Kwaya Kusar (128).
In Adamawa, six LGAs (MubiNorth, Mubi South, Maiha, Hong, Fufore and Yola North) have reported cholera cases, with a cumulative caseload of 2,332 cases.
WASH and health actors have been responding to the outbreak through household-level disinfection, water point chlorination, distribution of cholera kits and a mass campaign focused on hygiene education. Day-to-day monitoring activities were also carried out, and new cases followed up.