Medical/Health Care

UNICEF Nigeria Humanitarian Situation Report, 1-31 August 2019

Highlights

The security situation in northeast Nigeria remains volatile, with changes in military deployments and related hostilities leading to further displacement and a reduction in humanitarian access and services, especially in Gubio, Magumeri and Nganzai LGAs. The coming weeks and months are likely to see further population movements – especially in Maiduguri where existing camps are already overcrowded and there is an urgent need for additional land to shelter displaced families.

Seasonal rains and windstorms have caused significant damage, with an estimated 21,056 households affected in the three states – especially Borno (MMC/Jere, Monguno, Gwoza and Dikwa LGAs) and Adamawa (Yola South and Yola North LGAs). Among the damage are approximately 500 latrines and bathing facilities. The destruction of WASH infrastructure and standing water, along with a pre-existing high degree of overcrowding and poor hygiene practices, are leading to an increased risk of contracting diseases. Humanitarian actors continue to respond to cholera in Adamawa, where a cumulative total of 665 cases and 4 deaths have been reported in 3 LGAs.

4.2 million Children in need of humanitarian assistance (Humanitarian Response Plan, 2019)

7.1 million People in need of humanitarian assistance in the northeast states of Borno, Adamawa and Yobe (HRP, 2019)

6.1 million People targeted in the northeast states of Borno, Adamawa and Yobe (HRP, 2019)

1.79 million Internally displaced people in Adamawa, Borno and Yobe states (IOM DTM Round XXVII, May 2019

Situation Overview and Humanitarian Needs

The reporting period continued to witness significant population movement, with 14,981 departures and 4,619 arrivals. Areas that accounted for the most departures include Gubio, Magumeri, Geidam and Busari, in part because of changes in military deployments that have led to increased hostilities and fear of attack.

The shifts in the security situation along the Maiduguri-Damasak road (impacting Magumeri, Gubio and Mobbar LGAs), the Maiduguri-Monguno road (impacting primarily Nganzai LGA) and the Maiduguri-Bama road (impacting primarily Konduga LGA) has resulted in a significant reduction in humanitarian access. Reduced services in these areas as well as the possibility of increased hostilities is likely to create additional population movements, including into Maiduguri, over the coming weeks and months. These developments underline the importance of swiftly identifying additional land and securing permission to establish shelters and facilities for newly arriving displaced persons in and around Maiduguri.

Seasonal rains and windstorms have caused significant damage in northeast Nigeria, especially in camps or camp-like settings that are prone to flooding and have poor drainage facilities. An estimated 21,056 households have been affected in the three states, with the worst damages reported in Borno (MMC/Jere, Monguno, Gwoza and Dikwa LGAs) and in Adamawa (Yola South and Yola North LGAs). The high degree of overcrowding, poor hygiene practices, and destruction of WASH infrastructure are leading to increased risk of contracting diseases. About half of those affected have lost their emergency shelter or have experienced partial shelter damage, and the majority require household supplies, food items, water purification, latrine repairs, hygiene kits, and other WASH services. Approximately 500 latrines and bathing facilities have been damaged or destroyed by wind and rains to date. The rainy season is expected to continue into September. UNICEF is coordinating with WASH partners in the affected locations and standing by to provide supplies (especially chlorine and WASH kits) as well as rehabilitation or damaged facilities.

Cholera cases continue to be observed in Adamawa state, with a cumulative total of 665 cholera cases and 4 deaths (CFR 0.66%) in 17 wards within 3 LGAs (Yola North, Yola South, and Girei). A number of LGAs in Borno, especially Maiduguri Metropolitan Area and Jere, have seen an increase in the number of cases of acute watery diarrhoea, though overall the number of cases and associated mortality remains significantly lower than during the outbreak last year.

Source: UN Children’s Fund