A video released on Wednesday, July 24 in the evening shows the female Action Against Hunger staff member alongside five companions  ( drivers and health workers engaged in a humanitarian program run by Action Against Hunger in Damasak region, Borno State )  apparently in good health condition.Action Against Hunger strongly requests that our staff member and her companions be released.They are humanitarians and health workers and they chose to dedicate their lives to support the most vulnerable communities in Nigeria. They were only in pursuit of solidarity, humanity and neutrality.Their abduction fully contradicts International Humanitarian Law and internationally recognized standards for the protection of humanitarian workers and organizations.

Humanitarian access->Relief to population


July 6: The Nigerian Air Force killed "several"  ( estimated at ten )  ISWAP  ( Boko Haram )  militants in Bakassi, Borno. July 7: Gunmen killed six in Kankara, Katsina. July 8: Nigerian troops killed one bandit in Birnin Gwari, Kaduna.


Concerning nutrition conditions persist in the northeast. According to a late 2018 assessment conducted by the Government of Nigeria, the UN World Food Program  ( WFP ) , and the UN Children's Fund  ( UNICEF ) , nearly 11 and 13 percent of children ages five years and younger in Borno and Yobe, respectively, are acutely malnourished, representing high acute malnutrition levels per UN guidelines. In Adamawa, approximately seven percent of children are acutely malnourished, signifying a medium level of acute malnutrition.

Humanitarian conditions->Physical and mental well being


The total number of cases reported as at 5 th July, 2019 stands at 213, with 3 death  ( CFR=1.41% ) . Yola North has 113 cases with 2 deaths  ( CFR= 1.77% ) ; Girei has 93 cases with 1 deaths  ( CFR= 1.08% )  and Yola South has 7 cases with 0 death  ( CFR= 0% ) . So far, 61 samples yielded growth typical of Vibrio cholerae on culture and results of 7 isolates from the reference laboratory revealed 01 serotype


In the reporting week 26, no new health care worker was affected. A total of eighteen health care workers have been infected since the onset of the outbreak in nine States – Edo  ( 7 ) , Ondo  ( 3 ) , Ebonyi  ( 2 ) , Enugu  ( 1 ) , Rivers  ( 1 ) , Bauchi  ( 1 )  Benue  ( 1 ) , Plateau  ( 1 )  and Kebbi ( 1 )  with two deaths in Enugu and Edo States  Eight  ( 8 )  patients are currently being managed at various treatment centres across the country: Irrua Specialist TeachingHospital ( ISTH ) treatment Centre  ( 4 )  and Federal Medical Centre, Owo  ( 4 )


Twenty two  ( 22 )  States  ( Edo, Ondo, Bauchi, Nasarawa, Ebonyi, Plateau, Taraba, FCT, Adamawa, Gombe, Kaduna, Kwara, Benue, Rivers, Kogi, Enugu, Imo, Delta, Oyo, Kebbi, Cross River and Zamfara )  have recorded at least one confirmed case across 83 Local Government Areas   Figure 1  92% of all confirmed cases are from Edo ( 36% ) , Ondo ( 29% ) , Ebonyi ( 8% ) , Bauchi ( 7% ) , Taraba ( 7% )  and Plateau ( 6% )  states   Predominant age group affected is 21 40 years  ( Range: >1 month to 97 years, Median Age: 38 years )     The male to female ratio for confirmed cases is 1.2:1


The crisis currently affecting the Lake Chad Basin states results from a complex combination of factors, including conflict with NonState Armed Groups, extreme poverty, underdevelopment and a changing climate, which together have triggered significant displacement of populations. As of 17 June 2019, Cameroon, Chad, Niger and Nigeria were hosting an estimated 4,582,379 affected individuals made up of Internally Displaced Persons  ( IDPs ) , Refugees  ( both in  and out of camp ) , Returnees  ( Former IDPs and Returnees from abroad )  and Third Country Nationals  ( TCNs ) . 80 per cent of the affected population  ( representing 3,662,832 individuals )  were located in Nigeria, while 10 per cent resided in Cameroon  ( 475,817 individuals ) , 5 per cent in Niger  ( 248,887 individuals )  and 4 per cent in Chad  ( 194,843 individuals )


July 13: Bandits killed ten in Safana, Katsina. July 13: Sectarian violence led to two deaths in Abi, Cross River. July 13: Gunmen killed two in Obio/Akpor, Rivers.


Gwoza: 208 arrivals and 1 departure were recorded in Gwoza LGA of Borno state. These include 61 arrivals from Darajamal and Chongolo wards of Bama LGA, 5 arrivals from Chikde ward of Gwoza LGA, 3 arrivals from Maisandari ward of Maiduguri LGA and 111 arrivals from Marwa in Cameroon. Other arrivals include 9 from Taraba LGA of Taraba state and 19 arrivals from Mubi south and Madagali LGAs of Adamawa state. The only departure was from Lamurde ward of Mubi south LGA of Admawa state. 97% of the new arrivals reported to have relocated due to poor living conditions and 3% was due to the ongoing conflict while the departure was voluntary.


 The National Emergency Operations Centre for Cerebrospinal Meningitis is coordinating national response activities  States in the meningitis belt were formally placed on alert on the 8th of November 2018  As at epi week 15, 2019, 14 new suspected cases were reported.


The crisis continues to cause new displacement of refugees and IDPs. Security considerations should be addressed in a manner which also ensures access to protection by displaced persons. In all affected countries, concerns have been raised since the start of the crisis with regard to incidents and risk of refoulement, whether in the form of border closures, forced returns or induced returns.


HART partners are located in Jos, the capital of Plateau state; and Bari, south of Kano state capital. Middle Belt of Nigeria. Their disputes were initially driven by socio economic factors like land and cattle, but have grown to have a religious and ideological undertone. Aside from the direct death toll, these two major conflicts have resulted in a tragic litany of secondary issues  ( that stem off the displacement of people from their homes )  such as food insecurity, malnutrition, and loss of religious freedoms.


Clashes between the Nigerian military and Boko Haram in December 2018 and January 2019 in the town of Rann, eight kilometres from the border with Cameroon, forced around 40,000 people to flee across the border. Research participants reported similar movements in other border areas: “We started to hear gunfire from all sides and then we ran into Fotokol in Cameroon', said Emmanuel from the town of Gamboru.

Displacement->Type/numbers/movements
Context->Security & stability


May 14: The Islamic State  ( Boko Haram )  killed twenty eight Nigerien soldiers in Tillaberi, Niger. May 14: Bandits abducted eight and killed two in Maru, Zamfara. May 14: Gunmen killed twenty in Kankara, Katsina. May 15: Sectarian violence led to three deaths in Wukari, Taraba


Kala/Balge: 243 departures were recorded in Kala/Balge LGA of Borno State. The 243 departures were from Rann “A' ward. The departures were all due to poor living conditions resulting from the flooding of farmlands caused by the overflow of a nearby Cameroonian river, which had a serious impact on farm produce and livelihood.


Kaga: 91 arrivals were recorded in Kaga LGA of Borno state. These include 56 arrivals from Auno/Chabbol and 35 from Jakana ward of Konduga LGA. The new arrivals all relocated due to the ongoing conflict.


Numan: 26 arrivals and 54 departures were recorded in Numan LGA of Adamawa state. These include 10 arrivals from Gyawana ward in Lamurde LGA, 9 from Gwadabawa and 7 from Jambutu ward of Yola North LGA of Adamawa state. 20 departures from Gamdio ward of Numan LGA, 18 from Lafiya ward of Lamurde LGA and 16 from Dong ward of Demsa LGA of Adamawa state. 54% of the IDPs reported to have relocated due to improved securities, 13% due to poor living conditions and 34% relocated voluntarily. The departures were all voluntary.


Twenty three  ( 23 )  new cases reported from 29th July to 31 stJuly, 2019 from the 3 LGAs  ( Yola North, Yola South and Girei )  bringing total case count to 457. o No new death reported within the reporting period  ( CFR=0.87 % ) . o No new ward affected. Total number of wards which reported at least one suspected case still stands at 17. o Song LGA has not reported a new case in 3 weeks


The rainy season has not been so kind to the internally displaced persons in the North east of Nigeria especially across the 3 Bay states of Borno , Yobe and Adamawa. The intensive, destructive and stormy rains have left IDP camps flooded, disease prone, rendered roads impassable, reduced accessibility, increased shelter/ NFIs damages and induce further displacements. Out of the 136 camp sites in which CCCM activities are carried out, 75 camp sites have been identified as being high flood prone sites in the rain season with more than 9,518 shelters being damaged and affecting 56,705 individual since the rains started in late April.


September 2: The PDP national youth leader was kidnapped in Awgu, Enugu. September 2: Sectarian violence led to one death in Birnin Kudu, Jigawa. September 3: Nigerian police killed one protester in Ibeju/Lekki, Lagos.


The joint efforts of the health partners have enabled mobile medical teams to deliver services to over 1.2 million people in 2019 and ongoing collaborations continue to increase this number. The expansion of mobile health interventions is essential to the provision of essential and primary health care services in this active armed conflict context. An estimated 300,000 people in hard to reach settlements across the three states Borno, Adamawa and Yobe states remain unreached and this number is expected to increase in the coming months.

Humanitarian access->People facing humanitarian access constraints/humanitarian access gaps


Shelleng: 593 arrivals and 700 departures were recorded in Shelleng LGA of Adamawa State. The arrivals include 243 from Jambo and were tracked in Anguwan Kambari of Kiri ward and 350 from Wuro Yanka ward. The 700 departures were from Kiri ward. The arrivals and departures were all due to flood.


In more than 80% of the schools, there was notable lack of toilet facilities  ( latrines in the schools are uncompleted and unused, this means that there is open defecation around the bushes in the school environment )  and in all the schools there are no water points/boreholes.


 On 22 August, twenty five families of 134 Nigerian refugees voluntarily returned from Cameroon to Adamawa State. At the transit centre, they were provided with return packages, consisting of cash and NonFood Items  ( NFIs ) , communication facilities, and six months' worth of food allowance. Three days later, convoys brought the returnees to their respective areas of origin, where they have been warmly received. They will be assisted to reintegrate by the heads of their local communities. UNHCR and partners shall conduct follow up monitoring visits to ensure a sustainable reintegration of the returnees in their communities.


Prior to the floods, the Nigeria Hydrological Services Agency  ( NIHSA ) , a Federal Government Agency under the Federal Ministry of Water Resources released its annual flood outlook in July, detailing that, seventy four  ( 74 )  LGAs in 30 States in Nigeria are likely to experience severe flooding between July to September 2019.


October 12: Robbers killed five in Onitsha North, Anambra. October 12: Robbers killed a policeman and four others in Ilorin East, Kwara


Four  ( 4 )  new cases reported on the 3rd September, 2019 from Yola North, Yola South and Girei. No new case from Song LGA. o Total case count now stands at 715 with 4 deaths. CFR=0.56% o No new settlement or ward has been infected. 20 settlements are still the ones reporting new suspected cases


May 19: Cultists killed twenty in Khana, Rivers. May 19: Gunmen killed one and kidnapped two in Igabi, Kaduna. May 19: Gunmen kidnapped ffiteen in Birnin Gwari, Kaduna.


• Nigeria is currently responding to an outbreak of yellow fever, in people who are either resident in, or have visited Alkaleri Local Government Area  ( LGA )  in Bauchi since the 1st of August 2019 • Suspected and confirmed cases with an epidemiological link to Bauchi have been reported in Borno, Kano, Gombe and Katsina states • The first confirmed case was reported on the 29th of August, in a case from Kano who had visited Yankari Game Reserve, Alkaleri LGA, Bauchi in August 2019 • Of the cases with an epidemiological link to Bauchi, current epi summary is as follows: o 169 suspected cases o 10 presumptive positives cases  ( IgM positive on serology )  o 15 confirmed cases by RT PCR o 23 deaths o 5 states affected


Child/Forced Marriage were reported in Bama, Monguno, Ngala MMC and Jere LGAs; Young girls are forced to marry at an early age to avoid being abducted and forced to marry members of the NSAG or their parent killed for giving out a grown up girl in marriage.  Young girls are exposed to risk of sexual exploitation and abuse through child labour, street hawking and begging


Field assessments were carried out during the month of March 2018 to ascertain the water supply situation on ground in Gwoza. Gwoza is been served presently by a number of boreholes in various part of the town. There is no centralized system that caters for the town as there is no reticulation or pipelines. The individual boreholes are fixed with taps from which people fetch water for their use.

Impact->Impact on systems, services and networks


The nutrition situation in Borno, Yobe and Adamawa States continue to face a critical nutrition situation, with the global acute malnutrition  ( GAM )  rates of 10 20%  ( the global emergency threshold is 15% )  in many of the LGAs.


February 23: Boko Haram attacked Maiduguri, Borno, killing one soldier. February 23: Boko Haram attacked Geidam, Yobe. There were no reported casualties. February 23: One soldier and six civilians were killed in election related violence in Akuku Toru, Rivers. February 23: Four were killed in election related violence in Andoni, Rivers. February 23: Bandits killed the APC ward chairman in Chafe, Zamfara. February 23: Three were killed in election related violence in Sapele, Delta. February 23: One was killed in election related violence in Ibadan, Oyo. February 23: Election related violence resulted in one death in Dekina LGA and one death in Igalamela Odolu LGA in Kogi. February 23: An election official was killed in Degema, Rivers. February 23: Soldiers killed two in Southern Ijaw, Bayelsa. February 23: Gunmen abducted ten corps members in Abak LGA, four in Itu LGA, and four in Ikono LGA in Akwa Ibom. February 23: The Nigerian Air Force killed "several"  ( estimated at five )  Boko Haram militants in Mobbar, Borno.


The prevalence of acute malnutrition based on MUAC among children 6 to 59 months is shown in Table 10. At the State level, the prevalence of acute malnutrition by MUAC  ( <12.5 cm )  rates were highest in Yobe  ( 5.6 percent )  followed by Borno  ( 5.1 percent )  and Adamawa  ( 1.7 percent )  while the SAM proxy prevalence  ( MUAC < 11.5 cm )  was highest in Borno  ( 2.2 percent ) . At the domain level, the prevalence of acute malnutrition by MUAC  ( <12.5 cm )  was highest in Northern Borno  ( 10.2 percent ) . When disaggregated by sex, the prevalence of acute malnutrition was higher among girls than boys in all domains except Central Borno A and Northern Yobe A. While MUAC and WHZ are different indicators for identifying different children as acutely malnourished, they both suggest a similar finding – the rates of acute malnutrition are higher in Borno and Yobe relative to Adamawa.


The Nigeria Centre for Disease Control  ( NCDC )  and the National Primary Health Care Development Agency  ( NPHCDA )  have continued to support the response to an outbreak of yellow fever among residents and recent visitors to Alkaleri Local Government Area  ( LGA )  in Bauchi State. Since the confirmation of the first case of yellow fever linked to Alkaleri LGA on the 29th of August 2019, there have been 15 laboratory confirmed cases of yellow fever, from 169 clinically suspected cases as at the 11th of September 2019. Further testing of samples is going on at the NCDC National Reference Laboratory, Abuja.


November 25: Election related violence resulted in four deaths in Burutu, Delta. November 25: Gunmen killed five and abducted five children in Karim Lamido, Taraba. November 25: Kidnappers killed one policeman and abducted three Chinese expatriates in Atakumosa West, Osun. November 25: Gunmen killed two policemen and kidnapped seven people in Mubi South, Adamawa. November 25: Kidnappers abducted thirteen and killed one in Sabon Gari, Kaduna.

Context->Security & stability
Context->Politics


in Adagom, refugees have raised their serous concerns and challenges on health sector, such as not easy to access to primary healthcare at the health post; lack of in patient care at the health facilities during admission; inadequate drugs at the health post; and inconsistent/irregular immunization of refugee children.


Departures include 292 from Jambutu ward of Yola North LGA, 529 departures from Girei I and Modire/Vinikilang wards of Girei LGA, 500 departures from Digil and Lamurde wards of Mubi South LGA, 465 departures from Namtari and Bole Yolde Pate wards of Yola South LGA, 105 departures from Song Waje ward of Song LGA, 84 departures from Mayo Nguli aand Sorau A wards of Maiha LGA, 50 departures from Kwarhi ward of Hong LGA. Other departures are from Borno state and they include, 36 departures from Pulka ward of Gwoza LGA, 19 departures from Soye ward of Bama LGA and 17 departures from Wamdeo/Rumirgo ward of Askira/Uba LGA. 78% of the new arrivals reported to have relocated due to fear of attack, 5% due to poor living conditions while 16% was due to improved security. 97% of the departure was due to fear of attack, 1% due to poor living conditions, 2% due to improved security while 1% relocated voluntarily.


February 12: The Islamic State claimed to have killed forty two in an attack on Governor Shettima's convoy in Ngala, Borno. February 12: Nigerian troops killed eleven Boko Haram militants and lost one soldier and one civilian in Madagali, Adamawa. February 12: Herdsmen killed two in Ndokwa West, Delta. February 13: Herdsmen killed one and abducted a cleric in Udi, Enugu. February 14: Customs officials killed five smugglers in Jibia, Katsina. February 14: Three were killed during a clash between APC and People's Democratic Party  ( PDP )  supporters at a rally in Yola, Adamawa. February 15: Gunmen killed an aide to the Delta State Governor in Uvwie, Delta. February 15: Boko Haram killed seven Nigerien soldiers while Nigerien troops killed "several"  ( estimated at five )  Boko Haram militants in Chetima Wanou, Niger. February 15: Gunmen killed six in Ogba/Egbema/Ndoni, two in Ikwerre, and one police officer in Obio/Akpor, Rivers. February 15: Two were killed by security operatives when they broke into an Independent National Electoral Commission  ( INEC )  office in Obot Akara, Akwa Ibom.


KATSINA No fewer than five persons were, yesterday, feared dead after a clash between officers of the Nigeria Customs Service, NCS, and smugglers in a village in Kastina State. The incident, which took place between Mil Takwas village and Agangaro, the North West farms along Jibia Katsina Road, Katsina State, was said to have left several others with various degrees of injuries. However, when contacted, NCS's spokesperson, Theophilus Duniya, said nobody was killed during the incident, except that two of his officers were injured by the smugglers and are receiving treatment at the command's clinic.


1. AFP 1.1 As at February 3 2019, no new case of WPV was recorded1.2 In the reporting week, 164 suspected cases of AFP were reported from 133 LGAs in 32 States and FCT 1.3 Between week 1 and 5  ( 2019 ) , 549 suspected cases of AFP were reported from 33 LGAs in 36 states and FCT 2.1 In the reporting week, 22 suspected Cerebrospinal Meningitis  ( CSM )  cases were reported from 14 LGAs in six States ( Borno – 2, Jigawa – 1, Katsina – 11, Sokoto – 1, Yobe   2 & Zamfara – 5 )  compared with 51 suspected cases with three laboratory confirmed and one death  ( CFR, 2.0% )  reported across 27 LGAs  ( 12 States )  at the same period in 2018  ( Figure 1 )  2.2 Between weeks 1 and 5  ( 2019 ) , 147 suspected meningitis cases with six laboratory confirmed and seven deaths  ( CFR, 4.76% )  from 65 LGAs  ( 17 States )  were reported compared with 416 suspected cases with 56 Laboratory confirmed and 25 deaths  ( CFR, 6.0% )  from 102 LGAs in 23 states during the same period in 2018


28 December 2018 – 8 January 2019: More than 18,500 new arrivals from Kukawa LGA were registered in Teachers Village in 12 days, the vast majority from Baga town. Humanitarian partners began responding to the urgent assistance and protection needs of new arrivals. 11 January 2019 – 27 February 2019:Newly displaced people from Baga town continued to arrive in Teachers Village, yet at a slower rate than at the peak of the influx. In this six week period, an additional 2,300 new arrivals were registered, bringing the total number of new arrivals in Teachers Village to 22,414 people. Thousands of IDPs who fled to Teachers Village are still sleeping out in the open.


5 MEASLES 5.1 In the reporting week, 1104 suspected cases of measles with nine laboratory confirmed and two deaths  ( CFR, 0.18% )  were reported from 34 states compared with 434 suspected cases and four deaths  ( CFR,0.92% )  reported from 35 states during the same period in 2018. 5.2 Since the beginning of the year, 3723 suspected measles cases with 305 laboratory confirmed and six deaths  ( CFR, 0.16% )  were reported from 36 states and FCT compared with 1943 suspected cases and 20 deaths  ( CFR, 1.03 % )  from 36 States and FCT, during the same period in 2018


In the reporting week 27  ( 1 st – 7 th July, 2019 )  twelve new confirmed cases were reported from three states – Edo ( 5 ) , Ondo ( 6 )  and Kebbi ( 1 )  states, three new deaths from Edo ( 2 )  and Ondo ( 1 )  states  From 1 st January to 7th July, 2019, a total of 2959 suspected cases have been reported from 22 states. Of these, 615 were confirmed positive, 17 probable and 2327 negative  ( not a case )


The largest outbreak thus far has affected 16 states in Nigeria. The Nigeria Centre for Disease Control  ( NCDC )  declared an outbreak of Lassa fever on 22 January 2019. The 213 confirmed cases to date, including 42 deaths, mark a significant increase – already a third of the total cases for all of last year, when Nigeria experienced its worst outbreak of Lassa fever. Four health workers have been infected so far in this latest outbreak. A total of 12 cases have been confirmed to date in Benin, Guinea, Liberia and Togo, including two deaths, with more suspected cases being investigated.


May 18: Bandits killed seventeen in Birnin Magaji, Zamfara. May 18: Herdsmen killed one and abducted seven in Ovia North, Edo. May 18: Bandits killed one and abducted six in Toto, Nassarawa. May 18: Boko Haram killed twelve in Konduga, Borno. May 18: Sectarian violence led to eleven deaths in Yagba West, Kogi.


The Kano FMP monitors cross border flows of migrants between Nigeria and Niger. The Kano FMP  ( Kofar Ruwa Park and Yankaba Park )  has been collecting data since March 2017, covering two migratory routes in Dala and Nasarawa Local Government Areas in Kano state. Six enumerators, three in each location, carry out the task of monitoring flows travelling through the FMP. Results show that the daily average number of individuals observed in September 2019 at the Kano FMP Point was 1,061, this represents 1 per cent increase compared to August 2019. In September, Zinder  ( 51% ) , Maradi  ( 38% )  and Diffa  ( 7% )  in Niger, Ndjamena  ( 3% )  in Chad and Centre  ( 1% )  in Cameroon were the regions of departure for travellers passing through Kano, whereas Zinder  ( 55% ) , Maradi  ( 34% )  and Diffa  ( 7% )  in Niger, Ndjamena  ( 3% )  in Chad and Centre  ( 1% )  in Cameroon were the regions of intended destination of observed flows.


Domestic violence at distribution centres resulting from the way organizations selects beneficiaries. To mitigate this, every POC should get one CRI kit.  Women complained of arbitrary arrest/detention on account of suspicion of association with NSAG was highlighted during focus group discussions, especially in Pulka, Gwoza Dalori I, Dalori II and Muna Garage camps, with IDPs stating that since the arrests, they have not heard from the detainees.


DTM assessments identified 540,049 IDPs  ( 88,631 households )  across the eight states covered in North Central and North West Nigeria. This represents a 74 per cent increase in the number of displaced individuals identified in Round 1  ( 309,755 ) . This growth may be partially explained by the significant increase in coverage of DTM assessments, which quintupled between Rounds 1 and 2  ( from 129 to 630 wards assessed ) . The share of IDPs living in the two zones is fairly equal, with 51 percent of IDPs  ( 277,327 )  residing in North Central and 49 per cent  ( 262,722 )  displaced in North West.


Displacement in Zamfara, the state hosting the fourthlargest IDP population  ( 65,533 individuals, or 12% of IDPs ) , IDPs ) , is a result of violent crimes and banditry in the state, and in particular the kidnapping of travellers along major highways; attacks by herders on villages, during which herders steal or seize property and burn down villagers' homes; theft and robberies; and killings. Villagers in Zamfara are also victim of cattle rustling, whereby bandits raid villages to steal cattle by force; villagers who refuse to comply are often killed. Anka LGA, recorded the highest number of IDPs  ( 19,796, which is also the fourth highest number of IDPs of all affected LGAs )  followed by Maru LGA  ( 10,855 )  and Shinkafi LGA  ( 10,099 ) .


Askira/Uba: 3,716 arrivals and 311 departures were recorded in Askira/Uba LGA of Borno state. These include 865 arrivals from Gatamarwa ward of Chibok LGA, 2851 from Kopa/Multhfu ward of Askira Uba LGA tracked at Uba and Lassa wards of the LGA. Also, there were 9 departures from Maisandari ward of Maiduguri Metropolitan Council  ( MMC )  of Borno state, 89 departures from Lamurde ward of Mubi South LGA, 70 departures from Damare ward of Girei LGA, 69 departures from Sorau A ward of Maiha LGA, 28 departures from Kwarhi ward of Hong LGA and 17 departures from Jambutu ward of Yola north LGA of Adamawa state. The new arrivals reported to have relocated due to the ongoing conflict. 75% of the departures were due to poor living condi�ons, 22% due to the ongoing conflict while 9% was due to fear of a�ack.


Protection of women. In Pulka, the safety and protection of women, believed to be wives of suspected NSAG members, is increasingly compromised. They reportedly leave IDP camps in the middle of the night to meet with their husbands in the bush. Some of whom have been able to return safely to the IDP camps, while others have been intercepted by NSAG elements.


Two incidents of PBIED explosions were reported. Humanitarians were not targeted by both incidents. However, this continues to be a major threat to physical safety within the BAY states. • Increased frequency of looting of medical supplies from health facilities as well as assistance received by IDPs including other possessions, further exacerbating safety risks for medical facilities and protection concerns for the civilian population in IDP camps.


In the reporting week 47, no new health care worker was affected. A total of nineteen health care workers have been infected since the onset of the outbreak in ten States – Edo  ( 6 ) , Ondo  ( 4 ) , Ebonyi  ( 2 ) , Enugu  ( 1 ) , Rivers  ( 1 ) , Bauchi  ( 1 ) , Benue  ( 1 ) , Delta  ( 1 ) , Plateau  ( 1 )  and Kebbi  ( 1 )  with two deaths in Enugu and Edo States.  Twenty  ( 20 )  patients are currently being managed at various treatment centres across the country: Irrua Specialist Teaching Hospital ( ISTH )  treatment Centre  ( 9 )  Federal Medical Centre, Owo  ( 9 )  and Federal Teaching Hospital Abakaliki  ( 1 ) .


The bizarre strategy of harvesting well below 3% returns on a $7bn sovereign loan, which is not time bound, is starkly amplified by CBN's willingness, to conversely pay interest rates between 12 17% for those funds it borrows primarily, from the same banks!


Humanitarian actors remain unable to access Kala Balge and Kukawa LGAs  ( in addition to Abadam, Guzamala and Marte LGAs, which were already inaccessible throughout most of 2018 ) , resulting in an increased number of people beyond the reach of humanitarian actors.


In northeastern Nigeria in particular, the public health system is extremely poor. In Borno State, 50 percent of health facilities are non functioning, with 39 percent fully destroyed


Within the period of 25 February   03 March 2019, a total of 1,611 movements were recorded, including 1,514 arrivals and 97 departures. Arrivals were recorded at loca�ons in Askira/Uba, Bama, Chibok, Damboa, Dikwa, Gwoza, Jere, Konduga, Maiduguri, Mobbar and Ngala Local Government Areas  ( LGAs )  of Borno state and loca�ons in Demsa, Fufore, Maiha and Numan LGAs of Adamawa state. Departures were recorded at Askira/Uba LGA and Chibok of Borno state and Demsa, Maiha and Numan LGAs of Adamawa state.


In the Middle Belt region, intensified clashes between cattle herders and local farmers have caused the displacement and killing of hundreds of thousands of people. Tensions persist around the Biafra area. As of November 2018, Nigeria is hosting more than 30,000 refugees from anglophone Cameroon.


Widespread violence between farmers and pastoralists had forced many of the communities in Benue to flee to safer locations.


In 2013, Non State Armed Groups initiated operations in Cameroon in order to establish supply lines, equipping their fighters with arms from Cameroonian towns, and as a safe haven for retreat after a Nigerian state of emergency offensive earlier that year.


Since the conflict between Nigerian security forces and armed opposition groups  ( AOGs )  escalated in 2013, more than two million individuals have been displaced.1 Most were displaced within Borno State, particularly to urban centres in accessible Local Government Areas  ( LGAs ) .2 The humanitarian response is challenged by information gaps including, but not limited to, a lack of clarity on the security environment in inaccessible areas outside of urban centres, clarity on the availabliltiy of services and persons' access to services and the varying vulnerabilites of beneficiaries.


Children suffering from severe acute malnutrition like Aminu are nine times more likely to die from related complications than healthy children are. He is one of the estimated 450 000 children who are malnourished in North eastern region of Nigeria and requiring varying degrees of therapeutic interventions.


The urgency of tackling decongestion in camps is increasing as the rainy season approaches. While some progress has been made on the allocation of land in Monguno, there is an urgent need for additional land in other locations, including Maiduguri.


Across the border, in Nigeria, IS backed Boko Haram attacked a military base in Kareto on June 14 . The attack forced the withdrawal of military forces from the base and resulted in one military fatality. The insurgents seized weapons and vehicles from the base. Violence also erupted in the Shiroro area of Niger state, as 62 civilians were killed by an unidentified armed group during attacks on eight villages in the region.


The LGAs that showed the largest decreases in number of IDPs during Round 26 as compared to Round 25 accounted for a decrement of 137,769 IDPs identified  ( 60% ) .


The incident which left 20 people injured was blamed on the Islamic State West Africa Province  ( ISWAP )  militant group, which last week attacked a military base in the town


Monguno, one of the largest towns in conflict ridden Borno, is bordered by theLake Chadto the north and stretches to Marte at its southernmost tip. With a central market bubbling with a wide variety of fresh crops, fish, fish products and animals for sale, it is the most diverse and economically strategic town in northern Borno. In 2014, Monguno was overrun by insurgents, forcing villagers to flee for their lives. Houses, livestock and farms were ravaged and like many in his town, Alkali Tela lost his livelihood as a farmer and tailor. Tela and his 16 member family sought refuge in his brother's house in Maiduguri, the state capital, about 137 km from Monguno.


More than 800,000 school aged children are out of school in Borno, Adamawa and Yobe states of which more than 50 per cent are girls. The Education Sector is underfunded, and is appealing for an additional $30 million in funding to cover the gap.


Twenty four per cent  ( increased from 22% in Round 26 )  of IDPs living in host communities reported having been displaced 2 times with some LGA reporting higher incidence of this, Borno  ( 38% )  and Taraba  ( 35% ) . Similar to Round 26, 3 per cent of the assessed population in all evaluated states have been displaced 3 times.


Piped water continues to be the main source of drinking water in most sites  ( 70% of sites – down from 78% in February assessment ) , followed by hand pumps in 17 per cent  ( down from 18% )  of sites, water trucks in 7 per cent  ( up from 6% )  of sites, protected wells in 3 per cent of sites  ( down from 4% ) , unprotected wells in 2 per cent of sites, while 1 per cent got drinking water from other sources such as ponds, lakes, canals and surface water.


In 2018, one million IDPs remain in host communities while 1.6 million have returned to their home areas, primarily to areas no longer directly affected by the conflict but also to severely affected LGAs in Borno  ( Damboa, Konduga, Monguno ) , Adamawa  ( Madagali, Mubi North, Hong )  and Yobe  ( Gujba, Potiskum, Fika )  states.


At least 39,500 children  ( 53 per cent girls ) , including unaccompanied and separated children, and an additional 1,405 child headed households are more vulnerable to abuse, violence and exploitation if not provided with appropriate and timely protection services that include family reunification.


Recently concluded Biometric Registration Update in Teachers' Village and Stadium Camp, within the period of 9 February   26 April 2019 has brought the total number of displaced persons into 24,861 individuals  ( 6,033 households ) . T


However, overcrowding in camps continues to be a prevalent concern with over 40 per cent of camps in Borno State remaining overcongested. Moreover, more than 15,000 people who are living in makeshift shelters or sleeping out in the open are in urgent need of shelter assistance. Some progress has been made in Maiduguri, Monguno and Bama in Borno State with the allocation of additional land to build new shelters.


Assessing the age distribution showed that children below the age of 10 constitute the larger proportion of the caseload  ( 2,975: 52% ) , followed by children between the age of 11 to 15 years  ( 2,178: 38% )  and those between 16 and 18 years  ( 604: 10% ) .


Children and care givers were queried about access to safe shelter. Out of the 5,757 caseloads, 4,027  ( 70% )  reported having access to safe shelter, while 1,730  ( 30% )  did not have access to safe shelter.


Recent spike in violence in north western parts of Nigeria has forced an estimated 20,000 people to seek safety and security in Niger since April.


The total number of cases reported as at 1 st July, 2019 stands at 178, with 2 death  ( CFR=1.12% ) . Yola North has 87 cases with 1 death  ( CFR= 1.15% ) ; Girei has 86 cases with 1 deaths  ( CFR= 1.16% )  and Yola South has 5 cases with 0 death  ( CFR= 0% ) . So far, 36 samples yielded growth typical of Vibrio cholera on culture and results of 7 isolates from the reference laboratory revealed 01 serotype.


In 2013 alone, Plateau, Kaduna, Nasarawa, and Benue states registered more than 100 incidents of violent conflict, accounting for more than 1,050 deaths  ( Mercy Corps 2018 ) .4 The more recent violence left 300,000 displaced  ( Akinwotu 2018 )  and more than 1,476 dead in 2018  ( Harwood 2019 ) .


Ten years after the first attack launched by the armed group Boko Haram, more than two million people remain displaced from homes in northeast Nigeria, the highest number of any time over the last decade.


In addition to militancy, kidnapping and attacks on energy infrastructure, trajectory of violence in the region has expanded to include cult wars and killings which became more prominent from 2014.


More than 2.9 million people in Adamawa, Borno, and Yobe will face Crisis  ( Phase 3 )  or worse levels of acute food insecurity and require urgent food assistance between June and August 2019, the most recent Cadre Harmonisé  ( CH )  analysis indicates. This figure represents a slight decrease from the estimated 3.0 million people who were in need during the same period last year.


The prevalence of cough was disproportionately high in East Borno and Northern Adamawa B  ( 46 percent )  and Central Borno A  ( 39 Percent )  whereas the lowest prevalence of 19 percent was reported in Northern Yobe B. For diarrhoea, more than one in every three children  ( > 30 percent )  had experienced diarrhoeal like symptoms in almost all the domains in the northeast except for MMC & Jere  ( 28 percent ) , Central Borno A  ( 26 percent ) , Northern Adamawa B  ( 24 percent )  and East Borno  ( 23 percent ) .


Consequently, populations in need of healthcare services, especially women and children, are either underserved or suffer from avoidable and treatable health conditions. The north eastern states have the worst indices of maternal and child health in Nigeria. Endemic malaria still accounts for more than 50% of mortality and morbidity among children with acute respiratory tract infection, watery diarrhea and severe acute malnutrition as leading causes of illness.


Malaria: In Epi week 17, 3,433 cases of confirmed malaria were reported through EWARS. Of the reported cases, 240 were from General Hospital in Biu, 150 were from GSSSS IDP camp clinic in Bama, and 132 were from Shuwari Host community clinic in Damboa. No associated death was reported.


Of this number, 169  ( 1.0% )  children had MAM and their caregivers were counselled on proper nutrition, while 93  ( 0.5% )  of them had SAM as demonstrated by Red on MUAC. The SAM cases were referred to the Outpatient Therapeutic Program  ( OTP )  centers, while the SAM cases with medical complications were referred to the stabilization centres across the state for proper management.


Nigerians last week marked the 10 year anniversary of the rise of the Boko Haram insurgency, which has killed more than 30,000 people, displaced millions and created one of the world's largest humanitarian crises. The extremists are known for mass abductions of schoolgirls and putting young women and men into suicide vests for attacks on markets, mosques and other high traffic areas.


The harrowing violations took place at Maiduguri Maximum Security Prison and Giwa Barracks, where thousands of civilians arrested due to claimed links to the Boko Haram armed group are being held. Amnesty's research also found that scores of children are being unlawfully detained alongside adults in Maiduguri Prison.


Ngala: 106 arrivals were recorded in Ngala LGA of Borno state. These arrivals were all from Rann ward of Kala Balge LGA. The new arrivals reported to have relocated due to poor living conditions.


When the families were asked where they are currently living, an overwhelming majority of respondents reported living in Traditional Houses  ( made of mud brick / adobe ) , some were living in thatched houses  ( made from Zana ) , with few living in living in Emergency shelters built by humanitarian agencies.


The situation of IDPs in all locations across the seven states is critical and they are in urgent need of humanitarian assistance. There are few formal camps available for the IDPs so many are residing in host communities. Most of the IDPs  ( 60% )  are living within solid walls while less than 25 per cent is living in makeshifts shelters.


They are targeting UN structures and assets. While the intentions behind the attacks remain unknown, based on previous experiences, they could be aimed at collecting supplies, and/or abducting humanitarian personnel for ransom. A joint assessment mission was conducted, and an ad hoc Area Security Management Team held to review existing prevention and mitigation measures.


Suspected VHF: No suspected viral haemorrhagic fever case was reported in week 34.  Suspected cholera: One case of suspected cholera was reported through EWARS in week 34 in El Miskin IDP camp clinic in Jere. Also, an alert of 16 suspected cholera cases was received from MSF CTC Bolori in MMC. Stool samples were taken for lab analysis. Results still pending for samples sent the previous week


The results also include 67 children from neighbouring Cameroon, Chad and Republic of Niger  ( 22 moved to Bama, 8 to Mobbar while 37 moved to Ngala ) ; out of the 67 children measured, 1 was in the red category, 59 were in the green category and 7 children were in the yellow category. All children found with acute malnutrition have been admitted for treatment.


Nigeria ranks 32 out of 167 countries with the highest number of slaves  ( 1,38 million ) , according to the 2018Global Slavery Indexreport. While Nigeria has the institutional framework and laws against trafficking, at least one million people are trafficked there every year, according to the country's National Agency for the Prohibition of Trafficking in Persons  ( NAPTIP ) .


Some of the trafficking victims were working as sex workers in Benin and Nigeria, while others worked all day in markets and at various eating places. Some were as young as 11 and had been beaten, subject to abuse, and told they would never see their families again.


In March, 633,302 persons  ( including 303,229 children under the age of five )  were reached with integrated primary healthcare  ( PHC )  services in the camps for internally displaced and host communities in Adamawa, Borno and Yobe states. Out of 97,861 medical consultations, respiratory infections remained the main morbidity with 25,326 cases, followed by malaria  ( 22,341 cases ) , diarrhea  ( 8,892 cases ) , measles and other medical conditions.


Of the 866 Nigerians surveyed in Niger, the majority  ( 86.8% )  left Nigeria for Europe between July and September of 2017. When looking at the demographic and socio economic profiles of the Nigerian respondents in Niger, the majority were males  ( 63.2% )  and single  ( 78.4% ) . The sex distribution among the Nigerians in Niger is similar to the one of potential migrants in the origin country


For Nigerians, social media and communication apps were main sources of information that informed their migration decision. Respondents reported that they based their decision primarily on information from Facebook  ( 36.1% ) , word of mouth  ( 35.3% ) , and WhatsApp  ( 14.5% ) . Different secondary sources were: word of mouth  ( 33.8% ) , the Internet in general  ( 16% ) , and Facebook  ( 15% ) . The main channels for word of mouth were verbal contact  ( via phone, Viber, Facebook, and/or Skype )  with friends and family in Europe  ( 40.6% )  and family at home  ( 21% ) . Secondary channels for word of mouth were written contact  ( via smartphone apps and/or social media )  with family and friends in Europe  ( 18.5% ) , family and friends that returned from Europe to Nigeria  ( 13.4% ) , and – again – family at home  ( 12.7% ) .

Displacement
Information and communication

Information and communication->Communication means and preferences


As can be seen in Figure 45, respondents also mentioned expecting to face problems in their destination country, primarily deportation  ( 20.6% ) . As secondary problems, Nigerians transiting in Libya expected to face deportation  ( 19.0% )  and detention  ( 19.2% )  – but also a lack of jobs  ( 10.1% )  and xenophobia  ( 10.1% )  – in their final destination in Europe. A third of the respondents  ( 33.2% )  expected to face no problems in their final destination country.


Local infrastructure  ( Houses, Shops and Public buildings, Latrines, Emergency and Bama type Shelters ) , which existed prior to the recent attack by AOGs, were largely damaged or destroyed, with no capacity of residents to rebuild them. However, some individuals have rebuilt their houses using Mud blocks, but do not have the capacity to buy roofing materials. The level of destruction is enormous with various level of damages and disrepair in different communities.


Forty eight per cent  ( up from 46% )  of displaced persons living with host communities differentiated between drinking and non drinking water. In Borno, residents were differentiating between drinking and non drinking water in 18 per cent of sites.


Ngala: 105 arrivals were recorded in Ngala LGA of Borno State. The arrivals include 57 from Rann “A' ward of Kala/Balge LGA and 48 from Kousseri of Cameroon. All the new arrivals reported to have relocated due to poor living conditions.


Good relationships between IDPs were reported in 98 per cent of sites, which is an increase of one per cent compared to Round 26. Relationships with surrounding host communities were described as good in 98 per cent of sites.


Substantial global progress has been made in reducing child deaths since 1990. The total number of under 5 deaths worldwide has declined from 12.6 million in 1990 to 5.3 million in 2018. On average, 15 000 children under 5 die each day compared with 34 000 in 1990. Since 1990, the global under 5 mortality rate has dropped by 58%, from 93 deaths per 1,000 live births in 1990 to 39 in 2017 This is equivalent to 1 in 11 children dying before reaching age 5 in 1990, compared to 1 in 26 in 2018.


An exhaus�ve nutri�on screening using monitoring of symptoms of acute malnutri�on mid upper arm circumference  ( MUAC )  and Oedema was conducted by Nutri�on Sector partners for 386 children of 6 59 months. Of the 386 children screened, the MUAC reading was: 20 children  ( 14 from inaccessible and 6 from accessible area )  were in the Red category, 35 were in the Yellow category and 331 were measured in the Green category. No case of Oedema was reported in the 7 LGAs


Malaria: In Epi week 4, 3,914 cases of confirmed malaria were reported through EWARS. Of the reported cases, 430 were from General Hospital in Biu, 187 were from PHC clinic in Gwoza, 171 were from 400 Housing Estate Gubio road IDP camp clinic A in Konduga, and 110 were from Shuwari Host community clinic in Damboa. No associated death was reported.


The results also include 20 children from neighbouring Cameroon, Chad and Republic of Niger  ( 7 moved to Bama, 10 to Mobbar while 3 moved to Ngala ) . Out of the 20 children measured, none was in the red category, 14 were in the green category and 6 children were in the yellow category. All children found with severe acute malnutrition have been admitted for treatment.


The escalation of violence between all parties in north eastern Nigeria in 2014 resulted in mass displacement and deprivation. To better understand the scope of displacement and assess the needs of affected populations, IOM began implementing its DTM programme in September 2014, in collaboration with the National Emergency Management Agency  ( NEMA )  and State Emergency Management Agencies  ( SEMAs ) .


The geopolitical zones of North Central and North West in Nigeria have been affected by a multidimensional crisis, rooted in deep and historic rifts and rekindled in 2013 by worsening socioeconomic and environmental conditions in the two regions. The crisis accelerated in January 2018 with the intensification of attacks, leading to the displacement of hundreds of thousands of individuals. By the end of 2018, one million individuals had been displaced. While many of the IDPs displaced that year have been able to return, hundreds of thousands remain displaced for lack of security and the fear of being attacked en route or upon their return.


The security situation in Yobe State has gradually improved, after months of insecurity before and after the general elections in February 2019. However, new factors are evolving which pose challenges to the security and access environment. These include the new military “super camp' strategy through which smaller military units will be withdrawn and concentrated into larger bases. Security gaps have been seen and are anticipated as a result of the strategy, especially in areas where people are returning to and are starting to rebuild their lives.


Gombi: 58 arrivals and 13 departures were recorded in Gombi LGA of Adamawa State. The arrivals include 17 from Mayo Ine ward of Fufore LGA, 15 from Gulak ward of Madagali LGA, 14 from Madzi Ward of Michika LGA and 12 from Gwamba ward of Demsa LGA. The 13 departures were from Gombi South ward. 55% of the new arrivals reported to have relocated voluntarily while 45% were reportedly due to poor living conditions. The departures were due to poor living conditions


Due to ongoing conflict, 232 displaced individuals from neighbouring Niger and Chad republic were also tracked. It includes 154 arrivals from Niger Republic, of which 147 moved to Maiduguri Metropolitan council and 7 to Gubio LGA; and 78 arrivals from Chad tracked in Ngala LGA. Out of the 4,982 individuals recorded, 24 individuals transited from Maiduguri Metropolitan council, of which 11 to Bauchi and 13 to Jigawa State.


The Government of Nigeria  ( GoN )  officially closed their land borders on August 20, 2019. The decision was made in an attempt to curb smuggling in and out of Nigeria. The GoN's policy aims to halt illegal importation of food items, particularly rice, to foster local production, as well as illegal exportation of Nigerian petroleum, which is heavily subsidized  ( Figure 31 ) , to neighboring countries. It should be noted that crude oil continues to be exported from Nigeria, unaffected by the closure.


In 2018, 418 children were deprived of liberty in Nigeria for their or their parents' alleged association with Boko Haram  ( 304 boys, 86 girls, 28 unknown sex ) . The majority  ( 52 per cent )  of the children had been in detention for over two years. In 2018, the Nigerian authorities released 241 children from detention. In addition, 125 children were held in detention for alleged association with Boko Haram in the Niger, Cameroon  ( 57 )  and Chad  ( 18 ) .


Across all states, around a quarter of schools were unable to enrol children in the 2018 2019, typically due either to overcrowding or refusing to enrol children unable to pay for school levies or uniforms. This was particularly problematic in Yobe, where 39% of schools reported being unable to enrol some children. There are no known referral mechanisms operating to assist children who have been unable to enrol in schools.


Although the majority of schools reported that teachers generally had textbooks for all subjects or at least core subjects, children's access to teaching and learning materials as more limited. In Yobe state, children in just 24% of schools had access to sufficient learning material, with even lower proportions in Borno  ( 14% )  and Adamawa  ( 10% ) . School furniture was reported as a further gap, with just 33% of schools in Borno having adequate furniture  ( chairs, desks, mats ) , 24% in Yobe and 20% in Adamawa.


Main source of food at household levels across the surveyed LGAs is food aid with exception of Damboa where majority of respondents confirmed they obtain their food through own food production. Mean HDDS ranged between 5.0 6.0 however some food groups such as eggs, meat & meat products, milk & milk products and fruits are rarely consumed.


When comparing results by state, one notes major differences between states: whereas almost all IDPs in Sokoto  ( 96% of IDPs in the state )  and Katsina  ( 91% )  were displaced in 2019, most IDPs in Nasarawa  ( 50% ) , Plateau  ( 45% ) , Kano  ( 42% )  and Kaduna  ( 38% )  states are long term IDPs, having been displaced when the crisis first started in 2012 2013. In Benue and Zamfara states, the largest IDP group  ( 45% and 41%, respectively )  was displaced in 2018. Nevertheless, large shares of IDPs in Zamfara  ( 41% ) , Kaduna  ( 38% )  and Kano  ( 32% )  states were also displaced in 2019.


Increase in food and cash crops production in 2019/2018 ranged from 0.3% to 10% compared to five year average at the state level. However, in some states such Plateau, below average crops production was recorded due to conflicts between farmers and herders, which restricted access to farmlands among the farmers. In the three NE states affected by the insurgency, the percentage of households that cultivated in the 2019 season was estimated at 50% in Borno, 73% in Adamawa and 76% in Yobe State.


The results also include 46 children from neighbouring Cameroon and Republic of Niger  ( 12 children moved to Bama, 9 to Mobbar and 25 moved to Ngala ) ; Out of the 46 children measured, 1 was in the red category, 41 in the green category and 4 measured in the yellow category. All children found with acute malnutrition have been admitted for treatment.


The general security situation in the Northeast of Nigeria remains largely volatile. During this reporting period, while Borno State was at the epicenter of continuing hostilities, sporadic incidents were reported in the States of Yobe and Adamawa. This period was marked by two simultaneous Non State Arm Groups  ( NSAG )  attacks in Banki; one on the UN Humanitarian Hub armed guards, and the other on IDP camp. These incidents may indicate modification of the modus operandi of NSAG.


The incident was preceded by a raid of a community defense group, notably local hunters, who following a tip off about NSAG gathering in a certain village went to the area and killed 12 NSAG elements. As such, instances of deliberate killings of civilians in areas under control of both Islamic State West Africa Province  ( ISWAP )  and Jama'atu Ahlus Sunnah Lidda'Awati Wal Jihad  ( JAS )  is expected to persist. Humanitarian Staff from ACF who were abducted are still being held captive.


The WASH facilities in most camps across the 3 states are appalling. In Faskari LGA, Katsina, the toilets and bathrooms observed within the camp, are without doors or windows. In Rabah LGA, Sokoto state, the male bathroom was a makeshift structure with mats spread over the entrance for privacy, while the women use the existing facilities in the school.


Cholera continues to pose a significant threat to the lives of conflict affected communities. In Adamawa State, 434 cholera cases were recorded by the end of July, with 4 deaths  ( representing a case fatality rate of 0.92 % ) . The outbreak has been restricted to four LGAs, with Yola North and Girei reporting the highest numbers of cases  ( 259 and 140 cases respectively ) , while Yola South and Song have recorded a much smaller number of cases  ( 34 and 1 case respectively ) . In Borno, at least four LGAs  ( Bama, Monguno, MMC and Jere )  have reported cholera alerts, with samples currently being tested in the national laboratory to confirm the official declaration of an outbreak.


The insecurity in the northwest and central states relating to the farmer/herder conflict, banditry, kidnapping, and communal conflict also persist but is limited to localized areas. The recent UNICEF rapid humanitarian needs assessment report in July 2019 covering Sokoto and Zamfara states estimates that the total number of internally displaced persons in the two states is between 70,000 and 85,000 people  ( approximately 50,000 to 60,000 in Zamfara and approximately 20,000 to 25,000 in Sokoto ) , which is slightly higher than the IOM estimate from July 2019.


3.0 percent of food insecure households were severely food insecure with more of such households found in Borno State  ( 4.9 percent )  compared to 1.7 percent and 1.2 percent in Adamawa and Yobe States respectively, which shows wide food consumption gaps and loss of productive assets within such households. Year on year comparison with February 2018 shows a marginal reduction 0.2 percent in the prevalence of severe food insecurity, albeit there was an increase of 1 percent and 0.2 percent in Borno and Adamawa States respectively. At the LGA level, more than one in every ten households were severely food insecure households in Gubio  ( 14.5 percent ) , Nganzai  ( 13.0 percent )  and Magumeri  ( 10.3 percent )  LGAs in Borno State, whereas in Yobe and Adamawa States, severe food insecurity was most pronounced in Yunusari  ( 5.3 percent ) , Numan  ( 6.3 percent ) , Gombi  ( 6.2 percent )  and Madagali  ( 4.0 percent ) .


On 18 June 2019, the Adamawa State Government officially declared an outbreak of cholera in three LGAs namely Yola North, Yola South and Girei. The total number of cases reported as of 18 June stands at 76 cases with one death  ( CFR=1.32% ) . Yola North has 44 cases with one death  ( CFR= 2.27% ) ; Girei has 31 cases with no deaths  ( CFR=0% )  and Yola South has one new case. The local coordination forum within the Yola North secretariat for the three LGAs is active.


The total number of cases reported as at 14th August, 2019 stands at 615, with 4 deaths  ( CFR=0.65 % ) , Yola North has 376 cases with 2 deaths  ( CFR= 0.53 % ) ; Girei has 168 cases with 1 death  ( CFR= 0.59 % ) , Yola South has 70 cases with 1 death  ( CFR= 1.43 % )  and Song has 1 case with 0 death  ( CFR= 0 % ) . So far, 149 samples yielded growth suggestive of Vibrio cholerae on culture and results of 7 isolates from the reference laboratory revealed 01 serotype.


Today, the humanitarian and protection situations in Nigeria, as well as in the border areas with Cameroon, Chad and Niger, remains dire. The violence has uprooted nearly 2.5 million civilians within their respective countries, including over 1.9 million IDPs in Nigeria alone. In addition, some 229,000 Nigerian refugees have fled to neighbouring Cameroon, Chad and Niger


Eleven protesters, a journalist, and a police officer were killed, while dozens of others were wounded or arrested, according to witnesses and authorities. The Shia movement was protesting the detention since 2015 of their leader, Sheikh Ibrahim El Zakzaky, and calling for the authorities to allow him proper medical care. Parliament shut down for an afternoon after a July 9 protest by the group at the Nigerian National Assembly.


One of the drivers was killed, while one Action Against Hunger staff member, two of the drivers and three health workers are missing.


In 50 per cent  ( down from 51% )  of sites, 10 to 15 liters of water was available per person per day; 34 per cent of sites  ( up from 31% )  reported access to more than 15 liters of water per person per day; and in 14 per cent of sites  ( down from 17% ) , 5 to 10 liters of water per person per day was available. In Borno, in 63 per cent of sites  ( no change from last round of assessment ) , the amount of water available for IDPs living with host communities was between 10 and 15 liters per day


IDPs in 92 per cent  ( up from 89% in Round 26 )  of sites did not witness any security incident. Theft and friction among site residents were the main types of security incidents reported in four per cent of sites, respectively. Ninety eight per cent of sites did not report any incidents of Gender Based Violence  ( GBV ) . Whereas sites in Adamawa and Borno states were the only areas which reported instances of domestic violence. In Adamawa, 8 per cent of sites reported GBV incidents and in Borno 2 per cent of sites reported GBV incidents. No cases of physical violence were reported in 99 per cent  ( up from 96% )  of sites.


The increase in the total number of returnees, however, is in line with the trend observed since the start of collection of returnees data by DTM in August 2015. The increase in returnees was most notable in the State of Yobe where 28,216 returnees were recorded  ( 21% increase in Round 27 assessment as against Round 26 ) , followed by Adamawa  ( 2% increase )  and Borno  ( 3% increase – taking the total number of returnees in the state to 658,869 ) .


Of the sites assessed, 752 sites, hosting 123,160 households, host IDPs living in makeshift shelters. Of these, in 521 sites the IDPs living in makeshift shelters comprise less than 25 percent of the total number of IDPs in these sites. Of the sites assessed, 237 sites, hosting 48,242 households, host IDPs living in emergency shelters. For 171 of these sites, the proportion of IDPs living in emergency shelters was less than 25 percent of the IDPs on site.


Furthermore, of the total 281 camps and camp like settings, in 16 sites  ( hosting 28,250 families )  in Borno States some households lived without shelter. Out of the total number of IDPs on site, the number of families in need of shelter was lower than 25 percent, With the exception of SSS Quarter camp  ( GSSSS Damboa ) where 50 75% of households reported no shelter owing to the recent influx from Sabon Gari town into the camp.


Ninety seven per cent of displacement sites had access to markets  ( no change from last round of assessment ) . The frequency of cash or voucher distribution was irregular in 42 per cent  ( up from 36% ) , once a month in 42 per cent of sites  ( up from 41% )  and never in 13 per cent of sites  ( up from 9% ) .


In Niger state, about 300 people were affected, 185 displaced, 50 casualties were recorded hospitalized. A total number of eight 8 people were reported dead due to flooding with others reported as missing. The deceased bodies were recovered following a downpour in Rafi Gora village and Gangare Saji in Kontagora Local Government Area of the state.


In addition, UNHCR reported the registration of 1,745 refugees still in Cameroon who have expressed a desire to be transported to Adamawa, where the security situation in several Local Government Areas  ( LGAs )  has stabilized. Some of those who have registered originally hail from Borno but are reportedly considering permanent resettlement in Adamawa.


Malaria: In Epi week 22, 3,297 cases of confirmed malaria were reported through EWARS. Of the reported cases, 245 were from General Hospital in Biu, 196 were from Kirbutu PHC, 111 were from Shuwari Host community clinic in Damboa, and 111 were from Gwange PHC in MMC. Two associated deaths were reported in Yawi dispensary Biu  ( 1 )  and FHI360 Banki clinic in Bama  ( 1 ) .


Bama: 477 arrivals were recorded in Bama LGA of Borno state. These include 26 arrivals from Marwa in Cameroon, 2 arrivals from Pulka/Bokko ward of Gwoza LGA and 28 arrivals from Mubi ward of Mubi North LGA of Adamawa state. Other arrivals include 63 from Banki camp of Baduwa ward, 305 arrivals from Darajamal ward and 53 arrivals from Abbaram and Sabsawa ward of Bama LGA tracked at Shehuri/Hausari/Mairi wards of Bama LGA. 70% of the new arrivals reported to have relocated due to military opera�on, 5% due to poor living condi�ons while 25% relocated voluntarily.


The CH did not analyze food security outcomes in four hard to reach LGAs in Borno Abadam, Guzamala, Kukawa, and Marte for the June analysis; as such, the actual number of people facing acute food insecurity may be higher than what the CH analysis indicates. The figure is largely unchanged from the approximately 3 million people who likely experienced Crisis or Emergency levels of acute food insecurity during the same period in 2018.


Norwegian Church Aid's  ( NCA )  Needs Assessment conducted in Dec 2018 uncovered similar issues related to Gender Based Violence and child protection in the communities they work in. Women and  ( especially )  adolescent girls are the most affected community group exposed to deeply rooted gender inequality  ( e.g. forced marriages, stigmatization of GBV survivors – including survivors of abductions by Armed Opposition Groups  ( AOGs ) .


Bama: 244 arrivals were recorded in Bama LGA of Borno state. The new arrivals include 131 arrivals from Marwa in Cameroon and 113 arrivals from Darajamal, Goniri and Abbaram wards of Bama LGA tracked at Buduwa/Bula Chirabe and Shehuri/Hausari/Mairi wards of Bama LGA. 52% of the new arrivals reported to have relocated due to fear of a�ack while 48% relocated due to poor living condi�ons.


Adamawa was characterised by very high food security needs across the state with extremely high challenges in accessing markets and food items on markets, as well as concerning proportions of households found to have poor or borderline food consumption scores  ( FCS ) .


The security operatives in camps, specifically the CJTG were accused of perpetrating violence again persons of concern, eg. in Fori host community in Maiduguri when such individuals lacked ID cards. In Wege Camp C in Pulka, men faced harassment including being beaten by CJTF within the confines of the camps and host community. Girls in Camp B, Pulka, also accused CJTF of harassing them.


Askira/Uba: 35 arrivals and 248 departures were recorded in Askira/Uba LGA of Borno state. These include 20 arrivals from Uba Marghi in Uba ward of Askira/Uba LGA tracked at Multhfu in Kopa/Multhafu ward of Askira Uba LGA of Borno state, 15 arrivals from Kona ward in Jalingo LGA of Taraba state, 159 departures from Damboa central ward of Damaboa LGA, 3 departures from Gatamarwa ward in Chibok LGA of Borno State and 86 departures from K/Wurogayandi ward of Madagali LGA of Adamawa state. 57% of the new arrivals reported to have relocated due to improved security and 43% voluntarily relocated while the departure was due to improved security.


For the infrastructure mapping, data collection teams identified and recorded the GPS locations and main characteristics of water access points, latrine blocks, schools, marketplaces, and health facilities. HH survey data was collected between 25 June and 6 August 2018, while infrastructure mapping data was collected between 2 and 5 October 2018. 263 HH surveys were conducted in accessible areas of Dikwa LGA with a confidence level of 95% and a margin of error of 10%.


Of all the 2,117 sites assessed, the highest need for NFI items was blankets/mats in 1,065 sites hosting 122,225 households, followed by mosquito nets in 376 sites hosting 33,607 households and mattresses in 316 sites hosting 18,173 households.


As was found in Borno and Yobe, education needs were very high in the state of Adamawa across all domains and population groups. It was by far the first sector in which households were found to be in need of assistance, as well as the sector for which needs severity was the worst. Overall in Adamawa, 88% of households were found to be in need of education support. The average severity score was the highest of all sectors in the state of Adamawa with 7.3 out of 10. Across the state, the main driving indicator was related to ownership of education related supplies. Indeed, 86% of households reported not owning school supplies such as school bags, notebooks and textbooks.


Both non displaced and returnee households displayed alarming rates of not accessing improved water sources  ( respectively 71% and 67% )  and not accessing functioning latrines  ( respectively 63% and 70% ) . In Southern Adamawa, IDP households reported not having access to soap more frequently than other groups  ( 12% ) .


At the tiem of data collection, over half of households in Borno State reported not receiving any information from aid providers  ( 53% ) , suggesting that not all populations are being reached with information. For those households receiving information, how to register for assistance and news on the situation in their current location were the most commonly reported types of information received.

Information and communication->Information challenges and barriers


Health needs were high in Borno State, with this need being expressed by more than half of households  ( 57% ) . Most indicators that fed into the calculations for health needs are proxies for healthcare access. Therefore, LGAs where data collection was restricted to a small area  ( such as the LGA capital ) , or that have a high health partner presence, likely will demonstrate lower needs than other groups or areas.


Across the geographic areas, households in Northern Yobe had the highest education needs  ( 81% ) . Households in Northern Yobe reported the lowest access to school supplies  ( 93% of households reported not having school bags, notebooks and textbooks ) , the highest dropout rates  ( 73% ) , and the highest proportion of households with children with no formal schooling  ( 70% ) .


In Northern Adamawa, a lower proportion of households were found to be in need of WASH as compared to the state overall  ( 51% vs. 62% ) , suggesting that households in Northern Adamawa were less negatively affected by WASH needs than their Southern counterparts. However, the severity of needs observed was the same with 5.2. In Northern Adamawa, the three main drivers of WASH needs were a challenged access to improved water sources for 49% of households, no access to functioning latrines for 47% of households, and high water collection times reported by 39% of households.


While only 48% of IDP households reported that the nearest health facility was more than 2 kilometres away, this proportion was 73% for non displaced households and up to 81% for returnee households. Similar to previous observations, the geographical distribution of IDP households in the state of Adamawa in more urban settings could offer an explanation to this difference, while non displaced and returnee households, especially in Southern Adamawa, were found to live across rural areas.


In Northern Adamawa, 97% of households in the LGA of Mubi North were in need of health assistance – higher than any other LGA across the state. Those needs were also severe as households on average scored 6 out of 10 on the sector severity scale, again the highest score across the state. High needs were driven by 75% of households reporting that at least 1 member of the household had been sick within the two weeks prior to data collection and 95% of households reported at least 1 barrier to accessing health services in their area, with the main barrier faced being the cost of medical services.


Overall in Northern Adamawa, 82% of households were found to have unmet health needs, with a severity of needs echoing the state average at 5.6. This proportion of households with unmet needs was slightly lower than the state average, underlining that higher needs in this sector exist in Southern Adamawa. The driving indicators also echoed those of the state overall: primarily, 70% of households reported at least 1 quality related barrier to accessing health services, while 67% of households reported a long distance to the nearest health facility


In Southern Adamawa, according to the International Crisis Group report of July 2018, “violence between Nigerian herders and farmers has escalated, killing more than 1,300 people since January 2018. The conflict has evolved from spontaneous reactions to provocations and now to deadlier planned attacks, particularly in Benue, Plateau, Adamawa, Nasarawa and Taraba states.'


IDP households were less affected by WASH needs in Northern Adamawa compared to other population groups with 9% in need of WASH, while non displaced and returnee households were driving the overall proportion with respectively 54% and 31% of households with unmet WASH needs. This sharp difference could be explained by differences in geographical distribution: non displaced and returnee households were dispersed across the state and in rural areas, while IDP households were more confined to urban areas where access to services and assistance was improved.


The high level of food security and agriculture needs among IDP households was largely underscored by a poor or borderline food consumption score  ( 76% ) , a high usage of unsafe, unsustainable sources of fuel for cooking  ( 85.3% )  and a notable prevalence of households scoring greater than 10 points when measuring the reduced coping strategies index  ( 53.6% ) .


Staple food prices: Staple cereal prices including maize, millet, sorghum and rice are exhibiting normal trends across most markets, either remaining stable or declining. The impending general election across the country has also slowed down market activities and trader speculation. For example, the price of white maize in January decreased in Damaturu, Gombe, Gujungu, Saminaka and Mile 12 markets by 9.5, 5.4, 5.4, 6.0 and 8.7 percent, respectively, relative to the previous month. However, staple prices also tend to increase, though slightly, in some other markets. Prices are relatively lower or similar to previous year for most staples but remain higher than the 5 year average.


Following the postponement of the Nigeria presidential and National Assembly elections, from 16 February to 23 February 2018, the security situation has remained relatively calm with some localized tensions in the country especially in Kaduna and Kano. The security situation in the North East Nigeria has remained volatile due to continuous attacks by the Non State Armed Groups  ( NSAGs ) . During the reported period, as many as 24 people were reported killed due to NSAGs related incidents in Borno and Adamawa states from 11 16 February.


During the different FGDs, participants also revealed that women, especially, have less access to education, knowledge, training, and new technologies, including cell phones, improved equipments and farming techniques.


“Though the terrorists appeared prepared for the attack as they approached the military location with four gun trucks,one Mine Resistant Ambush Protection,one MOWAC and assorted arms and ammunition, they, however, suffered heavy losses as five of the bandits/terrorists were killed, while 9 x AK 47 rifles, 1x Anti Aircraft gun, 121 rounds of 12.7 mm anti aircraft ammunition, 2x 36 hand grenades, 295 rounds of 7.62mm special ammunition, 4x Improvised Explosive Device, IED; 1x IED cylinder, 1x RPG bomb, 1x RPG bomb charger, 1x gun truck and 1x Bajaj Motorcycle were recovered from them.


Nigeria is Africa's largest economy, most populous country, and home to a wealth of natural resources  ( particularly oil and natural gas ) . Unfortunately, these assets have not translated into inclusive growth for the country due to a lack of infrastructure, inadequate power supply, and overall state fragility. Nigeria generates one of the lowest per capita quantities of electricity in the world: 144 kWh per capita in 2014. The poverty rate is over 50 percent, inequality is on the rise, and the economy is subject to volatile oil prices. Intermittent violence, including Boko Haram insurgency in the North East Zone and agitation for resource control in the Niger Delta, combined with weak governance contribute to the country's vulnerability.


Going down memory lane of the academic disruption faced by tertiary institutions in the last one year, Akpan said: “On 4th November, 2018, the Academic Staff Union of Universities embarked on an indefinite strike which grounded all academic activities on our campuses till date. Prior to theirs, the Colleges of Education Academic Staff Union, COEASU, had also embarked on same industrial action, shutting down all Colleges of Education.


The shortage of trained and skilled health workers in the northeast, particularly in Borno State, is a major challenge. Even prior to the conflict, there were insufficient human resources for health, and Nigeria suffers from “brain drain.


La déclaration de l'épidémie a été faite à l'OMS le 19 mars 2020


Laboratoire : Test de diagnostic des voyageurs à l'arrivée et au besoin se fait au laboratoire du Centre Hospitalier au départ Universitaire de Référence Nationale  ( CHURN )  / Analyses RT PCR réalisées au Laboratoire Mobile de N'Djamena et au laboratoire du CHURN / Renforcement des capacités diagnostiques à N'Djamena par la décentralisation des analyses à CHURN, Hôpital de Farcha et au laboratoire du Programme National de Lutte contre la Tuberculose / Opérationalité du diagnostic COVID 19 dans les provinces du Moyen Chari, Logone Occidental, Ouaddaï , Guera.et au Lac (  Bol  )  et le Kanem  (  Mao


Ce chiffre  [ 96 967 personnes évaluées et atteintes par les mouvements de population ]  s'ajoute à 45 092 personnes déplacées dans neuf sites  ( Amma, Diamerom, Fourkoulom, Fourkoulom Nord, Doum doum, Kousserie Fourkoulom, Malmairie, Ngorerom et Ngourtoukoumboua )  de janvier à juillet 2020 ; soit un total de 142 059 individus.

Capacities & response->International response


Cumulativement : 3868 cas confirmés dans 17 Provinces  ( N'Djamena, Ouaddaï, Lac, Logone Oriental, Wadi Fira, Moyen Chari, Logone Occidental, Batha, Kanem, Mayo Kebbi Est, Mayo Kebbi Ouest, Guera, Sila, Mandoul, Ennedi Est, Chari Baguirmi, Tandjilé )  dont 187  ( 5 % )  personnels de santé. 135 décès soit une létalité de 3,5% 3336 cas confirmés guéris et 397 malades sous traitement dont 125 hospitalisés avec 3 sous oxygène. 50907 personnes mises en quarantaine, 49559 dont les étudiants venus des pays touchés répartis dans 17 Provinces, sont sortis de quarantaine après 7 jours de suivi et 1348 sont présents en quarantaine.


Mobiliser l'assistance  ( technique et financière )  des partenaires pour accélérer la mise en œuvre des réformes prioritaires

Priority interventions->Expressed by humanitarian staff


Cumulativement, 1185 cas confirmés dans 17 Provinces  ( N'Djamena, Ouaddaï, Lac, Logone Oriental, Wadi Fira, Moyen Chari, Logone Occidental, Batha, Kanem, Mayo Kebbi Est, Mayo Kebbi Ouest, Guera, Sila, Mandoul, l'Ennedi Est, le Chari Baguirmi, la Tandjilé )  dont 149  ( 12,6% )  personnels de santé. 85 décès 1006 cas confirmés guéris et 96 malades sous traitement 26158 personnes mises en quarantaine, 24237 dont les étudiants venus des pays touchés répartis dans 17 Provinces, sont sortis de quarantaine après 7 jours de suivi et 1921 sont présents.


Dans le Logone Oriental, la Pendé et la Nya sont les deux départements dans lesquels toutes les personnes retournées font principalement recours aux marchés pour avoir de la nourriture. Dans ces départements, les localités de retour sont des centres urbains  ( notamment Doba, Bebedjia centre et Komé ) . Ainsi, les activités agricoles n'y sont pas beaucoup pratiquées.


Au Logone Oriental, dans toutes les localités de retour du département de la Pendé et dans 50 pour cent de celle de la Nya, les personnes retournées font face à ce problème  [ multitude de soucis de santé, paludisme, diarrhée notamment ] . Au Moyen Chari, dans 73 pour cent des localités du département du Bahr Kôh et 50 pour cent de celles du Lac Iro, ce problème est rencontré.


Communications des risques et engagement communautaire : Informations sur le COVID 19 et les mesures de prévention par le centre d'appel – no 1313  ( COVID19 Hotline / Elaboration du 1er au 3 Septembre du Plan de communication par le SUCR, MINCOM, MENPC .


L'état nutritionnel des femmes en âge de procréer a été évalué dans l'ensemble des provinces. Cette évaluation était basée uniquement sur la mesure du périmètre brachial  ( PB ) . Il est apparu au seuil de 210 mm que le déficit pondéral est présent au sein de la population féminine de 15 à 49 ans dans toutes les provinces du Tchad avec des prévalences oscillant entre 0,5% dans les provinces du Moyen Chari et Mayo Kebi Est à 11,6% dans la province du Ennedi Ouest.


Cette situation  [ écoles fermées ]  n'est pas seulement liée aux inondations, elle y va au delà. De plus, les élèves résidant dans les villages ne peuvent accéder à leurs écoles du fait de l'impraticabilité des axes routiers.


[ Est ]  Quant à l'accès à l'eau, l'hygiène et l'assainissement, la couverture moyenne de l'eau est inférieure à 50 % et seules 33 % des structures sanitaires ont un point d'eau potable et fonctionnel .


[ Est ]  Selon les résultats du cadre harmonisé de mars 2020, environ 300 000 personnes sont en insécurité alimentaire sévère, en phases 3 à 5, dans les provinces frontalières de l'Est.


les populations riveraines du fleuve Logone ont exprimé le besoin pressant de construire des digues en matériaux durables le long du fleuve pour éviter que la situation  [ problèmes d'accès ]  se répète dans le futur.


Laboratoire : Réalisation du test de diagnostic COVID 19 au laboratoire du Programme National de lutte contre la tuberculose (  PNT )  / Test de diagnostic des voyageurs à l'arrivée et au besoin au départ se fait au laboratoire du Centre Hospitalier Universitaire de Référence Nationale  ( CHURN )


La totalité des ménages accueillis sur le site Tradex proviennent du 9ème arrondissement de N'Djamena. La vaste majorité  ( 95% )  résidaient au sein du quartier Gardole Djedid avant leur déplacement, 3 pour cent venaient du quartier de Walia et 2 pour cent de Toukra. La plus grande partie  ( 94% )  des ménages ont été déplacés au mois d'août 2020, qui a été caractérisé par de fortes pluies et des inondations.


Recommandations principales proposées : Construire 8 forages pour améliorer l'accès à l'eau potable de façon durable ; Construire 200 latrines familiales d'urgence et 80 douches garantissant l'intimité des usagers ; Sensibiliser la population sur les bonnes pratiques d'hygiène et les mesures de prévention et de lutte contre COVID 19.


Communications des risques et engagement communautaire  [ 1 ]  : Activités de sensibilisation dans la ville de N'Djamena par 216 relais communautaires soutenues par le Ministère de la santé publique et les partenaires/ Poursuite des activités de sensibilisation dans la localité d'Abéché à travers les radios communautaires et de proximité par le canal des partenaires


Recommandations principales proposées : Couvrir les besoins alimentaires urgents, par la distribution de vivres couplée au blanket feeding/cash à 2703 ménages ; Appui à la reprise immédiate des activités e subsistance des ménages les plus vulnérables  ( maraîchage et activités génératrices de revenus )


Recommandations principales proposées : Distribuer des NFIs à 2703 ménages   Apporter un appui en abris à 2703 ménages.


[ La région du Lac dans la Zone 8   « Zone ouest agropastorale et de pêche »  ] : Compte tenu des bons niveaux de production favorisés par un bon déroulement de la campagne  ( cumul pluviométrique excédentaire ) , l'approvisionnement des marchés connaît une nette amélioration grâce aux nouvelles récoltes en cours.


Suite à une série d'attaques simultanées menées par des groupes armés non étatiques le 25 décembre 2020, plusieurs mouvements de populations ont été enregistrés à l'intérieur de la sous préfecture de Baga sola du 26 au 29 décembre 2020. Ce sont environ 2900 ménages de 12250 personnes en provenance de plusieurs villages environnant de Baga Sola qui ont ont trouvé refuge dans les sites Kaﬁa Kindjiria, Kousseri1, Bibi Bongor.


[ Market and prices ]  In Bahr el Ghazel and Kanem, the availability of manufactured products from Libya is poor, due to the disruption of trade flows  ( particularly as a result of the conflict ) , pushing households toward other food items such as millet, the prices of which are above the five year average. This is having an impact on food access for the poorest households.


[ Markets and prices ]  In most areas of the country, low household incomes are limiting households' access to markets. This is in addition to the ban on gatherings, which is impacting demand and therefore prices. Livestock markets in the eastern part of the country, although still higher than the five year average, are in decline compared with the beginning of the year due to falling demand as a result of the COVID 19 measures.


Le 30 mars deux nouveaux cas ont été confirmés au Laboratoire : Un âgé de 43 ans arrivé à Ndjamena le 20 mars en provenance de Douala par voie terrestre via Touboro  ( Logone Oriental ) , Moundou  ( Logone Occidental ) , Kélo  ( Tandjilé )  et qui est arrivé à N'djamena le 20 mars par Bus, le second âgé de 54 ans est arrivé de Bruxelles via Paris et Addis Abeba.


La stratégie du Plan de Réponse pour les Réfugiés reste dans son ensemble  [ ... ]  la principale mise à jour concerne : i. Les 5 822 nouveaux réfugiés soudanais dans la province du Ouaddaï ; ii. L'impact de la pandémie du COVID 19 sur l'ensemble des activités au profit des réfugiés au Tchad.


Une première transmission locale a été déclarée le 6 avril  [ 2020 ]  à N'Djamena. Un premier cas a été confirmé à Abéché dans la Province du Ouaddaï le 8 avril 2020. Il s'agit d'un cas importé, qui est passé par Bongor  ( Mayo Kebbi Est )  et N'Djamena préalablement au début de sa maladie. A la date du 8 Avril 10 cas ont été enregistrés.à N'Djamena , ce sont 2 contacts des précédents cas, 1 suspect et 7 tests voyageurs . Enfin un décès a été enregistré dans la province de Wadifira.


[ évaluation site de déplacés Ngourtou Koumboua ]  Au niveau du site, aucunes structures sanitaires  ( latrines, trous, forages… )  ne sont disponibles. Le point d'eau le plus rapproché est à 3 kms du site, l'eau est de couleur trouble, saumâtre. Le second point d'eau qui serait le plus potable  un puits traditionnel  est situé à 14 km du site de Ngourtou Koumboua.


UNHCR installed 20 handwashing devices and 8 soap dispensers in various schools and high schools in Baga sola in the Lake Chad province in the North West region of Chad


En même temps [ début août ] , il faut signaler le dénouement heureux pour le personnel du district sanitaire de Baga Sola, en captivité aux mains d'un GANE depuis le 30 octobre 2019, et libérés le 28 août, 10 mois après leur enlèvement.


Ces zones  [ sous  préfectures de Ngouboua, Kaiga Kindiria et au sud de Bol ]  sont restées inaccessibles aux acteurs humanitaires qui n'ont pas pu apporter de l'aide aux milliers de personnes dans le besoin à cause de la situation sécuritaire qui y prévaut. Aﬁn de pallier les problèmes d'insécurité et d'accès, les autorités du Département de Kaya envisagent de relocaliser la population de l'axe Ngouboua Tchoukoutalia sur le site de Fourkoulom.


La situation sécuritaire reste volatile et préoccupante pour la période reportée, à cause de la récurrence des attaques armées, parfois suivies d'exactions et enlèvements de civils. Ces actions ont eu un impact sur l'accès humanitaire, essentiellement dans la partie ouest de la province, considérée comme une zone d'opérations militaires et qui est frontalière avec le Niger, le Nigeria et le Cameroun.


Recommandations : Construire de TLS  [ Transitional learning spaces ]  pour la reprise au plus vite des cours au niveau des villages affectés / Mettre en place des cantines scolaires pour encourager la fréquentation des écoles / Trouver des formules pour la motivation des enseignants affectés dans les zones affectées / Sensibiliser les parents à inscrire les enfants en attendant la réouverture des classes


Vingt huit % des PDI sont accueillis par d'autres sous préfectures de leur département. Ainsi, au total, 90 % des PDI n'ont pas quitté leur département d'origine lors de leur déplacement.


As of 21 October, 1,410 cases and 96 deaths have been reported across 17 provinces. Over the past few weeks, there has been a flare up of the pandemic in certain localities of the country, particularly in the South. Of the six cases reported on 21 October, four were in the southern province of Moyen Chari, one in Mandoul, and one in N'Djaména.


Grâce à l'activité de l'outil de suivi des urgences de l‘OIM  ( Emergency Tracking Tool ) , la DTM a observé entre janvier et décembre 2019, le déplacement de plus de 49 800 personnes dans la province du Lac ( 1 )


[ Forkouloum site: ]  Un dépistage circonstancie 25 enfants a permis de dépister 2 enfants MAS  ( dont 1 cas avec complication )  et 7 cas de malnutrition modérée. Ce qui fait un total de 9 cas de la malnutrition globale sur les 25 dépistés. Soit environ 1 enfants sur 3 malnutris dans le site. Un cas de malnutrition aiguë sévère avec complication chez un enfant né d'une mère morte suite d'accouchement a été réfère d'urgence au centre de santé pour orientation adéquate. La vulnérabilité dans ce site est critique pour les nouveaux arrivés et préoccupant pour les anciens ;


Il y a aussi beaucoup de chefs de ménages  [ déplacés vivant sur sites ]  qui s'endettent auprès des commerçants locaux pour trouver de la nourriture et les biens non alimentaires. Il y a une solidarité des personnes vivant dans le site qui partagent ensemble les repas et ce qui permet à certains plus vulnérable ne pouvant se procurer le peu des aliments d'avoir un peu de la nourriture.


[ Site Diamerom ]  • Communiquer avec les parents sur la nécessite de promouvoir la scolarisation des enfants ; • Promouvoir l'engagement communautaire pour l'appropriation des appuis dans le secteur éducatif ; • Construire 10 salles de classes et 06 blocs de latrines de 03 cabines pour l'école de Diamerom ; • Développer un programme d'éducation inclusive pour les enfants en situation de handicap ; • Appuyer la communauté pour la prise en charge de 10 enseignants communautaires ;


Le taux de malnutrition est alarmant pour les enfants des ménages enquêtés; 50% des enfants de moins de 5 ans sont dépistés MAS et 25% sont dépistés MAM. Cela donne une alerte sur la situation nutritionnelle des enfants dans les sites qui risque de s'accentuer rapidement si les situations alimentaires générales des ménages ne sont améliorées.


[ DTM Tchad Round 11 ]  Seules 21 % des localités évaluées ont accès aux services de santé  ( 16% ont accès à ces services dans la localité et 4% hors de la localité ) . Parmi elles, plus de la moitié des localités ont accès à une clinique mobile et/ ou à un centre de santé  ( 52% chacun ) .


Recommandations : Court terme : Faire des sensibilisations sur les modes de prévention et de prise en charge des cas de protection / Mettre en place un mécanisme de suivi des cas de protection / Moyen terme : Localiser un nouveau site respectant les critères humanitaires de protection et de sécurité vers lequel les nouveaux arrivants seront dirigés afin de faciliter une gestion efficace de la situation


Le département de Fouli reste celui qui accueille la plus grande proportion  ( 42% )  des retournés de la province du Lac. Dans ce département, les sous préfectures de Daboua et Liwa accueillent respectivement 22 et 19 % des retournés. Cependant, il est à mentionner que Baga Sola est la sous  préfecture accueillant le plus grand nombre de retournés  ( 24% du total de la province ) .


La même configuration se retrouve pour la sous préfecture de Kangalom qui accueille 8 % des populations déplacées de la province, mais dans laquelle ces dernières représentent 79 % de la population de la sous préfecture.


Communication des risques et engagement communautaire : Les informations générales sur le COVID 19 sont fournies au niveau de 13 points d'entrée ou de transit  ( sur les 29 évalués ) , soit 45 pour cent des points évalués. Ces informations sont le plus souvent partagées au travers d'annonces verbales sur la prévention et les risques du virus, et dans une moindre mesure via des affiches. Au niveau de ces 13 points, informés sur la marche à suivre en cas d'apparition de symptômes.

Capacities & response->National response


Site de Kadoulou, département de Fouli, province du Lac  ( Latitude : 13,786363° N; Longitude : 14,09299314° E ) , Canton de Kiskra, sous  préfecture de Kaïga Kindjiria, Département de Fouli, à 10 km au SW de Kiskra.


Dans le domaine de la protection de l'enfant, une présence des enfants non accompagnés et séparés parmi les personnes déplacées a été signalée par les différents groupes de discussion. En effet, au cours de l'entretien avec le focus groupes des enfants au nombre de 19 sur le site de Koudou kolé, il a été distingué 10 enfants sont portés disparus, 09 Enfants Non Accompagnés et Enfants Séparés  ( 5 filles et 4 garçons ) . En outre la quasi totalité des enfants ne sont pas enregistrés à la naissance et n'ont pas d'acte de naissance.


Recommandations  ( Long terme ) : Renforcement de la production agricole des ménages à travers la dotation des équipements et intrants pour permettre aux ménages de couvrir leurs besoins alimentaires avec leurs propres productions / Appuyer la relance pastorale à travers la distribution des petits ruminants aux ménages très pauvres et pauvres / Développer les activités génératrices des revenus pour une relance économique des femmes / Mettre en place les associations villageoises d'épargne et de crédit pour favoriser le leadership économique des femmes à travers la cohésion sociale grâce au fond de solidarité et l'accès aux crédits grâce à l'épargne


Ces instruments  [ juridiques internationaux relatifs à la protection des enfants et aux genres ratifiés par le Tchad ]  ont été transposés dans la législation tchadienne. Cette législation évolue positivement dans le sens de la promotion du genre comme facteur de réalisation de l'égalité entre les hommes et les femmes.


Acteurs présents à Oum Hadjer • Projet évangélique pour le développement communautaire  ( PEDC )  • CRT • GIZ GERTS / Agences SNU opérationnelles • UNICEF Mongo • PAM Mongo • OMS Mongo / Capacité d'intervention des partenaires : Aucune

Capacities & response->People reached/response gaps


[ Est ]  Priorités de réponse  ( Est )  : Renforcement de la protection de l'enfance, appui aux groupes vulnérables, lutte contre l'apatridie et les pratiques traditionnelles néfastes


Surveillance : Réunion quotidienne de l'unité surveillance / Réunion quotidienne des sous unités investigation et suivi des contacts / Production quotidienne d'un rapport de situation / Formation de formateurs pour la prise en charge  ( n=29 )  et pour la surveillance  ( n=39 )  / Formation du personnel soignant des structures sanitaires publiques, privées, confessionnelles et militaires de la ville de N'Djamena sur la prise en charge  ( n=188 )  et sur la surveillance  ( n=178 )  / Renforcement des équipes d'investigation rapide  ( EIR )  et équipes de suivi des contacts de N'Djamena et d'Abéché  ( Ouaddaï ) , avec 6 épidémiologistes et 6 étudiants en dernière année de médecine, 16 véhicules et moyens de communication   8 modems , par les partenaires.


En WASH, l'insuffisance des points d'eau, la très faible couverture d'eau et l'éloignement des points d'approvisionnement en eau potable ont été relevés.


La priorité du cluster santé demeure l'assistance d'urgence pour « sauver des vies » à travers : • La prise en charge adéquate et efficiente des patients ; • L'approvisionnement en médicaments, équipements, matériels et autres intrants essentiels aux centres de santé ; • La fourniture des services de santé de la reproduction de qualité ; • La mise en place de cliniques mobiles pour garantir l'accès aux soins de santé dans les zones difficilement accessibles ; • Le renforcement des capacités des agents de santé et les relais communautaires.


[ Current food situation ]  Most households in the country, except those affected by COVID 19 restrictions and conflicts, are managing to meet their food needs through their own stocks. Most regions are therefore experiencing Minimal  ( IPC Phase 1 )  food insecurity.


Suite à ces attaques  [ commises par des groupes extrémistes dans la région, et en particulier dans les îles du lac Tchad, dans la zone frontalière du Nigeria et du Niger  2015 ]  , les résidents ont été contraints de quitter ces îles pour gagner la terre ferme en quête de meilleures conditions de sécurité. Tandis que la tendance de déplacement des PDI a baissé entre 2015 et 2018, période durant laquelle la province du Lac a connu une accalmie, la proportion de PDI déplacées en 2019  ( 7% )  a augmenté par rapport à 2018  ( 3% ) , en raison de la recrudescence des attaques armées perpetrées par les groupes armés durant cette année.


Recommandations : Site Dilkori, Court terme = Installer 2 forages à motricité humaine en urgence ; Construire 40 latrines


[ Les parties Sud des provinces administratives du BEG et du Kanem dans la Zone 5   « agropastorale»  ] : Les ménages s'orientent sur les marchés pour leur consommation en cette période de récolte pendant que les prix sont au plus bas. Ils utiliseront leur propre stock issu des récoltes en cours pendant la période de soudure ou lorsqu'ils n'auront plus la capacité d'acheter des aliments au marché.


[ les enfants non scolarisés ]  Aucun espace de jeu/d'épanouissement pour leur développement n'existe sur les sites.


[ Les parties Sud des provinces administratives du BEG et du Kanem dans la Zone 5   « agropastorale»  ] : Malgré la disponibilité des produits alimentaires de base notamment les nouvelles récoltes et le lait devant contribuer à l'amélioration de l'état nutritionnel des enfants dans les deux provinces, BEG et Kanem, la situation nutritionnelle demeure toujours préoccupante.


19,511 IDP's households and returnees were provided with NFIs assistance, Lac Region / 2,275 IDP's and returnees households received emergency shelter assistance, Lac Region / 314 IDP's households have beneﬁted from long term shelter support, Lac Region / 910 returnee households have received permanent shelter assistance in the South Chad region / 6504 Returnees households have beneﬁted from long term shelter support  ( Cash for shelter ) , South Chad Region


hundreds of thousands of hectares of cultivated land have been destroyed, and thousands of heads of cattle have been killed.


[ Provinces du Logone Oriental et du Mayo Kebbi Ouest ]  Mesures sanitaires en place : Contrôle de température au niveau des points d'entrée, pas de mesures sanitaires spécifiques dans les lieux de confinement de ces personnes


Les données sur les mouvements de population ont connu quelques changements concernant la situation des récents réfugiés soudanais  ( 16 000 )  et des dynamiques au Lac  ( plus de 30 000 personnes concernées ) . Au total, la région du Lac compte ainsi 208 lieux de déplacement parmi lesquels 121 sites spontanés et 82 villages hôtes pour une population globale de 298 803 personnes dont 236 426 déplacés internes, 33 476 retournés tchadiens, 23 609 retournés ancien PDI et 5 292 ressortissants des pays tiers.


La communauté humanitaire a déjà adapté et recentré sa réponse. Les agences du système des Nations Unies et les ONG internationales ont commencé à mettre en œuvre diverses activités et initiatives pour la prévention et la réponse au COVID 19, conformément au plan d'urgence préparé par le gouvernement du Tchad, ainsi que pour fournir une réponse d'urgence pour les personnes nouvellement déplacées dans la région du Lac.


Parmi celles ci, plus de la moitié  ( 58% )  ont organisé des campagnes de sensibilisation aux risques du virus et à sa prévention, et dans 26 % d'entre elles, les sorties des résidences et de la localité sont limitées.


OCHA continues to closely monitor the situation  [ intercommunal conflict ]  with local authorities and partners.


This pathology  ( chikungunya )  is characterized by a strong fever, headaches, intense and debilitating joint pain, and sometimes associated with vomiting. It was considered and treated as malaria.