HIGHLIGHTS

GHSA Key updates

• A total of 21 new animal alerts received this week with 8 progressive lose of weight, 7 Cluster of abortions or deaths of young animals, 3 aggressive animal bite, 1 cluster of animal deaths, 1 death with unusual bleeding and 1 Abortion in late pregnancy; retained placenta; swelling of testicles

• Cumulatively, over the reporting period (01/04 to 12/07/2020), aggressive animal bites leads with 38 alerts with Turkana County still leading with 23 alerts.

• 4 new human diseases alerts reported this week: 1 acute watery diarrhea cases. 2 cluster of unusual illnesses or death of peo-ple and 1 hotness of the body and rash cas-es.

• 220 zero reports as well 2 rumor reports received from the community volunteers this week.

N/B: Zero reports means community volun-teers are active but no alerts picked.

Rumor reporting means that the Community Volunteers are picking up misinformation/stigmas arising in the community.

GHSA UPDATES POLIO UPDATES

SOMALIA

• A total of 197 AFP cases ( 91 Females & 106 Males) have been reported

in 2020. Of these 167 (85%) have lab result and 30 (15%) cases are in the

lab for processing. Of the cases with lab results, four cases had SL isola-

tion, one cases positive for cVDPV1 and 162 cases were negative.

• Of the 332 stool samples from 166 cases with lab results in 2020, 55

(17%) samples have EV isolation.

• A total of 44 ES samples were collected and sent to the lab in 2020.

Twenty (20) samples are negative, Two (2) SL, four (4) NPEV and Eleven

(11) cVDPV2. Four (4) ES samples are in the lab for processing.

Source: WHO Somalia week 27

KENYA

• National Non-polio AFP rate and stool adequacy for 2020 are 1.55 and 85% respectively. The Non-polio Enterovi-rus (NPENT) isolation rate is 9.6%

• One hundred and fifty-six (156) sus-pected AFP cases have been reported in 2020 from 40 (85%) counties.

Source: WHO Kenya week 27 2020.

CGP-GHS , Kenya Somalia as of Q4—Week 2

Project Implementation (03/07/2020– 12/07/2020)

Community Based Disease Surveillance

AFP Active case search by Country (03/07/2020 – 12/07/2020) County # HH Visited # AFP reported from the

Nomads (active case search)

# AFP reported with less than 5doses

KENYA

Garissa 66 0 0

Lamu 344 0 0

Mandera 206 1 0

Marsabit 250 0 0

Nairobi 1627 0 0

Turkana 3084 0 0

Wajir 90 0 0

SOMALIA

Bakool 50 0 0

Gedo 4143 0 0

Lower Juba 937 0 0

Total 10797 1 0

County Acute Watery Diarrhoea

Cluster of unusual illness or deaths of people

Sudden paralysis

Death of a child btw 3-28 days of age with unknown cause

Fever, cough and breathing problem

Hotness of the body and rash

TURKANA 1 1 0 2 0 1

MARSABIT 8 0 0 1 6 5

MANDERA 3 0 1 0 0 0

WAJIR 3 0 0 2 0 1

GARISSA 0 0 0 0 0 2

LAMU 0 0 0 0 0 0

KAMKUNJI 39 19 0 3 8 8

LOWER JUBA 8 0 0 0 0 0

TOTAL 62 20 1 8 14 17

Strengthening of immunization systems: Outreach services to hard to reach border, nomadic pastoralist. (03/07/20 - 12/07/2020)

Source: CGPP program data

Total # of children Defaulted =406

Total # of children traced= 265 (65%) Total outreach sessions conducted/supported = 20

County Zero Dose Birth Dose OPV 3 IPV Penta 1 Penta 3 Measles

Outreach Outreach Static Outreach Static Outreach Static Outreach Static Outreach Static Outreach Static

KENYA

Garissa 0 0 46 0 94 0 96 0 90 0 92 0 90

Lamu 5 4 9 3 3 3 4 0 2 0 0 4 6

Mandera 20 22 60 40 96 45 131 47 111 31 109 37 84

Marsabit 2 1 30 7 42 6 51 0 40 0 38 18 72

Nairobi (Kamukunji) 0 0 12 0 28 0 33 0 12 0 28 0 24

Turkana 0 0 29 0 28 1 34 6 61 3 38 9 30

Wajir 6 23 53 37 75 34 56 42 76 31 77 37 72

SOMALIA

Bakool 0 0 0 0 0 0 0 0 0 0 0 0 0

Gedo 0 0 150 0 422 0 405 0 417 0 444 0 440

Lower Juba 0 0 34 0 34 0 32 0 27 0 37 0 36

Total 33 50 423 87 822 89 842 95 836 65 863 37 854

Social Mobilization Activities

Summary- Social Mobilization Activities

SOMALIA: • # of times HH visited in Somalia = 4,875

• # of persons reached through group meetings = 945

KENYA:

• # of times HH visited in Somalia = 6,448

• # of persons reached through group meetings = 3,027

• Social mobilizations is to sensitize communities on the importance of personal hygiene, regu-lar handwashing, physical distancing and wearing of masks (especially in this period of COVID-19) in disease prevention at community level. Also community mobilizers & Commu-nity Disease Reporters (CMs/CDRs) are looking for suspected AFP & Zoonotic cases us-ing simplified lay case definitions to identify suspected AFP cases and other disease condi-tions ( e.g. measles, Acute Watery Diarrohea—AWDs). This is done through one to one meeting at household level or group meeting organized at the community level. The commu-nity mobilizers are required to generate reports to the project supervisors and also CHAs or border health facility in-charges.

• The CMs engage in community mobilization for RI services especially during outreach clinic sessions and in RI defaulter tracing.

Community Based Disease Surveillance on Priority Zoonotic Diseases. Rumour and Zero Reports as from 01/04/2020-12/07/2020

County/Region Rumour Zero

KENYA

Garissa 0 93

Lamu 4 122

Mandera 1 63

Marsabit 8 98

Nairobi 46 130

Turkana 1 1906

Wajir 12 449

SOMALIA

Gedo 1 0

Lower_Juba 0 37

Total 73 2898

County Cluster Animal Deaths

Deaths with unusual bleeding

Abortion in late pregnan-cy; retained placenta; swelling of testicles

Aggressive animal bite

Cluster of abortions or deaths of young ani-mals

Progressive loss of weight

Turkana 5 0 0 23 6 17

Marsabit 2 0 1 5 3 1

Mandera 7 1 0 0 1 3

Wajir 2 1 1 4 17 14

Garissa 1 1 0 2 1 1

Lamu 0 0 0 0 0 0

Nairobi 1 0 0 4 0 0

Total 18 3 2 38 28 36

RUMOURS ALERTS EXAMPLES:

• There is no corona virus in Kenya since there is no one who has come out to say a relative has tested positive and is in

quarantine.

• If you take the local brew i.e. chang'aa, you will be sanitizing your organs from COVID-19.

• Lemon can be used as a sanitizer.

OTHER DISEASE OUTBREAK SITUATION

Kenya

COVID-19 OUTBREAK

A total of 10,105 confirmed cases with 185 deaths (CFR 1.8%) since March 2020 with 2,414 case recoveries and majority of cases are local transmission (88%). A total of 206,584 covid-19 tests have been conducted.

Source: MoH Kenya

Counties supported by CGPP Confirmed cases. Nairobi 5558

Mandera 18

Wajir 19

Garissa 34

Turkana 20

Marsabit 4

Lamu 15

Somalia

COVID-19 OUTBREAK

Confirmed cases= 3,051. Death = 92 (fatality rate = 3.02%). Recoveries & discharges = 1,230

All 6 states and capital territory (Banadir region) affected.

Source: WHO Somalia

Regions supported by CGPP Confirmed cases. Lower Juba 162

Gedo 32

Bakool 8

COORDINATION MEETINGS (03/07/2020 - 12/7/2020)

Venue Type of Meeting Date Title Objective Participants

# Male s # Females

Shauri Moyo (Kamkunji)

Health cluster meeting

09/07/2020 Improving Immunization outreaches

To reduce number of children < 5 yrs. defaulting (failing to complete) immunization sessions.

19 12

PICTURE SPEAK (ACTIVITIES CONDUCTED DURING THE WEEK)

Right: CGPP HoA Director during

the just conclud-ed Covid-19

summit.

Photo credit, Ahmed Arale

Left: Immunization out-reach session and covid-

19 sensitization at dagah settlement in Afmadow district in lower.

Photo credit Yusuf -ARC

CHVs Ere conducting sensitization on Covid-19, AFP surveillance, immunization at the Nayanaeesanyait village food distribution center.

Photo credit: Ere

Outreach services to Goljo Kenya-Ethiopia border communities in Banisa sub-county of Mandera.-

Photo credit: Mohamed – ADRA Kenya

• PREG Monthly meeting hosted by USAID : transformational partnership with county gov-

ernment to obtain Journey to Self Reliance (J2SR). Formation of county liaison teams to fa-

cilitate Ips deepen county engagement.

• Weekly Risk Communication and Community engagement hosted by UNICEF— Community

feedback trends., knowledge and their understanding of COVID-19 ,and key messages on

COVID 19 and therapies.

• Somalia Monthly Ips Virtual Meeting to discuss on project implementation updates, COVID-

19 situation in project areas .

• Virtual meeting with DDSRU on how to strengthen the community COVID-19 outbreak re-

sponse.

• Participate in covid-19 screening and sensitization of the communities on sign and symp-

toms as well as preventive measures in the project areas.

• Active case search (AFP, other Priority conditions & Zoonotic Priority disease).

• Community Mobilizers/Community Health Volunteers active participation in tracing chil-

dren who have defaulted in Immunization in the project areas.

KEY ACTIVITIES OF THE WEEK CHALLENGES

• Poor network connectivity in some parts of the project areas

affecting smooth communication.

• Kenya Somali border closure by the Government of Kenya

affecting movement of people

• Government lockdown in CGPP counties (Nairobi and Mandera).

• Inter clan clashes in Marsabit county affecting planned activities.

• Disruption of planned activities as a result of the Covid-19 pan-

demic e.g. Care Group Model.