Covid-19 Cases Surge in a Security Compromised Region of Cameroon

Abstract Introduction The emergence of more transmissible SARS-CoV-2 variants like the Delta has triggered a third wave of Covid-19 with increasing morbidity and mortality in many parts of the word. Here we report a surge in Covid-19 cases and deaths in the Northwest (NW) region of Cameroon, which has been plagued with low immunization coverage and an ongoing armed conflict. Method A cross sectional study was carried out from August to September, 2021 and data on Covid-19 cases and vaccination coverage were reviewed from the data base of the Ministry of Health, while data on the security situation of the region was obtained from the district and regional health managers. Data were analyzed with MS excel and the results presented as trends and proportion. Results As of 4 th September, 2021 there was a total of 7,499 confirmed Covid-19 cases in the region. In Epidemiological week 34-35 (22-August to 04-September), 2021, there was a surge in Covid-19 cases in the NW. More than 70% of all covid-19 related deaths reported in the country was recorded in this region during epidemiologic week-35. Despite this high mortality, Covid-19 vaccine uptake remains very low in the region. Indeed, just 0.6% of the 962,036-target population have been fully immunized after 6 months of Covid-19 vaccine rollout. Conclusion Though the country’s epi curve does not suggest a third wave at this time, the NW is experiencing a steady Covid-19 case surge amid insecurity and the circulation of the Delta variant. There is therefore a need to strengthen disease prevention though vaccination and surveillance in this region.