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May 14, 2021 Background Borno State witnessed its first case of COVID‑19 on April 19, 2020, and has since experienced a dramatic escalation in the public health crisis. Although it only had 356 cases as of June 8, Borno has also witnessed 26 deaths from the virus, giving it an extremely high fatality rate of 7.3% and making it the third most affected state in Nigeria in terms of fatalities. The situation in Borno is highly precarious and ripe for rapid transmission, with 1.68 million internally displaced persons (IDP) living in camp settings and host communities across the state, where social distancing is not possible. Similarly, poor nutrition and basic levels of health and sanitation undermine efforts to ensure proper handwashing and other sanitation measures. Finally, weak access to and poor quality of healthcare in Borno mean that the system, already battered by a decade of violent conflict, is incapable of addressing any significant outbreak of COVID‑19. Despit

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