SITREP 10


SITREP 10



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Ministry of Health and Social Services
Republic of Namibia
VbKeG g)X\\ World Health
Organization
NAMIBIA
Outbreak Name
COVID-19
Date & Time of
report
Prepared by
28 March 2020 20:40
Surveillance team
District
Region
Country affected
Investigation start date
Date of outbreak declaration in Namibia: 14 March 2020.
Windhoek
Khomas
Namibia
13 March 2020
e Three new confirmed cases have been reported as follows:
o One confirmed case reported on 27 March 2020 (at 20.00 pm ) and Two cases
reported on 28 March 2020 (at 11:00 am and 17:00 pm respectively)
o Cumulatively, 11 Imported cases reported — with travel history from affected
countries;
o 8 confirmed cases in Windhoek; Khomas region,
o 1 confirmed case from Aus, Luderitz district in, Karas region
© Two from Erongo region, (i.e. | each from Swakopmund and Omaruru districts.
e Thematic group meetings continue to be held daily, since the 14 March 2020
e Supervised quarantine for all Namibians for 14 days from affected countries is ongoing
Partial lockdown took effect on 28 March 2020 till 16 April 2020. Borders has been
closed except for essential/critical services and humanitarian support to the response.
e Key Challenges include:
© Inadequate isolation and quarantine facilities, human resources and material supplies
including PPE, ICU units and ventilators.
" Description of the latest cases
= Index cases: Two confirmed cases of COVID-19 were reported in Windhoek
district on 13 March 2020. The married couple; a 35-year-old male and a 25-year-
old female, arrived from Madrid, Spain on 11 February 2020.
=" Case number 9, is a 35 years old Namibian female, who traveled from South Africa,
on 20 March 2020 with her husband and 9 months old baby. She was tested at a
private facility on 24 march 2020 in Windhoek, with complains of sore throat, dry
cough, fever, body pains and headache.
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The family then travelled to Swakopmund on 26 March 2020 to be able to self-
quarantine at their own house. The case is in stable condition and will be taken to
the isolation facility in Erongo Region. Contact tracing was already initiated.
=" Case number 10, a 41-year-old female Namibian citizen, who traveled from Dubai,
Ethiopia via South Africa, on 17 March 2020. She was tested on 26 March 2020 at
Robert Mugabe Clinic with the following symptoms; fever, cough, sore throat,
shortness of breath, vomiting, and myalgia.
=" Case number 11, is a 69 years-old Namibian male, traveled from South Africa on
12 March 2020, tested at Omaruru medical practice on 25 March 2020 complaining
of chills, cough and body pains (no fever). The sample was sent to NIP in
Windhoek on 27 March 2020. He tested positive on 28 March 2020.
Table 1: Cases by reporting region as of 28 March 2020
Reporting
Total
New
Active cases | Recovered
region
Cases
cases
Khomas
8
1
5
2
Karas
1
0
1
0
Erongo
2
2
2
0
Total
11
3
9
2
Death
0
0
0
0
COVID-19 Cases in Namibia as at 28th March 2020
0 100 200 300 400 500 km
Keetmanshoop
L__] COVID-19 Cases Namibia
2% Positive Cases
© Lab Results Pending
¢ Negative cases
= Lab Tested cases
Districts
*Qmaruru case in not illustrated in the map
Figure 1: Suspected and confirmed COVID-19
2020
cases in Namibia
per District, as of 28 March
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3. EPIDEMIOLOGY & SURVEILLANCE
=" Number of Laboratory confirmed cases: 11
= Alive and dead: O death and 11 cases alive.
Contact Tracing Summary
Table 2: Contacts tracing summary as of 28 .03.2020
Contact risk level
Variables
High
Medium
Low
Contacts identified
19
17
64
Number of contact traced to-date | 19
15
50
Number of contact monitored
7
10
18
today
Contact completed 14 days
follow up to-date
2
;
30
Number of contact that
developed signs & symptoms
3
0
4
tested + results
Number of contact without signs
and symptoms tested
3
0
1
Number of contact lost to follow 0
7
10
up
Total
100
84
45
37
7
4
D
4. LABORATORY INVESTIGATIONS
» The samples of 6 confirmed cases were taken by Path-Care and tested in South
Africa, while 4 confirmed cases were taken and tested by NIP. An additional
confirmed case had the test ran in South Africa and the positive result was received
whilst the case was in Namibia. The turnaround time range between 2 to 5 days for
test done by Path-care, while for test by NIP is 2 days.
" As of 28 March 2020, a total of 246 COVID-19 specimens were recorded in the two
laboratories (NIP and Path-care) as per table below:
Table 3: COVID-19 specimens recorded in at NIP and Path care as of 28.03.2020
As of 25/03/2020
Laboratory
Total
NIP
Path care South Africa
Total sample sent to the 95
154
-
746
Laboratory
Total sample tested
80
152
-
232
Total results received
Total results positive
77
131
4
6
-
208
*]
11
Total results negative
77
136
-
213
Total results pending
0
5
-
5
Total sample discarded
11
2
-
13
New suspected cases
3
0
-
3
New cases (positive)
2
1
-
3
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5. PUBLIC HEALTH ACTION / RESPONSE INTERVENTIONS
*1 Patient specimen collected and tested in South Africa
o COORDINATION AND LEADERSHIP:
=" National Health Emergency Management Committee on COVID-19 response was
activated on 14 March 2020.
= The outbreak was declared by Hon. Minister of Health on 14 March 2020.
=» The Ministry continue to conduct press briefing as the situation progresses. Last
press briefing conducted on 24 March 2020.
=" Coordination meetings are held daily.
# His Excellency Dr Hage Geingob declared and issued guidelines for a lockdown for
21 days for Khomas Region and Erongo Region effective as of midnight 27 March
2020.
o SURVEILLANCE:
# Daily pillar and interpillar meetings are held to discuss daily progress, gaps and way
forward;
=" Contact trancing is ongoing and alert/call centre is receiving alerts from the general
public.
# All quarantine facilities are being monitored daily
=" Case definitions as of 20 March 2020:
Suspect case:
A. A patient with acute respiratory illness (fever and at least one sign/symptom of
respiratory disease, e.g., cough, shortness of breath), AND a history of travel to or
residence in a location reporting community transmission of COVID-19 disease
during the 14 days prior to symptom onset;
OR
B. A patient with any acute respiratory illness AND having been in contact with a
confirmed or probable COVID-19 case (see definition of contact) in the last 14
days prior to symptom onset;
OR
C. A patient with severe acute respiratory illness (fever and at least one
sign/symptom of respiratory disease, e.g., cough, shortness of breath; AND
requiring hospitalization) AND in the absence of an alternative diagnosis that fully
explains the clinical presentation.
Probable case: A suspect case for whom testing for COVID-19 is inconclusive.
Inconclusive being the result of the test reported by the laboratory
Confirmed case: A person with laboratory confirmation of COVID-19 infection,
irrespective of clinical signs and symptoms.
o CASE MANAGEMENT
= There are 11 confirmed cases under case management to date. Eight of cases are
within the Khomas Region, except two in Erongo and one in Kharas Region.
» All cases currently exhibit either mild symptoms or are asymptomatic.
" As of 28 March 2020, all patients are stable.
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=" Case #8 is in self-isolation at home and is stable. Otherwise all other cases are
admitted in isolation facilities (case #3 in Whk central isolation, case # 7 at
keetmashoop & the rest are at HKIJA isolation). Efforts are in progress to place the
last three reported confirmed cases in isolation as well.
# Training on COVID-19 is ongoing, Zoom meeting held weekly
=" More screening sites being accessed
O LOGISTICS:
= Screening point is set up at the PHEOC for visitors and employees.
= Set up a mobile clinic at quarantine facility in Windhoek.
" Installation of Ventilators and ICU monitors at Robert Mugabe Clinic.
" Facilitation the allocation of quarantine facilities in the country.
" Issuing of identification cards to participants in COVID-19 operations
O RISK COMMUNICATION AND COMMUNITY ENGAGEMENT:
=» Educational sessions continue to be conducted in various media
=" Media houses are engaged. The Government leadership appeared on a National
Broadcaster to share the status of COVID 19
Psychosocial support is being done on daily basis to people under quarantine
Lack of fully equipped isolation facilities in the regions at health facilities and points
of entry in the regions.
Insufficient Personal Protective Equipment/clothing.
Insufficient isolation facilities and COVID-19 testing kits
Insufficient reagents/components for local testing for COVID-19
Delay in receiving lab results sent to South Africa.
Need for improving country coordination, planning and monitoring,
Finalization of all relevant SOPs per pillar and TOR
Need for complete Rapid Response Team
Fully equip National Public Health Emergency Operations Centre
All positive cases must be isolation centres.
Make use of NIP services and ensure specimens collected are of good quality and
persons tested meet case definition
Cleared by:
Incident Manager
Date: 29.03.2020
Secretariat
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