SITREP 52


SITREP 52



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Ministry of Health and Social Services
Republic of Namibia
WOorrgladnizHaetailotnh
NAMIBIA
Outbreak Name
Date & Time of
report
Prepared by
COVID-19
09 May 2020 20:00
Surveillance Team
Country affected
Investigation start date
Namibia
| 13 March 2020
Date of outbreak declaration in Namibia: 14 March 2020.
1.
SITUATION UPDATE / HIGHLIGHTS
e No new confirmed case was reported in the last 35 days (5 April — 9 May 2020).
* Cumulatively, 16 confirmed cases have been reported in the country, to date.
e Ofthe 16 confirmed cases, eleven (11) have recovered
o One confirmed case recovered today (09/05/2020)
© Supervised quarantine for all people arriving from abroad, for 14 days is ongoing.
e Stage 1 of the state of emergency ended on 4 May 2020, and stage 2 is ongoing
from 5 May until 2 June 2020;
o Wearing a mask in public is mandatory
o All borders will remain closed except for essential/critical services and
humanitarian support to the response.
co All other prevention measures are applicable to the entire country
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2. BACKGROUND
Description of the 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 March 2020.
© Total number of imported cases currently stands at 13 while 3 cases are local
transmissions.
© There is no evidence of community transmission in the country at the moment.
Table 1: Confirmed cases by region as of 09 May 2020
Reporting
Total Cases | New cases | Active cases | Recovered | Death
region
Khomas
1
0
2
//Karas
i
0
1
Erongo
4
0
2
Total
16
0
5
0
0
0
2
0
11
0
3
%3zs5E3 ,
PSSRRSS R<ESGSR< PRKRARES SMRKRRSS RRAR SLRKRRE BSKRKR RERCKLR SRLSRKC LEAR CKRRKERKEKR NLER ATKR RSKREDRKER REKRERSR EKRERTKASRA EASR EBA:
Date of symptoms onset
Figure 1: Epi-curve for COVID-19 confirmed cases in Namibia as of 09 May 2020
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6
5
4
a |i
Oto4
Sto14
15to34 35to59 60to079
80+
Age group (years)
m Male
tm Female
Figure 2: Age and sex distribution for COVID-19 confirmed cases in Namibia as of 09 May
2020
COVID-19 Cases-Namibia
0 100 200 S3S00 400 500 km
Figure 3: Suspected and confirmed COVID-19 cases in Namibia per District, 09 May 2020
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3. PUBLIC HEALTH ACTION / RESPONSE INTERVENTIONS
EPIDEMIOLOGY & SURVEILLANCE
© 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 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, ¢.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
Active surveillance working case definition as of 20 April 2020
A patient diagnosed with Upper/Lower Respiratory Infection (Mild or Severe)
presenting any of the following signs and symptoms: cough, sore throat, fever,
chills, myalgia/body pains or shortness of breath in the past 7 days.
e Surveillance activities
= Daily pillar and intra-pillar discussions are held to deliberate daily progress,
gaps and way forward;
= Call centre continue operations for 24 hours every day.
« Erongo Covid-19 hotline number (0800460460) launched today (09/05/2020)
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Data entry is ongoing and real-time data dashboard has been completed and
ready to be launched soon.
Active case search in all regions aimed at looking for possible community
transmission is ongoing.
Weekly ZOOM sessions with regional teams is on going last meeting held on
07.05.2020
An online part of the intergrated COVID-19 training was conducted with
participants ranging between 93-113 participants per day with support of WHO
and all areas were covered except Rapid Response which will be covered next
week
Contact tracing is ongoing (see table 2) .
People under mandatory quarantine are being monitored daily (see table 3) and
will be tested on day 12 before release on day 15 if they test negative.
Contact tracing Summary
Table 2: National contacts tracing summary for COVID-19 as of 09.05.2020
Variables
High | Medium | Low | Total
Total Number of contacts listed (potential)
68
52
138 | 258
Total number of Contacts never reached
0
0
16
16
Total Number of contacts identified
68
52
122 | 242
Total Number of contacts that developed signs & symptoms
25
8
7
40
*Total Number contacts without signs & symptoms TESTED
20
5)
© Total Number of contacts lost to follow up
0
2
Total Number of contacts tested positive (became cases)
a)
1
Number of active contacts monitored/followed in the last 24hrs
1
0
Total number of Contacts completed 14-days follow up
64
49
27
52
5
7
0
4
0
1
116 | 229
*Number of contacts
© Seven contacts are
without signs
lost to follow
& symptoms tested. One tested positive.
up, all are non-Namibians and have travelled
back
to
their
countries
of
origin.
# Number includes all contacts (24) for the truck driver who was confirmed in Zambia 23 were tested and were all negative.
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Table 3: Number of people in mandatory quarantine facilities as of 09.05.2020
Region
Kunene
Omaheke
Kavango
Omusati
Oshana
Ohangwena
Hardap
Otjozondjupa
Khomas
Zambezi
//Karas
Erongo
Total
Newly
quarantined
24hrs
4
0
0
1
0
0
30
46
8
5
6
0
100
Cumulative
number
people
26
29
4
58
6
131
70
214
229
152
115
35:
1069
Number of | Number of people
of | people
in
quarantine
discharged | now
0
26
re)
14
2
a
8
50
2
4
54
ae
40
30
100
114
157
72
109
43
93
22
3)
0
615
454
LABORATORY INVESTIGATIONS
e As of09 May 2020, 1449 COVID-19 specimens were tested in the two laboratories
(NIP and Path Care) as per table 4. below:
Table 4: COVID-19 specimens recorded at NIP and Path care Laboratories as of
09.05.2020
Laboratory
NIP | Pathcare | South Africa Total
Total sample received by the Laboratory
1268 | 339
-
1607
Total sample tested
1116 | 333
-
1449
Total results received
1116 | 333
-
1449
Total sample re-tested
94
1
-
95
Total results positive
9
6
*]
16
Total results negative
1107 | 327
-
1434
Total sample discarded
58 4
-
62
Total results pending
0
1
-
1
Total results inconclusive/indeterminate
0
0
-
0
@Total new suspected cases in last 24 hours
31
0
:
31
“@1 PTaottiaelntneswpescuismpeenctceodllceacsteesd alnadbortaetsoterdy irnesSuoluttsh reAfcreiicvae,d hwei itthrianveplalsetd 2b4achkoubresfore results came out
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COORDINATION AND LEADERSHIP:
Daily feedback meetings between pillar leads, coordination team and Incident
manager (IM) ongoing, to share daily accomplishments and to address key
challenges.
Integrated Zoom trainings started on 6 May 2020 and ongoing.
Submitted final inputs on SOPs and indicators to pillars for finalisation and
submission to management for endorsement.
Regions continue engaging various akeholders in COVID-19 response activities
CASE MANAGEMENT
Out of the 16 cumulative confirmed cases, 11 have recovered, and have been
discharged after testing negative twice for COVID-19 at 48 hours’ interval.
The remaining 5 active cases are in stable condition and are all asymptomatic.
Conversion of casualty department at Windhoek Central Hospital (WCH) into a
highly infectious referral ICU is nearing completion with a total of 8 beds.
Pre-fabricated isolation units being constructed in Opuwo, Oshakati, and Rundu.
LOGISTICS:
Facilitation of the allocation of quarantine facilities in the country and
transportation for discharged people from quarantine facilities is ongoing.
Provision of commodities’ specifications and verification for procurement is being
done regularly.
POINTS OF ENTRY:
A meeting was held with other stakeholders, after which the SOP for the
management and monitoring of trucks and other cross border vehicle drivers was
finalized.
co The implementation of the SOP will be enhanced once the Transport Sector
directives to combat the spread of COVID-19 has been gazetted.
Conducted a training through integrated training via Zoom onCOVID-19 response.
Screening and inspection of incoming travellers and trucks at points of entry and
check points are ongoing
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RISK COMMUNICATION AND COMMUNITY ENGAGEMENT:
The communication hub continues to give updates on COVID-19 and clarify
miscommunications on a daily basis.
©. This is done concurrently with the social media updates.
The Media continue to communicate messages on COVID-19 and the lifting of the
lockdown to stage 2.
The RCCE continues to share messages on COVID-19 prevention measures.
PSYCHOSOCIAL SUPPORT SERVICES:
The psychosocial support team offered counselling services to 253 persons under
quarantine countrywide. Counselling is also provided to 3 COVID-19 confirmed
persons and their families.
Atotal of 523 persons in need of shelter housed at two sites in Windhoek, while a
total of 102 still on the street.
Provision of health education, psychosocial support services, as well as food at
places where persons in need of shelter are placed are ongoing.
Drafted SOPs: (i) Bereavement amidst COVID-19 finalized; Pre- and Post-testing
Counselling; and Psychosocial Support Services to Persons in Quarantine.
4. CHALLENGES
Inadequate isolation units at health facilities in the regions.
Unavailability of swabs, probes and primers for NIP laboratory to start testing for
Seasonal Influenza (H1N1) from beginning May 2020.
Inadequate viral swabs and PPE at different regions such to implement active case
search testing.
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5. RECOMMENDATIONS
e Establish fully equipped isolation units at health facilities in the regions.
e NIP to fast track procurement process laboratory testing kits (swabs, probes and
primers) for Seasonal Influenza (H1N1) testing.
e IPC and logistics pillar to continue maintaining the procurement and supplies of
sufficient PPE to the regions to ensure response is not interrupted.
Date: 09/05.2020
Ty
Secretariat
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