SITREP 70


SITREP 70



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Ministry of Health and Social Services
Republic of Namibia
Be World Health
kV Organization
NAMIBIA
Outbreak Name
Date & Time of
this report
Prepared by
COVID-19 outbreak
27.05.2020
22:50 hrs
Surveillance Team
Country affected
Investigation start date
jamibia
13 March 2020
1.
SITUATION UPDATE / HIGHLIGHTS
e No new confirmed case was reported today (28 May 2020).
e Cumulatively, 22 confirmed cases have been reported in the country, of which
fourteen (14) have recovered.
e Supervised quarantine for all people arriving from abroad for 14 days is ongoing.
e The National Rapid Response Team deployed in Karas Region trained health
workers in Karaburg, and Keetmanshoop on surveillance, infection prevention
control, and case management.
2. BACKGROUND
Description of the cases
e 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.
e Total number of imported cases currently stands at 19 while 3 cases are local
transmissions.
e There is no evidence of community transmission in the country at the moment.
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Table 1: Confirmed cases by region as of 27 May 2020
Reporting
Total Cases | New cases | Active cases | Recovered | Death
region
Khomas
11
0
2
9
0
//Karas
3
0
2
I
0
Erongo
6
0
2
4
0
Hardap
2
0
2
0
0
Total
22
0
8
14
0
5
3
2
1
0
a
10 i
2
123
14
15
(16
17
18
19
20
21
22
Epidemiological week, 2020
Figure 1: Epi-curve for confirmed COVID-19 cases in Namibia as of 27 May 2020
=a8 s &
°
325 3 2
1, a
Oto4d
5to14
15 to 34
35 to S9
Age group
60 to 79
Male
Female
80+
Figure 2: Age and sex distribution for COVID-19 confirmed cases in Namibia as of 27 May
2020
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COVID-19 Cases-Namibia
© Positive Cases
0 10— 0 —200—— 300 400 500 km
Lab Tested Cases by District
(1J1-N4o 9Test
li 50-100
@@ 101-200
201-1700
Figure 3: Suspected and confirmed COVID-19 cases in Namibia per District, 27 May 2020
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, e.g., cough, shortness of breath; AND
requiring hospitalization) AND in the absence of an alternative diagnosis that fully
explains the clinical presentation.

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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
e 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
= Call centre continue operations for 24 hours every day; 819 calls answered at
the hotline today (27.05.2020) and 19 alerts investigated.
= Data entry is ongoing, realtime data dashboard will be launched on 1 June 2020.
= Active case search in all regions is ongoing.
= Contact tracing and monitoring is ongoing (see table 2).
= People under mandatory quarantine are being monitored daily (see table 3) and
are being tested on day 12 before release on day 15 if they test negative.
= Plans are underway to conduct online Data management training early June.
Contact tracing Summary
Table 2: National contacts tracing summary for COVID-19 as of 27 May 2020
Variables
High | Medium | Low | Total
Total Number of contacts listed for follow up (potential)
95
63
190 348
Total Number of contacts identified (cumulative)
95
63
174 332
Total number of Contacts never reached
0
0
16
16
© Total Number of contacts lost to follow up
0
2
5
q.
Total Number of contacts that developed signs & symptoms
26
8
7
41
Total Number of contacts that tested positive (became cases)
3
1
0
4
*Total Number contacts without signs & symptoms TESTED
20
5
27
52
Number of active contacts monitored/followed in the last 24hrs
24
6
50
80
Total number of Contacts completed 14-days follow up
65
57
119 241
*Number of contacts without signs & symptoms that were tested. One tested positive.
© Seven contacts are lost to follow up, all are non-Namibians and have travelled back to their countries of origin.
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Table 3: Number of people in mandatory quarantine facilities as of 27 May 2020
Region
Kunene
Omaheke
Kavango
Omusati
Oshana
Ohangwena
Hardap
Otjozondjupa
Khomas
Zambezi
//Karas
Erongo
Total
Newly
quarantined
24hrs
0
1
0
0
0
0
1
0
0
0
0
3
5
Cumulative
Number of | Number of people in
number of people | people
quarantine now
discharged
52
42
10
57
44
13
13
4
9
81
67
14
18
6
12
138
114
24
134
115
19
296
215
81
426
307
119
247
134
113
190
99
91
70
46
24
1722
1193
529
Table 4. Distribution of truck drivers who came into Namibia from neighboring countries
and their destination regions on 27 May 2020.
Destination
Karas
Khomas
Oshana
Otjozondjupa
Kavango
Ohangwena
Hardap
Kunene
Omaheke
Omusati
Oshikoto
Zambezi
Erongo
Total
South Africa
48
68
6
5
0
2
5
1
0
1
3
0
15
154
Country of departure
Zambia Botswana
DRC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
37
0
3
37
1
3
Total
Angola
0
48
2
70
0
6
1
6
0
0
0
2
0
5
0
1
2
2
0
1
0
4
0
0
0
55
5
200

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LABORATORY INVESTIGATIONS
e As of 27 May 2020, a total of 3351 (including 170 re-tests) COVID-19 specimens
were tested in the two laboratories (NIP and Path Care) as per table 5 below:
Table 5: COVID-19 specimens recorded at NIP and Path care Laboratories as of 27 May
2020
Laboratory
Total
Variables
NIP
Path care | South Africa
Total sample received by the Laboratory
2579
838
-
3417
Total sample tested
2375
806
-
3181
Total sample re-tested
146
24
-
170
Total results positive
15
6
#]
22
Total results negative
2360
800
-
3160
Total sample discarded
58
8
-
66
Total results pending
0
0
-
0
Total results inconclusive/indeterminate
0
0
:
0
Total new suspected cases in last 24 hours
87
61
-
148
*1 Patient specimen collected and tested in South Africa, he travelled back before results came out
COORDINATION AND LEADERSHIP:
e Feedback meetings of pillar leads and Incident Manager (IM) are ongoing (3
times a week), to share accomplishments and to address key challenges.
CASE MANAGEMENT:
e Conducted a simulation/drill at Windhoek Central Hospital COVID-19 ICU to
assess the readiness of the health care workers on 23 May 2020.
© Out of the 22 cumulative confirmed cases, 14 have recovered after testing negative
twice for COVID-19 at 48 hours’ interval.
e Of the 8 active cases, | is critically ill in ICU. The 7 are all clinically stable.
INFECTION PREVENTION AND CONTROL:
e IPC activities are on going as part of IPC preparedness plan;
o Distribution of PPE according to Regional plans
o Observed IPC readiness in the Windhoek Central Hospital COVID-19 ICU
during the simulation exercise conducted on 23 May 2020.
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LOGISTICS.
e Facilitation of the allocation of quarantine facilities in the country and
transportation for discharged people from quarantine facilities is ongoing.
e Provision of commodities’ specifications and verification for procurement is being
done regularly.
e Distribution of PPEs to the regions
POINTS OF ENTRY:
e Screening and inspection of incoming travellers and trucks at points of entry and
check points is ongoing
e Plans are underway to prepare the regions to collect and submit daily reports at the
points of entry.
e SOP for management and monitoting of cross border road transport at designsted
Points of Entry and COVID-19 checkpoints finalised
e Checklist for assessment of quarantine facility at ground crossing drafted.
RISK COMMUNICATION AND COMMUNITY ENGAGEMENT:
© The COVID-19 Communication Center continues to update the public on the status
of COVID-19, the impact on different sectors and address rumours around
COVID-19.
e A total of 110 000 copies of flyers on COVID-19 facts have been printed and the
distribution has commenced especially to the schools that are due to open
©. These copies are translated into 8 local languages.
PSYCHOSOCIAL SUPPORT SERVICES:
e Continous provision of health education, psychosocial support services, as well as
food to people in need of shelter.
4. CHALLENGES:
e Inadequate isolation units at health facilities in the regions.
e Insufficient PPE and swabs for sample collection from suspected cases identified
through active case search in some districts.
¢ Inadequate nasopharyngeal swabs and appropriate transport media.

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5. RECOMMENDATIONS AND WAY FORWARD:
e Establish fully equipped isolation units at health facilities in the regions.
¢ Logistics pillar to continue with the procurement and distribution of sufficient PPE
to the regions to ensure that response is not interrupted.
e NIP to continue sourcing for swabs and appropriate transport media for all districts.
Incident Manager
Date: 27 May 2020
Secretariat
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