SITREP 78


SITREP 78



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Ministry of Health and Social Services
Republic of Namibia
ae World Health
Organization
NAMIBIA
Date & Time of | 04.06.2020
this report
00:37 hrs
Prepared by
Surveillance Team
Investigation start
date
13 March 2020
Dy
SITUATION UPDATE / HIGHLIGHTS
« No new confirmed case was recorded today (04 June 2020).
e Cumulatively, 25 confirmed cases have been reported in the country,
e Of the 25 confirmed cases, Sixteen 16 (64%) have recovered.
¢ Twenty-two 22 (88%) of the confirmed cases are imported while 3 (12%) are local
transmissions.
e No death has been recorded, case fatality rate is 0%
e There is no evidence of community transmission in the country at the moment.
e¢ On 28 May 2020, His Excellency, The President of the Republic of Namibia
announced a transition of all the regions (with exeption of the Walvis Bay Local
Authority Area) from stage 2 of lockdown to stage 3 with effect at midnight 01 June
2020 until 29 June 2020.
© Stage 3 of lockdown covers a period of 28 days/ two incubation periods.
o Walvis Bay Local Authority Area has reverted to stage 1 of lockdown on 29
May 2020 until midnight, 08 June 2020.
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2. BACKGROUND
Description of the cases
e Index eases: 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 On 31 May 2020, Namibia recorded a case in Khomas Region, bringing the total
number of confirmed cases to 25.
3. EPIDEMIOLOGY
Since 14 March, 2020 when the COVID-19 outbreak was declared in Namibia, a total of 25
cases have been confirmed. As of today, four (4) Regions have been affected, of which Khomas
region recorded the highest number of cases; 13 (52%), while Hardap region recorded the least
number of cases; 2 (8%). The distribution of confirmed cases by region is presented in figure
1 below.
14
12
:
Khomas
|
/[karas
Erongo
Region
e|
Hardap
™mNumber ofcases mActivecases mRecovered mDeath
Figure 1 Distribution of Confirmed COVID-19 cases in Namibia, by region as of 04 June
2020
As presented in figure 2 below, Namibia recorded its cases of COVID-19 during
epidemiological weeks 11, 12,13, 14, 21, 22 and 23 where most cases (7) were recorded
during epidemiological week 13.
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10 11 12 13 14 #15 16 17 18 19 20 21 22 23
Epidemiological week, 2020
Figure 2: Epi-curve for confirmed COVID-19 cases in Namibia as of 04 June 2020
Of the 25 confirmed cases, more males; 17 (68%) are affected compared to their female
counterparts; 8 (32%). The age and sex distribution of confirmed COVID-19 cases is presented
in figure 3 below.
8
7
0a
ll
,
lh
Oto4
5to14
15 to 34
35 to 59
60 to 79
80+
Age group
=Male mFemale
Figure 3: Age and sex distribution of COVID-19 confirmed cases in Namibia as of 04 June
2020
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0 100 200 300
COVID-19 Cases-Namibia
© Positive Cases
(LaNboTetsetsted Cases by District
@1-49
@ 50-200
@ 420011--4200000
Figure 3: Suspected and confirmed COVID-19 cases in Namibia per District, 04 June 2020
4, PUBLIC HEALTH ACTION / RESPONSE INTERVENTIONS AND
SURVEILLANCE
Case definitions as of 20 March 2020:
Suspected 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
e Call centre continue operations for 24 hours every day; 775 calls answered at
the hotline today (04.06.2020) and 24 alerts and rumours investigated.
e Data entry is ongoing, realtime data dashboard launched on 01 June 2020. The
Dashboard is accessible via a link on the MoHSS’s website
http://www.mhss.gov.na/ or at https://cutt.ly/Covid-19-situation-Namibia
e Active case search in all regions is ongoing.
e Contact tracing and monitoring is ongoing (see Table 1).
e People under mandatory quarantine are being monitored daily (see Table 2) and
are being tested on day 12 before release on day 15 if they test negative.
Contact tracing Summary
As of 04 June 2020, for the 25 confirmed cases, a total number of 455 contacts have been
identified. Two hundred and ninety-seven (297) contacts have completed their 14 days of
follow up and 146 are still active and being monitored daily for 14 days (Table 1).
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Table 1: National contacts tracing summary for COVID-19 as of 04 June 2020
Total Number of contacts listed for follow up (potential)
138
93
268 | 499
Total Number of contacts identified (cumulative)
137
93
225 455
Total number of Contacts never reached
1
0
43
44
© Total Number of contacts lost to follow up
0
2
5
7
Total Number of contacts that developed signs & symptoms
25
9
9
43
Total Number of contacts that tested positive (became cases)
4
1
0
5
Number of active contacts monitored/followed in the last 24hrs
46
31
69
146
Total number of Contacts completed 14-days follow up
87
61
149 297
© Seven contacts are lost to follow up, all are non-Namibians and have travelled back to their
countries of origin.
As of 04 June 2020, a total of 2454 persons who came into the country have been put into
supervised quarantine facilities around the country. Of the 2454, 1652 have been discharged
and 802 are currently quarantined (Table 2)
Table 2: Number of people in mandatory quarantine facilities as of 04 June 2020
Kunene
33
31
2
Omaheke
70
56
14
*Kavango
58
44
14
Omusati
90
80
10
Oshana
20
9
ll
Ohangwena
175
135
40
Hardap
138
17
21
Otjozondj
323
267
56
Khomas
761
347
Zambezi
S17:
217
40
//Karas
280
189
91
Erongo
142
59
83
Oshikoto
27
21
6
Total
155
2454
1652
802
* Kavango region had admitted 45 and discharged 40 people from quarantine between 19 May
2020 and 03 June 2020 but were only reported today.
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Table 3. Distribution of truck drivers who came into Namibia from neighboring countries
and their destination regions on 04 June 2020.
Karas
Khomas
Oshana
Otjozondjupa
Kavango
Ohangwena
Hardap
Kunene
Omaheke
Omusati
Oshikoto
Zambezi
Erongo
Total
LABORATORY INVESTIGATIONS
© As of 04 June 2020, a total of 4385 (including 231 re-tests) COVID-19 specimens
have been 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 04 June
2020
Total sample received by the Laborato
3396
4469
Total sample tested
3115
4156
Total sample re-tested
207
231
Total results positive
18
25
Total results negative
3097
4132
Total sample discarded
59
67
Total sample missin;
0
0
Total results pending
15
15
Total results inconclusive/indeterminate
0
0
Total new si
ted cases in last 24 hours
177
177
*] Patient specimen collected and tested in South Africa, he travelled back before results came
out
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COUNTRY COORDINATION, PLANNING AND MONITORING
¢ Continues to attend the IM Briefing Meetings and agreed to hold regular meetings
with the IM. The team proposed that:
o The National level to consider urgent deployment of an integrated team of
technical experts to the following priority border regions (Erongo, Karas,
Hardap, Zambezi, Omaheke, Kavango, Ohangwena, Omusati and
Kunene).
CASE MANAGEMENT:
¢ Out of the 25 cumulative confirmed cases, 16 have recovered after testing negative
twice for COVID-19 at 48 hours’ interval.
e Of the 9 active cases, 1 is still in ICU but in a stable condition and the other 8 are
asymptomatic.
INFECTION PREVENTION AND CONTROL:
e IPC activities are on going:
o Distribution of PPE according to the Regional plans
o Monitoring of IPC in health facilities
e Guidelines for IPC in the workplace in the context of COVID-19 has been finalized.
LOGISTICS.
e A 12 bed capacity ICU AT Windhoek Central Hospital inaugurated by His
Excellency, The President on 03 June 2020.
e Facilitation of the allocation of quarantine facilities in the country and
transportation for discharged people from quarantine facilities is ongoing.
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.
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e SOP for management and monitoring of cross border road transport at designated
Points of Entry and COVID-19 checkpoints finalised.
RISK COMMUNICATION AND COMMUNITY ENGAGEMENT:
e The COVID-19 Communication Center continues to update the public on the status
of the outbreak, the impact on different sectors and address rumours around
COVID-19.
e Flyers on COVID-19 facts have been translated into 8 local languages, and a total
of 110 000 copies have been printed and they are being distributed to schools.
PSYCHOSOCIAL SUPPORT SERVICES:
e Continous provision of health education, psychosocial support services, as well as
food to people in need of shelter.
e Conducted effective parenting, suicide prevention and tobacco use prevention at
both centres.
5. 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.
e Inadequate nasopharyngeal swabs and appropriate transport media.
6. 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.
Approve
;
Incident Manager
Date: 04 June 2020
Secretariat
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