SITREP 82


SITREP 82



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Ministry of Health and Social Services
Republic of Namibia
Be World Health
<7 Organization
NAMIBIA
Outbreak Name | COVID-19 outbreak
Date & Time of | 08.06.2020
this report
23:30 hrs
Prepared by
Surveillance Team
Country affected
Investigation start
date
Namibia
13 March 2020
1,
SITUATION UPDATE / HIGHLIGHTS
e No new confirmed cases were recorded today (08 June 2020)
e Cumulatively, 31 confirmed cases have been reported in the country.
e Of the 31 confirmed cases, sixteen 16 (51.6%) have recovered.
© Twenty-seven 27 (87.1%) of the confirmed cases are imported while 4 (12.9%) 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 08 May 2020, His Excellency, The President of the Republic of Namibia
announced that the Stage | restrictions imposed on the Walvis Bay Local Authority
Area on 29 May 2020, will be extended to the entire Erongo region;
o Effective from midnight 08 June 2020 until mignight 22 June 2020.
e The other regions are still under Stage 3 of national lockdown which covers a period
of 28 days (01 June 2020 — 29 June 2020).
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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 On 07 June 2020, Namibia recorded 2 confirmed cases, bringing the total confirmed
cases to 31.
o Case No. 30 and 31 are 27-years old and 50 years old Namibian females
who travelled from India by air via OR Tambo International Airport, South
Africa on 24 May 2020. They arrived in Namibia on 25 May 2020 and were
placed into supervised quarantine in |[Kharas Region.
3. EPIDEMIOLOGY
Since 14 March, 2020 when the COVID-19 outbreak was declared in Namibia, a total of
31 cases have been confirmed. So far, four (4) regions have been affected, of which Khomas
region recorded the highest number of cases; 16 (51.6%), while Hardap region recorded
the least; 2 (6.5%).
8
76
2
la.
Khomas
//Karas
Erongo
Hardap
Region
™Number ofcases mActivecases mRecovered mDeath
Figure 1 Distribution of Confirmed COVID-19 cases in Namibia, by region as of 08 June
2020
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As presented in figure 2 below, Namibia recorded its cases of COVID-19 during
epidemiological weeks 11, 12,13, 14, 21, 22, 23 and 24 where most cases (7) were recorded
during epidemiological week 13.
5
0
¥ |[
10 41 12 13°14 «15 «16 «17:«18 «19 «20 21 22 23 «24
Epidemiological week, 2020
Figure 2: Epi-curve for confirmed COVID-19 cases in Namibia as of 08 June 2020
Of the 31 confirmed cases, more males; 21 (67.7%) are infected compared to their female
counterparts; 10 (32.3%).
oll
rhh
Oto9 10to19 20to29 30t039 40to49 50to59 60to69 70t079 80+
Age group
mMale mFemale
Figure 3: Age and sex distribution of COVID-19 confirmed cases in Namibia as of 08 June
2020
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0— 100 — 200 — 300 400 500k
COVID-19 Cases-Namibia
@ Positive Cases
Lab Tested Cases by District
(No Test
©@@@ 5<1050-009-9399
a >2000
Figure 4: Distribution of suspected and confirmed COVID-19 cases in Namibia by District,
08 June 2020
4. PUBLIC HEALTH ACTION / RESPONSE INTERVENTIONS AND
SURVEILLANCE
e 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
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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
irrespective of clinical signs and symptoms
infection,
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; 847 calls were answered
at the hotline today (08.06.2020) and 6 alerts were investigated.
e Namibia COVID-19 dashboard 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 Mandatory supervised quarantine of all persons arriving from abroad is ongoing
(see Table 2).
o All people are tested upon entry into mandatory quarantine for rapid
detection of positive cases.
o All people in quarantine are monitored daily for 14 days and are being
tested on day 12 before release on day 15 if they test negative.
Contact tracing Summary
As of 08 June 2020, a total of 496 contacts have been identified. Four hundred and eleven (411)
contacts have completed their 14 days of follow up and 73 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 08 June 2020
Total Number of contacts listed for follow up (potential)
164
96
280 | 540
Total Number of contacts identified (cumulative)
163
96
237 | 496
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
ii
0
5
Number of active contacts monitored/followed in the last 24hrs | 32
14
27
a8:
Total number of Contacts completed 14-days follow up
127
81
203 | 411
© Seven contacts are lost to follow up, all are non-Namibians and have travelled back to their
countries of origin.
As of 08 June 2020, a total of 2594 persons who came into the country have been placed into
supervised quarantine facilities around the country. Of the 2594, 1857 have been discharged
and 737 are currently quarantined (Table 2).
Table 2: Number of people in mandatory quarantine facilities as of 08 June 2020
Kunene
Omaheke
*Kavango
Omusati
Oshana
Ohangwena
Hardap
Otjozondjupa
Khomas
Zambezi
//Karas
Erongo
Oshikoto
Total
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Table 3, Distribution of truck drivers who came into Namibia from neighboring countries
and their destination regions on 08 June 2020
Karas
0
Khomas
0
Oshana
0
Otjozondjy
0
Kavango
0
Ohangwena
0
Hard
0
Kunene
0
Omaheke
0
Omusati
0
Oshikoto
0
Zambezi
0
Erongo
Total
LABORATORY INVESTIGATIONS
e As of 08 June 2020, a total of 4971 (including 329 re-tested) 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 08 June
2020
Total
le received by the Laborato
Total sample tested
Total sample re-tested
329
Total results itive
23
31
Total results negative
Total sample discarded
68
76
Total sample missing
0
0
Total results pendin;
0
0
Total results inconclusive/indeterminate
0
0
Total new si
ted cases in last 24 hours
33
33.
*] Patient specimen collected and tested in South Africa, he travelled back before results came
out.
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COUNTRY COORDINATION, PLANNING AND MONITORING
e Continues to attend the IM Briefing Meetings and agreed to hold regular meetings
with the IM.
e Drafting and finalizing integrated support visits to the regions with borders and
strengthening the coordination and management of response interventions at
regional/district levels; quarantine/isolation facilities, PoEs and truck ports in the
regions.
CASE MANAGEMENT:
© Out of the 31 cumulative confirmed cases, 16 have recovered after testing negative
twice for COVID-19 at 48 hours’ interval.
e Of the 15 active cases, 1 is still in ICU but in a stable condition and the other 14 are
stable.
INFECTION PREVENTION AND CONTROL:
e IPC activities are on going:
o Distribution of PPE according to the Regional plans
© Monitoring of IPC in health facilities
LOGISTICS.
e Facilitation of the allocation of quarantine facilities around the country and
transportation of discharged people from quarantine facilities is ongoing.
POINTS OF ENTRY:
e Ongoing screening of incoming travellers and trucks at points of entry and check
points.
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.
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PSYCHOSOCIAL SUPPORT SERVICES:
e Continous provision of health education, psychosocial support services, as well as
food to people in need of shelter.
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.
e Draft and present integrated support visit to management for consideration and
approval to strengthen regional capacities and readiness before they report new
cases.
Date: 08 June 2020
Cou
Secretariat
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