SITREP 90


SITREP 90



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Ministry of Health and Social Services
Republic of Namibia
<8) World Health
NAMIBIA
Outbreak Name
Date & Time of
this report
Prepared by
COVID-19 outbreak
16.06.2020
22:15 hrs
Surveillance Team
Country affected
Investigation start
date
amibia
13 March 2020
1.
SITUATION UPDATE / HIGHLIGHTS
e No new confirmed case was recorded today (16 June 2020)
e Cumulatively, 34 confirmed cases have been reported in the country.
e Of the 34 confirmed cases, eighteen 18 (52.9%) have recovered.
e Twenty-eight 28 (82.4%) of the confirmed cases are imported while 6 (17.6%) are
local transmissions.
e No death has been recorded, case fatality rate is 0%
e On 08 June 2020, His Excellency, The President of the Republic of Namibia
announced the extension of the Stage 1 restrictions imposed on the Walvis Bay
Local Authority Area to the entire Erongo region;
o Effective from midnight 08 June 2020 until midnight 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-years-old male and a 25-years-
old female, arrived from Madrid, Spain on 11 March 2020.
e On 15 June 2020, Namibia recorded two new confirmed cases, bringing the total
number of confirmed cases to 34.
3. EPIDEMIOLOGY
Since 14 March, 2020 when the COVID-19 outbreak was declared in Namibia, a total of
34 cases have been confirmed. So far, four (4) regions have been affected, of which Khomas
region recorded the highest number of cases; 17 (50%), while Hardap region recorded the
least; 2 (5.9%), as per figure 1, below
18
16
14
3om 12
yO
6 10
o
2
8
E6
]4
:0
Khomas
Eo
//Karas
Region
;
::
Erongo
ne ma
Hardap
@iTotalnumber ofcases Activecases Recovered mDeath
Figure I Distribution of Confirmed COVID-19 cases in Namibia, by region as of 16 June
2020
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Namibia recorded its cases of COVID-19 during the epidemiological weeks displayed in figure
2 below.
6
ty.
10 11 12 13 14 15
0 21 22 23 24 25
Epidemiological week, 2020
Figure 2: Epi-curve for confirmed COVID-19 cases in Namibia as of 16 June 2020
As presented in figure 3 below, more male cases are recorded; 22 (64.7%) comparing to female
cases; 12 (35.3%).
i”
|
10t019 201029 301039 401049 50te59 G0to69 7Oto79
80+
Age group
@ Male = Female
Figure 3: Age and sex distribution of COVID-19 confirmed cases in Namibia as of 16 June
2020
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Note:
A Point is a Spatial representation of a
Case but not the actual Location of the
case
COVID-19 Cases-Namibia
® Positive Cases
Lab Tested Cases by District
C1 No Test
(7 1-49
Gi 50-99
Mi 100-499
@ >2700
0 100 200 300 400 500 km
Figure 4: Distribution of suspected and confirmed COVID-19 cases in Namibia by District,
16 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 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.
Surveillance activities
e Keetmanshoop NIP is ready to test specimens taken from truck drivers as of
today (16 June 2020).
e Call centre continue operations for 24 hours every day; 738 calls were answered
at the hotline today (16.06.2020) and 8 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.
© All people in quarantine are monitored daily for 14 days and are being
tested twice ( upon arrival and on day 12 before release on day 15 if they
test negative).
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CONTACT TRACING SUMMARY
Table 1: National contacts tracing summary for COVID-19 as of 16 June 2020
umber of contacts listed for follow up ote
| oT
Total Number of contacts identified (cumulative)
241
111
Total number of Contacts never reached
0
0
Total Number of contacts lost to follow up
0
2
Total Number of contacts that developed signs & symptoms
28
9
Total Number of contacts that tested positive (became cases)
5
1
Number of active contacts monitored/followed in the last 24hrs | 67
11
Total number of Contacts completed 14-days follow up
168
100
307
283 | 635
24
24
5
7
11
48
0
6
30
108
244 | 512
As of 16 June 2020, a total of 635 contacts of confirmed cases have been identified. A total of
512 contacts have completed their 14 days of follow up, 110 are still active and being monitored
daily for 14 days and only 108 were monitored today. (Table 1).
The National and Regional team is supporting the Walvis Bay district team in reviewing recent
cases and contacts to rule out possible community transmission and to identify possible
COVID-19 transmission hot spots for enhanced response.
Table 2: Number of people in mandatory quarantine facilities as of 16 June 2020
Kunene
0
Omaheke
0
94
57
37
Kavango
1
72
55
Omusati
0
102
87
Oshana
2
32
20
Ohangwena
0
203
167
Hardap
0
151
14]
Otjozondjupa
0
331
326
Khomas
30
941
629
17
15
12
36
10
5
312
Zambezi
0
376
301
//Kharas
9
416
330
Erongo
0
146
114
Oshikoto
2
44
42
75
86
32
2
Total
44
2961
2322
639
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As of 16 June 2020, a total of 2961 persons who came into the country have been placed into
supervised quarantine facilities around the country. Of the 2961, 2322 have been discharged
and 639 are currently quarantined (Table 2).
LABORATORY INVESTIGATIONS
e Asof 16 June 2020, a total of 6109 (including 526 re-tested) COVID-19 specimens
have been tested in the two laboratories (NIP and Path Care) as per Table 3 below:
Table 3: COVID-19 specimens recorded at NIP and Path care Laboratories as of 16 June
2020
Total sample received by the Laboratory
Total sample tested
Total sample re-tested
Total positive results
Total negative results
Total sample discarded
Total pending results
Total inconclusive/indeterminate results
Total new suspected cases in last 24 hours
COUNTRY COORDINATION, PLANNING AND MONITORING
e delegation has been sent to Erongo region to give technical support for two weeks
from 11 - 25 June 2020.
e Another delegation was sent to Omaheke Region on 15 June 2020 to give 2 days
technical support.
© Drafted and submitted a concept note for integrated support visits to other regions
(Zambezi, Kavango, Ohangwena, Omusati, Kunene, Karas and Oshana region) to
management.
CASE MANAGEMENT:
© Out of the 34 cumulative confirmed cases, 18 have recovered after testing negative
twice for COVID-19 at 48 hours’ interval.
e Ofthe 16 active cases, 1 is still in ICU but in a stable and improving condition. The
other 15 are clinically stable.

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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
LOGISTICS.
e Received a donation of 35 laptops (each with a bag and a mouse), and 37 tablets
from Old Mutual Namibia for surveillance pillar.
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 and inspection of incoming travellers and trucks at points of
entry and check points.
Table 4. Distribution of truck drivers who came into Namibia from neighboring countries
and their destination regions on 16 June 2020
Karas
0
KKhomas
0
Oshana
0
jozondjupa
0
Ka
oO
0
0
Hi
0
Kunene
0
Omaheke
0
Omusati
0
Oshikoto
0
Zambezi
0
Ero
37
Total
143
37
214
The majority 143 (66.8%) of the truck drivers departed from South Africa to various regions.
The largest number 80 (37.4%) of truck drivers were headed to Khomas Region (Table 4)
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RISK COMMUNICATION AND COMMUNITY ENGAGEMENT:
With the current status of COVID-19 in Erongo region, the RCCE pillar has
prioritised the training of the Community Health Workers to ensure intensified risk
communication activities in the region.
Street drive announcements of COVID-19 messages are being done in Walvisbay
district during the stage 1 lockdown period.
The Commununication center continues to engage other sectors on COVID-19
response, the latest session was on the assessment of Child-friendly justice in
Namibia.
|
Production of the IEC materials to communicate the stage 3 regulations and
guidelines.
Distribution of IEC materials is ongoing. A total of 6000 copies of printed IEC
have been given to Kavango East and West regions.
PSYCHOSOCIAL SUPPORT SERVICES:
Continous provision of health education, psychosocial support services to persons
in need i.e;
o Confirmed cases and their families
o People in quarantine
o Persons in need of shelter
5. CHALLENGES:
Inadequate isolation units at health facilities in the regions.
® Inadquate PPE
Inadequate nasopharyngeal swabs and appropriate transport media.

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6. RECOMMENDATIONS AND WAY FORWARD:
¢ Establish fully equipped isolation units at health facilities in the regions.
e 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.
Approved:
mM
i
Venn
Incident Manager
Date: 16 June 2020
Secretariat
For enquiries, please contact
Namibia Public Health Emergency Operations Centre;
Email: PHEOC@mhss.gov.na
Hotline Toll-free: 0800 100 100
Hotline Whatsapp: 085 1100 100
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