SITREP 93


SITREP 93



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Ministry of Health and Social Services
Republic of Namibia
World Health
Organization
NAMIBIA
Outbreak Name
Date & Time of
this report
Prepared by
COVID-19 outbreak
19.06.2020
23:30 hrs
Surveillance Team
Country affected
Investigation start
date
Namibia
13 March 2020
1.
SITUATION UPDATE / HIGHLIGHTS
e One new confirmed case was recorded today (19 June 2020).
e Cumulatively, 46 confirmed cases have been reported in the country.
e Ofthe 46 confirmed cases, nineteen 19 (41.3%) have recovered.
e Thirty-two 32 (69.6%) of the confirmed cases are imported while 14 (30.4%) 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 19 June 2020, Namibia recorded one (1) new case bringing the total number of
confirmed cases to 46.
o Thecase isa3l-years old Namibian female who travelled from South Africa
on 17 June 2020 and was put into mandatory quarantine in Otjozondjupa
Region.
e Six (6) cases were recorded on 18 June 2020 in Walvis Bay, Erongo Region.
o Five (5) are contacts of case number 34.
3. EPIDEMIOLOGY
Since 14 March 2020, when the COVID-19 outbreak was declared in Namibia, a total of 46
cases have been confirmed. Six (6) regions have so far been affected, of which Khomas and
Erongo regions recorded the highest number of cases; 18 each as per figure 1 below.
16
%ww 14
3E32s.
Ss
12
810
6
4
0
Khomas
: ae
//Karas
Erongo
2 a.
Hardap
Region
i
Zambezi
@ Total number of cases Active cases Recovered m Death
|
Otjozondjupa
Figure I: Distribution of Confirmed COVID-19 cases in Namibia, by region as of 19 June
2020
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Namibia recorded its cases of COVID-19 during the epidemiological weeks displayed in
figure 2 below:
16
14
12
10
10 #11 42 13 #14 «15 #=16«~«17«~«2:18@«~«19”*=2=«:202~«=6@ 224~C~«
Epidemiological week, 2020
2B AS
Figure 2: Epi-curve for confirmed COVID-19 cases in Namibia as of 19 June 2020
As presented in figure 3 below, more male cases are recorded; 28 (60.9%) comparing to female
cases; 18 (39.1%).
9
&
7
6
5
4
3
2
>i a
a
2 il JO
0-9
10t019 201029 301039 40t049 50%059 G60to69 70t079
80+
Age group
m Male = Female
Figure 3: Age and sex distribution of COVID-19 confirmed cases in Namibia as of 19 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 (45)
Lab Tested Cases by District
(["7 N<o50Test
GG@@ 5100-09-9600
Gi >2900
0 100 200 300 400 500km
Figure 4: Distribution of suspected and confirmed COVID-19 cases in Namibia by District,
19 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
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
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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 Call centre continue operations for 24 hours every day; 935 calls were answered
at the hotline today (19.06.2020).
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 twice ( upon arrival and on day 12 before release on day 15 if they
test negative).
o Stakeholders meeting with the Walvis Bay District and Correctional
facility was conducted to discuss the current outbreak and
recommendations on the situation at hand.

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CONTACT TRACING SUMMARY
“Total Number of contacts listed for follow up (potential)
320
168
429 | 917
Total Number of contacts identified (cumulative)
320
168
395 | 883
Total number of Contacts never reached
0
0
34
34
Total Number of contacts lost to follow up
0
2
5
7
Total Number of contacts that developed signs & symptoms
38
5
12
55
Total Number of contacts that tested positive (became cases)
10
1
0
1]
Number of active contacts monitored/followed in the last 24hrs | 121
52
96 269
Total number of Contacts completed 14-days follow up
176
102
282
560
As of 19 June 2020, a total of 883 contacts of confirmed cases have been identified. A total of
560 contacts have completed their 14 days of follow up, and 269 were monitored today. (Table
1).
The National and Regional team is supporting the Walvis Bay district team in reviewing recent
cases and contacts to identify possible COVID-19 transmission hot spots for enhanced
response:
© Kuisebmund area and prison identified as hot spots.
o Plans ongoing to test more people through targeted testing.
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Table 2: Number of people in mandatory quarantine facilities as of 19 June 2020
Kunene
56
53
3
Omaheke
98
63
35
Kavango
82
59
23
Omusati
109
91
18
Oshana
34
20
14
Ohangwena
Hardap
Otjozondjupa
221
167
54
196
157
39
370
328
42
Khomas
1022
780
Zambezi
389
315
74
//Kharas
7
431
332
99
Erongo
0
160
122
38
Oshikoto
0
45
42
3
Total
72
3213
2529
684
As of 19 June 2020, a total of 3213 persons who came into the country have been placed into
supervised quarantine facilities around the country. Of the 3213, 2529 have been discharged
and 684 are currently quarantined (Table 2).
LABORATORY INVESTIGATIONS
e As of 19 June 2020, a total of 6829 (including 680 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 19 June
2020
Total
le received by the
Total sam
tested
Total
le re-tested
Total
Total
e results
ive results
Total
le discarded
Total
ing results
Total new
cases in last 24 hours
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COUNTRY COORDINATION, PLANNING AND MONITORING
e Provision of support to the Walvis Bay and Swakopmund districts from the
National and Erongo Regional team to structure the response through utilization of
the Incident Management team structure.
e Two meetings held with the Walvis Bay District COVID-19 Emergency
Management Team. Support is being provided to the district to carry out the
revision of their emergency response plan and resource mobilization.
e Plans are under way for integrated support visits to other regions (Zambezi,
Kavango, Ohangwena, Omusati, Kunene, and Oshana region).
CASE MANAGEMENT:
e Out of the 46 cumulative confirmed cases, 19 have recovered after testing negative
twice for COVID-19 at 48 hours’ interval.
e Ofthe 27 active cases, | is still in ICU and is clinically stable. His clinical condition
continues to emprove.
INFECTION PREVENTION AND CONTROL:
e IPC activities are ongoing:
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 Screening of incoming travellers and inspection of trucks at points of entry and
check points are ongoing.
e Daily reporting on ground crossing transports at all designated Points of Entry
ongoing
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Table 4. Distribution of truck drivers who came into Namibia from neighboring countries
and destination regions on 19 June 2020
Karas
Khomas
Omusati
Oshana
Kav
0
2
a
Kunene
0
Omaheke
3
Oshikoto
2
Zambezi
0
oO
9
Total
208
292
The majority 208 (71.2%) of the truck drivers departed from South Africa to various regions.
The largest number 116 (39.7%) of truck drivers were headed to Khomas Region (Table 4).
RISK COMMUNICATION AND COMMUNITY ENGAGEMENT:
e Street drive announcements of COVID-19 messages are being done in Walvis Bay
district.
e The Commununication Center continues to engage stakeholders on COVID-19
response.
e Distribution of IEC materials is ongoing.
PSYCHOSOCIAL SUPPORT SERVICES:
e 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
o Health Care Workers
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5. CHALLENGES:
¢ Inadequate isolation units at health facilities in the regions.
e Inadquate PPE
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.
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.
Approyed:
ff}
wi
Incident Manager
Date: 19 June 2020
Secretariat
For enquiries, please contact
Namibia Public Health Emergency Operations Centre;
Email: PHEOC@mbhss.gov.na
Hotline Toll-free: 0800 100 100
Hotline Whatsapp: 085 1100 100
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