COVID-19 Pandemic Meeting the need for Medical Supplies of African countries in times of health crisis 30 April 2020 Dr Benjamin Djoudalbaye, Head of Policy and Health Diplomacy, Africa CDC
Epidemiologic Situation As of 27 April 2020, 9 am EAT Cases Deaths Recoveries Countries in each region Cumulative Region # countries CFR (%) # countries in the Total Total Total affected region New* New* New* TOTAL 516 31,933 23 1,423 161 9,566 4.46 52 55 Central 39 2,794 0 97 0 922 3.47 9 9 Eastern 2.47 0 3,242 5 80 0 1,144 13 14 Northern 369 12,998 17 944 137 3,518 7.26 6 7 Southern 0 4,896 0 101 0 1,554 2.06 9 10 Western 108 8,003 1 201 24 2,428 2.51 15 15 *New numbers as of 26 April 20. Data taken from official RCC and Member State reports 2
Epidemiologic Situation* As of 27 April 2020 The top 5 countries in Africa reporting the most cases: ● South Africa: 4,546 2 1 11 1 2 1 (14%) 4 1 ● Egypt: 4,319 (14%) 1 3 ● Morocco: 4,065 (13%) Country, area, or territory with cases ● Algeria: 3,382 (11%) >1000 ● Cameroon 1,592 (5%) 501-1000 11-500 1-10 no reported cases 51 *Global numbers are taken from the latest WHO sitrep: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports 3
Map of COVID-19 epidemic phase by countries in Africa 27 April 2020 9am EAT 11 countries in phase 3 2 1 11 1 2 1 Africa CDC COVID-19 4 Epidemic Phase 38 Phase 4 1 1 3 Phase 3 Phase 2 countries in phase 2 Phase 1 Phase 0 51 4
Africa CDC’s strategy is grounded on three pillars and operationalized by the Africa Coronavirus Taskforce (AFTCOR) Africa CDC’s COVID -19 Strategy ~$430M total budget Preventing Preventing Preventing transmission deaths social harm Procurement of Tailored technical Tailored technical surveillance, diagnostic assistance to MSs assistance on physical and IPC supplies distancing policies Ongoing clinical Enhanced surveillance management trainings Risk communication and data collection to health workers cascade trainings Cascade trainings on Procurement of medical Tracking and surveillance, laboratory equipment and supplies dismantling rumors and IPC ~$175M ~$220M ~$35M Africa Coronavirus Taskforce (AFTCOR) 5
Overview of the Africa Task Force for Coronavirus (AFTCOR) AU Bureau of Heads of Champion the Africa- Finance Coordinating Ensure effective States wide overall COVID- Committee resource mobilization for 19 strategy AU Chair, AUC Chair and prime COVID-19 response Chair: TBD ministers Co-Chair: Economic Affairs Commissioner? Develop a continent- wide public health Open up transportation Transport and Logistics response strategy to and logistics channels respond to COVID-19 Coordinating Committee for key supplies and Continental AFTCOR Chair: TBD rapid responders Steering Committee Co-Chair: TBD Convene and coordinate Health Coordinating Implement and promote Provide the thought- implementation of public Committee adoption of the public leadership on key technical health strategies for countries health response strategy public health response areas Chair: South Africa at the regional level Co-Chair: DSA Commissioner Regional Health Coordinating Committees* AFTCOR Technical Working Groups (TWGs) Regional Economic Committees, Africa CDC Regional Coordinating Committees The continent’s best technical experts and Africa CDC subject -matter experts Supply chain and Surveillance Eastern Africa Southern Africa Science, stockpiles standards and Laboratory diagnosis Clinical Management Central Africa Northern Africa regulations & subtyping Infection prevention Risk communi- Western Africa & control cations *The REC coordinating Committees will align with the AFTCOR TWGs 6
Key achievements of AFTCOR Technical Working Groups to date Surveillance Supply chain & stockpiles Laboratory diagnosis & subtyping countries trained in Enhanced 42 1 23 1.5M laboratory tests and countries trained on PCR Point of Entry surveillance and / IPC supplies from diagnostics or Event based surveillance Jack Ma foundation 78K tests distributed to 42 Developed Africa-specific guidance on distributed to African Member States contact tracing, physical distancing, countries meetings and travel Developed SOPs for testing, interpretation of Stockpiled surveillance, PPE, laboratory test results, specimen collection and Develops daily updates on transportation and biosafety and medical supplies epidemiological data Infection prevention & Science, standards and Clinical management Risk communications control regulations 26 countries trained on Developing and refining 1000+ 39 countries trained risk communication epidemiological estimates on IPC of the outbreak in Africa Launch of surveys to measure Developing analyses on clinicians onboarded into impact of physical distancing impact of physical the weekly online clinical Developed Africa-specific distancing measures on management discussions Developed risk communication guidance on quarantine case growth materials on COVID-19 1 50 Member States have COVID-19 testing capacities, 42 were trained by Africa CDC 7
The Partnerships for Accelerated COVID-19 Testing (PACT) initiative aims to ensure at least 10 million tests are conducted in Africa in the next 4 months GOALS P artnership for 1. Conduct 1M tests in 1 month; 10M in 4 months A ccelerated 2. Establish Africa-wide pooled procurement 3. Establish Africa-wide storage & distribution hubs C OVID-19 4. Deploy 1M health workers for contact tracing 5. Standardize and deploy new technologies for T esting surveillance to help reopen economies 8
WHY PACT: Scaling-up testing capacity is an extremely important way to help contain the COVID-19 outbreak as evidenced by learnings from other affected countries Scaled- up testing… Lessons from other countries ...Helps identify and isolate cases especially South Korea ramped up testing capacity to those that have mild symptoms 15K tests / day last Feb, following massive # of cases in Daegu – case growth is now flat ...Enables robust contact tracing especially as countries remove lockdowns Iceland has tested 10%+ of its people – it has 1,770 cases, and only has 9 deaths ...Uncovers areas of concentration of cases , to implement targeted measures, limiting Hokkaido, had to reinstate the shutdown economic and social harm after 130+ cases with unknown links – Japan has one of the lowest tests / capita …Allows for better insights into spread of the disease USA was very slow to rollout testing – today it is now the epicenter of the outbreak 9
TARGET: PACT aims to dramatically accelerate the number of tests in Africa to take advantage of the capacity that exists on the continent already XX Tests per 1 million population Tests conducted in Africa 20M+ Based on current capacity, Africa can conduct ~20M tests (~16K tests / 1M population) but this 10M number could increase 23x if countries scale up testing equipment footprint 1M 415K 1 Today End of next By end of year Target in month (projected) 4 months Tests / 1M population to date: Italy = ~21,000, US = ~12,000, 325 ~800 ~8,000 ~16,000 South Korea = ~11,000 1 Likely does not capture all testing but is the latest figures reported to Africa CDC 10
HOW : PACT will scale up Africa’s COVID -19 testing capacity in three ways Completed In-progress 3. Private sector 1. Test kit supply 2. Capability building engagement ▪ ▪ ▪ Distribution of initial supply of Training of 42 Member States Engagement with the private 78,000 test kits to 42 Member on PCR diagnostics sector for alternative States ▪ Development of SOPs for testing platforms e.g., ▪ Distribution of ~1M test kits testing, interpretation of test Cepheid for GeneXpert testing, results, specimen collection and from Jack Ma foundation serological tests transportation and biosafety ▪ Procurement of additional ▪ Engagement with private labs ▪ ~1M test kits (500K from Deployment of laboratory to scale up testing capacity in experts to provide targeted the continent Germany, 500K from Jack Ma technical support foundation) ▪ Virtual training sessions for ▪ Set up of an Africa-wide laboratory technicians in-country pooled to improve their practices procurement system, including full distribution to all member states 11
TRACING APPROACH: PACT’s recommended testing approach aims to help countries better trace chains of transmission for the outbreak ▪ Anyone with fever and acute respiratory symptoms who have been in a place in the last 14 days where COVID-19 is transmitting, and who is currently in a location without local transmission. If no known / ▪ All symptomatic contacts of a confirmed or probable cases of COVID-19. limited ▪ All SARI cases presenting to hospital in place where potential circulation of COVID-19 case community is suspected. transmission ▪ Healthcare workers with symptoms consistent with COVID-19 disease regardless of exposure. ▪ Severe acute respiratory infections presenting to hospitals . ▪ If widespread Healthcare workers with symptoms consistent with COVID-19 disease regardless of exposure. community ▪ transmission Additional testing in areas with high likelihood for rapid acceleration in transmission (e.g., densely packed communities, areas with poor sanitation) 12
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