Progress on COVID-19: South Africas Public Health Response Yogan - - PowerPoint PPT Presentation

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Progress on COVID-19: South Africas Public Health Response Yogan - - PowerPoint PPT Presentation

Progress on COVID-19: South Africas Public Health Response Yogan Pillay 12 th of May 2020 COVID-19: Global Situation Based on WHO SITREP 111 with data as of 9 th May 2020 As reported by the WHO, the spread of coronavirus continues to


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Progress on COVID-19: South Africa’s Public Health Response

Yogan Pillay 12th of May 2020

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COVID-19: Global Situation

Based on WHO SITREP 111 with data as of 9th May 2020

▪ As reported by the WHO, the spread of coronavirus continues to affect more countries, with an increase in the total number of confirmed global cases which is currently at 3 917 366 with 274 361 deaths, 7% mortality rate (9th May 2020).

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COVID-19: African Region

Based on WHO SITREP 111 with data as of 9th May 2020

▪ Within Africa, South Africa has the highest number of cases followed by Algeria (5558), Ghana (4263), and Nigeria (4151); however, Algeria has a higher number of deaths at 494. ▪ Within the SADC region, South Africa has 78% of the total cases and 68% of the total deaths.

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COVID 19: South Africa Epidemiology and Surveillance

Through and including cases and deaths through 11th of May

▪ In South Africa, the total cumulative cases reported on 11th May is 10 652 reflecting a 6.4% increase or 637 new cases. ▪ The national case fatality rate, based on deaths from 11th May is 1.9%, with the total number of deaths as of the 11th of May being 201 reflecting an increase of 7 deaths (194 to 201).

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Total # of Cumulative Cases since 1st Reported Case (National)

Total # of New Cases since 1st Reported Case

COVID-19 Cases since 1st reported case National

Through and including cases and deaths through 11th of May

21 day lockdown 14 day extension Community Screening 1st reported death 1st reported case Level 4 Lockdown

10652

2000 4000 6000 8000 10000 12000 05-Mar 12-Mar 19-Mar 26-Mar 02-Apr 09-Apr 16-Apr 23-Apr 30-Apr 07-May

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Number of Weekly New COVID-19 Cases National

Through and including cases and deaths through 9th of May

Total Number of New Cases per week since the 1st Reported Case (National)

13 103 593 671 465 660 1130 1715 2458 2844

500 1000 1500 2000 2500 3000 11-Mar 18-Mar 25-Mar 01-Apr 08-Apr 15-Apr 22-Apr 29-Apr 06-May Last 5 days

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Total # of Cumulative Cases since 1st Reported Case by Province

Total # of New Cases since 1st Reported Case

COVID-19 Cases since 1st reported case by Province

Through and including cases and deaths through 11th of May

21 day lockdown Community Screening 1st reported death 1st reported case 14 day extension Level 4 Lockdown 2000 4000 6000 8000 10000 12000 05-Mar 12-Mar 19-Mar 26-Mar 02-Apr 09-Apr 16-Apr 23-Apr 30-Apr 07-May Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga North West Northern Cape Western Cape Unknown

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Number of Weekly New COVID-19 Cases by Province

Through and including cases and deaths through 11th of May

Total Number of New Cases per week since the 1st Reported Case (Province)

2 13 30 154 178 252 220 507 5 56 258 326 137 146 296 184 312 251 1 30 152 143 169 162 422 1057 1624 1861

  • 500

500 1000 1500 2000 2500 3000 11-Mar 18-Mar 25-Mar 01-Apr 08-Apr 15-Apr 22-Apr 29-Apr 06-May Last 5 days Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo Mpumalanga North West Northern Cape Western Cape Unknown

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Level 4 Lockdown

Total # of Cumulative Deaths since 1st Reported Case

Total # of New Cases since 1st Reported Case

COVID-19 Deaths since 1st reported case National

Through and including cases and deaths through 11th of May

21 day lockdown 14 day extension Community Screening 1st reported death 1st reported case

206

50 100 150 200 05-Mar 12-Mar 19-Mar 26-Mar 02-Apr 09-Apr 16-Apr 23-Apr 30-Apr 07-May

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Number of Weekly New COVID-19 Cases and Deaths National

Through and including cases and deaths through 11th of May

Total Number of New Deaths per week since the 1st Reported Case (National)

5 13 18 39 31 55 45

10 20 30 40 50 60 11-Mar 18-Mar 25-Mar 01-Apr 08-Apr 15-Apr 22-Apr 29-Apr 06-May Last 5 days

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Laboratory Testing

Through and including testing through 11th May 2020

▪ A cumulative total of 356 067 tests have been conducted as of 10th May.  Of the total number of tests conducted, 14 731 new tests were performed and of those 4 877 tests (33%) were from community screen and testing (CST).  Of the new tests conducted, 8 292 (56%) have been in the public sector. ▪ The volume of tests decreased from 17 257 tests conducted on the 09th of May to 14 731 conducted

  • n the 10th of May.

▪ The proportion of positive cases is 4.3% today. ▪ The overall proportion positive (new cases/total new tested) nationally has been stable for 7 days with an average of 3.4%.  This 7-day average has been gradually increasing.

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Number of COVID-19 tests performed Private and Public

Through and including testing through 11th May 2020

50000 100000 150000 200000 250000 300000 350000 2000 4000 6000 8000 10000 12000 14000 3/9/20 3/16/20 3/23/20 3/30/20 4/6/20 4/13/20 4/20/20 4/27/20 5/4/20

Cumulative no. of samples

  • No. of samples

Date reported

PRIVATE PUBLIC Cumulative total

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Number of COVID-19 tests performed to find 1 COVID-19 Case

Through and including testing through 11th May 2020 13 26 47 59 111 131 106 163 146 33

20 40 60 80 100 120 140 160 180 Western Cape Eastern Cape KwaZulu-Natal Gauteng Northern Cape Free State North West Mpumalanga Limpopo Overall

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Community Screening

▪ As of 9th of May, 9 192 366 individuals have been screened nationally and 104 778 individuals have been referred for

  • testing. Between May 8th and May 9th, total screening figures increased by 1.7% (from 9 038 918 to 9 192 366), and total

referrals.

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Contact Tracing

▪ As of the 10th of May, a total of 35 151 contacts have been identified through contact tracing. ▪ To date, 92% (32 438 of 35 151) of contacts have been monitored in South Africa

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Hospitalisation

Updated as of the 10h May 2020

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Hospitalisation

Updated as of the 10th May 2020

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Quarantine – Number of Activated Sites from Planned Sites

Updated as of the 8h May 2020

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Quarantine – Number of Activated Beds from Planned Beds

Updated as of the 10th May 2020

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  • Nelson Mandela Bay Metro (n=384)

– Findings

  • Key challenge is in co-ordination and

planning to support accountable contact tracing

  • Current cases reflect uncontained

transmission following spreading events at funerals and shopping centres

– Interventions

  • Involvement of DM in daily meetings
  • Presence of contact tracers at daily

meetings

  • Structure meetings to reflect #new

cases, # contact tracing, # results

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  • Chris Hani (n=113)

– Findings

  • Conflation of contact tracing and mass

screening

  • Two funerals lead to multiplication of

cases

  • Traditional healers not observing

lockdown regulations

– Interventions

  • Support for structured data collection
  • Training to support better

understanding of role of contact tracing vs mass screening

  • Presentation of data to inform contact

tracing

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Epidemiological assessment

  • Buffalo City Metro (n=171)

– Findings

  • Massive outbreak in prison which is
  • ngoing. (n=98, 2 deaths)
  • Uncontained spread in Bisho and

Mdantsane

  • Delays in contact tracing due to delay

in receiving results

– Interventions

  • Support for DCS clinical management,

cohorting

  • Reduce communication delays in lab

results

  • Tracking indicators to better

understand outbreak

Warder attended a funeral in Majola (near Lusikisiki/Port St Johns) Offenders n=57 Warders n=34 Family n=7

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EPI Hotpots: Active Cases Average 2nd May to 8th May

Legend (Positive Cases per 100k pop) 0 to <0.5 0.5 to <1 1 to <5 5 to <10 Greater than 10

1 2 3 4 5 6 12

13

7 8 9 10 11

14

15 16 17 18 19 20 21 22 23 24 25

26 27

28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43

44

45

46 47

48

49 50 51 52

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Conclusions

  • Rate of increase in cases and mortality variable by province
  • FS, LP, LP, NC, NW
  • GP & KZN
  • EC and WC
  • Rate of increase variable by district
  • Test, isolation, treat, contact tracing, quarantine
  • Challenges with testing capacity (who to prioritise?)
  • Clusters of infections with rapid transmission