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04 July 2021 WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES Week 27: 28 June - 04 July 2021 Data as reported by: 17:00; 04 July 2021 REGIONAL OFFICE FOR Africa WHO Health Emergencies Programme 0 119 107 12 New event Ongoing events Outbreaks Humanitarian crises 64 0 141 471 3 755 Algeria ¤ 1 008 0 6 116 181 Mauritania 14 449 527 48 0 110 0 43 768 1 174 Niger 21 076 489 6 088 25 Mali 21 0 9 0 Cape Verde 6 471 16 4 951 174 Chad Eritrea Senegal 5 506 194 Gambia 66 0 32 705 287 1 414 8 Guinea-Bissau 847 17 Burkina Faso 2 060 56 276 435 4 331 167 859 2 121 Guinea 13 494 168 13 0 3 881 69 2 2 Benin 198 0 Nigeria 1 189 4 61 0 30 0 Ethiopia 13 2 6 995 50 556 5 872 15 Sierra Leone Togo 626 0 80 858 1 324 Ghana 7 141 98 Côte d'Ivoire 10 879 117 19 000 304 81 0 45 0 Liberia 17 0 South Sudan Central African Republic 1 313 2 0 25 0 50 14 0 96 317 796 6 738 221 Cameroon 23 807 294 3 0 48 594 315 35 173 196 7 0 58 0 199 2 1 411 30 9 1 620 1 185 868 3 675 2 0 168 0 1 1 5 748 104 14 069 131 2 0 8 759 122 Equatorial Guinea Uganda 867 2 827 9 Sao Tome and Principe 4 0 4 520 133 78 394 903 Kenya Gabon Legend Congo 3 307 90 305 26 Rwanda 8 199 104 2 376 37 42 585 470 25 076 159 Democratic Republic of the Congo 12 790 167 Burundi Measles Humanitarian crisis 5 521 8 Seychelles 42 181 960 435 0 693 57 Monkeypox Yellow fever United Republic of Tanzania 197 0 16 259 57 Meningitis Lassa fever 509 21 241 1 6 257 229 Leishmaniasis Cholera 95 703 913 164 282 2 443 Comoros Plague 304 3 cVDPV2 Angola Malawi Diarrhoeal disease in children under five years 36 926 1 208 726 0 3 958 146 Zambia 133 0 COVID-19 Mozambique Crimean-Congo haemorrhagic fever 5 681 35 Hantavirus 815 3 42 194 909 Rift Valley fever Zimbabwe Anthrax 80 151 904 Madagascar Unknown disease related to camels Mauritius 54 474 1 878 Dengue fever 8 062 66 768 181 0 Countries reported in the document 71 443 1 158 1 984 18 Namibia 109 2 Malaria Countries outside WHO African Region Botswana 6 0 Hepatitis E WHO Member States with no reported events 84 705 1 649 Not applicable Eswatini Acute Food 1 0 Insecurity 19 084 678 South Africa Cases Lesotho Deaths 11 568 329 1 928 897 59 900 Graded events † “The boundaries and names shown and the designations used on this map do not imply the expression of any (2) opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate borderlines for which there may not yet be full agreement.” 0 410 820 Kilometers 48 26 0 Grade 3 events Grade 2 events Grade 1 events 36 23 30 31 Ungraded events ProtractedProtracted 3 3 events events Protracted 2 events ProtractedProtracted 1 1 events event Health Emergency Information and Risk Assessment Overview Contents This Weekly Bulletin focuses on public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 119 events in the region. This week’s articles cover: 1 Overview COVID-19 across the WHO African region COVID-19 in Namibia 2 -6 Ongoing events Lassa Fever in Guinea For each of these events, a brief description, followed by public health measures Summary of major 7 implemented and an interpretation of the situation is provided. issues, challenges and proposed actions A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as recent events that 8 All events currently have been controlled and closed. being monitored Major issues and challenges include: As the African region experiences the third wave of the COVID-19 pandemic, case numbers are rising rapidly with increasing reports of severe illness and related deaths. The Delta variant has been reported in 16 countries, including nine with surging cases and it is now dominant in South Africa, which accounted for more than half of the cases in the past week. Although major progress has been made with COVID-19 vaccinations, there remains a serious imbalance in the global distribution of vaccines with Africa having vaccines sufficient for less than 1.0% of the population of the continent. Namibia is facing it’s third, and thus far strongest surge of COVID-19 cases. Its last surge peaked during the last week of 2020 with cases waning by week 5 of 2021. The current wave began in week 20 and the situation has continually deteriorated. There is an increased demand for hospital beds and oxygen supplies, which the Ministry of Health and Social Services is responding to. In addition, non-adherence to public health and social measures which had been re-emphasized on 16 June 2021 and extended further through to 15 July 2021 remains a challenge. A new Lassa fever outbreak has been confirmed in Guinea just when a recent Ebola outbreak in the country was declared over. Given that Lassa fever is endemic in Guinea and neighbouring countries, active case finding and contact tracing and follow-up need to continue to prevent resurgence of the disease in this region. 1 Health Emergency Information and Risk Assessment Health Emergency Information and Risk Assessment Ongoing events 157 4 147 556 97 733 2.4% Coronavirus disease 2019 African region Cases Deaths CFR The number of new coronavirus (COVID-19) cases in the past Guinea, Lesotho, Liberia, Malawi, Mozambique, Namibia, Rwanda, seven days (28 June - 04 July 2021), increased by 198 719, taking Senegal, South Africa, Sierra Leone, Togo, Tunisia, Zambia and the cumulative total past the 4 million mark. As a result, a 12.7% Zimbabwe. The number of deaths reported during this third wave increase was observed compared to the previous week when 176 are also higher than during the second wave. Currently, there 338 new cases were reported. A total of 23 countries (50.0%) are 14 countries that meet the criteria for resurgence: Algeria, saw an increase in weekly cases in the past seven days, of which, Democratic Republic of the Congo, Eritrea, Liberia, Kenya, Sao Tome and Principe, Burkina Faso, Comoros, Côte d’Ivoire, Mozambique, Namibia, Rwanda, Sierra Leone, South Africa, Equatorial Guinea, Guinea, Gambia, Guinea-Bissau, Lesotho, Tunisia, Uganda, Zambia and Zimbabwe. Both Eritrea and Uganda Malawi, Mauritania, Mauritius Mozambique, Niger, Nigeria, have started seeing a downward trend in cases, although overall Senegal, Seychelles, South Africa, South Sudan, Togo, and case numbers remain higher than those recorded during previous Zimbabwe had an increase above or equal to 20.0% compared waves. to the previous week. At the same time, a total of 22 (47.8%) countries reported a decrease in new cases. Angola, Burundi, Within the region, South Africa has reported the highest number Cameroon, Central African Republic, Chad, Democratic Republic of of cases 2 062 896 (49.7%), Ethiopia 276 435 (6.7%), Kenya the Congo, Eritrea, Ethiopia, Gabon, Ghana, Guinea, Madagascar, 185 868 (4.5%), Nigeria 167 859 (4.0%), and Zambia 164 282 Namibia, Sierra Leone and Uganda reported a decrease in cases (4.0%), accounting for (2 857 340, 69.0%) of all cases. South above or equal to 20.0% compared to the prior week. Africa has the highest number of deaths in the region (61 840 (63.3% of all deaths), followed by Ethiopia 4 331 (4.4%), Algeria Morbidity remains high in the African Region with an average of 3 755 (3.8%), Kenya 3 675 (3.8%), and Zambia 2 443 (2.5%). 28 388 cases reported each day over the past seven days. More These five countries account for (76 044, 78.0%) of all deaths than half (67.4%; 133 999) of the new COVID-19 infections are reported in the region. from South Africa, although 45 countries reported new cases in this period. This was followed by Zambia reporting 15 714 cases During this reporting period, 365 new health worker infections (7.9%), Zimbabwe 8 032 (4.0%), Namibia 7 150 (3.6%), and were reported from Namibia (211), Kenya (97), Seychelles (26), Rwanda 5 958 (3.0%). Liberia (20), Cameroon (5), Equatorial Guinea (3), and Eswatini (3). To-date, there have been 114 499 COVID-19 infections (2.8% Weekly deaths rose by 22.4% in the past seven days, with 3 of all cases) among health workers, with South Africa accounting 321 new deaths noted from 31 countries. Most of these deaths for about 49.1% (56 180) of these cases. Algeria (11 936, 10.4%), were concentrated in a few countries including: South Africa, Kenya (5 689, 5.0%), Ghana (4 763, 4.2%) and Zimbabwe (4 which reported the majority of deaths, (1 940, 58.4%), followed 391, 3.8%) have also recorded a high number of health worker by Zambia with 421 (12.7%), Uganda 204 (6.1%), Namibia 182 infections. Other countries reporting health worker infections are (5.5%), and Zimbabwe 142 (4.3%).
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