Somalia COVID-19 Situation Report V6 Somali
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CORONAVIRUS DISEASE (COVID-19) SITUATION REPORT- 6 Jointly published by the Ministry of Health & Human Services, Federal Government of Somalia 11 -17 APR, 2020 and WHO Somalia country oce Situation Highlights Globally: 2 074 529 Confirmed cases 139 378 Deaths (CFR: 6.7%) 213 countries/territories reported cases Countries of WHO Eastern Mediterranean Region: 119 222 Confirmed cases 5 760 Deaths (CFR:4.8%) 22 countries/territories reported cases African Region of WHO: 12 360 Confirmed cases 586 Deaths (CFR:4.7%) 45 Countries reported cases Somalia: 3 423 passengers screened at designated points of entry 80 laboratory-confirmed cases 5 Death (CFR:6.3%) 15 suspected cases quarantined/isolated 90 laboratory samples shipped for testing 396 close contacts under follow-up (342 completed 14-day s follow up, 15 contacts were confirmed positive) 172 events investigated 14 This week, the International Organization for Migration (IOM) donated PPEs and other isolation facilities available essential hospital supplies for the isolation unit at the De Martino hospital in Mogadishu. 46 ICU beds available 100 Beds in quarantine sites 2000 PPEs to manage first 2000 cases distributed to all states 820 HCW staff trained to respond to COVID-19 816 rumours reported and investigated 1 During this week, 38 new laboratory-conrmed cases of COVID-19 were Background announced by the Ministry of Health & Human Services (MOH&HS), 21 of these were announced on 15 April 2020. The ministry has also announced four deaths this week all of whom are Somali citizens aged between 61 and 84 years, who were tested positive for COVID-19. This brings the total number of COVID-19 cases in Somalia to 80, including ve associated death (CFR: 6.3%) and two recoveries. Of the eighty laboratory-conrmed cases, seventy-two were reported from Banadir, ve from Somaliland, two from Jubaland and one from Hirshabelle. Six of the eighty laboratory-conrmed cases were travel-associated reported from 16-24 March 2020. The remaining cases had no travel history and were reported from 25 March to 15 April signifying community transmission. Amongst these cases, fteen are healthcare workers. The median age of the conrmed cases is 31 years (age range: 20-84 years) and 15% are female. All the close contacts of these cases have been quarantined and some of the contacts have been sampled. A total of 172 suspected cases have been reported and investigated countrywide, during this week. Of these, 15 cases are currently in quarantine/isolation facility. The number of contacts identied so far for the 80 laboratory-conrmed cases is 396. A total of 90 samples (including repeat samples) have been collected and shipped to Kenya Medical Research Institute (KEMRI) laboratory in Nairobi this week for testing. Some test results are pending. Epidemic curve of COVID-19 cases in Somalia, 11 Mar-14 Apr, 2020 1 case Fatal case 16 14 12 10 8 No. of cases 6 4 2 0 1 Apr 20 2 Apr 20 3 Apr 20 4 Apr 20 5 Apr 20 6 Apr 20 7 Apr 20 8 Apr 20 9 Apr 20 11Apr 20 10 Apr 20 12 Apr 20 13 Apr 20 14 Apr 20 11 Mar 20 12 Mar 20 13 Mar 20 14 Mar 20 15 Mar 20 16 Mar 20 17 Mar 20 18 Mar 20 19 Mar 20 20 Mar 21 Mar 20 22 Mar 20 23 Mar 20 24 Mar 20 25 Mar 20 26 Mar 20 28 Mar 20 29 Mar 20 30 Mar 20 31 Mar 20 27 Mar 20 Date of onset of symptoms 2 Screening at International Region Points of entry Number of travelers screened Points of Entry Jubaland Kismayo 1 821 Jubaland Dobley 404 Jubaland Dolow 1 108 Jubaland Luuq 90 Isolation facilities De Martino Hospital identified: Midnimo Health Centre Bayhaw general hospital Dhusamareeb General Hospital Galkacyo South Hospital Aden Abdulle International Airport Garowe Regional Hospital Bossaso Regional Hospital Galkacyo Regional Hospital Jowhar General Hospital Beletweyne General Hospital Hudur General Hospital Dobley District Hospital Buhoodle Hospital Ongoing activities Public Health Response Activities Coordination Daily national coordinaiton committee meetings are ongoing led by the Prime Minister to coordinate the response to COVID-19 outbreak in the country. The daily coordination committee meetings for COVID-19 is attended by federal and state level committee members that are overseeing dierent response activities. Jubaland State has established a task force for response to COVID-19. The task force follows the status of the humanitarian response activities on COVID-19, and coordinates and shares updates on the evolving COVID-19 situation in the State. COVID-19 Task force meetings are ongoing in Jubbaland, Galmudug and Hirshabelle. Hirshabelle state submitted the COVID-19 State response Budget this week. The Federal government received medical supplies from Turkey, Jack Ma Foundation, UAE, IOM and WHO this week. These supplies are intended to contribute to the response and containment of the COVID-19 outbreak in the country. 3 Surveillance and laboratory detection Case denition for COVID-19 has been added as an reportable health condition into the EWARN system as it is rolled out throughout the country for active surveillance. On 13 April 2020, Puntland Authorities deployed the Rapid Response Team to investigation alerts of COVID-19 in Garowe, Bossaso and Galkacyo districts. A search operation is ongoing to nd a suspected case who was lost follow up recently. Testing capacity has been established at the National Public Health and Reference Laboratory (NPHRL) in Mogadishu since 7 of April while two other testing facilities- one in Garowe and other one in Hargeisa will be operational in the coming week. Risk communication The National Risk Communication and Community Engagement Task Force has been established to jointly work on the development of new RCCE massages, publish awareness massages and coordinate risk communication campaigns throughout the country. During the reporting period, Jubaland MoH has initiated community awareness messages on COVID-19, as preventive measure using dierent channels, including Radio pits, and TV from 7pm to 5am daily. As a part of the eorts to curb the spread on the COVID-19, Jubaland administration has imposed curfew and ban on social gatherings. Most of the ministries of health in the dierent States have initiated sharing IPC guidelines and messages as well as IPC training. Some health authorities are considering the need for fumigation of hotels where conrmed cases were lodged. A press release was issued by Ministry of Health Development of Somaliland on reducing the number of passengers in public transportation as part of WHO recommendation to ensure physical distancing among passengers on the vehicles. The government has also extended school closures. Activities at the Points of Entry Screening at points of entry is going on at border crossing points in Jubaland, Somaliland and Puntland. As of 13 of April 2020, the crossing points to Djibouti, Ethiopia and Somaliland were closed as part of the preventive measures. Screening at points of entry is also ongoing daily in Dhobley, Dolow, Luuq and Kismayo crossing points. Currently, only Beled-haawo and Elwak crossing points do not provide screening services due to logistical challenges. No suspected case has been detected. In Hirshabelle, authorities are preparing to deploy the rapid response team to start screening at the border crossing points of the State. 4 Case management A total of 200 health care workers were trained in Puntland state on 13 March 2020, on case management. Galmudug health authorities have identied two isolation sites. The authorities will train health care workers on cases management with support from WHO. This week, a case management guidelines adaptation workshop was conducted in Somaliland. WHO has conducted assessment of isolation sites in all states. Most of the isolation sites identied had limited number of beds, oxygen machines and no trained medical persons to manage COVID-19 cases. WHO will speed up the training of medical and health professionals. Resource mobilization: The Ministry of Health & Human Services of FGS launched the national preparedness and response plan for COVID-19 on 26 March 2020 with a budget of USD 57.76 million for six-month period. The FGS committed an initial 5 Million USD to the COVID-19 response outbreak in the country. To date, the government reported that, in addition to the governments’ own committed funds, additional 7.5 and 3.2 million USD dollar have been committed to the response by the World Bank and Islamic Development Bank respectively. To date, WHO has received contributions from the Italian Agency for Development Cooperation, ECHO, CERF and the Embassy of Switzerland against the WHO’s appeal to support the government-led operations response to COVID-19. The contributions have enabled scaling up of operational responses to COVID-19 in Somalia, including for, inter alia, building and rapidly scaling up laboratory diagnostics and testing facilities for COVID-19 in the country. Discussions are also ongoing with other agencies for funding support. 5 Follow us on The Federal Government of Somalia received medical supplies from Turkey and also from WHO this week for its ongoing COVID-19 response operation. @WasaaraddaCaamaadk Soomaaliya @WROSOM @MoH_Somalia @WHOSom For further information, please contact: Dr Ahmed Adam Abdullahi Abdihakim Ismail Incident Management Team Leader IMST Planning and Information Team Lead, somaliawho Ministry of Health and Human Services Ministry of Health and Human Services Federal Government of Somalia Federal Government of Somalia Mob: +252612888418 Mob: +252615509990 Email: [email protected] Email: [email protected] Dr Abdihamid Ibrahim Fouzia Bhatti Incident Management Support Team Lead Communication Officer World Health Organization, Somalia WHO Country Office Mogadishu - Somalia Tel: +252618388884 Tel: +252619235880 Email: [email protected] Email: [email protected] URL: http://www.moh.gov.so/en/; http://www.emro.who.int/countries/som/index.html.