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Situation Highlights COVID-19 response – Lebanon bi-monthly situation report 30 October 2020 This report is prepared by OCHA, on behalf of and in collaboration with UN agencies and partners involved in COVID-19 response efforts in Lebanon. The report covers the period from 14-27 October 2020. Situation • Between 14 and 27 October, an additional 19,219 people were CUMULATIVE KEY FIGURES (as of 27 infected with the COVID-19, bringing the total number of October) reported cases since 21 February 2020 to 75,845, of whom 57 per cent are male. Overall, there have been 1,384 healthcare workers infected, mostly working in institutions dealing with the 75,845 (19,219 new) COVID-19 response. Further, a total 602 deaths were registered, 31.5 per cent of which are female. About 97 per cent of confirmed confirmed cases cases were recorded among residents. The average test (during the reporting period of 14-27 October) positivity rate during the reporting period was at 11.1 per cent. 602 (103 new) deaths • Lebanon is in phase four of the outbreak, where wider community transmission is observed. • During the reporting period, 364 additional Palestine refugees were confirmed as positive with COVID-19. A total of 1,936 37,887 (12,193 new) Palestine refugees, 995 (51 per cent) of whom are living in recovered camps, have been confirmed as positive with COVID-19, including 53 deaths, since 21 February. As of 27 October, 415 people were in home-isolation, 46 in hospitals, and six in Sibline 1,110,735 (164,550 new) isolation centre. Since the beginning of the outbreak, 1,310 PCR tests conducted* Syrian refugees and 15 refugees of other nationalities have Sources: WHO/MoPH daily report on COVID-19 tested positive for COVID-19, leading to 26 deaths, with an *Lebanon National Operations Room daily report on COVID-19 increase of 194 cases during the reporting period. So far, 33 cases have been detected in informal settlements, of whom 19 have recovered. • On 18 and 25 October, the Ministry of Interior and Municipalities issued memos amending the list of villages that go under the complete lockdown, due to the COVID-19 outbreak, with more than 60 villages are closed as of 27 October. The general curfew remained at 01.00-06.00, and wearing masks is obligatory for everyone upon any movements. Highlights • A total of ten community isolation sites - Abbassiyeh (30 beds), Ain w Zain (18 beds), Al Aziz (28 beds), Ayha (24 beds), Lebanese Canadian Hospital (80 beds), Quality Inn Maarad (101 beds), Tayouneh centre (58 beds), Sibline Medical centre (48 beds), Tal Hayat Mokayteh (50 beds), Wardanieh (29 beds) - were active during the last two weeks, with 119 beds occupied out of 466 available beds, as of 27 October. • In cooperation with the authorities, the UN and NGOs provided support to contain the outbreaks, including dispatching 21 nurses, subcontracting infectious disease specialists, and providing awareness sessions on COVID-19 for inmates, and delivering capacity building and training for medical staff, at Batroun Prison, Roumieh Central Prison and Zahleh Central Prison where outbreaks were previously reported and now contained. The outbreaks in Hopital Psychiatrique De la Croix, and Saydeh Elderly Home have ended. • As of 27 October, the intensive care unit (ICU) bed capacity dedicated for COVID-19 was 82.7 per cent occupied (289 beds). Source: Lebanon National Operations Room daily report on COVID-19 COVID-19 response – Lebanon bi-monthly situation report -|2 Response per pillar under Priorities 1 and 2 Pillar 2 (Risk communication/community engagement): • Produced a press release and a 32 video-message package with the Director of the Rafik Hariri University Hospital and the COVID-19 team delivering awareness messages and promoting protective measures. Partners of the RCCE External Communication taskforce are disseminating the campaign, which has been echoed by 39 media outlets, reaching an estimated audience of six million. Campaign videos, including a video of the Director of the hospital and a video of a nurse who had COVID herself, are reaching a wide audience after three videos, including above-mentioned videos, reached 1.7 million people in the early stages of the campaign, which will be implemented until early November. • Delivered 13 COVID-19 sessions for 309 participants. The sessions included: recalling core messages and planning community work in Palestine refugee camps in the north and south of Lebanon; safe return of children with disabilities to specialized schools; mental health of health workers during COVID-19 provided to Baabda Public Hospital nurses; youth and COVID-19 sessions with youth groups highlighting youth’s role in fighting the pandemic; and, open discussions on preventive measures and best practices to UN staff, parents of children in day care, and staff of Amioun Kaemakam in Koura district of North governorate. • Trained 21 NGO health care staff (nine nurses, three public health supervisors and nine community health volunteers) on numerous topics, including COVID-19 awareness, infection prevention and control (IPC) measures, screening of COVID-19 cases, protection and prevention of sexual exploitation and abuse (PSEA), to reach the target of training 51 staff. • Provided individual awareness sessions on COVID-19 and chronic conditions to 251 inmates who were screened for COVID-19 in Roumieh Central Prison. Further, a total of six group awareness sessions on COVID-19 prevention were conducted for 45 key inmates. • A hotline established by the Lebanese Order of Midwives in cooperation with an UN agency received 93 calls to provide reproductive health counselling, COVID-19 and pregnancy information. • Conducted around 4,200 outreach sessions through door-to-door visits on reproductive health, gender- based violence (GBV), COVID-19 and pregnancy, as well as peer-to-peer awareness sessions on the same topics for around 6,000 Syrian and Lebanese beneficiaries, and providing sexual reproductive health services, including one-to-one counseling sessions, to 960 beneficiaries. Pillar 3 (Surveillance): • Recruited seven additional staff as part of the plan to upgrade the human resources capacities of the epidemiological surveillance unit (ESU) at the Ministry of Public Heath (MoPH) and the ESU COVID-19 call centre. • Printed 260,000 COVID-19 reporting forms to support contact tracing by the ESU. • Recruited 27 community health volunteers who will be responsible for the community-based surveillance activities. • Reached 860 people (out of 64,800 targets) through door-to-door screening for COVID-19, as part of community-based surveillance activity to collect data on the health status of the Syrian refugees, Lebanese and Palestinians living in informal settlements or collective shelters, using the simplified COVID- 19 case definition and forms. The sample was sent to nurse supervisors for verification, investigation, collation, analysis and response as necessary. Pillar 4 (Points of entry) • Screened and tested 7,369 individuals, including 710 children, for COVID-19 at five border crossing points and provided them with guidance on prevention and home isolation messaging, reaching a total number of people screened since March 2020 at the border crossing points to 163,367 individuals. • Screened and tested 12,583 travelers at the Beirut Rafiq Hariri International Airport and provided them with guidance on COVID-19 prevention and home isolation. • Checked the vaccination status of 710 children and provided missing measles and polio vaccines to162 children at border crossing points. Pillar 5 (National Lab): • Procured and delivered 26,320 reverse transcription-polymerase chain reaction (RT-PCR) tests and 20,000 ribonucleic acid extraction reactions for COVID-19 to the MoPH warehouse and Rafik Hariri University Hospital. • Procured 61,500 units of swabs and viral transport medium (VTMs) to be delivered the MoPH to facilitate specimen collection for subsequent COVID-19 RT-PCR testing. Pillar 6 (Infection prevention and control (IPC)): United Nations COVID-19 response – Lebanon bi-monthly situation report -|3 • Distributed 25,167 boxes of medical masks, 5,741 N95 masks, 14,682 boxes of rubber gloves, 757 infrared thermometers, 7,806 disposable gowns, 2,132 goggles, 5,202 bleach, 3,446 liquid soap and 36,415 bottles of hand sanitizers to 321 dispensaries, 97 primary health care centres and 18 Qada offices, which covers the needs for three months. • Procured 6,000 box of surgical masks, 37,000 fabric medical gowns, 555 bleaches, 20,000 boxes of gloves, 7,000 bottles of hand sanitizer, 122 clinical non-contact thermometers to be delivered to the MoPH to support 82 dispensaries. • In the reporting period, distributed 417 IPC kits and 62 disinfection kits to vulnerable people who have tested positive, or share a place with infected people, bringing the total number procured so far to 5,000 IPC kits and 20,500 disinfection kits, of which 1,713 IPC kits and 1,451 disinfection kits have been distributed so far. The kits include enough materials to support five people per household for 14 days. Further, the hotline for kits distribution are being set up, where vulnerable people with COVID-19 cases can request IPC kits. • Distributed 699 bottles of alcohol, 1,398 hand sanitizer bottles, 5956 biohazard bags, 82 boxes of medical masks, 31,700 fabric masks, 79 face-shields, 286 boxes of rubber gloves, 27 infrared thermometers, 652 disposable gowns and 53 bottles of hand sanitizers for campaign-personnel protection and the prevention of COVID-19 transmission during the measles campaign. • Procured 12,000 goggles, 12,000 gowns, 1,050,000 surgical masks, and 18,000 N95 masks to build a WHO stockpile of PPEs to be distributed to hospitals and isolation centres, as needed, and to ensure the protection of healthcare workers, which covers needs for a minimum of two weeks. Pillar 7 (Case management): • Provided stress and anger management sessions to 35 males, as part of addressing the GBV needs of women and girls.
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