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07 February 2021 ZAMBIA COVID-19 SITUATION REPORT NO. 134 th th Disease Pandemic: COVID-19 Response start date: 30 January, 2020 Outbreak Declared:18 March, 2020 Report date: Sunday 7th February 2021 Prepared by: MOH/ZNPHI/WHO Correspondence:[email protected] 1. SITUATION UPDATE This week (1st - 7th Feb) Cases 8,416 Deaths 90 Recoveries 6,835 1.1 CURRENT CASE NUMBERS (as of 09:00 hours CAT) • In the past 24 hrs, we recorded 1,206 new confirmed cases, 14 deaths and Global Numbers 1,425 recoveries. (Source: JHU) 105,746,423 Confirmed • Cumulative number of confirmed COVID-19 cases recorded to date is 62,633 2,309,364 Deaths (2.2% CFR) 58,874,947 Recoveries with 853 deaths (CFR=1.36%) and 54,835 recoveries (87.55% recovered). Africa Numbers • Of the 853 total deaths among the confirmed cases, 395 have been classified Source: Africa CDC) 3,656,459 Confirmed as COVID-19 deaths (CFR=0.63%) and 427 as associated deaths; 31 deaths 94,725 Deaths (2.6% CFR) are pending classification. See Annex 1 for definitions 3,164,456 Recoveries • There are currently 6,945 active cases: of these, 414 (6%) are hospitalised (with 266 on Oxygen therapy and 56 in critical condition); 6,531 patients are under community management. 2. EPIDEMIOLOGICAL HIGHLIGHTS 14000 12000 10000 8000 6000 Number Recorded Number 4000 2000 0 Epidemiological week Confirmed Cases Deaths Recoveries Figure 1: Weekly COVID-19 confirmed cases (N=62,633), deaths (N=853) and recoveries (N=54,835) as of 7th February, 2021 *Blue text: indicates updated information Page | 1 Zambia COV-19 SitRep February 2021 MOH/ZNPH/WHO ➢ Age and sex distribution: Below is a table showing the age and sex distribution of confirmed cases and death, based on data compiled up to January, 2021 Age Groups Positive Cases (%) Deaths (%) CFR (%) Male Female Male Female ≤1 year 0.34% 0.29% 0.52% 1.29% 3.47% >1-4 years 0.54% 0.46% 0.77% 1.29% 2.48% 5-9 years 0.85% 0.90% 0.52% 1.03% 1.06% 10-14 years 1.08% 1.39% 0.26% 0.00% 0.13% 15-19 years 1.99% 2.76% 1.29% 1.55% 0.72% 20-24 years 5.92% 7.03% 3.35% 0.77% 0.38% 25-29 years 8.12% 7.63% 4.64% 2.32% 0.53% 30-39 years 15.05% 11.42% 11.34% 6.19% 0.80% 40-49 years 11.58% 6.65% 10.05% 2.84% 0.85% 50+ years 9.26% 6.73% 26.55% 23.45% 3.77% Total % 54.73% 45.27% 59.28% 40.72% 1.41% Median Age (Range) 35 (1-99) 31 (1-100) 47 (1-94) 56 (1-96) Table 1: Age and sex distribution of confirmed cases/deaths (based on data compiled up to January, 2021) 3. ACTIONS TO DATE 3.1 CO-ORDINATION ➢ Regional/Continental level: + BACKGROUND • Zambia hosts the Southern Africa Regional Collaborating Centre The WHO was alerted of an increase in the number of pneumonia cases of unknown cause of the Africa CDC and has been coordinating the response at detected in Wuhan City, Hubei Province, China. regional level. To date, Southern Africa has recorded The disease now called Coronavirus Disease 2019 (COVID-19) is caused by a new 1,744,571 confirmed cases; 51,409 deaths; and 1,546,011 coronavirus named SARS-CoV-2. The WHO recoveries. Zambia continues to participate in AU meetings to declared the outbreak a PHEIC on 30th January and further declared COVID-19 a pandemic on ensure continued regional and continental trade and strategies to 12th March. Zambia recorded its first two cases stop transmission of COVID-19. of COVID-19 on 18th March 2020. The first 28 cases in Zambia all had a history of travel to ➢ National Level: Europe or Asia. Three weeks into the outbreak, • The government continues to enforce measures and interventions cases were noted among people without history of travel but in contact with confirmed cases. By to control the spread of COVID-19 countrywide as outlined in mid-June 2020, cases had been reported in all ten the Statutory instruments SI21 and SI22 of 2020 on COVID-19 provinces, with Western province being the last to confirm cases of COVID-19. Generalised local and presidential directives. person-person transmission is now established • A COVID-19 contingency plan outlining the country’s throughout the country. COVID-19 preparedness and response activities is available and continues to be regularly updated as the outbreak evolves. *Blue text: indicates updated information Page | 2 Zambia COV-19 SitRep February 2021 MOH/ZNPH/WHO • Technical co-ordinating meetings are held with cooperating partners and other stakeholders. The meetings are chaired by the Director, ZNPHI • The Incident Management System (IMS) continues to meet at ZNPHI (with a Zoom link provided to ensure social distancing) on Tuesdays and Thursdays. The IMS structure is available at Annex 2 3.2 SURVEILLANCE ➢ Active surveillance is ongoing in healthcare facilities, at community level, through contact tracing and at points of entry. Table 2: Breakdown of confirmed COVID-19 cases reported in the last 24hrs PROVINCE NUMBERS BY DISTRICT PROVINCIAL RECOVERIES CASES DEATHS CENTRAL Chibombo 1, Kabwe 110, Kapiri Mposhi 27, Mkushi 14, Mumbwa 11 2 139 [TOTAL: 163] COPPERBELT Chambeshi 4, Chililabombwe 2, Chingola 5, Kitwe 12, Lufwanyama 14, 3 270 Masaiti 2, Mpongwe 10, Mufulira 8, Ndola123 [TOTAL: 180] EASTERN Chama 18, Chipangali 10, Chipata 8, Kasenengwa 2, Katete 11, Lundazi 0 132 1, Lusangazi 4, Mambwe 1, Nyimba 1, Petauke 5, Sinda 13 [TOTAL: 74] LUAPULA Chifunabuli 10, Kawambwa 2, Mwense 108, Nchelenge 12 [TOTAL: 132] 2 98 LUSAKA Chilanga 6, Chirundu 27, Chongwe2, Lusaka 376 [TOTAL: 411] 4 379 MUCHINGA Chinsali 17, Mafinga 2, Shiwangandu 1 [TOTAL: 20] 2 43 NORTHERN Chilubi 5, Kaputa 8, Kasama 6, Lupososhi 1, Mbala 2, Mporokoso 1, 0 65 Mungwi 3, Nsama 2, Senga Hill 22 [TOTAL: 30] NORTH-WESTERN Chavuma 2, Kalumbila 32, Kasempa 24, Mushindamo 2, Mwinilunga 5, 1 117 Solwezi 57 [TOTAL: 122] SOUTHERN Chikankata 1, Choma 1, Kalomo 19, Kazungula 5, Livingstone 7, 0 182 Mazabuka 16, Monze 2, Namwala 7, Siavonga 3, Zimba 8 [TOTAL: 69] WESTERN Luampa 2, Mitete 2, Nkeyema 1 [TOTAL: 5] 0 27 TOTAL 1,206 New Cases 14 Deaths 1,425 Recoveries Point of Entry Pre-travel screening, 0.2% Screening, 0.4% Contacts to known cases, 7.0% Routine community Hospital screening, 52.7% Screening, 39.6% Figure 2: Categorisation of confirmed cases reported in the last 24hrs *Blue text: indicates updated information Page | 3 Zambia COV-19 SitRep February 2021 MOH/ZNPH/WHO +* 3.4 CLINICAL CASE MANAGEMENT 20 • There are currently 414 COVID-19 patients hospitalised in facilities around the country; of these, 266 are on Oxygen therapy and 56 are in critical condition. The age range of patients is 22-89 years. ➢ The community management model and admission/discharge criteria for persons who test positive for COVID-19 available at Annex 3. ➢ The revised guidelines for the home management of COVID-19 cases can be accessed here. Table 3: National distribution of hospitalised COVID-19 patients by province – 7th February 2021 PROVINCE TOTAL # OF ON OXYGEN CRITICAL PATIENTS CENTRAL 16 6 0 COPPERBELT 121 82 21 EASTERN 15 9 0 LUAPULA 14 11 0 LUSAKA 165 126 25 MUCHINGA 8 1 0 NORTHERN 29 7 5 NORTH-WESTERN 21 10 2 SOUTHERN 21 12 3 WESTERN 4 2 0 TOTAL 414 266 56 3.5 LABORATORY AND SAMPLE MANAGEMENT • Below is a chart showing the number of tests conducted by province vs. the number of confirmed cases and percentage positivity 4500 30% 4000 25% 3500 3000 20% 2500 15% 2000 1500 10% Positive% 1000 5% # of ConfirmedCases of # 500 0 0% Province # OF TESTS TOTAL # OF CONFIRMED CASES % POSITIVE th Figure 3: Number of tests by Province vs # of confirmed cases reported (7 February 2021) • Zambia is utilising a number of testing platforms to run COVID-19 diagnostics, including real-time Polymerase Chain Reaction (RT-PCR), Gene Xpert, Hologic Panther, RDT, and Roche Cobas 6800. Laboratory facilities are available in all 10 provinces. See Annex 4 for a list of the currently designated laboratories • In January 2021, the testing strategy was revised from mass testing to a more targeted approach. The revised strategy can be found here. *Blue text: indicates updated information Page | 4 Zambia COV-19 SitRep February 2021 MOH/ZNPH/WHO • Previous week analysis (25th - 31st January): 75,320 tests were conducted (compared to 68,941 tests the previous week), out of which 11.79% tested positive for SARS-CoV-2 (compared to 11.22% the previous week). • Current week analysis (1st – 7th February): this week, 61,555 tests were conducted (13.67% positivity) • In the last 24hrs, 10,063 tests were conducted, of which 1,206 samples tested positive for SARS-CoV-2 (11.98% positive). • To date, a total of 973,384 tests have been conducted, with a cumulative 62,633 confirmed positive (6.43% positivity rate) for SARS-CoV-2. The testing coverage is 57,258 per 1,000,000population 16000 20.00 14000 18.00 16.00 12000 14.00 10000 12.00 8000 10.00 6000 8.00 Daily # of Tests of Daily # 6.00 positive Daily % 4000 +* 4.00 2000 2.00 0 0.00 16 Date Reported Daily # of Tests Daily positive % Figure 4: Daily number of tests vs % of positive results recorded (past month) *Blue text: indicates updated information Page | 5 Zambia COV-19 SitRep February 2021 MOH/ZNPH/WHO ANNEX 1: CORONAVIRUS DISEASE 2019 (COVID-19) CASE DEFINITIONS 1.
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