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Cambodia Situation Summary Upcoming Events and Priorities

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Cambodia Situation Summary Upcoming Events and Priorities Cambodia Coronavirus Disease 2019 (COVID-19) Situation Report #29 18 January 2021 Report as of 18 January 2021, 10:00 am ICT Situation Summary Highlights of Current Situation Report • As of 18 January 2021, 69 COVID-19 cases involving returnees from Thailand were reported. Out of the 69 cases, 47 cases are hospitalized in Banteay Meanchey RH (33), Battambang Referral Hospital (11), Oddar Meanchey (2) and Pailin Hospital (1), and 22 have recovered. • Of the seven high risk border provinces, four provinces have reported cases. • Banteay Meanchey (36) • Battambang (18) • Pailin (13) • Oddar Meanchey (2) • From 23 December 2020 to 18 January 2021, more than 22,300 samples collected from land borders were tested by IPC, and so far, 69 (F:54, M:15) individuals tested positive for COVID-19. • As of 18 January 2021 10am ICT, 439 (F:145, M:294) confirmed cases of COVID-19 have been reported from Cambodia, of which 386 have recovered. 356 cases were acquired overseas, representing 17 nationalities in addition to Cambodian, with the rest locally acquired. Fifty three patients are currently being hospitalized. • Overall, out of 25 provinces, 16 (64%) have reported COVID-19 cases. One additional province Oddar Meanchey reported new cases (first two cases) last week. • Ministry of Health is providing support to PHDs of border provinces, including: high-level visits, on-site support from national hospitals to provincial hospitals, provincial establishment of quarantine facilities (e.g. guest houses, tented areas), health services and other basic needs, with site assessment from MOH among others. • A joint high-level WHO-MOH field mission was conducted to Pailin and Banteay Meanchey province. WHO technical staff provided to PHD on-job-training for contact tracing, reviewing quarantine facilities, multisource surveillance, use of Go.Data, and streamline data collection, management and reporting for returnees from Thailand. Upcoming Events and Priorities • A three-day workshop for local preparedness will be delivered by MOH on 20-22 January. The purpose of the workshop is to support all provinces to use the National Masterplan to develop their own preparedness plans with facilitation and support from WHO. • COVID-19 risk communication campaign targeted at young people will be launched in early February. The objective of the campaign is to communicate that there is a continued risk of COVID-19 in Cambodia, risks will remain until the pandemic is over and to inspire and motivate the target groups to positively influence others (peers, family, community). • MOH is conducting sub-national weekly transmission stage assessments using multisource surveillance. These data for 04 January – 10 January are available on the WPRO dashboard: WPRO DASHBOARD • A joint high-level WHO-MOH field mission was conducted to Pailin and Banteay Meanchey province. WHO technical staff provided to PHD on-job-training for contact tracing, reviewing quarantine facilities, multisource surveillance, use of Go.Data, and streamline data collection, management and reporting for returning migrants. • NCHP with WHO support have started implementing surveillance with community engagement in one district in Battambang province. A ToT model will be used to train OD, health centres and community groups to support early detection of COVID-19 in the community. • MOH is progressing with plans to expand and decentralize laboratory testing capacity for COVID-19 to three provincial laboratories: Siem Reap, Sihanoukville and Battambang. • From 18-21 January 2021, NIPH, with technical support from WHO, will conduct a field mission to support and establish a COVID-19 testing laboratory in Battambang using GeneXpert technology. • MOH Department of Hospital Services (DHS) is finalizing version 3.0 of the clinical guidelines. This version includes content on management of severe and critical cases; oxygen considerations; procedures for SARS- 1 DISCLAIMER: This report contains the best available data and information at the time of publication. As the COVID-19 pandemic represents an evolving situation, the information might change with emerging new information. Cambodia Coronavirus Disease 2019 (COVID-19) Situation Report #29 18 January 2021 Report as of 18 January 2021, 10:00 am ICT CoV-2 monitoring; discharge criteria; use of medicines; and post-discharge management. A Maternal, Newborn and Child Health Services COVID-19 technical brief, led by the National Maternal Child Health Centre, is also being finalized to complement the clinical guidelines. • The National Immunization Program has drafted the COVID-19 National Deployment and Vaccination Plan (NDVP) with a focus on the following areas: • Cold storage capacity assessment • Vaccination strategies • Management structure • The government continuously assesses the adjustment of non-pharmaceutical interventions (NPIs) through a gradual step-wise approach that considers the effectiveness, socio-economic cost, and public acceptability of each measure, while continuing to increase surveillance to inform decision-making. • To ensure a timely and effective response to a potential localized outbreak in the future, and to minimize disruptions to the delivery of essential health services, an MOH committee has been formed to lead the design and implementation of six regional workshops. The workshops will be used to develop and/or refine provincial preparedness action plans, in line with the National Master Plan for COVID-19, and to identify key priorities to strengthen local preparedness. The workshop will be held on 18-20 January 2021. National Transmission Assessment 1-Imported cases: As of 18 January 2021,356 (81%) of the 439 cases were imported, the remaining cases were locally acquired. There are no reports of undiagnosed respiratory clusters through the national hotline. Influenza-like illnesses (ILI) and severe respiratory illness (SRI) reports are below expected levels for January. A total of 210,478 individuals have been tested using real-time polymerase chain reaction (RT-PCR), with a positivity rate of 0.2%. In total, 307,869 tests have been performed as of 18 January 2020 including 4,369 ILI/ SARI sentinel surveillance specimens which have been tested negative for SARS-CoV-2. Epi Update Tests Cases Deaths ICU Admissions COVID-19 13,610 47 0 0 NAT Tests past 7 days New cases past 7 days Deaths past 7 days ICU Admissions past 7days (>100% 7-day) (0% 7-day) (0% 7-day) 307,869 439 0 0 Cumulative NAT Tests Cumulative Cases Cumulative Deaths Cumulative ICU Admissions 76 0 0 0 Imported Cases in past 28 Cases in past 28 days Active clusters Active clusters with days with no link (0) >3 generations Health 0 27 13,667 17 Service Healthcare worker cases Hospitals admitting Total public hospital Number of hospitals with Provision reported past week COVID-19 patients beds experience in COVID-19 case COVID-19 management 2 DISCLAIMER: This report contains the best available data and information at the time of publication. As the COVID-19 pandemic represents an evolving situation, the information might change with emerging new information. Cambodia Coronavirus Disease 2019 (COVID-19) Situation Report #29 18 January 2021 Report as of 18 January 2021, 10:00 am ICT Epidemiology Figure 1. Number of confirmed COVID-19 cases by acquisition status and date of positive test Overseas Acquired Locally Acquired (close contact) 35 30 25 20 15 10 5 0 25 Jan '20 Jan 25 '20 Mar 7 '20 Mar 11 '20 Mar 15 '20 Mar 19 '20 Mar 23 '20 Mar 27 '20 Mar 31 '20 Apr 4 '20 Apr 8 '20 Apr 12 '20 Apr 16 '20 May 15 '20 May 19 '20 May 23 '20 May 27 '20 May 31 '20 Jun 4 '20 Jun 8 '20 Jun 12 '20 Jun 16 '20 Jun 20 '20 Jun 24 '20 Jun 28 '20 Jul 2 '20 Jul 6 '20 Jul 10 20 Jul' 14 '20 Jul 18 '20 Jul 22 '20 Jul 26 '20 Jul 30 '20 Aug 3 '20 Aug 7 '20 Aug 11 '20 Aug 15 '20 Aug 19 '20 Aug 23 '20 Aug 27 '20 Aug 31 '20 Sep 4 '20 Sep 8 '20 Sep 12 '20 Sep 16 '20 Sep 20 '20 Sep 24 '20 Sep 28 '20 Oct 2 '20 Oct 6 '20 Oct 10 '20 Oct 14 '20 Oct 18 '20 Oct 22 '20 Oct 26 '20 Oct 30 '20 Nov 3 '20 Nov 7 '20 Nov 11 '20 Nov 15 '20 Nov 19 '20 Nov 23 '20 Nov 27 '20 Dec 01 '20 Dec 5 '20 Dec 9 '20 Dec 13 '20 Dec 17 '20 Dec 21 '20 Dec 25 '20 Dec 29 '21 Jan 02 '21 Jan 6 '21 Jan 10 '21 Jan 14 Table 1. Cumulative and new (past 7 days) cases and deaths by age and sex Female Male Total Age Group Cases Deaths Cases Deaths Cases 0-9 1(0) 0(0) 6(0) 0(0) 7(0) 10-19 4(3) 0(0) 5(0) 0(0) 9(3) 20-29 49(14) 0(0) 129(6) 0(0) 178(20) 30-39 51(18) 0(0) 71(6) 0(0) 122(24) 40-49 8(0) 0(0) 26(0) 0(0) 34(0) 50-59 12(0) 0(0) 20(0) 0(0) 32(0) 60-69 18(0) 0(0) 29(0) 0(0) 47(0) 70-79 2(0) 0(0) 6(0) 0(0) 8 (0) 80-89 0(0) 0(0) 0(0) 0(0) 0(0) 90+ 0(0) 0(0) 0(0) 0(0) 0(0) Unknown 0(0) 0(0) 2(0) 0(0) 2(0) Total 145(35) 0(0) 294(12) 0(0) 439(47) 3 DISCLAIMER: This report contains the best available data and information at the time of publication. As the COVID-19 pandemic represents an evolving situation, the information might change with emerging new information. Cambodia Coronavirus Disease 2019 (COVID-19) Situation Report #29 18 January 2021 Report as of 18 January 2021, 10:00 am ICT Figure 2.
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