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Home , Garissa, Homa Bay, Marsabit, Vihiga

MINISTRY OF HEALTH DATA AS REPORTED BY 1700 HOURS 12 July

COVID-19 OUTBREAK IN

DAILY SITUATION REPORT - 117

1.0 KEY HIGHLIGHTS

1. Three hundred and seventy-nine (379) new confirmed COVID-19 cases were reported in the last 24 hours bringing the total number of confirmed cases in Kenya to 10,105 cases as of 12 July 2020. Counties reporting new cases are (209), (49), Busia (38), Migori (19), (16), (12), Uasin Gishu (8), (6), (5), (5), (2), (2), (2), (1), (1), (1), (1), (1) and Trans Nzoia (1).

2. The total number of deaths reported since the beginning of the outbreak is 185, case fatality rate (CFR) is 1.8 percent.

3. In the last 24 hours, forty-nine (49) COVID-19 patients recovered and were discharged bringing the total number of recoveries and discharges for COVID-19 to 2,881.

4. As of today, forty-two (42) out of 47 counties have reported cases namely: Nairobi (5558), Mombasa (1737), Busia (550), Kiambu (500), Kajiado (458), Machakos (258), Migori (190), Uasin Gishu (145), Nakuru (136), (70), (54), Makueni (45), Taita Taveta (41), Kisumu (37), Garissa (34), (31), Narok (30), Turkana (20), Wajir (19), (18), (18), Meru (18), Murang'a (17), Lamu (15), Kericho (13), Isiolo (12), Nyeri (11), (9), (8), (7), Nandi (7), (6), Kisii (6), Laikipia (6), Trans Nzoia (5), (4), Nyamira (4), Embu (2), Kirinyaga (2), Nyandarua (2), (1), and Elgeyo Marakwet (1).

5. Mombasa and Nairobi City Counties have the highest attack rates of COVID-19 at 143.8 and 126.4 per 100,000 population respectively when compared to 21.2 per 100,000 for the whole country and need enhanced interventions. In addition, the COVID-19 outbreak has so far spread to 89 percent of the counties in the country. Risk communication, laboratory testing, and contact tracing have been identified as key challenges.

6. Of the affected counties, only Turkana, Kajiado, Marsabit (discharged all contacts), Garissa, Kisumu, Homa Bay, Kisii, Nairobi, Siaya, Busia, Uasin Gishu and Garissa submitted contact tracing reports.

7. Eight thousand nine hundred and twenty (88 percent) of the 10105 confirmed cases are local transmissions.

8. Of the 3413 contacts under follow-up 3334 (98 percent) were followed up today

9. In the last 24 hours, 6979 samples were tested across various laboratories of which 379 samples turned positive for COVID-19. A total of 206,584 cumulative tests have so far been conducted.

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COVID-19 SITUATION UPDATE: 12 July 2020

Total Cases Male = 6846 Deaths =10105 Female = 3259 =185

1.1 Epidemiology Since 13 March 2020 when the first case was confirmed in Kenya, a total of 10,105 confirmed cases and 185 have died giving a case fatality rate of 1.8 percent have been line listed. Of these, 8920 cases (88 percent) were local transmissions and 1185 (12 percent) are imported cases. The Figure 1 below shows trends of cases. Mandatory quarantine was instituted on 25 March 2020 with testing of all quarantined people starting on 29 March 2020. Figure 2 shows cumulative caseload. Figure 3 shows number of samples tested by date indicating the positive and negative results. Laboratory test rate currently stands at 4343 samples per 1,000,000 people.

Figure 1: Trends of COVID-19 Outbreak Kenya

MOH Kenya /12 July 2020 2 | P a g e COVID-19 SITUATION UPDATE: 12 July 2020

1.2 Cumulative Cases

Figure 2: Cumulative case load

MOH Kenya /12 July 2020 3 | P a g e COVID-19 SITUATION UPDATE: 12 July 2020

1.3 Laboratory Testing

Figure 3: Laboratory Tests Conducted by Date Results were Shared

MOH Kenya /12 July 2020 4 | P a g e COVID-19 SITUATION UPDATE: 12 July 2020

1.4 Distribution of Confirmed COVID-19 Cases by Presentation and Presentation of Symptoms among Symptomatic cases Of the 10105 confirmed cases, 1061 (11 percent) presented with symptoms (Figure 4). Cough (56 percent) and fever (43 percent) were predominant presenting symptoms.

Figure 4: Distribution of Presenting Symptoms among Symptomatic COVID-19 Cases

MOH Kenya /12 July 2020 5 | P a g e COVID-19 SITUATION UPDATE: 12 July 2020

1.5 Age and Sex Distribution of COVID Confirmed Cases and Deaths Six thousand eight hundred and forty-six (68 percent) are males and 3259 (32 percent) are females. Most of the cases; 3258 (32 percent), are in the age group of 30-39 years. Figure 5 below shows age and sex distribution of COVID-19 cases. One hundred and eighty – five deaths have been reported so far, 141 (76 percent) being males and 44 (24 percent) were females (Figure 6).

Figure 5: Age and Sex Distribution of COVID-19 Cases Kenya

Figure 6: Distribution of Case Fatalities by Age and Sex

MOH Kenya /12 July 2020 6 | P a g e COVID-19 SITUATION UPDATE: 12 July 2020

1.6 Distribution of Confirmed COVID-19 Cases by County and

Transmission Classification Of the 10105 cases, 5558 (55 percent) are from followed by with 1737 (17 percent) as shown in Figure 7. Mombasa County has the highest attack rate of 143.8 per 100,000 population followed by Nairobi City County at 126.4 per 100,000 population (Table 1).

Figure 7: Distribution of confirmed COVID-19 Cases by County and transmission classification

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Table 1: County Attack Rate per 100,000 Population

S/ County Population (2019 Cumulative Cases per 100,000 No Census KNBS) Cases population 1 Mombasa 1,208,333 1737 143.8 2 Nairobi City 4,397,073 5558 126.4 3 Busia 893,681 550 61.5 4 Kajiado 1,117,840 458 41.0 5 Kiambu 2,417,735 500 20.7 6 Machakos 1,421,932 258 18.1 7 Migori 1,116,436 190 17.0 8 Uasin Gishu 1,163,186 145 12.5 9 Taita Taveta 340,671 41 12.0 10 Lamu 143,920 15 10.4 11 Nakuru 2,162,202 136 6.3 12 Kwale 866,820 54 6.2 13 Kilifi 1,453,787 70 4.8 14 Makueni 987,653 45 4.6 15 Isiolo 268,002 12 4.5 16 Garissa 841,353 34 4.0 17 Kisumu 1,155,574 37 3.2 18 Siaya 993,183 31 3.1 19 Narok 1,157,873 30 2.6 20 Wajir 781,263 19 2.4 21 Turkana 926,976 20 2.2 22 Mandera 867,457 18 2.1 23 Kitui 1,136,187 18 1.6 24 Murang'a 1,056,640 17 1.6 25 Vihiga 590,013 9 1.5 26 Nyeri 759,164 11 1.4 27 Kericho 901,777 13 1.4 28 Meru 1,545,714 18 1.2 29 Laikipia 518,560 6 1.2 30 Marsabit 459,785 4 0.9 31 Nandi 885,711 7 0.8 32 Nyamira 605,576 4 0.7 33 Trans Nzoia 990,341 5 0.5 34 Bungoma 1,670,570 8 0.5 35 Homa Bay 1,131,950 6 0.5 36 Kisii 1,266,860 6 0.5 37 Kakamega 1,867,579 7 0.4 38 Embu 608,599 2 0.3 39 Nyandarua 638,289 2 0.3 40 Kirinyaga 610,411 2 0.3 41 Elgeyo Marakwet 454,480 1 0.2 42 Bomet 875,689 1 0.1 Kenya 47,564,300 10105 21.2

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1.7 Map of Kenya Showing Distribution of Confirmed COVID-19 Cases by County

Figure 8: Distribution of confirmed COVID-19 cases by County

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1.8 Status of Contract Tracing as at Today Of the 10105 confirmed COVID-19 cases a total of 12396 contacts have been listed, 457 contacts have tested positive for COVID-19 (Table 2). 7226 of the 10105 cases are pending contact listing, the counties with highest pending contact listing are: Nairobi (3877), Mombasa (1239) among others (Fig 10). Of the 3413 contacts under follow up 3334 (98 percent) were followed up today

MOH Kenya /12 July 2020 10 | P a g e Table 2: Status of Contract Tracing as at Today

Number of Cases % of cases Contacts Number Cases Pending Contacts Contacts on Response Positive County forwarded to contact without finished 14 Responded contact listing identified followup rate Contacts tracing contacts days today Bomet 2 0 0% 35 35 0 0 0% 3 Bungoma 8 6 0% 12 12 0 0 0% 1 Busia 511 484 2% 38 25 13 13 1% 0 Elgeyo 1 0 100% 0 0 0 0 0% 0 marakwet Embu 2 0 0% 60 58 2 2 50% 0 Garissa 33 19 9% 114 94 20 20 6% 3 Homa bay 5 2 0% 138 82 56 56 20% 0 Homabay 2 0 0% 11 11 0 0 0% 0 Isiolo 11 4 9% 134 105 29 29 9% 2 Kajiado 445 331 3% 813 566 253 245 9% 13 Kakamega 7 6 0% 13 13 0 0 0% 0 Kericho 13 12 0% 1 1 0 0 0% 0 Kiambu 451 339 1% 692 391 304 300 13% 10 Kilifi 71 32 1% 541 464 77 101 10% 9 Kirinyaga 2 1 50% 0 0 0 0 0% 0 Kisii 6 2 0% 61 50 11 11 33% 2 Kisumu 36 33 3% 5 5 0 0 0% 0 Kitui 18 9 11% 71 71 0 0 0% 6 Kwale 54 42 11% 127 123 4 4 0% 0 Laikipia 6 5 0% 26 26 0 0 0% 0 Lamu 9 9 0% 0 0 0 0 0% 0 Machakos 254 248 1% 118 118 0 0 0% 1 Makueni 45 43 2% 15 15 0 0 0% 2 Mandera 19 1 0% 176 176 0 0 0% 6

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Number of Cases % of cases Contacts Number Cases Pending Contacts Contacts on Response Positive County forwarded to contact without finished 14 Responded contact listing identified followup rate Contacts tracing contacts days today Marsabit 4 4 0% 11 11 0 0 0% 0 Meru 19 6 0% 324 63 261 261 47% 0 Migori 170 153 2% 153 153 0 0 0% 1 Mombasa 1721 1239 5% 2442 2162 281 269 4% 143 Murang'a 11 10 0% 22 21 1 0 0% 0 Muranga 7 3 14% 43 43 0 0 0% 0 Nairobi 5343 3877 6% 5064 3189 1878 1837 12% 223 Nakuru 133 121 2% 310 291 19 19 2% 0 Nandi 6 6 0% 0 0 0 0 0% 0 Narok 28 28 0% 0 0 0 0 0% 0 Nyamira 3 3 0% 0 0 0 0 0% 0 Nyandarua 2 2 0% 0 0 0 0 0% 0 Nyeri 9 0 0% 136 134 2 0 22% 0 Siaya 31 3 71% 157 128 29 29 6% 20 Taita taveta 41 20 12% 109 52 57 22 15% 0 Trans nzoia 1 0 0% 10 0 10 10 100% 0 Transzoia 1 1 0% 0 0 0 0 0% 0 Tranzoia 2 2 0% 0 0 0 0 0% 0 Turkana 21 8 0% 108 101 7 7 29% 1 Uasin gishu 139 100 1% 227 128 99 99 10% 8 Vihiga 9 9 0% 0 0 0 0 0% 0 Wajir 17 3 29% 79 79 0 0 0% 3 Total 9729 7226 5 12396 8996 3413 3334 9% 457

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COVID-19 SITUATION UPDATE: 12 July 2020

2.0 KEY ACTIONS

2.1 Coordination ➢ Ongoing coordination meetings across both national and sub – national levels.

2.2 Case Management and Infection Prevention & Control ➢ In the last 24 hours, 49 COVID-19 patients recovered and were discharged bringing the total number of recoveries and discharges for COVID-19 to 2881.

2.3 Surveillance, Laboratory and Points of Entry ➢ All alerts were responded to and contact tracing continued in all affected counties. ➢ In the last 24 hours, 6979 samples were tested across various laboratories of which 379 samples turned positive for COVID-19. A total of 206,584 cumulative tests have so far been conducted.

3.0 KEY CHALLENGES ➢ Emerging reports of personal protective equipment (PPE) of poor quality being distributed to healthcare workers and facilities. The health workers are requesting for standardization of the materials and compliance with sizes of the PPEs. ➢ Suboptimal utilization of the digitized COVID-19 case investigation form. ➢ Suboptimal contact tracing and delay from counties in submitting reports to PHEOC ➢ The long turnaround time for relying laboratory results to clients in most counties is causing delay in public health action. ➢ Increasing complacency by community despite established community transmission. Some people still want to see what COVID-19 patient looks like. They think it is a myth and this is contributing to some laxity in observing some prevention and control measures such as hand washing. ➢ Limited resources/logistical support for field teams including vehicles to conduct community visits, contact tracing and case follow up at the sub-national level.

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4.0 NEXT STEPS

➢ Address concern of poor quality of PPEs being distributed to the sub – national level. ➢ Strengthen utilization of the integrated data management system moving forward by incentivizing its use. ➢ Ensure capacity building of the sub – county teams from the remaining 20 counties on rapid response, contact tracing and use of the data management systems. An additional sub – county teams ➢ Strengthen COVID-19 diagnostic quality assurance systems.

Emergency Operation Center: Telephone: 0729 471 414, 0732 353 535, 0800 721316(Toll Free) COVID-19 Call center: *719# (short message only), 719 (Audio) Email: [email protected]

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