ZAMBIA COVID-19 SITUATION REPORT NO. 132 th th Disease Pandemic: COVID-19 Response start date: 30 January, 2020 Outbreak Declared:18 March, 2020 Report date: Friday 5th February 2021 Prepared by: MOH/ZNPHI/WHO Correspondence:[email protected] 1. SITUATION UPDATE This week (1st - 7th Feb) Cases 6,210 Deaths 65 Recoveries 4,045 1.1 CURRENT CASE NUMBERS (as of 09:00 hours CAT) • In the past 24 hrs, we recorded 1,424 new confirmed cases, 16 deaths and Global Numbers 740 recoveries. (Source: JHU) 104,886,168 Confirmed • Cumulative number of confirmed COVID-19 cases recorded to date is 60,427 2,284,686 Deaths (2.2% CFR) 58,322,664 Recoveries with 828 deaths (CFR=1.37%) and 52,045 recoveries (86.13% recovered). Africa Numbers • Of the 828 total deaths among the confirmed cases, 378 have been classified Source: Africa CDC) 3,626,960 Confirmed as COVID-19 deaths (CFR=0.63%) and 419 as associated deaths; 31 deaths 93,647 Deaths (2.6% CFR) are pending classification. See Annex 1 for definitions 3,128,534 Recoveries • There are currently 7,554 active cases: of these, 409 (5.4%) are hospitalised (with 285 on Oxygen therapy and 37 in critical condition); 7,145 patients are under community management. 2. EPIDEMIOLOGICAL HIGHLIGHTS 14000 12000 10000 8000 6000 Number Recorded Number 4000 2000 0 5-11Oct 1 -1Feb7 7-13Sep 3 -Aug39 2 -2Nov8 4 -410 Jan 19-25 Oct 12-18 Oct 13-19 Apr 20-26 Apr 21-27 Sep 9 -915Nov 15 15 -21Jun 6 -612 Apr 16-22 Mar 23-29 Mar 14 14 Sep-20 -713 Dec 1 - 17 Jun 13 13 July-19 8 -814 Jun 11 11 - 17 Jan 25 - 31 Jan 18 18 - 24 Jan 18-24 May 11-17 May 25-31 May 6 6 12July - 10 10 - 16 Aug 17 17 - 23 Aug 24 - 30 Aug 22 22 -28 Jun 23 23 - 29 Nov 16 16 - 22 Nov 4 - 4 10 May 14 14 - Dec20 -21 27Dec 20 -20 26 July 29 29 Jun - Jul5 27 27 Jul - Aug 2 28 28 Dec - Jan3 28 28 Sep-Oct4 30 30 Mar- Apr5 26 26 -Oct1 Nov 31 31 Aug-Sep6 30 30 Nov - Dec6 27 27 Apr - May3 Epidemiological week Confirmed Cases Deaths Recoveries Figure 1: Weekly COVID-19 confirmed cases (N=60,427), deaths (N=828) and recoveries (N=52,045) as of 5th 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 1,731,345 confirmed cases; 50,680 deaths; and 1,525,911 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 5, Chisamba 1, Kabwe 34, Kapiri Mposhi 19, Mumbwa 130, 0 69 Serenje 3, Shibuyunji 1 [TOTAL: 193] COPPERBELT Chililabombwe 7, Chingola 22, Kalulushi 1, Kitwe 24, Luanshya 8, 7 194 Masaiti 15, Mpongwe 3, Mufulira 25, Ndola93 [TOTAL: 198] EASTERN Chadiza 12, Chipata 21, Kasenengwa 7, Katete 4, Lumezi 4, Lundazi 4, 0 37 Nyimba 9, Petauke 6, Sinda 12, Vubwi 1 [TOTAL: 80] LUAPULA Chiengi 6, Kawambwa 18, Mansa 28, Mwansabombwe 5, Mwense 10, 1 2 Nchelenge 12 [TOTAL: 79] LUSAKA Chongwe 6, Kafue 6, Luangwa 1, Lusaka 330, Rufunsa 9 [TOTAL: 352] 3 216 MUCHINGA Isoka 13, Mafinga 20, Mpika 27, Nakonde 7 [TOTAL: 67] 1 56 NORTHERN Chilubi 7, Kaputa 12, Kasama 51, Lupososhi 4, Luwingu 5, Mbala 20, 1 48 Mporokoso 10, Mpulungu14, Mungwi 9, Nsama 3, Senga Hill 8 [TOTAL: 143] NORTH-WESTERN Ikelenge3, Kalumbila 40, Kasempa3, Mufumbwe 8, Mushindamo 5, 1 52 Mwinilunga 10, Solwezi 76 [TOTAL: 145] SOUTHERN Chikankata 2, Choma 33, Gwembe 9, Kalomo 2, Kazungula 1, Livingstone 1 50 10, Mazabuka 54, Monze 11, Namwala 1, Sinazongwe 6, Zimba 2 [TOTAL: 131] WESTERN Kalabo 5, Kaoma 3, Mongu 8, Mwandi 1, Nkeyema 1, Senanga 13, 1 16 Sesheke 4, Sioma 1 [TOTAL: 36] TOTAL 1,424 New Cases 16 Deaths 740 Recoveries Pre-travel Health Care Screening, 0.9% Workers, 0.2% Point of Entry screening, 0.1% Contacts to known cases, 6.7% Routine Hospital screening, Screening, 50.5% 41.6% 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 409 COVID-19 patients hospitalised in facilities around the country; of these, 285 are on Oxygen therapy and 37 are in critical condition ➢ 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 – 5th February 2021 PROVINCE TOTAL # OF ON OXYGEN CRITICAL PATIENTS CENTRAL 12 4 0 COPPERBELT 120 82 13 EASTERN 14 3 0 LUAPULA 16 12 0 LUSAKA 170 147 18 MUCHINGA 6 0 0 NORTHERN 19 8 3 NORTH-WESTERN 20 9 1 SOUTHERN 24 15 1 WESTERN 8 5 1 TOTAL 409 285 37 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 4000 30% 3500 25% 3000 20% 2500 2000 15% 1500 10% Positive% 1000 500 5% # of ConfirmedCases of # 0 0% Province # OF TESTS TOTAL # OF CONFIRMED CASES % POSITIVE th Figure 3: Number of tests by Province vs # of confirmed cases reported (5 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).