COVID-19 in Somalia 04 June 2020 Please check our dashboard regularly for new updates on COVID-19 situation in Somalia at https://rebrand.ly/who-covid-somalia-dashboard Transmission: weekly progression of cases by week (16 March-31 May 2020) Transmission: modeling of the epidemic curve Gaussia Gamm Weibull n law a law law Peak date 26/05/ 07/06 26/05/ 2020 /2020 2020 Maximum number 1364 1587 1366 of active cases End of epidemic 09/08/ 18/12/ 17/07/2 2020 2020 020 Number of days to 131 330 112 end Accuracy 99.4% 99.6% 99.5% COVID-19 Cases Distribution by Gender, Somalia,(11 March- 03 June 2020) COVID-19 Cases and Deaths Distribution by Age Group, Somalia,(11-March-03 June 2020) Epi Curve of COVID-19 Cases in Somalia (11 Mar-03 June, 2020) Date of Notification Epi Curve of COVID-19 confirmed Cases and Deaths in Somalia (11 Mar- 03 June, 2020) Attack Rate by District, Somalia (11 Mar- 03, June 2020) District Total Population Number of Confirmed cases Attack Rate in 100,000 pop HODAN 225870 218 84.6 MEDINA 173545 202 61.1 DHARKENLEY 148425 89 48.5 WABERI 93150 90 77.3 GAROWE 231408 80 26.8 BONDERE 101735 54 52.1 DANYILE 146070 55 36.3 HAMAR JABJAB 88290 52 58.9 HARGEISA 1399984 273 3.6 KISMAYO 278886 92 18.3 WARDEGLY 127930 183 39.9 HAWALWADAG 109865 51 45.5 YAQSHID 319550 36 11.6 BRAVA 116788 35 30.0 HAMARWEYNE 92730 28 30.2 HELIWA 141495 26 18.4 KARAN 243590 25 10.3 ABDUL AZIZ 51595 24 46.5 SHIBIS 160135 20 12.5 KAHDA 98810 19 19.2 GARDO 115320 16 13.9 BOSSASO 637730 13 2.0 GALKAYU NORTH 716952 12 1.7 BAIDOA 587775 9 1.5 SHANGANI 40555 9 22.2 WACIYA 39544 9 22.8 BERBERA 169453 8 4.7 MARKA 480610 8 1.7 AFGOI 240975 3 1.2 BURHAKABA 286731 3 1.0 BORAMA 1680653 2 0.1 JOWHAR 279188 2 0.7 BADAN 38890 1 2.6 BELET HAWA 106162 1 0.9 BURAO 341996 1 0.3 DUSAMREB 119870 1 0.8 GALKAYU SOUTH 193130 1 0.5 GOLDOGOB 153002 1 0.7 RUNINGOD 44340 1 2.3 TALEH 64100 1 1.6 Transmission: daily cases in Banadir, Puntland, Jubaland, Southwest state and Somaliland • This shows that the Reproduction number is higher at the state level • In Banadir region: Rt < 1 • In Southwest state: Rt > 1 • In Puntland state: Rt > 1 Health Care Workers Affected by COVID-19 updates Based on Surveillance data collected in different States. 04 June 2020 And I don’t Oh no! I don’t want to be the want to catch cause of your your infection! infection either! 10 Protect yourself Protect your community Protect your patients 11 Objectives: •To determine the trends of HCWs affected COVID-19 in Somalia. •To identify most affected groups by age, gender and location. •To use available information to inform public health decision COVID-19 cases among Health Care Workers in Somalia SN STATE Number of Number of CFR(%) suspected tested +ve cases tested Number of Death Total 156 93 1 0.01 1. Benaadir* 60 34 0 0 2. Jubbaland 23 23 0 0 3 SWS 50 21 1 0.04 4 Galmudug 15 7 0 0 5 Puntland 8 8 0 0 *11 (BAN),08(PL) cases are not included in the line list *No data from SL COVID-19 cases among Health Care Workers in Somalia, cont. COVID-19 cases among Health Care Workers in Somalia, cont. Challenges: •Incomplete line list data which causes to make proper analysis of information. • Poor segregation of Profession (e.g. nurse, physician, laboratory technologist). •Missing Somaliland data. Policy guidance: •HF must ensure the availability of adequate IPC supplies for all the HCW and support staff and MUST NOT compromise IPC at any level. •HF to ensure all staff have been trained on the proper use of the IPC equipment and have the knowledge of what to do when exposure occurs before deployment Recommendations for HCWs at high risk for infection: •Immediately stop all the interactions with patients, call the support centre Toll number ……….. •Be tested for COVID-19 at day 0 -7 -14 •Quarantine for 14 days in a designated setting Recommendations for HCWs at high risk for infection, cont. Health care facilities should do: • Provide psychosocial support to HCW during quarantine, or throughout the duration of illness if HCW is confirmed to have COVID-19; • Provide compensation for the period of quarantine and for the duration of illness (if not on a monthly salary) or contract extension for duration of quarantine/illness. • Provide review of IPC training for the health care facility staff, including HCWs at high risk for infection after 14-day quarantine period. Recommendations for health workers at low risk for COVID-19: •Self-monitor temperature and respiratory symptoms daily for 14 days after the last day of exposure to a COVID-19 patient. •HCWs should call the support centre Toll number ……………… if they develop any symptoms suggestive of COVID-19; •Reinforce contact and droplet precautions when caring for all patients with acute respiratory illness and standard precautions for all patients; Recommendations for health workers at low risk for COVID-19: cont. • Reinforce airborne precautions for aerosol-generating procedures on all suspected and confirmed COVID-19 patients; • Reinforce the rational, correct, and consistent use of personal protective equipment; • Apply WHO’s “My 5 Moments for Hand Hygiene” before touching a patient, before any clean or aseptic procedure, after exposure to body fluid, after touching a patient, and after touching a patient’s surroundings; • Practice respiratory etiquette at all times..