During the month of October, there was a slight increase in the number of new cases being reported
ADDIS ABABA, Ethiopia, November 5, 2020/APO Group/ --
Outbreak Update: Since the last brief (27 October 2020), 3,434,225 new confirmed [1] coronavirus disease 2019 (COVID-19) cases and 40,289 new deaths have been reported globally. To date, a total of 46,412,100 COVID-19 cases and 1,193,177 related deaths (case fatality rate (CFR): 2.6%) have been reported from 219 countries and territories. The distribution of cumulative cases (proportion of global cases) from the World Health Organization (WHO) reporting regions (excluding Africa) are as follows: Eastern Mediterranean Region 2,641,865 (6%), European Region 11,296,165 (24%), Region of the Americas 20,616,596 (44%), South-East Asia Region 9,305,253 (20%) and Western Pacific Region 738,732 (2%). Among the affected locations, the United States, India, and France have reported over 200,000 new cases in the past seven days. For more detailed information on cases and deaths being reported outside of Africa, refer to the WHO daily situation reports. [2]
Download Document: https://bit.ly/38eCn1y
Download Document: https://bit.ly/3jXHTaV
As of 9 am East African Time (EAT) 2 November 2020, a total of 1,803,464 COVID-19 cases and 43,389 deaths (CFR: 2.4%) have been reported in 55 African Union (AU) Member States. This is 4% of all cases reported globally. The majority of countries (41, 75%) are still reporting community transmission. Of the countries actively reporting COVID-19 epidemiologic data, fifteen countries are reporting case fatality rates higher than the global case fatality rate of 2.6%, these include Sahrawi Arab Democratic Republic (7.1%), Chad (6.5%), Sudan (6.0%), Egypt (5.8), Liberia (5.7%), Niger (5.6%), Mali (3.8%), Algeria (3.4%), Gambia (3.2%), Sierra Leone (3.1%), Malawi (3.1%), Zimbabwe (2.9%), Democratic Republic of Congo (2.7%), Burkina Faso (2.7%) and South Africa (2.7%).
For Epi week [3] 44 (26 Oct - 1 November), 74,913 new COVID-19 cases have been reported, which is a 6% increase in the 6% increase in the number of new cases reported compared to compared to Epi week 43. The majority of new COVID-19 cases being reported for this week are from the Northern region (60%) followed by the Southern (20%), Eastern (15%), Western (4%) and Central (1%) regions. Countries reporting the highest incidence (COVID-19 cases per 100,000 population) this week include Tunisia (96), Cabo Verde (75), Libya (73), and Morocco (68).
Table 1 highlights the reported cases and deaths from COVID-19 in all countries in Africa for Epi week 44. In addition, the table reports the current phase of the epidemic for each country. Figure 1 shows the trend of new COVID-19 cases reported by day and region from 15 February to date. During the month of October, there was a slight increase in the number of new cases being reported. For this week, six countries account for approximately 83% of the new COVID-19 cases reported: Morocco (34%), Tunisia (15%), South Africa (15%), Kenya (8%), Libya (7%), and Ethiopia (4%).
Table 1. Confirmed COVID-19 cases, deaths and recoveries [4] reported in Africa for Epi week 44 (26 October - 1 November 2020)
Country
Number of cases
(new)
Percent change in new cases since Epi week 43
Number of deaths (new)
Percent change in new deaths since Epi week 43
Epidemic phase [5]
Central Region
60,806 (1,007)
112%
1,143 (10)
43%
Burundi
589 (32)
113%
1 (0)
NA*
2
Cameroon
22,103 (533)
313%
429 (4)
100%
3
Central African Republic
4,866 (4)
-43%
62 (0)
NA*
3
Chad
1,499 (58)
14%
98 (2)
-33%
3
Congo
5,348 (95)
-2%
92 (0)
NA*
3
Democratic Republic of Congo
11,395 (221)
81%
308 (3)
50%
3
Equatorial Guinea
5,089 (6)
-33%
83 (0)
NA*
3
Gabon
8,968 (49)
29%
55 (1)
NA*
3
Sao Tome and Principe
949 (9)
29%
15 (0)
NA*
2
Eastern Region
215,923 (11,200)
7%
3,981 (178)
11%
Comoros
545 (28)
87%
7 (0)
NA*
3
Djibouti
5,563 (27)
-65%
61 (0)
NA*
2
Eritrea
463 (2)
-78%
(0)
NA*
1
Ethiopia
96,583 (3,240)
-23%
1,478 (52)
-30%
3
Kenya
55,877 (6,156)
27%
1,013 (111)
59%
3
Madagascar
17,111 (143)
-9%
244 (0)
-100%
3
Mauritius
446 (11)
-61%
10 (0)
NA*
1
Rwanda
5,146 (80)
-13%
35 (1)
NA*
2
Seychelles
154 (1)
-75%
(0)
NA*
1
Somalia
3,941 (0)
-100%
104 (0)
-100%
1
South Sudan
2,926 (43)
5%
59 (3)
200%
3
Sudan
13,866 (119)
417%
837 (0)
-100%
3
Tanzania
509 (0)
NA*
21 (0)
NA*
3
Uganda
12,793 (1,350)
58%
112 (11)
175%
2
Northern Region
517,811 (44,497)
12%
14,345 (1,153)
61%
Algeria
57,942 (2,062)
23%
1,964 (57)
-7%
3
Egypt
107,736 (1,196)
7%
6,266 (67)
-15%
2
Libya
62,045 (4,822)
-34%
871 (70)
1%
3
Mauritania
7,703 (40)
-33%
163 (0)
NA*
3
Morocco
222,544 (25,063)
5%
3,762 (461)
24%
2
Tunisia
59,813 (11,314)
96%
1,317 (498)
277%
3
Sahrawi Arab Democratic Republic
28 (0)
NA*
2 (0)
NA*
1
Southern Region
809,140 (15,224)
-13%
20,884 (478)
-12%
Angola
11,035 (1,654)
-6%
286 (18)
-14%
3
Botswana
6,642 (718)
-56%
24 (0)
-100
3
Eswatini
5,925 (71)
-4%
117 (1)
NA*
3
Lesotho
1,953 (13)
-88%
44 (1)
No change
2
Malawi
5,932 (42)
27%
184 (1)
-50%
3
Mozambique
12,988 (1,002)
-11%
93 (7)
-36%
3
Namibia
12,988 (328)
-11%
133 (0)
-100%
3
South Africa
726,823 (10,955)
-9%
19,411 (443)
-11%
3
Zambia
16,480 (343)
21%
349 (1)
-50%
3
Zimbabwe
8,374 (98)
-24%
243 (6)
No change
3
Western Region
190,766 (2,985)
19%
2,771 (39)
34%
Benin
2,683 (126)
107%
41 (0)
NA*
3
Burkina Faso
2,500 (49)
-30%
67 (2)
NA*
3
Cape Verde
8,848 (452)
-30%
95 (1)
-88%
3
Côte d’Ivoire
20,716 (246)
67%
126 (4)
300%
3
Gambia
3,672 (12)
9%
119 (0)
-100%
3
Ghana
48,200 (292)
-21%
320 (2)
-67%
3
Guinea
12,195 (469)
125%
73 (2)
100%
3
Guinea-Bissau
2,413 (10)
-29%
41 (0)
NA*
3
Liberia
1,436 (20)
-49%
82 (0)
NA*
3
Mali
3,565 (75)
-26%
136 (3)
200%
3
Niger
1,221 (6)
20%
69 (0)
NA*
2
Nigeria
62,964 (972)
76%
1,146 (16)
220%
3
Senegal
15,630 (79)
-41%
325 (4)
No change
3
Sierra Leone
2,366 (20)
25%
74 (0)
-100%
3
Togo
2,357 (157)
10%
57 (5)
400%
3
Total
1,794,446 (74,913)
6%
43,124 (1,858)
28%
*No new cases/deaths reported in the previous week.
NEW Africa CDC Response Activities:
General:
Africa CDC held its weekly press briefings on Thursday 29 October 2020 at 11 am EAT. The speaker for the week was Dr. John Nkengasong, Director of Africa CDC. The recording for this press brief session is available on the Africa CDC Facebook page. Link: https://web.facebook.com/watch/?v=757691255074767&extid=gyiQO5GcQdC8XNaY
Africa CDC in collaboration with the Harvard T.H. Chan School of Public Health launched the Global Nursing Leadership Program that aims to address shortages in human resources for health on the continent.
Healthcare Preparedness and Medical Countermeasures:
Case Management
The Africa CDC Case Management Technical Working Group (TWG) held the 28th clinical webinar titled “Clinical Characteristics and Outcomes of Patients Hospitalized for COVID-19 in Kinshasa, DR Congo” and the second session in the “Mental Health Aspects of COVID-19”webinar series on Thursday 29 October 2020. Over 260 participants attended the clinical webinar while over 150 participated in the mental health webinar series. The recordings can be accessed here: https://www.africacdc.training/courses/ccop
Africa CDC is leading the implementation of a COVID-19 vaccine perception study in 15 Member States. Data are currently being analyzed.
The Africa CDC Case Management TWG has facilitated the distribution of dexamethasone tablets to 11 Member States.
A training of trainers on case management will take place in Zambia between 2-4 November 2020.
Infection and Prevention Control (IPC)
The Infection and Prevention Control (IPC) TWG series 4 session 5 webinar titled “Tuberculosis and COVID-19: Risk of delay in TB diagnosis and treatment and IPC overlap” was held on Wednesday 28 October 2020 and 690 participants attended.
This week, the IPC TWG will hold series 4 session 6 webinar titled “IPC for points of entry and transport sectors’’ Tuberculosis and COVID-19: Risk of delay in TB diagnosis and treatment and IPC overlap” in English on Wednesday 4 November 2020 at 1 pm EAT and in French on Friday 6 November 2020 at 1 pm EAT Register here: https://zoom.us/webinar/register/WN_IIC9yfL9QDSyFQmvo61tOw
Laboratory:
Over 18.9 million tests for COVID-19 have been conducted to date with a positivity rate of 9.5% and test per case ratio of 10.5, which is an increase of 3.9% from last week.
Surveillance:
Africa CDC surveillance TWG will hold the third webinar of its 5-part series on “Demography and COVID-19 in Africa: Evidence and Policy Responses to Safeguard the Demographic Dividend” on Wednesday 4 November 2020 at 3 pm EAT. This webinar will include real-time French interpretation. Registration link: https://forms.gle/w4VeWPhUdwqUzSAv6
All Member States should continue to enhance their surveillance [6] to include COVID-19 [7] and severe acute respiratory infections (SARI) [8]. Examples of enhanced surveillance include:
Adding questions about travel, contact history, and testing for coronaviruses to existing influenza surveillance systems;
Notifying healthcare facilities to immediately inform local public health officials about persons who meet the case definition for COVID-19, SARI and/or have recent travel to a country with local transmission or history of contact with a case.
Member States should perform contact tracing of confirmed cases based on transmission type and country capacity. [9]
Member states should notify and routinely share with WHO and Africa CDC data regarding suspected or confirmed COVID-19 cases, deaths, recoveries, tests conducted and healthcare workers infected to continually inform these and other updates. Notify Africa CDC by emailing: AfricaCDCEBS@africa-union.org.
Member states should continue to provide guidance to the general public about seeking immediate medical care and informing healthcare providers about recent travel or contact history in anyone who develops symptoms of severe respiratory illness.
[1] WHO COVID-19 surveillance guidance and case definition: https://www.who.int/publications/i/item/who-2019- nCoV-surveillanceguidance-2020.7
[2] WHO coronavirus disease (COVID-19) dashboard: https://covid19.who.int/
[3] Starting this week, Africa CDC is introducing a Monday - Sunday Epi week to standardize all weekly trend analysis and comparisons for all future Africa CDC products.
[4] Data is continuously verified for accuracy and reliability however it may change based on retrospective updates from Member States.
[5] 5 Phases defined according to Africa CDC’s Recommendations for a stepwise COVID-19 response - https://africacdc.org/download/recommendations-for-stepwise-response-to-covid-19/: Phase 0 (No COVID-19 case): no reported case in-country; Phase 1 (Early stage outbreak): one or more imported cases, limited local transmission related to imported cases; Phase 2 (Expanding outbreak): increasing number of imported cases, increased local spread but all cases linked to known transmission chains, outbreak clusters with a known common exposure; Phase 3 (Advancing outbreak): localized outbreaks start to merge, one or more cases or deaths occur outside known transmission, multiple generations in transmission chains, cases are detected among severe acute respiratory illness (SARI) case with no known exposure; Phase 4 (Large outbreak with nationwide transmission): widespread sustained community transmission, multiple generation transmission chains can be identified but most cases occurring outside of chains, community-wide transmission throughout all or nearly all of the country.
[6] Africa CDC Protocol for enhanced surveillance for COVID-19 in Africa: https://africacdc.org/download/protocol-forenhanced-severe-acute-respiratory-illness-and-influenza-like-illness-surveillance-for-covid-19-in-africa/
[7] 7 WHO COVID-19 surveillance guidance and case definition: https://www.who.int/publications/i/item/who-2019- nCoV-surveillanceguidance-2020.7
[8] WHO SARI case definition: anyone with an acute respiratory infection with a history of fever (or measured fever of ≥ 38 C°) and cough with symptom onset within the last 10 days that requires hospitalization. https://www.who.int/influenza/surveillance_monitoring/ili_sari_surveillance_case_definition/en/ 9 Africa CDC Guidance on Contact Tracing for COVID-19 Pandemic: https://africacdc.org/download/guidance-oncontact-tracing-for-covid-19-pandemic/
Distributed by APO Group on behalf of Africa Centres for Disease Control and Prevention (Africa CDC).
Coronavirus - Africa: Outbreak Brief #42 - Coronavirus Disease 2019 (COVID-19) Pandemic
Six countries account for approximately 83% of the new COVID-19 cases reported
ADDIS ABABA, Ethiopia, November 5, 2020/APO Group/ --
Outbreak Update: Since the last brief (27 October 2020), 3,434,225 new confirmed [1] coronavirus disease 2019 (COVID-19) cases and 40,289 new deaths have been reported globally. To date, a total of 46,412,100 COVID-19 cases and 1,193,177 related deaths (case fatality rate (CFR): 2.6%) have been reported from 219 countries and territories. The distribution of cumulative cases (proportion of global cases) from the World Health Organization (WHO) reporting regions (excluding Africa) are as follows: Eastern Mediterranean Region 2,641,865 (6%), European Region 11,296,165 (24%), Region of the Americas 20,616,596 (44%), South-East Asia Region 9,305,253 (20%) and Western Pacific Region 738,732 (2%). Among the affected locations, the United States, India, and France have reported over 200,000 new cases in the past seven days. For more detailed information on cases and deaths being reported outside of Africa, refer to the WHO daily situation reports. [2]
Download Document: https://bit.ly/38eCn1y
Download Document: https://bit.ly/3jXHTaV
As of 9 am East African Time (EAT) 2 November 2020, a total of 1,803,464 COVID-19 cases and 43,389 deaths (CFR: 2.4%) have been reported in 55 African Union (AU) Member States. This is 4% of all cases reported globally. The majority of countries (41, 75%) are still reporting community transmission. Of the countries actively reporting COVID-19 epidemiologic data, fifteen countries are reporting case fatality rates higher than the global case fatality rate of 2.6%, these include Sahrawi Arab Democratic Republic (7.1%), Chad (6.5%), Sudan (6.0%), Egypt (5.8), Liberia (5.7%), Niger (5.6%), Mali (3.8%), Algeria (3.4%), Gambia (3.2%), Sierra Leone (3.1%), Malawi (3.1%), Zimbabwe (2.9%), Democratic Republic of Congo (2.7%), Burkina Faso (2.7%) and South Africa (2.7%).
For Epi week [3] 44 (26 Oct - 1 November), 74,913 new COVID-19 cases have been reported, which is a 6% increase in the 6% increase in the number of new cases reported compared to compared to Epi week 43. The majority of new COVID-19 cases being reported for this week are from the Northern region (60%) followed by the Southern (20%), Eastern (15%), Western (4%) and Central (1%) regions. Countries reporting the highest incidence (COVID-19 cases per 100,000 population) this week include Tunisia (96), Cabo Verde (75), Libya (73), and Morocco (68).
Table 1 highlights the reported cases and deaths from COVID-19 in all countries in Africa for Epi week 44. In addition, the table reports the current phase of the epidemic for each country. Figure 1 shows the trend of new COVID-19 cases reported by day and region from 15 February to date. During the month of October, there was a slight increase in the number of new cases being reported. For this week, six countries account for approximately 83% of the new COVID-19 cases reported: Morocco (34%), Tunisia (15%), South Africa (15%), Kenya (8%), Libya (7%), and Ethiopia (4%).
Table 1. Confirmed COVID-19 cases, deaths and recoveries [4] reported in Africa for Epi week 44 (26 October - 1 November 2020)
Country
Number of cases
(new)
Percent change in new cases since Epi week 43
Number of deaths (new)
Percent change in new deaths since Epi week 43
Epidemic phase [5]
Central Region
60,806 (1,007)
112%
1,143 (10)
43%
Burundi
589 (32)
113%
1 (0)
NA*
2
Cameroon
22,103 (533)
313%
429 (4)
100%
3
Central African Republic
4,866 (4)
-43%
62 (0)
NA*
3
Chad
1,499 (58)
14%
98 (2)
-33%
3
Congo
5,348 (95)
-2%
92 (0)
NA*
3
Democratic Republic of Congo
11,395 (221)
81%
308 (3)
50%
3
Equatorial Guinea
5,089 (6)
-33%
83 (0)
NA*
3
Gabon
8,968 (49)
29%
55 (1)
NA*
3
Sao Tome and Principe
949 (9)
29%
15 (0)
NA*
2
Eastern Region
215,923 (11,200)
7%
3,981 (178)
11%
Comoros
545 (28)
87%
7 (0)
NA*
3
Djibouti
5,563 (27)
-65%
61 (0)
NA*
2
Eritrea
463 (2)
-78%
(0)
NA*
1
Ethiopia
96,583 (3,240)
-23%
1,478 (52)
-30%
3
Kenya
55,877 (6,156)
27%
1,013 (111)
59%
3
Madagascar
17,111 (143)
-9%
244 (0)
-100%
3
Mauritius
446 (11)
-61%
10 (0)
NA*
1
Rwanda
5,146 (80)
-13%
35 (1)
NA*
2
Seychelles
154 (1)
-75%
(0)
NA*
1
Somalia
3,941 (0)
-100%
104 (0)
-100%
1
South Sudan
2,926 (43)
5%
59 (3)
200%
3
Sudan
13,866 (119)
417%
837 (0)
-100%
3
Tanzania
509 (0)
NA*
21 (0)
NA*
3
Uganda
12,793 (1,350)
58%
112 (11)
175%
2
Northern Region
517,811 (44,497)
12%
14,345 (1,153)
61%
Algeria
57,942 (2,062)
23%
1,964 (57)
-7%
3
Egypt
107,736 (1,196)
7%
6,266 (67)
-15%
2
Libya
62,045 (4,822)
-34%
871 (70)
1%
3
Mauritania
7,703 (40)
-33%
163 (0)
NA*
3
Morocco
222,544 (25,063)
5%
3,762 (461)
24%
2
Tunisia
59,813 (11,314)
96%
1,317 (498)
277%
3
Sahrawi Arab Democratic Republic
28 (0)
NA*
2 (0)
NA*
1
Southern Region
809,140 (15,224)
-13%
20,884 (478)
-12%
Angola
11,035 (1,654)
-6%
286 (18)
-14%
3
Botswana
6,642 (718)
-56%
24 (0)
-100
3
Eswatini
5,925 (71)
-4%
117 (1)
NA*
3
Lesotho
1,953 (13)
-88%
44 (1)
No change
2
Malawi
5,932 (42)
27%
184 (1)
-50%
3
Mozambique
12,988 (1,002)
-11%
93 (7)
-36%
3
Namibia
12,988 (328)
-11%
133 (0)
-100%
3
South Africa
726,823 (10,955)
-9%
19,411 (443)
-11%
3
Zambia
16,480 (343)
21%
349 (1)
-50%
3
Zimbabwe
8,374 (98)
-24%
243 (6)
No change
3
Western Region
190,766 (2,985)
19%
2,771 (39)
34%
Benin
2,683 (126)
107%
41 (0)
NA*
3
Burkina Faso
2,500 (49)
-30%
67 (2)
NA*
3
Cape Verde
8,848 (452)
-30%
95 (1)
-88%
3
Côte d’Ivoire
20,716 (246)
67%
126 (4)
300%
3
Gambia
3,672 (12)
9%
119 (0)
-100%
3
Ghana
48,200 (292)
-21%
320 (2)
-67%
3
Guinea
12,195 (469)
125%
73 (2)
100%
3
Guinea-Bissau
2,413 (10)
-29%
41 (0)
NA*
3
Liberia
1,436 (20)
-49%
82 (0)
NA*
3
Mali
3,565 (75)
-26%
136 (3)
200%
3
Niger
1,221 (6)
20%
69 (0)
NA*
2
Nigeria
62,964 (972)
76%
1,146 (16)
220%
3
Senegal
15,630 (79)
-41%
325 (4)
No change
3
Sierra Leone
2,366 (20)
25%
74 (0)
-100%
3
Togo
2,357 (157)
10%
57 (5)
400%
3
Total
1,794,446 (74,913)
6%
43,124 (1,858)
28%
*No new cases/deaths reported in the previous week.
NEW Africa CDC Response Activities:General:
Africa CDC held its weekly press briefings on Thursday 29 October 2020 at 11 am EAT. The speaker for the week was Dr. John Nkengasong, Director of Africa CDC. The recording for this press brief session is available on the Africa CDC Facebook page. Link: https://web.facebook.com/watch/?v=757691255074767&extid=gyiQO5GcQdC8XNaY
Africa CDC in collaboration with the Harvard T.H. Chan School of Public Health launched the Global Nursing Leadership Program that aims to address shortages in human resources for health on the continent.
Healthcare Preparedness and Medical Countermeasures:Case Management
The Africa CDC Case Management Technical Working Group (TWG) held the 28th clinical webinar titled “Clinical Characteristics and Outcomes of Patients Hospitalized for COVID-19 in Kinshasa, DR Congo” and the second session in the “Mental Health Aspects of COVID-19”webinar series on Thursday 29 October 2020. Over 260 participants attended the clinical webinar while over 150 participated in the mental health webinar series. The recordings can be accessed here: https://www.africacdc.training/courses/ccop
Africa CDC is leading the implementation of a COVID-19 vaccine perception study in 15 Member States. Data are currently being analyzed.
The Africa CDC Case Management TWG has facilitated the distribution of dexamethasone tablets to 11 Member States.
A training of trainers on case management will take place in Zambia between 2-4 November 2020.
Infection and Prevention Control (IPC)
The Infection and Prevention Control (IPC) TWG series 4 session 5 webinar titled “Tuberculosis and COVID-19: Risk of delay in TB diagnosis and treatment and IPC overlap” was held on Wednesday 28 October 2020 and 690 participants attended.
This week, the IPC TWG will hold series 4 session 6 webinar titled “IPC for points of entry and transport sectors’’ Tuberculosis and COVID-19: Risk of delay in TB diagnosis and treatment and IPC overlap” in English on Wednesday 4 November 2020 at 1 pm EAT and in French on Friday 6 November 2020 at 1 pm EAT Register here: https://zoom.us/webinar/register/WN_IIC9yfL9QDSyFQmvo61tOw
Laboratory:
Over 18.9 million tests for COVID-19 have been conducted to date with a positivity rate of 9.5% and test per case ratio of 10.5, which is an increase of 3.9% from last week.
Surveillance:
Africa CDC surveillance TWG will hold the third webinar of its 5-part series on “Demography and COVID-19 in Africa: Evidence and Policy Responses to Safeguard the Demographic Dividend” on Wednesday 4 November 2020 at 3 pm EAT. This webinar will include real-time French interpretation. Registration link: https://forms.gle/w4VeWPhUdwqUzSAv6
All Member States should continue to enhance their surveillance [6] to include COVID-19 [7] and severe acute respiratory infections (SARI) [8]. Examples of enhanced surveillance include:
Adding questions about travel, contact history, and testing for coronaviruses to existing influenza surveillance systems;
Notifying healthcare facilities to immediately inform local public health officials about persons who meet the case definition for COVID-19, SARI and/or have recent travel to a country with local transmission or history of contact with a case.
Member States should perform contact tracing of confirmed cases based on transmission type and country capacity. [9]
Member states should notify and routinely share with WHO and Africa CDC data regarding suspected or confirmed COVID-19 cases, deaths, recoveries, tests conducted and healthcare workers infected to continually inform these and other updates. Notify Africa CDC by emailing: AfricaCDCEBS@africa-union.org.
Member states should continue to provide guidance to the general public about seeking immediate medical care and informing healthcare providers about recent travel or contact history in anyone who develops symptoms of severe respiratory illness.
[1] WHO COVID-19 surveillance guidance and case definition: https://www.who.int/publications/i/item/who-2019- nCoV-surveillanceguidance-2020.7
[2] WHO coronavirus disease (COVID-19) dashboard: https://covid19.who.int/
[3] Starting this week, Africa CDC is introducing a Monday - Sunday Epi week to standardize all weekly trend analysis and comparisons for all future Africa CDC products.
[4] Data is continuously verified for accuracy and reliability however it may change based on retrospective updates from Member States.
[5] 5 Phases defined according to Africa CDC’s Recommendations for a stepwise COVID-19 response - https://africacdc.org/download/recommendations-for-stepwise-response-to-covid-19/: Phase 0 (No COVID-19 case): no reported case in-country; Phase 1 (Early stage outbreak): one or more imported cases, limited local transmission related to imported cases; Phase 2 (Expanding outbreak): increasing number of imported cases, increased local spread but all cases linked to known transmission chains, outbreak clusters with a known common exposure; Phase 3 (Advancing outbreak): localized outbreaks start to merge, one or more cases or deaths occur outside known transmission, multiple generations in transmission chains, cases are detected among severe acute respiratory illness (SARI) case with no known exposure; Phase 4 (Large outbreak with nationwide transmission): widespread sustained community transmission, multiple generation transmission chains can be identified but most cases occurring outside of chains, community-wide transmission throughout all or nearly all of the country.
[6] Africa CDC Protocol for enhanced surveillance for COVID-19 in Africa: https://africacdc.org/download/protocol-forenhanced-severe-acute-respiratory-illness-and-influenza-like-illness-surveillance-for-covid-19-in-africa/
[7] 7 WHO COVID-19 surveillance guidance and case definition: https://www.who.int/publications/i/item/who-2019- nCoV-surveillanceguidance-2020.7
[8] WHO SARI case definition: anyone with an acute respiratory infection with a history of fever (or measured fever of ≥ 38 C°) and cough with symptom onset within the last 10 days that requires hospitalization. https://www.who.int/influenza/surveillance_monitoring/ili_sari_surveillance_case_definition/en/ 9 Africa CDC Guidance on Contact Tracing for COVID-19 Pandemic: https://africacdc.org/download/guidance-oncontact-tracing-for-covid-19-pandemic/
Distributed by APO Group on behalf of Africa Centres for Disease Control and Prevention (Africa CDC).
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