MINISTRY OF HEALTH DATA AS REPORTED BY 1700 HOURS 25 … … · 12 Nyeri 759,164 68 9.0 13 Makueni...

MOH Kenya /25 July 2020 1 | P a g e

MINISTRY OF HEALTH DATA AS REPORTED BY 1700 HOURS 25 July

COVID-19 OUTBREAK IN KENYA

DAILY SITUATION REPORT - 130

1.0 KEY HIGHLIGHTS

1. Three hundred and seventy-five (375) new confirmed COVID-19 cases were reported in the last 24 hours bringing the total number of confirmed cases in Kenya to 16643 cases as of 25 July 2020. Counties reporting new cases are Nairobi (240), Kajiado (36), Kiambu (31), Migori (16), Machakos (15), Nakuru (14), Nyeri (5), Tran nzoia (5), Kisumu (3), Mombasa (3), Kisii (2), Kakamega (1), Meru (1), Murang'a (1), Siaya (1) and Vihiga (1).

2. Four (4) deaths have been reported over the last 24 hours. The total number of deaths

reported since the beginning of the outbreak is 278, case fatality rate (CFR) is 1.7 percent.

3. In the last 24 hours, 128 COVID-19 patients recovered and were discharged bringing the total number of recoveries and discharges for COVID-19 to 7574.

4. As of today, forty-five (45) out of 47 counties have reported cases namely: Nairobi (9783),

Mombasa (1904), Kiambu (1040), Kajiado (922), Busia (672), Machakos (629), Nakuru (271), Migori (265), Uasin Gishu (204), Kilifi (101), Makueni (77), Nyeri (68), Kwale (56), Narok (56), Kisumu (52), Garissa (48), Taita Taveta (44), Kericho (42), Laikipia (35), Murang'a (35), Siaya (34), Meru (32), Turkana (28), Lamu (27), Wajir (26), Kisii (24), Kitui (22), Mandera (20), Kakamega (16), Isiolo (14), Bungoma (13), Vihiga (12), Bomet (10), Nandi (9), Marsabit (8), Homa Bay (7), Trans Nzoia (7), Nyamira (6), Nyandarua (6), Embu (4), Kirinyaga (3), Tana River (3), Tharaka Nithi (2), and Elgeyo Marakwet (1).

5. Nairobi city and Mombasa Counties have the highest attack rates of COVID-19 at 222.5

and 157.6 per 100,000 population respectively when compared to 35 per 100,000 for the whole country and need enhanced interventions. In addition, the COVID-19 outbreak has so far spread to 94 percent of the counties in the country. Risk communication, laboratory testing and inadequate financial support to sub – national level for operations have been identified as key challenges.

6. Fifteen thousand seven hundred and fifty-six (97 percent) of the 16643 confirmed cases are local transmissions.

7. In the last 24 hours, 2052 samples were tested across various laboratories of which 375

samples turned positive for COVID-19. A total of 263,187 cumulative tests have so far been conducted.

8. Moving forward, in light of the ever-increasing number of cases and to improve data quality,

counties shall be expected to submit daily reports that shall encompass (i) Details of deceased COVID-19 cases, (ii) Details of infected health workers, and (iii) County line list. As at 25th July 2020, all the affected counties submitted their daily reports EXCEPT Machakos, Kiambu. Nairobi, Kisii, Kakamega, Migori, Mombasa, Murang’a and Nakuru counties.

COVID-19 SITUATION UPDATE: 25 July 2020


Total Cases Male = 10915 Deaths =16643 Female = 5728 =278 1.1 Epidemiology

Since 13 March 2020 when the first case was confirmed in Kenya, a total of 16643 confirmed cases and 278 have died giving a case fatality rate

of 1.7 percent have been line listed. Of these, 15756 cases (95 percent) were local transmissions and 887 (5 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 5533 samples per 1,000,000 people.

Figure 1: Trends of COVID-19 Outbreak Kenya



1.2 Cumulative Cases and Deaths

Figure 2: Cumulative case load



1.3 Laboratory Testing

Figure 3: Laboratory Tests Conducted by Date Results were Shared



1.4 Distribution of Confirmed COVID-19 Cases by Presentation and

Presentation of Symptoms among Symptomatic cases

Of the 16643 confirmed cases, 1419 (9 percent) presented with symptoms (Figure 4). Cough

(54 percent) and fever (41 percent) were predominant presenting symptoms.

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



1.5 Age and Sex Distribution of COVID Confirmed Cases and

Deaths

Ten thousand nine hundred and fifteen (66 percent) are males and 5728 (34 percent) are

females. Most of the cases; 5405 (33 percent), are in the age group of 30-39 years. Figure 5

below shows age and sex distribution of COVID-19 cases. Two hundred and seventy – eight

deaths have been reported so far, 208 (75 percent) being males and 70 (25 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



1.6 Distribution of Confirmed COVID-19 Cases by County and

Transmission Classification

Of the 16643 cases, 9783 (59 percent) are from Nairobi County followed by Mombasa County

with 1904 (11 percent) as shown in Figure 7. Nairobi city County has the highest attack rate

of 222.5 per 100,000 population followed by Mombasa County at 157.6 per 100,000 population

(Table 1).

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



Table 1: County Attack Rate per 100,000 Population

S/No

County Population (2019 Census KNBS)

Cumulative Cases

Cases per 100,000 population

1 Nairobi City 4,397,073 9783 222.5

2 Mombasa 1,208,333 1904 157.6

3 Kajiado 1,117,840 922 82.5

4 Busia 893,681 672 75.2

5 Machakos 1,421,932 629 44.2

6 Kiambu 2,417,735 1040 43.0

7 Migori 1,116,436 265 23.7

8 Lamu 143,920 27 18.8

9 Uasin Gishu 1,163,186 204 17.5

10 Taita/Taveta 340,671 44 12.9

11 Nakuru 2,162,202 271 12.5

12 Nyeri 759,164 68 9.0

13 Makueni 987,653 77 7.8

14 Kilifi 1,453,787 101 6.9

15 Laikipia 518,560 35 6.7

16 Kwale 866,820 56 6.5

17 Garissa 841,353 48 5.7

18 Isiolo 268,002 14 5.2

19 Narok 1,157,873 56 4.8

20 Kericho 901,777 42 4.7

21 Kisumu 1,155,574 52 4.5

22 Siaya 993,183 34 3.4

23 Wajir 781,263 26 3.3

24 Murang'a 1,056,640 35 3.3

25 Turkana 926,976 28 3.0

26 Mandera 867,457 20 2.3

27 Meru 1,545,714 32 2.1

28 Vihiga 590,013 12 2.0

29 Kitui 1,136,187 22 1.9

30 Kisii 1,266,860 24 1.9

31 Marsabit 459,785 8 1.7

32 Bomet 875,689 10 1.1

33 Nandi 885,711 9 1.0

34 Nyamira 605,576 6 1.0

35 Tana River 315,943 3 0.9

36 Nyandarua 638,289 6 0.9

37 Kakamega 1,867,579 16 0.9

38 Bungoma 1,670,570 13 0.8

39 Embu 608,599 4 0.7

40 Trans Nzoia 990,341 7 0.7

41 Homa Bay 1,131,950 7 0.6

42 Tharaka-Nithi 393,177 2 0.5

43 Kirinyaga 610,411 3 0.5

44 Elgeyo/Marakwet 454,480 1 0.2

Kenya 47,564,300 16638 35.0



1.7 Map of Kenya Showing Distribution of Confirmed COVID-19

Cases by County

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



1.8 Status of Contract Tracing as at Today

Of the 16643 confirmed COVID-19 cases a total of 15088 contacts have been listed, 513 contacts have tested positive for COVID-19 (Table 2).

13071 of the 16643 cases are pending contact listing (Fig 10). Of the 4657 contacts under follow up 4609 (99 percent) were followed up today.

The following counties submitted their daily contact tracing reports: Meru, Kiambu, Nairobi, Garissa, Kisumu, Homa Bay, Siaya, Busia, Kajiado,

Kitui, Migori and Murang’a

Figure 9: Status of contact tracing


Figure 10: Number of days’ cases pending contact listing

11

10

1

10

112

1

15

102 5 36

9

2102

5

26

27900

24

112

1 1 9

2

1

1

6

24

1

7

51

32

34

1 3

1

1

109

2

9

181 11

1 10

2

4

1

4

2

146

5 2

4 8

43

1160 55

10

3 34

15

1

12

1

3 2

134

2

1 194

5

7

309 15

3

19

19

17

226

22

2

2

52 1142037 66 1

6

3

1 9

3

1

3

34

11

1

2

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%B

om

et

Bu

ngo

ma

Bu

sia

Emb

u

Gar

issa

Ho

ma

Bay

Isio

lo

Kaj

iad

o

Kak

ameg

a

Ker

ich

o

Kia

mb

u

Kili

fi

Kir

inya

ga

Kis

ii

Kis

um

u

Kit

ui

kwal

e

Laik

ipia

Lam

u

Mac

hak

os

Mak

uen

i

Mar

sab

it

Mer

u

Mig

ori

Mo

mb

asa

Nai

rob

i

Nak

uru

Nan

di

Nar

ok

Nya

mir

a

Nya

nd

aru

a

Nye

ri

Siay

a

Tait

a Ta

veta

Tran

s N

zoia

Turk

ana

Uas

in G

ish

u

Vih

iga

Waj

ir

Mu

ran

g'a

Thar

aka

Nit

hi

Tan

a R

iver

Below 3 days 4-7 Days 8-14 Days



2.0 KEY ACTIONS

2.1 Coordination

➢ Ongoing coordination meetings at both national and sub – national level in affected

counties.

2.2 Case Management and Infection Prevention & Control

➢ In the last 24 hours, 128 COVID-19 patients recovered and were discharged bringing the

total number of recoveries and discharges for COVID-19 to 7574.

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, 2052 samples were tested across various laboratories of which 375

samples turned positive for COVID-19. A total of 263,187 cumulative tests have so far

been conducted.

3.0 KEY CHALLENGES

➢ Inadequate resources for operations at the sub – national level for COVID-19 surveillance

activities, this is glaring at the sub – county level.

➢ The long turnaround time for relying laboratory results to clients in most counties is causing

delay in public health action.

➢ Weak diagnostic quality assurance system.

➢ Risk communication messages that may be out of step with the evolving epidemic and

interventions.

➢ Some communities are not reporting deaths, this is bringing a challenge in responding to

alerts and sample collections

➢ Complacency by community despite established community transmission

➢ Commodity insecurity at the sub – national level of personal protective equipment

➢ Inadequate assessment of households by RRTs for HBC. High level of normalcy assumed

with subsequent failure to follow public health guidelines in major towns.

➢ Low uptake of integrated data management systems especially for the digital case

investigation form in the CHT and KenyaEMR.


4.0 NEXT STEPS ➢ Review and update the national contact tracing strategy for the country.

➢ 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.

➢ Address concern of poor quality of PPEs being distributed to the sub – national level.

➢ Adjust risk communication messages to address emerging issues and the evolving

epidemic.

➢ Ongoing work to ensure that KenyaEMR and Laboratory Management Information System

are interoperable.

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]
mailto:[email protected]

MINISTRY OF HEALTH DATA AS REPORTED BY 1700 HOURS 25 … … · 12 Nyeri 759,164 68 9.0 13 Makueni...

Documents

Transcript of MINISTRY OF HEALTH DATA AS REPORTED BY 1700 HOURS 25 … … · 12 Nyeri 759,164 68 9.0 13 Makueni...