Novel Coronavirus (2019-nCoV) Global Epidemic – 14 April 2020

14 April 2020

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Outbreak Update: Since the last brief (7 April 2020), 562,026 new confirmed coronavirus disease 2019 (COVID-19) cases and 44,014 new deaths have been reported globally. This is a 46% increase in cases reported. To date, a total of 1,773,987 COVID-19 cases and 111,680 (CFR: 6%) related deaths have been reported worldwide. Two new countries and territories are reporting cases and five new countries and territories, including four African countries, are reporting deaths for the first time this week. The distribution of cumulative cases (proportion of global cases %) from the WHO reporting regions (excluding Africa) are as follows: Eastern Mediterranean Region 94,995 (5%), European Region 913,349 (52%), Region of the Americas 610,742 (34%), South-East Asia Region 16,883 (1%), and Western Pacific Region 122,138 (7%). For more detailed information on cases and deaths being reported outside of Africa, refer to the WHO daily situation reports.

As of 9 am EAT 14 April 2020, a total of 15,284 COVID-19 cases and 816 (CFR: 5%) deaths have been reported in 52 African countries. Out of 52 Member States that have reported cases, six have community transmission, 44 have local transmission and two have imported cases only. Since the last brief, the number of COVID-19 cases has increased by 52% (5,198 cases). The five countries in Africa with the highest cumulative number of cases (proportion of reported cases in Africa) are South Africa (2,272; 15%), Egypt (2,190; 14%) Algeria (1,914; 13%), Morocco (1,763; 12%) and Cameroon (820; 5%). When population is taken into consideration, Djibouti (30.2), Mauritius(25.5), Seychelles (11.2), Tunisia (6.1), and Morocco (4.8) are reporting the most cases per 100,000 population within the continent. Fifteen countries are reporting case fatality rates higher than the global case fatality rate of 6%. See Table 1 for the full list of countries in Africa reporting cases, deaths, and COVID-19 recoveries in addition to transmission type being reported. Africa CDC is working with all affected countries and is mobilizing laboratory, surveillance, and other response support where requested.

Table 1. Confirmed COVID-19 Cases Reported in Africa 7-14 April 2020, 9 am EAT

CountryNo. of cases (new)No. of deaths (new)No. recoveredTransmission Type
Central Region1,274 (324)39 (6)170
Burundi5 (2)1 (1)Local
Cameroon820 (170)12 (3)130Local
Central African Republic11 (2)4Local
Chad23 (14)2Local
Congo74 (25)5 (0)10Local
DRC241 (61)20 (2)20Local
Equatorial Guinea21 (5)3Local
Gabon75 (45)1 (0)1Local
São Tomé and Principe4 (4)Under Investigation
Eastern Region1,377 (516)32 (14)232
Djibouti298 (208)2 (2)41Local
Eritrea34 (3)Local
Ethiopia74 (30)3 (1)14Community
Kenya208 (50)9 (3)40Local
Madagascar108 (27)21Local
Mauritius324 (80)9 (2)42Local
Rwanda127 (22)25Local
Seychelles11 (0)Local
Somalia60 (43)2 (2)2Local
South Sudan4 (3)Local
Sudan29 (17)4 (2)5Local
Tanzania46 (22)3 (2)7Local
Uganda54 (2)18Community
Northern Region6,625 (2,138)619 (252)1,336
Algeria1,914 (491)293 (120)591Community
Egypt2,190 (868)164 (90)488Local
Libya25 (7)1 (0)9Local
Mauritania7 (1)1 (0)2Local
Morocco1763 (643)126 (46)203Local
Tunisia726 (130)34 (12)43Community
Southern Region2,434 (636)37 (20)455
Angola19 (3)2 (0)2Imported
Botswana13 (7)1 (1)Local
Eswatini15 (5)8Local
Malawi16 (11)2 (2)Local
Mozambique20 (10)2Local
Namibia16 (5)3Local
South Africa2,272 (604)27 (15)410Community
Zambia45 (6)2 (1)30Local
Zimbabwe17 (7)3 (2)Local
Western Region3,574 (1,582)89 (32)702
Benin35 (9)1 (1)5Local
Burkina Faso515 (170)28 (10)170Local
Cape Verde10 (4)1 (0)1Local
Côte d’Ivoire626 (381)6 (3)89Local
Gambia10 (6)1 (0)2Imported
Ghana566 (279)8 (3)4Local
Guinea319 (198)17Local
Guinea-Bissau40 (22)Local
Liberia59 (45)6 (3)4Local
Mali126 (79)10 (5)26Local
Niger544 (291)13 (3)86Local
Nigeria343 (105)10 (5)91Community
Senegal291 (64)2 (0)178Community
Sierra Leone10 (4)Local
Togo77 (19)3 (2)29Local
Total15,284 (5,198)815 (27)2,895

NEW Africa CDC Response Activities:

Surveillance:

  1. AFTCOR’s weekly surveillance technical working group met on 1 April 2020 to strategize on innovative ways to provide remote technical capacity and improved policy recommendations to Member States, backed up by Member State data, in this era of closed borders and restricted movement.
  2. Africa CDC will start holding weekly disease surveillance webinars on priority topics, like early detection and containment of COVID-19 cases, to support technical teams within the AU Member States’ ministries and governments. The English and French Webinar were launched on Wednesday (8 April) and Tuesday (14 April), respectively.
  3. Africa CDC will host the second weekly disease surveillance webinar on “Understanding the WHO First Few Cases (FFX) protocol and the Case record form (“know your epidemic”)” and “How to use Go data” on Wednesday 15 April 2020 for English speaking countries and Friday 17 April 2020 for French speaking countries at (16:00-17:00 hours EAT).

Healthcare Preparedness:

  1. Africa CDC initiated a continent-wide network of 300 clinicians from across the continent to discuss COVID-19 clinical management and is holding weekly webinars. The next webinar is scheduled for 16 April 2020 to discuss management of frontline healthcare workers.

Recommendations for Member States: 

  1. All Member States should enhance their existing surveillance to include COVID-19 and severe acute respiratory infections (SARI) or pneumonia cases. Examples of enhanced surveillance include:
    1. Adding questions about travel, contact history, and testing for coronaviruses to existing influenza surveillance systems;
    2. 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.
  2. Member States should continue to enhance surveillance at the borders to screen incoming travelers for severe respiratory illness and a history of recent travel to affected countries or territories reporting local or community transmission. Member States should be prepared to expand questions about recent travel to include additional countries as the outbreak evolves.
  3. Member States should perform contact tracing of confirmed cases based on transmission type and country capacity.
  4. Notify WHO and Africa CDC immediately if suspected or confirmed cases of infection with novel coronavirus are identified. Africa CDC should be notified by emailing AfricaCDCEBS@africa-union.org.
  5. 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.

Resources for more information: 

Africa CDC Resources

Other Resources

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