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WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 31: 27 July - 2 August 2020
Data as reported by: 17:00; 2 August 2020
... Coronavirus disease 2019 Kenya
22 053 Cases
369 Deaths
1.7% CFR
EVENT DESCRIPTION
The COVID-19 outbreak in Kenya continues to escalate with 46
out of 47 counties now reporting cases. In the past 24 hours (as
of 2 August 2020), a total of 690 new confirmed COVID-19 cases
have been reported in the following counties: Nairobi (535),
Kiambu (56), Kajiado (28), Nyeri (24), Busia (9), Machakos (7),
Kisumu (6), Nakuru (6), Embu (4), Garissa (4), Laikipia (3),
Narok (3), Bungoma (1), Kwale (1), Meru (1), Mombasa (1) and
Nyandarua (1). There were five deaths reported over the same
period.
As of 2 August 2020, a total of 22 053 confirmed cases have been
reported, with 369 deaths (case fatality ratio 1.7%). The highest
number of cases have been reported from Nairobi (13 276),
Mombasa (2 074), Kaimbu (1 504), and Kajiado (1 181) counties,
all reporting more than 1 000 cases. Nairobi City and Mombasa
Counties have the highest attack rates of COVID-19 at 301.9 and
171.6 per 100 000 population respectively. This is in comparison
to an attack rate of 44.9 per 100 000 population overall and
indicates that these areas need specific targeted interventions.
Currently, 22 053 (97%) of the total number of confirmed cases
are known to be local transmissions.
In the 24 hours up to 2 August 2020, a total of 5 393 samples
were tested, bringing the cumulative total of tests in the country
since the start of the outbreak in March 2020 to 304 287. The
laboratory testing rate currently stands at 6 284 samples per
1 million people. The test positivity rate is 7.1%.
Among confirmed cases, 65% (14 396) are male and 35% (7 657)
are female. Most of the deaths (276; 76%) are among males and
33% of confirmed cases are in the age group 30-39 years. The
majority (33 females and 117 males) of deaths are in those aged
more than 60 years.
Contact tracing is ongoing, with a total of 21 524 contacts listed,
of whom 552 have tested positive for COVID-19. There are 9 927
contacts under follow-up, and 98% (9 721) were followed up in
the 24 hours reported. A total of 8 477 patients have recovered
from COVID-19.
PUBLIC HEALTH ACTIONS
The National Emergency Response Committee on
Coronavirus resolved to open the country up to international
travel on 1 August 2020, which has now commenced, with
stringent protocols in place at Jomo Kenyatta International
Airport, in conjunction with Kenya Airports Authority and
other stakeholders, in line with Ministry of Health guidelines
on social distancing, hand sanitizing, enhanced temperature
screening, aircraft and facilities disinfection and sensitizing
of staff.
The Ministry of Health, Department of Disease Surveillance,
the National Public Health Emergency Operations Centre and
FELTP in collaboration with WHO is supporting assessment
of key isolation facilities, with advice on case progression, to
inform national protocols on prevention and treatment.
All alerts were responded to and contact tracing continues in
all affected counties.
SITUATION INTERPRETATION
The rapid escalation in confirmed cases in Kenya is of grave
concern, with case numbers doubling roughly every two weeks.
However, the case fatality ratio remains low, possibly because of
the young age of many of those infected. The high attack rates in
Nairobi City, and Mombasa and Kajiado counties are of particular
concern because of the concentration of the population in these
areas and the fact that these are popular tourist destinations.
Specific challenges lie in emerging evidence of stigma and
discrimination against people discharged from quarantine and
isolation centres and the high rate of infection among health
workers in private health facilities pointing to poor adherence to
infection prevention and control guidelines. It also seems that
there is poor adherence to government guidelines on social
distancing and hand sanitizing among the general population, as
well as positive cases not adhering to quarantine orders, with
complacency at community level. There are inadequate resources
for surveillance at sub-national and particularly sub-county level
and a long turnaround time for laboratory tests. Procurement of
personal protective equipment is inadequate at sub-national level
and there is low uptake of integrated data management systems,
particularly for the digital case investigation form that is available.
These challenges need to be addressed urgently in the light of
rising case numbers, particularly as the country opens up to
international tourism.
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
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