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Gambia: Covid-19 - 3,362 cases; 100 deaths

WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 29: 13 - 19 July 2020
Data as reported by: 17:00; 19 July 2020

...
Coronavirus disease 2019
Gambia


93 Cases
4 Deaths
4.3% CFR


EVENT DESCRIPTION

The first case of COVID-19 in The Gambia was imported on 17
March 2020 and there have been very few sporadic cases reported
since then. Notably, the country remains the least affected in the
continent. However, the number of confirmed cases has begun to
rise in recent times, with a 50% increase observed in the last 20
days. On 16 July 2020, a total of 15 new cases were registered,
the highest number reported in a single day, bringing the total
number of confirmed and probable cases in the country to 93. Of
these 15 new cases, six are linked to current hospital cases and
one is an orderly from the same hospital. The remaining cases
had arrived in the country from locations with ongoing local
transmission, and one new case is a death. Forty-nine patients
have recovered, bringing the cumulative number of active cases
to 44. The country currently has 662 people in quarantine, 40
active cases and three probable cases. Over 80% of confirmed
cases have been imported and over 70% of confirmed cases are
located in urban areas (Western 1 Health Region).

As of 16 July 2020, there are 93 cases with four deaths (case
fatality ratio 4.3%). Of confirmed cases 66% are males with
54% below the age of 40 years. The main airport in The Gambia
closed on 28 March 2020, which prevented further importation
of cases, until cases started to arise from land border crossings
on 21 April 2020. Six of the seven health regions in The Gambia
have reported cases. Districts in Upper River Division South are
at high risk of importation of cases from neighbouring Senegal.

PUBLIC HEALTH ACTIONS

Daily coordination meetings are held at central and regional
levels.

Laboratory testing is ongoing and 108 new laboratory tests
results were received during the reporting period.

Risk communication and community engagement is ongoing
with three television and 18 radio programmes successfully
conducted; influential leaders in 12 communities were
engaged in radio phone in programmes across the country;
social media is being used for COVID-19 messaging,
reaching 31 012 people.

SITUATION INTERPRETATION

The Gambia is currently the least affected country in the African
continent. However, their main challenge is the risk of imported
cases from neighbouring countries with established community
transmission. Other challenges lie in reinforcement of public
health messages around crowded events, particularly since
Europe’s football leagues have resumed, and the importation of
cases via long-distance truck drivers. There are delays around
a planned e-surveillance system that would allow real-time
response data. There is also concern around the incidence of
COVID-19 among healthcare workers. Government urgently
needs to address infection prevention and control measures,
particularly in healthcare settings and provide adequate personal
protective equipment to all health facilities, as well as reinforcing
the messages around the dangers associated with large
gatherings, hand hygiene and the importance of isolation and
quarantine in confirmed cases.

https://apps.who.int/iris/bitstream/handle/10665/333349/OEW29-1319072020.pdf?sequence=1&isAllowed=y
 
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