Minister of Health : The facts behind death of woman, 28. Test shows she was negative
FROM A STATEMENT by Dr Zwelini Mkhize, Minister of Health, South Africa: "This morning we reported that two deaths had occurred as a result of the COVID-19 virus. The first patient was a 48 year old female who tested positive for COVID-19 on the 23rd March 2020. She was suffering from pulmonary embolism. This means she had an underlying disease.
"The second patient who died was a suspected case based on her clinical presentation. The clinicians who were treating her have reported to us that this was a 28 year old female who had presented at the hospital in respiratory distress.
"At the time of presentation she was hypoxic. She was intubated and transferred to hospital during the early hours of this morning, (ie 27 March 2020 at 3am). On arrival in ICU, she was declared dead.
"The clinical picture was suggestive of COVID-19 and therefore a test was conducted. Her laboratory results have since been received at 17:20 (SA time) and were confirmed negative. Her immediate family was also tested and they are also negative. She is therefore no longer considered a COVID-19 case.
"This therefore means there is only one confirmed death caused by COVID-19 in South Africa.
"I have been informed that the health workers that managed this patient have been debriefed and counselled. I am aware that the public interest around COVID-19 may end up making them feel like they did not perform their duties with outmost care. As a clinician myself, I want reassure them that making such a diagnosis on presentation is in line with our plea to them to keep a high index of suspicion so as not to miss a diagnosis of COVID-19. This is common practice, medical doctors often make a diagnosis based on a clinical presentation and physical examination of a patient. They then conduct further tests to confirm or disprove the diagnosis. In this instance, doctors and all health workers involved exercised clinical judgment and took extra precaution in managing this patient. We support this approach.
"I therefore want to acknowledge and appreciate all our doctors, nurses and all the health workers who were treating these patients. We salute them for their dedication in the service of the nation. We urge them to remain courageous and focused."
The Minister went on to say:
1. The infection of people with underlying concomitant diseases is increasing. "This is well illustrated by the COVID-19 patient that died in the Western Cape."
2. In the province of KwaZulu-Natal, one of the confirmed cases is an 81 year old woman who is now in ICU and in a ventilator. She initially presented with pneumonia and was admitted and treated as such. Because of the severity of the pneumonia, she was tested for COVID- 19 and was confirmed. "This elderly woman lives in an old age home. As a result, all other elderly people from this old age home are regarded as being vulnerable and are being tested. Those who will test positive will then be put in isolation."
3. There is an increase in the rate of internal transmissions. Patients without a history of travelling abroad have been detected in many provinces. The Free State province is such an example. The majority of 61 patients infected arose from a church conference which had five international visitors who subsequently tested positive for COVID-19. Amongst these, were various local church leaders who have since tested positive for COVID 19, thus making their own church members direct contacts. These church members have had to be screened and tested. The church leaders and members who were tested have since been put in quarantine.