WEEKLY BULLETIN ON OUTBREAKS
AND OTHER EMERGENCIES
Week 32: 3 - 9 August 2020
Data as reported by: 17:00; 9 August 2020
...
Coronavirus disease 2019
South Africa
559 858 Cases
10 408 Deaths
1.9% CFR
EVENT DESCRIPTION
South Africa continues to record the highest number of COVID-19 cases
and deaths on the continent, although the daily number of new cases
appears to be on a declining trend. However, this trend should be interpreted
cautiously, since the current targeted testing strategy means that fewer
daily tests are now conducted, and the number of deaths continues to rise.
Since our last report (Weekly Bulletin 31), the number of recorded cases
has increased by 48 373, which is 26% fewer than the number of cases
recorded in week 31 (week ending 2 August 2020). However, the number
of deaths recorded in the same period is 2 042, which is 21.7% higher
than the number of deaths recorded in week 31. As of 9 August 2020, the
country has reported a total of 559 858 cases and 10 408 deaths (case
fatality ratio 1.9%).
All provinces in the country are affected, with Gauteng Province the most
affected, at 192 767 cases (34.4%), followed by Western Cape Province
with 99 959 (17.9%) cases. KwaZulu-Natal (98 068; 17.5%) and Eastern
Cape (82 401; 14.7%) follow. Case numbers continue to rise rapidly in the
less populous provinces, with 28 370 cases in Free State Province, 21 837
cases in North West Province (the heart of the mining industry), 19 239
cases in Mpumalanga Province, 10 546 cases in Limpopo Province and
6 621 cases in the sparsely populated Northern Cape Province.
Western Cape Province has the most deaths (3 399; 32.6%), followed by
Gauteng Province (2 579; 24.4%), Eastern Cape Province (2 209; 21.2%)
and KwaZulu-Natal Province (1 409; 13.5%). The remaining provinces have
reported 812 deaths between them. The number of health workers affected
is now 24 104 (5% of all confirmed cases), with 181 deaths (1.74% of the
total) recorded. The number of recoveries stands at 411 147 (73%).
Among the 555 677 cases where age and gender is known, 323 120 cases
are female and 232 557 are male. The age groups most affected are those
between 25 to 54 years. The majority of deaths are among those aged
50-69 years.
As of 9 August 2020, a total of 3 250 583 PCR tests has been carried out,
of which 2 541 942 are passive case finding and 708 641 are community
screen and test. Currently, 79% of all tests have been carried out in the
private health sector, with 21% in the public health sector.
Sentinel surveillance carried out in selected public and private hospitals
by the National Institute for Communicable Diseases (NICD) suggests that
weekly hospital admissions are declining, rising to a peak of 6 088 during
week 29 (week ending 18 July 2020) and falling in the past two weeks, with
5 019 admissions recorded in week 31 (week ending 1 August 2020). Public
hospitals account for only 22.3% and 19.6% of these figures, although the
number of admissions is also dropping in those public facilities that form
part of this sentinel surveillance.
PUBLIC HEALTH ACTIONS
A WHO surge team of infectious disease specialists and epidemiologists
have been sent to South Africa, with the first 17 arriving on 5 August
2020. They are currently undergoing 14 days’ quarantine before being
deployed to different provinces.
South Africa remains in lockdown with mandatory cloth masks in
public, a complete ban on tobacco and alcohol sales; the curfew times
have been amended to 22:00 to 04:00 daily. Inter-provincial travel
remains banned except for essential workers and immediate family
for funerals.
Schools are closed from 27 July 2020 for four weeks, except for final
year learners (Grade 12), who returned to school on 3 August 2020
and Grade 7 learners who will return on 11 August 2020.
The Western Cape Government has developed a radio campaign
partnering with provincial healthcare workers to share important
messages about COVID-19, targeting regional community radio
stations across the Province.
The Western Cape COVID-19 communication campaign has used
radio, community newspapers, loud-hailing, flyers, posters and social
media in communities across the province to spread messages about
essential public health measures to prevent COVID-19.
Field hospitals have been built and equipped in Western Cape,
Gauteng, Eastern Cape and KwaZulu-Natal provinces to help to relieve
the burden on existing provincial hospitals.
SITUATION INTERPRETATION
The situation in South Africa remains of grave concern, although daily
recorded numbers are falling and there is some suggestion that hospital
admissions may be falling as well. However, the number of deaths
continues to rise, including in the less populous areas of the country,
which collectively now account for 7.8% of the deaths in the country. While
the main concentration of cases and deaths is in densely populated urban
areas, there is clearly established community transmission across the
country, with confirmed cases steadily rising in the more rural provinces.
Although sentinel surveillance suggests that hospital admissions are
falling, anectodal reports indicate that, in Eastern Cape and KwaZulu-Natal
in particular, hospital services are still under pressure. The continued
increase in cases and deaths shows that there is no room for complacency.
Government urgently requires massive and wide-reaching community
engagement and risk communication strategies to ensure that people who
are back at work take notice of these essential public health measures.
https://apps.who.int/iris/bitstream/handle/10665/333769/OEW32-0309082020.pdf