data a s reported by 1700 hours 30 april 2020 ministry...

MINISTRY OF HEALTH

DATA AS REPORTED BY 1700 HOURS 30 APRIL 2020

MOH Kenya / 30 April 2020 1

COVID-19 OUTBREAK IN KENYA DAILY SITUATION REPORT - 044

1. KEY HIGHLIGHTS

1. Twelve (12) new confirmed COVID-19 cases were reported in the last 24 hours bringing the total

number of confirmed cases in Kenya to 396 cases as of 30 April 2020. All are Kenyans, all cases

are local transmission. Counties reporting new cases are Mombasa (7), Nairobi (3), Kitui (1) and

Wajir (1).

2. Two new deaths have been reported over the last 24 hrs. The total number of deaths reported

since the beginning of the outbreak is 17, case fatality rate (CFR) is four percent.

3. Fifteen (15) more cases have recovered raising the total number of recoveries and discharges for

COVID-19 to one hundred and twenty-four (144).

4. As of today, fourteen (14) counties have reported cases namely: Nairobi (243), Mombasa (113),

Kilifi (8), Mandera (8), Kiambu (8), Kajiado (3), Nakuru (2), Kitui (3), Kwale (2), Kakamega (1), Uasin

Gishu (1) Siaya (2) and Homa Bay (1), Wajir (1).

5. Two hundred and forty-six, (61 percent) of the 396 confirmed cases are local transmissions.

6. A total of 3,684 contacts have been registered, of which 2,881 of them have completed mandatory

14 days follow up and have been discharged from daily follow up. 803 contacts are under follow up.

7. Six hundred and eighty-seven contacts were traced today. One hundred and ninety-one

contacts were not traced today giving a response rate of 86 percent.

8. In the last 24 hours, 777 samples were tested across various laboratories of which 12 samples

turned positive for COVID-19. A total of 20,268 cumulative tests have so far been conducted.

MINISTRY OF HEALTH

COVID-19 SITUATION UPDATE: 30 APRIL 2020


1.1 Epidemiology Since 13 March 2020 when the first case was confirmed in Kenya, a total of 396 confirmed cases have been

line listed. Of these, 246 cases (61 percent) were local transmissions and 150 (39 percent) are imported

cases. The epi-curve (Figure 1) below shows both categories of populations; quarantine individuals in

Nairobi (majority being asymptomatic) and within the community. Mandatory quarantine was instituted on

25 March 2020 with testing of all quarantined people starting on 29 March 2020. Figure 2 shows cumulative

caseload. Figure 3 shows number of samples tested by date indicating the positive and negative results.

Laboratory test rate currently stands at 426 samples per 1,000,000 people.

Figure 1: EPI Curve of COVID-19 Outbreak Kenya (by date of onset of symptoms and date of confirmed

positive test)

Total Cases 396Male = 223

Female = 173

Deaths =17

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Symptomatic Asymptomatic Death

Start of

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curfew

MINISTRY OF HEALTH



Cumulative case load

Figure 2: Cumulative Case Load

1 1 3 3 37 7 10 11

15 1825 29

31 3239 40

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178 183188 190

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Date of Laboratory Confirmation

MINISTRY OF HEALTH



LAB TESTING

Figure 3: Laboratory Tests Conducted by Date Results were Shared

1795

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Negative samples Positive test

Total test: 20,268 Total positive :396 Total pop: 47,564,296 Test/Million pop: 426 Positivity rate: 2%

MINISTRY OF HEALTH



1.2 Distribution of Confirmed COVID-19 Cases by Presentation

Of the 396 confirmed cases, 116 cases (29 percent) presented with symptoms (Figure 4). Fever (53 percent)

and cough (52 percent) were predominant presenting symptoms (Figure 5).

Figure 4: Distribution of Confirmed COVID-19 Cases by Presentation

1.3 Presenting Symptoms among Symptomatic COVID-19 Cases

Figure 5: Distribution of Presenting Symptoms among Symptomatic COVID-19 Cases

Symptomatic: 116, (29%)

Asymptomatic: 280, (71%)

53% 52%

25%

14% 14% 13%9% 7% 4% 4% 3% 3%

Fever Cough Difficulty inbreathing

Others Sore throat Headache Runningnose

Generalbody

malaise

sneezing NasalBlockage

Chest pain Pneumonia

PR

OP

OR

TIO

NS(

%)

SYMPTOMS

n=116

MINISTRY OF HEALTH



1.4 Age and Sex Distribution of COVID Confirmed Cases and Deaths

Two hundred and twenty-three (56 percent) are males and 173 (44 percent) are females. Most cases; 101,

are in the age group of 30-39 years. Figure 6 below shows age and sex distribution of COVID-19 cases.

Seventeen deaths have been reported so far, 15 being male and 2 were female (Figure 7).

Figure 6: Age and Sex Distribution of COVID-19 Cases Kenya

Figure 7: Distribution of Case Fatalities by Age and Sex

4(1%)

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MINISTRY OF HEALTH



1.5 Distribution of Confirmed COVID-19 Cases by County and Transmission

Classification

Of the 396 cases, 243 (61 percent) are from Nairobi County followed by Mombasa County with 106 (29

percent) as shown in Figure 8.

Figure 8: Distribution of confirmed COVID-19 Cases by County and transmission classification

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Kilifi

Mombasa

Nairobi

Local Imported

MINISTRY OF HEALTH



1.6 Map of Kenya Showing Distribution of Confirmed COVID-19 Cases by County

Figure 9: Distribution of confirmed COVID-19 cases by County

MINISTRY OF HEALTH



1.7 Contact Follow-Up per Case since Tested Positive One thousand nine hundred and sixty-one contacts were registered for Cases 1-82, 41 (2 percent) of these contacts tested positive for COVID-19 while 1,920

completed the 14 days follow and were discharged from follow up. Figures 10 and 11 shows status of contact tracing for case 183 - 384. Cases 385-396 (new

cases) contact listing is ongoing.

Figure 10: Contact follow up case 183 - 270

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# of contacts finished 15 days Contacts under followup # Developed signs and symptoms #contacts with positive lab results

MINISTRY OF HEALTH



Figure 11: Contact follow up case 271-384

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Contact follow up per case since tested positive

# of contacts finished 15 days Contacts under followup # Developed signs and symptoms #contacts with positive lab results

MINISTRY OF HEALTH



1.8 Status of Contract Tracing as at Today

Of the 803 contacts under follow up 687 (86 percent) were followed up today. A total of 191 contacts were not reached today across the affected counties: Nairobi

(161) and Kiambu (3) Mombasa (27). Figures 11 and 12 show status of contacting tracing today for Cases 184 – 384.

Figure 12: Status of contact tracing as today case 183 - 270

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# contacted today (30April) Number Not contacted today

MINISTRY OF HEALTH



Figure 13: Status of contact tracing as today case 263 - 384

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# contacted today (30April) Number Not contacted today

MINISTRY OF HEALTH



2.0 KEY ACTIONS

2.1 Coordination ➢ The National Emergency Response Committee continues to regularly meet.

➢ The Public Health Emergency Operations Centre Incident Management Team (IMT) and the WHO IMT

both continue to regularly meet.

2.2 Case Management and Infection Prevention & Control ➢ Fifteen more cases have recovered, raising the total number of recoveries and discharges for COVID-

19 to 144.

➢ County level case management and IPC trainings ongoing across three counties with WHO and ECHO

support 120 HCW completed training in Migori Nakuru and Uasin Gishu County.

➢ The following health facilties continue to provide isolation services for confirmed COVID-19 cases :

o Nairobi: Kenyatta National Hospital, Mbagathi County Hospital, Nairobi Hospital, Aga Khan

University Hospital, MP Shah Hospital, Avenue Hospital and Kenyatta University Teaching

Referral and Research Hospital

o Mombasa: Mombasa County Referral Hospital, Aga Khan Hospital, Pandya Hospital and

Premier Hospital.

o Nakuru : Nakuru County Referral Hospital

o Mandera : Mandera County Referral Hospital

o Siaya: Bondo County Referral Hospital

o Kilifi: Kilifi Wananchi Hospital, Njibana Sub – County Hospital

o Homa Bay: Malela Isolation and Treatment Centre

o Kajiado: Ole Kasasi Health Centre

2.3 Surveillance and laboratory and point of Entry ➢ Mass testing is ongoing targeting high risk areas including health care workers.

➢ Cumulative 20,268 persons have been tested so far with 396 cases testing positive (2 percent positivity

rate).

2.4 Risk Communication ➢ Bulk messaging

➢ Interactive voice response (IVR) The Safaricom supported system was manned by 50 dedicated agents.

The IVR Hits was 25,789 with 12,565 users going through the complete menu interactions. IVR Calls

were 2,608 and 2,454 answered. COVID 19 interactions. The members of the public who accessed

information through USSD *719# was 165,000. Calls were transferred as follows: 85 calls was

transferred to NASCOP and 9 calls to KRCS, of these 35 calls were captured as critical. Most callers

were males 75 percent, most calls came from Nairobi, Mombasa and Kiambu among other counties.

The main symptoms reported by callers were: cough, fever and headache among others.

➢ Main stream media: Public awareness on COVID-19 is ongoing through television, radio and print media

is ongoing.

2.5 Community Engagement ➢ Mental Health and Psychosocial Support (MHPSS)

➢ Mental Health and Psychosocial Support (MHPSS) working Group meeting was held where different

actors provided status updates and discussed coordination of various interventions.

➢ KRC and MOH have trained 448 health care workers and key stakeholders on Psychological First Aid

(PFA) across 19 Counties. support is needed to roll out the PFA training in the Counties and across

sectors.

➢ Tele counselling is ongoing through the free toll line 1199. So far 155 people have been assisted with

majority (60 percent) being men 21-40 years.

MINISTRY OF HEALTH



➢ Three webinars on Anxiety, Trauma and Mental Health for children have been conducted by Kenya

Medical Association (KMA) reaching 900 healthcare frontline responders.

➢ The WHO is providing technical support to do the following; improve coordination of MPHSS at National

and County level; Build capacity to handle current MHPSS demands especially from quarantine centres;

Strengthen collaboration and intersectoral referral pathways; Support for development and

dissemination of timely MHPSS information; Build capacity for protection of metal health of all frontline

responders and develop and mainstream interventions for supporting individuals, families and

communities.

➢ Health Promotion

➢ Health Promotion working group meeting was held bringing together various partners. The meeting

received status updates from 23 out of 47 Counties on various health promotion activities.

➢ Eighty-seven prison wardens were sensitised in Busia, Laikipia and Bungoma, 12000 Boda Boda

operators were sensitised in Nandi and 800,000 reached through the Public Address.

➢ Fifteen interactive radio talk shows were held in community radios stations in the different counties.

➢ It was agreed that behaviour change related to COVID-19 preventive and control measures is a

challenge at the community level. There is need to assess effectiveness of current messages and review

based on findings to make them timely and responsive to emerging issues.

3.0 CHALLENGES 3.1 Case Management and Infection Prevention and Control

➢ Inadequate number of trained and skilled health care workers on case management, IPC and response

in the event of large-scale outbreak

➢ Lack of adequate essential supplies (personal protective equipment) and life saving basic equipment in

the event of a large-scale outbreak

3.2 Surveillance and Laboratory

➢ Suboptimal response to alerts and contact tracing at the sub – national level, observed in some of the

affected counties.

➢ Suboptimal reporting to PHEOC on alerts received in the counties

➢ Inadequate number of trained and skilled health care workers contact tracing and rapid response in the

event of large-scale outbreak.

➢ Commodity insecurity of nasopharyngeal swabs affecting sample collection and RRT operations.

4.0 NEXT STEPS

➢ Training of additional healthcare workers at the sub – national level on COVID-19.

➢ Activation of sub – national response and contact tracing teams, especially in Nairobi County, to ensure

decentralization of response activities.

Emergency Operation Center:

Telephone: 0729 471 414, 0732 353 535, 0800 721316(Toll Free)

COVID-19 Call center: *719# (short message only), 719 (Audio)

Email: [email protected]
mailto:[email protected]

data a s reported by 1700 hours 30 april 2020 ministry...

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