ministry of health data as reported by 1700 hours 15 … · 7/15/2020 · covid-19 situation...

MOH Kenya /15 July 2020 1 | P a g e

MINISTRY OF HEALTH DATA AS REPORTED BY 1700 HOURS 15 July

COVID-19 OUTBREAK IN KENYA

DAILY SITUATION REPORT - 120

1.0 KEY HIGHLIGHTS

1. Four hundred and sixty-one (461) new confirmed COVID-19 cases were reported in the last 24 hours bringing the total number of confirmed cases in Kenya to 11,252 cases as of 15 July 2020. Counties reporting new cases are Nairobi (248), Machakos (97), Kiambu (20), Kajiado (15), Migori (14), Busia (12), Nakuru (11), Laikipia (7), Nyeri (7), Kilifi (6), Lamu (4), Uasin Gishu (4), Kakamega (3), Kisii (3), Kisumu (2), Makueni (2), Marsabit (2), Bomet (1), Meru (1), Mombasa (1) and Taita Taveta (1).

2. Seven (7) deaths have been reported over the last 24 hours. The total number of deaths

reported since the beginning of the outbreak is 209, case fatality rate (CFR) is 1.9 percent.

3. In the last 24 hours, fifty-one (51) COVID-19 patients recovered and were discharged bringing the total number of recoveries and discharges for COVID-19 to 3,068.

4. As of today, forty-two (42) out of 47 counties have reported cases namely: Nairobi (6250), Mombasa (1769), Kiambu (602), Busia (572), Kajiado (526), Machakos (396), Migori (204), Uasin Gishu (158), Nakuru (152), Kilifi (77), Kwale (54), Makueni (50), Taita Taveta (42), Garissa (34), Kisumu (34), Narok (32), Siaya (31), Meru (21), Nyeri (20), Turkana (20), Lamu (19), Wajir (19), Kitui (18), Mandera (18), Murang'a (17), Kericho (15), Laikipia (15), Isiolo (12), Kakamega (11), Kisii (9), Vihiga (9), Bungoma (8), Nandi (8), Homa Bay (6), Marsabit (6), Trans Nzoia (5), Nyamira (4), Bomet (2), Embu (2), Kirinyaga (2), Nyandarua (2), and Elgeyo Marakwet (1).

5. Mombasa and Nairobi City Counties have the highest attack rates of COVID-19 at 146.4 and 142.1 per 100,000 populations respectively when compared to 23.7 per 100,000 for the whole country and need enhanced interventions. In addition, the COVID-19 outbreak has so far spread to 89 percent of the counties in the country. Risk communication, laboratory testing and contact tracing have been identified as key challenges.

6. Of the affected counties, only Laikipia, Machakos, Kilifi, Nairobi, Isiolo, Muranga,

Garissa, Kisumu, Homa Bay, Kisii, Siaya, Busia, Uasin Gishu, Kajiado, Mombasa, Kwale, Lamu, Marsabit submitted contact tracing reports.

7. Ten thousand seven hundred and ninety-two (96 percent) of the 11252 confirmed cases are local transmissions.

8. Among those who filled in their occupation, 470 are healthcare workers with four mortalities.

9. In the last 24 hours, 4261 samples were tested across various laboratories of which 461

samples turned positive for COVID-19. A total of 225,495 cumulative tests have so far been conducted.

COVID-19 SITUATION UPDATE: 15 July 2020


Total Cases Male = 7587 Deaths

=11252 Female = 3665 =209 1.1 Epidemiology

Since 13 March 2020 when the first case was confirmed in Kenya, a total of 11252 confirmed cases and 209 have died giving a case fatality rate

of 1.9 percent have been line listed. Of these, 10792 cases (96 percent) were local transmissions and 460 (4 percent) are imported cases. The

Figure 1 below shows trends of cases. 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 4741 samples per 1,000,000 people.

Figure 1: Trends of COVID-19 Outbreak Kenya



1.2 Cumulative Cases

Figure 2: Cumulative case load



1.3 Laboratory Testing

Figure 3: Laboratory Tests Conducted by Date Results were Shared



1.4 Distribution of Confirmed COVID-19 Cases by Presentation and

Presentation of Symptoms among Symptomatic cases

Of the 11252 confirmed cases, 1144 (10 percent) presented with symptoms (Figure 4). Cough

(55 percent) and fever (43 percent) were predominant presenting symptoms.

Figure 4: Distribution of Presenting Symptoms among Symptomatic COVID-19 Cases



1.5 Age and Sex Distribution of COVID Confirmed Cases

Seven thousand five hundred and eighty-seven (67 percent) are males and 3665 (33 percent)

are females. Most of the cases; 3668 (33 percent), are in the age group of 30-39 years. Figure

5 below shows age and sex distribution of COVID-19 cases.

Figure 5: Age and Sex Distribution of COVID-19 Cases Kenya

1.6 Characterization of COVID -19 Mortalities

Two hundred and nine deaths have been reported so far, 157 (75 percent) being males and

52 (25 percent) were females (Figure 6).

Figure 6: Distribution of Case Fatalities by Age and Sex


Among the 209 COVID-19 mortalities, 93 (46 percent) had comorbid conditions, nine (4

percent) had no comorbid conditions, while 107 (51 percent) had missing data as illustrated

in Figure 7.

Figure 7: Flow diagram of COVID-19 mortalities

One third of the COVID – 19 mortalities had both hypertension and diabetes as comorbid

conditions. Second are COVID-19 mortalities who suffered hypertension alone (17 percent)

and third, those who had diabetes alone (15 percent) as illustrated in Table 1 below.

Table 1: Distribution of Co-Morbid Conditions among COVID-19 Mortalities

Co-Morbidity Freq. (n=93) Percent (%)

1 Hypertension, Diabetes 30 32%

2 Hypertension 16 17%

3 Diabetes 14 15%

4 Chronic Lung Diseases (Asthma, TB, Lung, and other chest related complications)

9 10%

5 Cancers (Breast, Prostrate, Tongue, Colon) 9 10%

6 HIV/AIDS 4 4%

7 CCF/Cardiovascular Complications 4 4%

8 Hip Replacement 2 2%

9 Liver Disease 1 1%

10 Head Injury 1 1%

11 Kidney Disorders 2 2%

12 Intestinal Obstruction 1 1%

All COVID-19

Mortalities (N=209)

Mortalities with

comorbidities

93 (45%)

Mortalities with no

comorbidities

9 (4%)

Mortalities with

missing data

107 (51%)


Out of the 42 counties reporting cases, 17 (41 percent) have reported mortalities. Nairobi

accounts for half, followed by Mombasa at 68 (33 percent) as illustrated in Table 2.

Table 2: COVID-19 Mortalities Disaggregated by County

County Frequency (N=209) Percent

1 Nairobi 106 50.7%

2 Mombasa 68 32.5%

3 Kiambu 12 5.7%

4 Kajiado 6 2.9%

5 Garissa 2 1.0%

6 Machakos 2 1.0%

7 Narok 2 1.0%

8 Uasin Gishu 2 1.0%

9 Bomet 1 0.5%

10 Kilifi 1 0.5%

11 Kitui 1 0.5%

12 Laikipia 1 0.5%

13 Lamu 1 0.5%

14 Migori 1 0.5%

15 Nakuru 1 0.5%

16 Nyeri 1 0.5%

17 Siaya 1 0.5%



1.7 Distribution of Confirmed COVID-19 Cases by County and

Transmission Classification

Of the 11252 cases, 6250 (56 percent) are from Nairobi County followed by Mombasa County

with 1769 (16 percent) as shown in Figure 8. Mombasa County has the highest attack rate of

146.4 per 100,000 population followed by Nairobi City County at 142.1 per 100,000

populations (Table 3).

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



Table 3: County Attack Rate per 100,000 Population

S/No

County Population (2019 Census KNBS)

Cumulative Cases

Cases per 100,000 population

1 Mombasa 1,208,333 1769 146.4

2 Nairobi City 4,397,073 6250 142.1

3 Busia 893,681 572 64.0

4 Kajiado 1,117,840 526 47.1

5 Machakos 1,421,932 396 27.8

6 Kiambu 2,417,735 602 24.9

7 Migori 1,116,436 204 18.3

8 Uasin Gishu 1,163,186 158 13.6

9 Lamu 143,920 19 13.2

10 Taita/Taveta 340,671 42 12.3

11 Nakuru 2,162,202 152 7.0

12 Kwale 866,820 54 6.2

13 Kilifi 1,453,787 77 5.3

14 Makueni 987,653 50 5.1

15 Isiolo 268,002 12 4.5

16 Garissa 841,353 34 4.0

17 Siaya 993,183 31 3.1

18 Laikipia 518,560 15 2.9

19 Kisumu 1,155,574 34 2.9

20 Narok 1,157,873 32 2.8

21 Nyeri 759,164 20 2.6

22 Wajir 781,263 19 2.4

23 Turkana 926,976 20 2.2

24 Mandera 867,457 18 2.1

25 Kericho 901,777 15 1.7

26 Kitui 1,136,187 18 1.6

27 Murang'a 1,056,640 17 1.6

28 Vihiga 590,013 9 1.5

29 Meru 1,545,714 21 1.4

30 Marsabit 459,785 6 1.3

31 Nandi 885,711 8 0.9

32 Kisii 1,266,860 9 0.7

33 Nyamira 605,576 4 0.7

34 Kakamega 1,867,579 11 0.6

35 Trans Nzoia 990,341 5 0.5

36 Bungoma 1,670,570 8 0.5

37 Homa Bay 1,131,950 6 0.5

38 Embu 608,599 2 0.3

39 Nyandarua 638,289 2 0.3

40 Kirinyaga 610,411 2 0.3

41 Elgeyo/Marakwet 454,480 1 0.2 42 Bomet 875,689 2 0.2

Kenya 47,564,300 11252 23.7



1.8 Map of Kenya Showing Distribution of Confirmed COVID-19

Cases by County

Figure 8: Distribution of confirmed COVID-19 cases by County



1.9 Status of Contract Tracing as at Today

Of the 10791 confirmed COVID-19 cases a total of 12,961 contacts have been listed,9209 (71 percent) have completed follow up, 457 (3.5

percent) contacts have tested positive for COVID-19. 8204 (76 percent) of the 10791 cases are pending contact listing (Fig 9). Nairobi (2393),

Kiambu (334), Mombasa (270), Kajiado (252) are among the counties with active cases pending contact listing (figure 10)

Figure 9: Status of contact tracing


Figure 10: Number of days’ cases pending contact lasting

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2.0 KEY ACTIONS 2.1 Coordination

➢ The National Emergency Response Committee on Coronavirus met after which the

Cabinet Secretary for Health addressed the nation. His speech focused on need to

enhance infection prevention and control measures to protect both health workers and

patients from nosocomial COVID-19 infections.

➢ In Mombasa County, AMREF Health Africa donated assorted items of personal protective

equipment (PPEs), disinfection and thermometers. Discussion were between Mombasa

and Kilifi County on cross county contact tracing and response to alerts. How best to

involve or engage youth in responding to myths, misconceptions, misinformation and

rumours between the two counties.

➢ In Garissa County, a meeting with religious leaders was held to discuss guidelines for safe

re-opening of worship places and recommended zoning of worship areas in Garissa Town,

meeting with imams and Christian leaders in specific zones, enhancing social mobilization

through public address system, distribution of commodities to mosques and churches.

2.2 Case Management and Infection Prevention & Control

➢ In the last 24 hours, 51 COVID-19 patients recovered and were discharged bringing the

total number of recoveries and discharges for COVID-19 to 3068.

➢ Of the affected counties with active cases only Nairobi (TNH, KNH, KUTRRH, Avenue

Nairobi, MP Shah, AKUH - Nairobi), Mombasa (TUM, CGTRH, Mombasa Hospital), Siaya

(Bondo Referral Hospital, Ambira Sub County Hospital), Migori County, Taita Taveta

(Taveta Sub-County Hospital), Laikipia (Nanyuki Level V Hospital), Kilifi County (

Sahajanand and Kilifi Isolation Complex), Narok (Narok County Hospital), Garissa (Ifo 2

and Garissa County Hospital), Kericho (Kericho County Hospital), Uasin Gishu (MTRH)

submitted case management health facility reports.

2.3 Surveillance, Laboratory and Points of Entry

➢ All alerts were responded to and contact tracing continued in all affected counties.

➢ In the last 24 hours, 4261 samples were tested across various laboratories of which 461

samples turned positive for COVID-19. A total of 225,495 cumulative tests have so far

been conducted.

➢ Recruitment of laboratory technologists through the World Bank Health COVID-19

Emergency Response Project has been concluded, job orientation successfully done and

they have been deployed.


➢ The three-day training in IPC and Case Management with clusters of 35 participants in

Embu, Kirinyaga, Meru counties have completed training.

➢ RRT/contact tracing and data management training for Kisumu and Uasin Gishu County

was completed today, a total of 65 officers were equipped with skills.

➢ Local flights resumed today across the country and surveillance measure have been

heightened at airports and counties to monitor all travellers.

2.4 Risk Communication

➢ Bulky messaging: Interactive voice response (IVR) The Safaricom supported system was

manned by 50 dedicated agents. The IVR Hits was 11,557 with 5,360 users going through

the complete menu interactions. IVR Calls were 1,346 and 1,273 answered. COVID 19

interactions. The members of the public who accessed information through USSD *719#

was 83,000. Thirty-five captured as critical. Two calls were transferred to KRCS, most

callers were female 69 percent, and most calls came from Kiambu among other counties.

The main symptoms reported by callers were fever, headache and difficulty in breathing.

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

and print media.

3.0 KEY CHALLENGES ➢ Suboptimal utilization of the integrated digital platform for COVID-19 case investigation

form, contact tracing and quarantine.

➢ Suboptimal contact tracing and delay from counties in submitting reports to PHEOC.

➢ The long turnaround time for relying laboratory results to clients in most counties is causing

delay in public health action.

➢ Increasing complacency by community despite established community transmission, this

is contributing to some laxity in observing some prevention and control measures such as

hand washing and use of face masks.

➢ Emerging reports of personal protective equipment (PPE) of poor quality being distributed

to healthcare workers and facilities. The health workers are requesting for standardization

of the materials and compliance with sizes of the PPEs.

➢ Weak diagnostic quality assurance system in place.

➢ Emerging evidence of increased nosocomial COVID-19 infections especially among

health workers.


4.0 NEXT STEPS

➢ Strengthen utilization of the integrated data management system moving forward by

incentivizing its use.

➢ Ensure capacity building of the sub – county teams from the remaining 20 counties on

rapid response, contact tracing and use of the data management systems. An additional

sub – county teams

➢ Strengthen COVID-19 diagnostic quality assurance systems.

➢ Address concern of poor quality of PPEs being distributed to the sub – national level.

➢ Adjust risk communication messages to address emerging issues and the evolving

epidemic.

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]

ministry of health data as reported by 1700 hours 15 … · 7/15/2020 · covid-19 situation...

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