# 65

Report No. 65, 2020

I. HIGHLIGHTS

II. EPIDEMIOLOGICAL DESCRIPTION

Tables 1, 2, and 3 show the line list of confirmed cases, the epi-classification of cases and the summary of outputs on

the various public health activities undertaken. Figures 1 and 2 are the age-sex distribution of confirmed cases and the

Epi-curve of confirmed cases by reported date.

Table 1: Line List of Laboratory-Confirmed Cases, COVID-19 Pandemic, The Gambia, 2020

Case No.

Nationality Age (Years)

Sex Date Reported

Transmission Classification

Current Status

001 Gambian 28 Female 16/03/2020 Imported Recovered and Discharged

002 Bangladeshi 70 Male 19/03/2020 Imported Died

003 Gambian 71 Male 20/03/2020 Imported Recovered and Discharged

004 Gambian 53 Male 26/03/2020 Imported Recovered and Discharged

005 Gambian 20 Male 29/03/2020 Local Recovered and Discharged

006 Gambian 40 Female 29/03/2020 Local Recovered and Discharged

007 Gambian 28 Female 20/03/2020 Imported Recovered and Discharged

008 Gambian 62 Male 21/03/2020 Imported Recovered and Discharged

009 Gambian 28 Female 20/03/2020 Imported Recovered and Discharged

010 Gambian 26 Female 20/03/2020 Imported Recovered and Discharged

Situation Report: Confirmed COVID-19 Location: The Gambia

Date of Report: 30th & 31st May 2020 Investigation Start Date: 17th March 2020 as of 18hrs.

Prepared by: Epidemiology and Disease Control Unit, MoH, The Gambia

COVID-19 SITUATION IN NUMBERS

Globally

Confirmed Case(s): 6,259,224

Recovery (ies): 2,785,476

Death (s): 373,691

Senegal

Confirmed Case(s): 3,654 Recovery (ies): 1,801

Death (s): 42

The Gambia

Confirmed Case(s): 25

Recovery (ies): 20

Death (s): 1

This is the 65th national situation report since the confirmation of the first case

of the novel coronavirus disease (COVID-19) in The Gambia, on the 17th March

2020

• No new laboratory confirmed case of COVID-19 registered

• All 33 new laboratory test results received from MRCG returned negative

for COVID-19

• 53 laboratory personnel successfully completed training on COVID-19

sample collection, transportation and storage

• 15 persons were newly taken into quarantine and 19 were discharged after

testing negative for COVID-19 upon completion of the mandatory

quarantine period

o The newly quarantined include 5 Gambian soldiers who returned from Sierra

Leone via Wellingara, Senegal; 3 Senegalese, 2 Guineans and 5 other

Gambians all of whom recently entered the country from locations with ongoing

community transmission of COVID-19

• The country currently has 114 persons under quarantine; 4 active cases

and no probable case

COVID-19 National Situation Report #65 |30th & 31st May 2020

2 | P a g e *as of 31st May 2020 @ 23:58. Data from WHO novel coronavirus dashboard and European CDC situation report

011 Senegalese 39 Male 26/04/2020 Imported Recovered and Discharged

012 Gambian 23 Female 27/04/2020 Local Recovered and Discharged

013 Gambian 22 Female 28/04/2020 Local Recovered and Discharged

014 Gambian 7 Months Male 28/04/2020 Local Recovered and Discharged

015 Senegalese 35 Male 29/04/2020 Imported Recovered and Dischared

016 Gambian 31 Male 29/04/2020 Local Currently Hospitalized

017 Gambian 21 Male 28/042020 Local Recovered and Discharged

018 Senegalese 41 Male 04/05/2020 Local Recovered and Discharged

019 Senegalese 21 Male 20/04/2020 Imported Recovered and Discharged

020 Senegalese 23 Male 03/05/2020 Local Recovered and Discharged

021 Senegalese 84 Male 25/04/2020 Imported Currently Hospitalized

022 Dual (Senegalese, Gambian) 51 Female 26/04/2020 Imported Recovered and Discharged

023 Gambian 34 Male 30/04/2020 Imported Recovered and Discharged

024 Guinea Bissau 47 Male 14/05/2020 Imported Currently Hospitalized

025 Gambian 58 Female 18/05/2020 Imported Currently Hospitalized

Fig. 1: Age-Sex Distribution of Confirmed COVID-19 Cases Fig. 2: Epidemic Curve of Laboratory-Confirmed Cases by

Date Reported, COVID-19 Pandemic, The Gambia, 2020

A considerable amount of time elapsed between date of reporting and the date of laboratory confirmation of most cases

Fig 3: Map of The Gambia showing COVID-19 affected regions Fig 4: Distribution of COVID-19 Cases in Senegal

1 1

4

1 1

2

1 1

2

1

3

2

1 1 1 1

0

1

2

3

4

5

16

/03

/20

20

20

/03

/20

20

24

/03

/20

20

28

/03

/20

20

01

/04

/20

20

05

/04

/20

20

09

/04

/20

20

13

/04

/20

20

17

/04

/20

20

21

/04

/20

20

25

/04

/20

20

29

/04

/20

20

03

/05

/20

20

07

/05

/20

20

11

/05

/20

20

15

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20

19

/05

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21

No

. of

Cas

es

2

3

4

2

1

2

2

≤ 20

21 - 30

31 - 40

41 - 50

51 - 60

61 - 70

> 70

6

1

2

Males FemalesAge

COVID-19 National Situation Report #65 |30th & 31st May 2020

3 | P a g e *as of 31st May 2020 @ 23:58. Data from WHO novel coronavirus dashboard and European CDC situation report

Table 2: Epi-Classification of Reported Cases, by Region, COVID-19 Outbreak, The Gambia, 2020

Health Region

2020 Population Estimates

Epi-Classification

New Cumulative

Suspected

case(s)

Probable

Case(s)

Confirmed

case(s)

Recover

y (ies)

Death (s)

Suspected case(s)

Probable Case(s)

Confirmed case (s)

Recovery (ies)

Death(s)

Western One 950,266 15 0 0

0 0 1,222 0 20

16 1

Western Two 514,999 13 0 0

0 0 176 0 2

1 0

Upper River 283,911 1 0 0

0 0 85 0 1

1 0

North Bank West 130,196 0 0 0

0 0 13 0 0

0 0

North Bank East 129,629 1 0 0

0 0 64 0 0

0 0

Lower River 88,100 0 0 0 0

0 8 0 0 0

0

Central River 257,332 2 0 0 0 0 129 0 2 2 0

National Total 2,354,433 32 0 0

0 0 1697 0 25

20 1

Table 3: Summary of New and Cumulative Public Health Response Outputs, COVID-19 Pandemic, The Gambia, 2020

* Follow-up completed prior to the 17th March (when the first confirmed case was reported)

* * Includes both low-risk and high-risk contacts and not mutually exclusive with number quarantined (as some have

been quarantined)

* * * Includes repeat tests in bracket

Status New Cumulative

In Quarantine 15 114

Completed quarantine 19 493

Completed follow-up (asymptomatic people with travel history to affected countries) *

0 310

Contact(s) Traced (Target)** 0 789/790(Target)

Follow-up Made to Low-Risk Contacts 63/67

Completed follow-up to low risk contacts 0

Total Tests conducted (Repeat Test (s))*** 32(1) *** 1820

Positive test result (Repeat Test (s)) 0 (0) 25

Negative test result (Repeat Test (s))*** 32 (1)*** 1695

Inconclusive test result (Repeat Test (s))*** (0)***

COVID-19 National Situation Report #65 |30th & 31st May 2020

4 | P a g e *as of 31st May 2020 @ 23:58. Data from WHO novel coronavirus dashboard and European CDC situation report

III. Major Response Activities

Table 4: Major response activities undertaken newly, COVID-19 Outbreak, The Gambia, 2020

Component Interventions

Coordination Surveillance/ Laboratory

• Daily coordination meetings held at both central and regional levels

• No new laboratory confirmed case of COVID-19 registered

• All 33 new laboratory test results received from MRCG returned negative

for COVID-19

• 53 laboratory personnel completed training on COVID-19 sample collection, transportation and storage

Case Management/ IPC/ PSS and Research Logistics and Safety

• 4 radio shows conducted on community radios on the mental health and psychosocial impact of covid-19

• A day-long workshop held with all the psychosocial support service providers within the whole case management system. The action points that emanated from the workshop were to: o Come up with an integrated referral pathway for all psychosocial support

services o Ensure there is one consolidated service reporting system jointly by MoH and

DS o List reporting indicators for psychosocial support service providers at different

stages within the whole Case Management System.

• 8 CPAPS, 2 ventilators, 1 Infrared thermal detection machine and PPEs were items received from the 3rd consignment of donated materials from Jack Ma Foundation

• Massive joint security forces exercises in the Kanifing Municipality, West Coast, CRR, URR, LRR and NBR were conducted to enforce the practice of social distancing in a bid to curbing the spread of COVID-19 in the country

Risk Communication and Community Engagement

• 4 TV and 11 radio programs successfully conducted

• Summary of social media activities: 3 Facebook and 3 Twitter posts shared with a cumulative engagement of 24,762 people reached

• 12 communities reach with a megaphone sensitization campaign • Summary of calls made to 1025: a total of 141 calls received (121

COVID-19 related and 20 non-COVID-19 related. 3 booked for further follow up by contact tracing teams and 9 booked for further follow up by quarantine team).

IV.

Gaps/Challenges:

COVID-19 National Situation Report #65 |30th & 31st May 2020

5 | P a g e *as of 31st May 2020 @ 23:58. Data from WHO novel coronavirus dashboard and European CDC situation report

There is no quarantine facility in CRR and the holding facility at the Bansang Hospital is still not ready for use

No policy on the use of face masks

Delay in getting a functional e-surveillance system that would ensure the availability of real-time response

data

Inadequate border patrol especially in undesignated PoEs around Jimara, Kantora, Tumana, Wuli East, Wuli

West and Sandu Districts

Truck drivers, carrying essential commodities, are being allowed to enter the country from locations with

ongoing community transmission of COVID-19

V. Next Steps/Recommendations:

• Expedite the process of getting a suitable quarantine facility in CRR

• Expedite the process of getting all relevant response staff trained on e-surveillance

• To consider testing low-risk contacts (contacts of contacts) before discharge upon completion of mandatory

follow-up

• All SoPs to be revised in order to cater for gender and the differently abled

• Strengthen surveillance at all points of entry (including the undesignated ones)

• There is need to engage all relevant ministries and institutions in a bid to come up with modalities and guidelines

in allowing truck drivers into the country

For comments or questions, please contact: Sana .M. Sambou

Public Health Emergency Operations Center

Epidemiology and Disease Control Unit, The Gambia Email: sanasambou@hotmail.com Phone: +220 3516320/2422949