fiji situation report 1...
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The Republic of the Fiji Islands Situation Report 1- 24th March 2020 Report as of 22 March 2020
Coronavirus Disease (COVID-19)
• TwoConfirmedCases
• Nonewcasesasof22/03/2020(5pm).
• Thetwoconfirmedcasesarewellandareisolatedin
healthcarefacilities.
• 1stSituationReportTemplatesentout:21/03/2020.
• 25responsesexpectedfrom:3DivisionalHospitals,20Sub-
DivisionalHospitals,1FPBSand1FCDC.
• 17responses:1Divisional(CWM),7Sub-Divisional(Suva,Rewa,Naitasiri,Navua,Lakeba,Levuka,Kadavu,
Macuata,Cakadrove,BuaandTaveuniRotuma,Lomaloma,Sigatoka,Nadi,Lautoka,Macuata,Cakadrove,
Bua,Taveuni)AResponseRateof68%.
• 30/03/2020:LastflightsintoandoutofFiji.
• There isa reported- lackof IEC (Information,EducationalandCommunication)materialsatmosthealthfacilitiesconcerning:COVID-19(e.g.highlighting the locationof feverclinics,MHMScontactnumbers forconcernedpatientstocallonandinquireon).
• HealthfacilitiesarerequiringPPE’sandhandsanitizer’ssupplies.Operationspillarhasbeeninformed.• Thereisalackofback-upelectricity(generator)andwaterservicesinthesomehealthfacilities.• Ashortageofambulanceservices(Navua,Mokani).• Inadditiontoinfrastructuretocompletefeverclinicimplementationthereisneedforadditionalstaffingand
medicalequipmentplanning.
• TheIncidentManagementTeamhasbeenactivatedtorun24/7.TheIMTconsistsofsixpillars:Planning&Information,Communication,Administration&Finance,Operations,Logistics,andDonorCoordination.TheIMThasbeenestablishedtoprovideoperationalmanagementoftheFijiCOVID-19outbreakresponse.
• StrategicmanagementoftheCOVID-19responseisbasedonactionsoutlinedintheCOVID-19PreparednessandResponsePlan.
CurrentOperationalGuidelinesProducedbyIMT:
• EnvironmentCleaningandDecontamination(Draft)Policy.• PublicHealthandPrimaryCare.• ProtocolforFeverClinics.• Guidelinesforlocalcommunityfacilityisolation.
Cases Deaths
Global 267,013 11,201
Fiji 2 0
Total countries affected
184/195= 94.36% of all countries
HIGHLIGHTS:
CURRENT RISK ASSESMENT
STRATEGIC APPROACH TO PREVENTION, DETECTION AND CONTROL OF COVID-19
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• COVID-19Definitionofclosecontacts.• StandardOperatingProcedureforNasopharyngealCollection.• AmbulanceServicesGuidelines
Leadership and Coordination of the response: • DailybriefingsfortheMinisterofHealthandthePermanentSecretaryofHealth.• IMTDailyMeetings(8.30amand4pm).• Regularcabinetbriefings
Surveillance, contact identification and follow-up:
• From23/03/2020FCDCwillbegeneratingEPI-Curves. • 50personnelfromtheRepublicoftheFijiMilitaryForces(RFMF)havebeentrainedincontacttracing. • TheFijiPoliceForceshaveofferedadditionalsecurityservicestoallhealthfacilitiesastheneedarises.The
FijiPolicehavecurrentlyarrested11peopleforattemptingtobreechchokepoints. • The implementation of the ICT tool- Surveillance Outbreak Response Management and Analysis System
(SORMAS).
Figure 1: Geographical Distribution of Suspected Cases
SITUATION UPDATE
ACTIONS TO DATE
Figure 3: Location of Fever Clinics Suva-Nausori
Figure 4: Location of Fever Clinics in Lautoka
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Laboratory: • COVID-19testingcurrentlybeingdoneattheFijiCentreforDiseaseControl(FCDC).
Clinical Management and Service Delivery:
• ClinicalpracticeguidelinesfromAustraliahavebeensuppliedtoallIntensiveCareUnits(ICU’s)nationally.• Personal Protective Equipment (PPE’s) training has been conducted in most health facilities and will
continuetobeanon-goingprocess. Prevention and control:
• TheFijiCoronavirus(COVID-19)PreparednessandResponsePlanDraft.• Environment Cleaning and Decontamination (Draft) Policy Ministry of Health & Medical Services,
GovernmentofFiji.• PublicHealthandPrimaryCareGuideline.• ProtocolforFeverClinics.• Guidelinesforlocalcommunityfacilityisolation.• COVID-19Definitionforaclosecontact.• StandardOperatingProcedureforNasopharyngealCollection.• AmbulanceServicesGuidelines.
Risk communication and social mobilization: • Regularmediabriefings.• DailyCOVID19advisoriesinnewspaperreleasedinalllanguages.• Multiplesocialmediaupdates.• InformationEducationCommunicationmaterials.• Posteradvisingofrestrictedvisitor’smovementthroughhospitals.• Publicmessagingpackagetosupportcompliancewithsocialdistancingandquarantinemeasuresforuseby
allGovernmentAgenciesengagedinCOVID-19response. Supplies and Logistics:
• A surge projection plan for equipment, medical supplies, X-Ray and Pathology has been completed andsuppliedtoFPBS.
Point of Entry and IHR travel and trade measures:
• ThelastflightsintoandoutofFijiwillbeonthe30thMarch2020. Operational Partnerships
• TheWorldHealthOrganization(WHO).• LiaisonOfficersfrom(TheMinistryofEducation,TheMinistryofWomen,ChildrenandSocialWelfare,The
Ministry of Agriculture, The Ministry of Economy, The Ministry of Defence and National Security, TheMinistryofEmploymentandProductivity,TheMinistryofLocalGovernment,TheRepublicofFijiMilitaryServices,TheFijiPoliceForce,TheFijiFireAuthority,TheMinistryofLands,TheMinistryofInformationetc.).
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• Continue24/7IMToperations.• RolloutIECmaterial.• ProvideallthehealthfacilityaroundFijiwithpreventive,detectionandcontroldocumentsoncefinalized
andapproved.• WorkwiththelogisticsteamtoaddressthelackofPPE’s,ambulanceservices,backupwaterandelectricity
services, sanitizersmedical supplies andmedical equipment to ensure the swift running of health careservices.
Indicators of Community Transmission
1.NumberofconfirmedCOVID-19casewithnoknownlinktoasourceofinfection(=n(%))
2.NumberofClustersofconfirmedCOVID-19caseswithinthecountry(=n)
3.COVID-19positivityrate(testresultsobtainedfromsentinelsurveillancesystems(testpositive/tested))
4.AnunexpectedincreaseinILI,SARIorsimilarsyndromicsurveillance(YorN)
5.ReportsofsuspectedcasesofCOVID-19orclustersfromanevent-basedsurveillancesystem(YorN)
0
0
2/131
?
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