ministry of health data as reported by 1700 hours … · nyeri (2), busia (1), garissa (1) and...

MOH Kenya /20 July 2020 1 | P a g e

MINISTRY OF HEALTH DATA AS REPORTED BY 1700 HOURS 20 July

COVID-19 OUTBREAK IN KENYA

DAILY SITUATION REPORT - 125

1.0 KEY HIGHLIGHTS

1. Four hundred and eighteen (418) new confirmed COVID-19 cases were reported in the last 24 hours bringing the total number of confirmed cases in Kenya to 13,771 cases as of 20 July 2020. Counties reporting new cases are Nairobi (292), Kiambu (54), Machakos (28), Kajiado (13), Mombasa (6), Meru (5), Nakuru (5), Narok (5), Kitui (3), Nyandarua (2), Nyeri (2), Busia (1), Garissa (1) and Isiolo (1).

2. Four (4) deaths have been reported over the last 24 hours. The total number of deaths

reported since the beginning of the outbreak is 238, case fatality rate (CFR) is 1.7 percent.

3. In the last 24 hours, 494 COVID-19 patients recovered (29 health facility and 465 home based care) and were discharged bringing the total number of recoveries and discharges for COVID-19 to 5616.

4. As of today, forty-four (44) out of 47 counties have reported cases namely: Nairobi (8036), Mombasa (1841), Kiambu (823), Kajiado (707), Busia (636), Machakos (400), Migori (215), Nakuru (200), Uasin Gishu (166), Kilifi (95), Makueni (72), Kwale (56), Taita Taveta (43), Kisumu (41), Narok (40), Garissa (37), Siaya (31), Meru (30), Lamu (24), Nyeri (24), Laikipia (22), Turkana (22), Kitui (21), Mandera (20), Murang'a (20), Kericho (19), Wajir (19), Kisii (15), Isiolo (14), Kakamega (13), Bungoma (12), Vihiga (9), Nandi (8), Homa Bay (6), Marsabit (6), Trans Nzoia (6), Nyamira (5), Bomet (4), Nyandarua (4), Embu (2), Kirinyaga (2), Tana River (2), Tharaka Nithi (2), and Elgeyo Marakwet (1).

5. Nairobi city and Mombasa Counties have the highest attack rates of COVID-19 at 182.8

and 152.4 per 100,000 population respectively when compared to 29 per 100,000 for the whole country and need enhanced interventions. In addition, the COVID-19 outbreak has so far spread to 94 percent of the counties in the country. Risk communication, laboratory testing and sub – optimal support for operations at sub – national level have been identified as key challenges.

6. Of the counties with active cases only Mombasa, Trans Nzoia, Laikipia, Meru, Kiambu,

Isiolo, Kilifi, Nairobi, Garissa, Kisumu, Homa Bay, Siaya, Busia, Marsabit and Kajiado submitted contact tracing reports.

7. Twelve thousand eight hundred and eighty-six (94 percent) of the 13771 confirmed cases are local transmissions.

8. Of the 3936 contacts under follow-up 3866 (98 percent) were followed up today.

9. In the last 24 hours, 2474 samples were tested across various laboratories of which 418

samples turned positive for COVID-19. A total of 241,394 cumulative tests have so far been conducted.

10. Moving forward, in light of the ever-increasing number of cases and to improve data quality,

counties shall be expected to submit daily reports that shall encompass (i) Details of

deceased COVID-19 cases, (ii) Details of infected health workers, and (iii) County line list.

As at 20th January 2020, all the affected counties submitted their daily reports except Nairobi

and Kiambu Counties.

COVID-19 SITUATION UPDATE: 20 July 2020


Total Cases Male = 9191 Deaths

=13771 Female = 4580 =238 1.1 Epidemiology

Since 13 March 2020 when the first case was confirmed in Kenya, a total of 13771 confirmed cases and 238 have died giving a case fatality rate

of 1.7 percent have been line listed. Of these, 12886 cases (94 percent) were local transmissions and 885 (6 percent) are imported cases. The

Figure 1 below shows trends of cases. 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 5075 samples per 1,000,000 people.

Figure 1: Trends of COVID-19 Outbreak Kenya



1.2 Cumulative Cases and Deaths

Figure 2: Cumulative case load and deaths



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 13771 confirmed cases, 1261 (10 percent) presented with symptoms (Figure 4). Cough

(54 percent) and fever (42 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

Nine thousand one hundred and ninety-one (67 percent) are males and 4580 (33 percent) are

females. Most of the cases; 4461 (32 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 thirty – eight deaths have been reported so far, 181 (76 percent) being males and 57 (24 percent) were females (Figure 6).

Figure 6: Distribution of Case Fatalities by Age and Sex



1.7 Distribution of Confirmed COVID-19 Cases by County and

Transmission Classification

Of the 13771 cases, 8036 (58 percent) are from Nairobi County followed by Mombasa County

with 1841 (13 percent) as shown in Figure 7. Nairobi City County has the highest attack rate

of 182.8 per 100,000 population followed by Mombasa County at 152.4 per 100,000 population

(Table 1).

Figure 7: Distribution of confirmed COVID-19 Cases by County and transmission classification



Table 1: County Attack Rate per 100,000 Population

S/No

County Population (2019 Census KNBS)

Cumulative Cases

Cases per 100,000 population

1 Nairobi City 4,397,073 8036 182.8

2 Mombasa 1,208,333 1841 152.4

3 Busia 893,681 636 71.2

4 Kajiado 1,117,840 707 63.2

5 Kiambu 2,417,735 823 34.0

6 Machakos 1,421,932 400 28.1

7 Migori 1,116,436 215 19.3

8 Lamu 143,920 24 16.7

9 Uasin Gishu 1,163,186 166 14.3

10 Taita/Taveta 340,671 43 12.6

11 Nakuru 2,162,202 200 9.2

12 Makueni 987,653 72 7.3

13 Kwale 866,820 56 6.5

14 Kilifi 1,453,787 95 6.5

15 Isiolo 268,002 14 5.2

16 Garissa 841,353 37 4.4

17 Laikipia 518,560 22 4.2

18 Narok 1,157,873 40 3.5

19 Kisumu 1,155,574 41 3.5

20 Nyeri 759,164 24 3.2

21 Siaya 993,183 31 3.1

22 Wajir 781,263 19 2.4

23 Turkana 926,976 22 2.4

24 Mandera 867,457 20 2.3

25 Kericho 901,777 19 2.1

26 Meru 1,545,714 30 1.9

27 Murang'a 1,056,640 20 1.9

28 Kitui 1,136,187 21 1.8

29 Vihiga 590,013 9 1.5

30 Marsabit 459,785 6 1.3

31 Kisii 1,266,860 15 1.2

32 Nandi 885,711 8 0.9

33 Nyamira 605,576 5 0.8

34 Kakamega 1,867,579 13 0.7

35 Bungoma 1,670,570 12 0.7

36 Tana River 315,943 2 0.6

37 Nyandarua 638,289 4 0.6

38 Trans Nzoia 990,341 6 0.6

39 Tharaka-Nithi 393,177 2 0.5

40 Bomet 875,689 4 0.5

41 Homa Bay 1,131,950 6 0.5

42 Embu 608,599 2 0.3

43 Kirinyaga 610,411 2 0.3

44 Elgeyo/Marakwet 454,480 1 0.2

Kenya 47,564,300 13771 29.0



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 13771 confirmed COVID-19 cases a total of 14152 contacts have been listed, 459 contacts have tested positive for COVID-19 (Table 2).

10433 of the 13771 cases are pending contact listing (Figure 10). Of the 3936 contacts under follow up 3866 (98 percent) were followed up today


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2.0 KEY ACTIONS

2.1 Coordination

➢ Ongoing coordination meetings at both national and sub – national level in affected

counties.

2.2 Case Management and Infection Prevention & Control

➢ In the last 24 hours, 494 COVID-19 patients recovered and were discharged bringing the

total number of recoveries and discharges for COVID-19 to 5,616. Four hundred and sixty-

five (465) of the discharged are from the home-based care program while 29 are from the

various health facilities.

➢ Of the counties with active cases only Nairobi (TNH, KUTRRH, AKUH, KNH), Kirinyaga,

Laikipia, Narok, Nyamira, Kericho, Trans-Nzoia and Taita-Taveta counties sent health

facility reports. Thirty-seven (37) patients are admitted in ICU in various health facilities

today.

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, 2474 samples were tested across various laboratories of which 418

samples turned positive for COVID-19. A total of 241,394 cumulative tests have so far

been conducted.

3.0 KEY CHALLENGES

➢ Inadequate resources for operations at the sub – national level for COVID-19 surveillance

activities, this is glaring at the sub – county level.

➢ Sub-optimal support to sub – national level for investigating alerts and contact tracing at

sub – national level and delay from counties in submitting reports to PHEOC

➢ Sub – optimal utilization of the integrated data management platforms.

➢ This past Sunday 19th July 2020, in most churches the elderly and children were in

attendance in disregard of the guidelines for reopening of places of worship

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

delay in public health action.

➢ Weak diagnostic quality assurance system.


➢ Risk communication messages that may be out of step with the evolving epidemic and

interventions.

➢ Complacency by community despite established community transmission

➢ Commodity insecurity at the sub – national level of personal protective equipment

➢ Inadequate assessment of households by RRTs for HBC. High level of normalcy assumed

with subsequent failure to follow public health guidelines in major towns.

4.0 NEXT STEPS

➢ Develop a differentiated contact tracing strategy for the country.

➢ 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 … · nyeri (2), busia (1), garissa (1) and...

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