COVID-19 Health Media Briefing Presentation April 28rd 2020 3%6 health Dep a {a He A- I Nmm? al REPUBLIC OF SOUTH AFRICA COVID-19: TESTING DATA The total number of people screened to date is 6 093 502 The total number of tests conducted both in public and private sector is 185 497 Sector Total tested Private 105 491 57% 2 191 31% Public 80 006 43% 4 836 69% 185 497   7 027   Grand Total New tested 2 TOTAL CONFIRMED COVID-19 CASES : 4996 GAUTENG 1377 WESTERN CAPE 1870 KWAZULU – NATAL 919 EASTERN CAPE 616 FREE STATE 113 LIMPOPO 31 NORTH WEST 29 MPUMALANGA 24 NORTHERN CAPE 17 3 CASE MANAGEMENT ACTIVE CASES 2830   TOTAL NO OF PATIENTS HOSPITALISED       TOTAL NO OF PATIENTS RECOVERED       TOTAL NO OF DEATHS     395 2073 93 4 SA’s epidemic trajectory – to 27 April SA compared to countries with the most and least severe advanced epidemic Log scale Diagram source: Tulio de Oliveira, Maria Schud & UKZN CoV Big Data Consortium The source of samples in the public sector testing for SARS-CoV-2:passive vs active case finding Note: the total tests each week = sum of the number on each bar 6 Proportion of NHLS tests that are positive comparing passive and active testing (by week) Proportion of SARS-CoV-2 tests positive 7,0 6.3% N=1,854 Community testing (active) Healthcare tests (passive) 5.2% N=713 5,3 4.6% N=567 3.8% N=3,382 3.5% 3.5% N=4,084 N=1747 3.4% N=442 3,5 2.9% N=6,229 1.4% N=144 1,8 0.0% N=1 0,0 3.2% 3.4% N=11,165 N=9,953 3.1% N=16,743 0.0% N=10 6 Mar - 12 Mar 20 Mar - 26 Mar 3 Apr - 9 Apr Source of data: Kamy Chetty, NHLS 17 Apr -23 Apr 2.7%* N=8,382 2.7% N=7,879 Epidemiological Model - Long Term Projections Long-term Projections: active cases Active Cases (All) - Greater uncertainty Home Lockdown has flattened the curve and pushed the peak later 2000000 Projections will be updated weekly 5wk lockdown (optimistic) ka lockdown (pessimistic) Key Assumption: proportion of cases: 75% 311? $2.34? health 7?19 \1 Department: gwg?; Health REPUBLIC OF SOUTH AFRICA Hotspots Province Eastern Cape Northern Cape Limpopo Western Cape Eastern Cape Limpopo KwaZulu Natal North West North West KwaZulu Natal Mpumalanga Gauteng Free State KwaZulu Natal Northern Cape Limpopo Mpumalanga Northern Cape Eastern Cape Free State Free State North West District ec Alfred Nzo District Municipality nc John Taolo Gaetsewe District Municipality lp Sekhukhune District Municipality wc Central Karoo District Municipality ec Joe Gqabi District Municipality lp Mopani District Municipality kz Harry Gwala District Municipality nw Ngaka Modiri Molema District Municipality nw Dr Ruth Segomotsi Mompati District Municipality kz Zululand District Municipality mp Nkangala District Municipality gp Sedibeng District Municipality fs Lejweleputswa District Municipality kz Umzinyathi District Municipality nc Zwelentlanga Fatman Mgcawu District Municipality lp Vhembe District Municipality mp Gert Sibande District Municipality nc Pixley ka Seme District Municipality ec Amathole District Municipality fs Fezile Dabi District Municipality fs Xhariep District Municipality nw Dr Kenneth Kaunda District Municipality Positive Cases as at 18th and Number of Positives per Number Screened per 1M Beds per 1k 19th April 100k Pop Pop Pop Field Hospital Beds 0 0,000 19220 1,2 0 0,000 13880 0,9 0 0,000 59179 1,0 0 0,000 0 1,6 0 0,000 13521 1,4 2 0,162 56663 1,4 1 0,193 16885 2,1 2 0,207 32063 1,8 1 2 4 10 2 2 0,208 0,225 0,257 0,283 0,296 0,349 28547 18942 25417 4212 34357 12195 1,4 1,5 1,5 0,3 2,0 2,0 1 6 5 1 5 3 1 5 0,376 0,407 0,413 0,473 0,500 0,592 0,644 0,650 23520 45995 25547 238061 13276 116300 139947 61008 1,5 1,2 1,4 0,5 1,8 1,5 0,9 5,3 Source: WHO 9 Hotspots Cont… Eastern Cape Limpopo Mpumalanga Free State North West KwaZulu Natal KwaZulu Natal Limpopo Western Cape KwaZulu Natal ec Oliver Tambo District Municipality lp Capricorn District Municipality mp Ehlanzeni District Municipality fs Thabo Mofutsanyana District Municipality nw Bojanala Platinum District Municipality kz King Cetshwayo District Municipality kz Amajuba District Municipality lp Waterberg District Municipality wc West Coast District Municipality kz Ugu District Municipality Gauteng Eastern Cape Northern Cape KwaZulu Natal Eastern Cape KwaZulu Natal Northern Cape KwaZulu Natal Western Cape Gauteng Western Cape KwaZulu Natal Eastern Cape Western Cape KwaZulu Natal Free State Eastern Cape gp City of Tshwane Metropolitan Municipality ec Sarah Baartman District Municipality nc Namakwa District Municipality kz Uthukela District Municipality ec Chris Hani District Municipality kz Umkhanyakude District Municipality nc Frances Baard District Municipality kz uMgungundlovu District Municipality wc Overberg District Municipality gp West Rand District Municipality wc Cape Winelands District Municipality kz iLembe District Municipality ec Nelson Mandela Bay Municipality wc Garden Route District Municipality kz eThekwini Metropolitan Municipality fs Mangaung Metropolitan Municipality ec Buffalo City Metropolitan Municipality wc City of Cape Town Metropolitan Municipality gp City of Johannesburg Metropolitan Municipality* gp Ekurhuleni Metropolitan Municipality** Western Cape Gauteng Gauteng 10 9 14 7 16 11 8 10 8 16 0,663 0,668 0,804 0,879 0,917 1,094 1,369 1,383 1,711 2,015 7110 39364 15793 93955 42879 19540 6173 49547 13700 9205 1,8 2,1 1,8 1,6 1,3 2,5 2,2 1,7 1,1 2,0 111 14 3 21 24 21 12 47 12 38 46 42 108 60 429 89 108 2,099 2,640 2,644 2,744 2,922 2,989 3,145 3,984 4,030 4,278 4,950 5,889 8,204 9,457 11,287 11,331 12,497 8311 33282 40608 18717 33172 7868 52127 10131 0 12831 2473 18655 3885 6666 2494 67609 1113 1,9 3,6 0,7 1,2 2,5 1,6 3,2 3,4 1,0 2,2 1,7 1,3 2,9 2,1 2,9 5,3 3,0 1000 725 17,340 6593 2,9 1500 639 234 17,761 23,564 10274 10260 3,7 8,5 500 500 1500 Source: WHO 10 Hotspots cont… Notes *City of Joburg Private beds include West Rand *Ekurhuleni private beds include Sedibeng Legend (Positive Cases per 100k pop) Range 0 to 0.5 Range 0.5 to 1 Range 1 to 10 Range Greater than 10 11 Proposed Distribution of the Cuban Brigade   WC GP KZN EC FS MP LP NW NC NDOH TOTAL Family Physician 18 17 17 12 10 8 8 8 7 0 105 Health Technology 5 5 5 4 3 3 3 3 2 0 30 Epidemiology 3 3 3 2 2 1 1 1 1 1 18 Biostatistics 3 4 3 2 2 1 1 1 1 3 21 Public Health Specialist*   0 0 0 0 0 0 0 0 11 11 Biotechnologist 0 0 0 0 0 0 0 0 0 2 2 12 COVID-19 POSITIVE HEALTH WORKERS Number of doctors Number of nurses Number of Port Health workers Other Allied Healthworkers Total    Private Public Private Public Private Public Private Public Private Public 2   5   0   2 0 9   EC   FS 8   1     0     5   GP 0 8 38 6 0 8 33 3 71 25 KZN 7 0 82 12 0 0 23 14 112 26 LP 0 3 1 4   0   0 1 7 MP 2 2 1 0 0 0 1 0 4 2 NC   0   0   0   0 0 0 NW 2 0 0 0 0 0 0 0 2 0 WC   10   23 0     31   64 NDoH                     25 123 50 0 8 57 50 195 133 Total 19 13