Situation HighlightsGlobally:

2 074 529Confirmed cases

Countries of WHO Eastern Mediterranean Region:

139 378Deaths (CFR: 6.7%) 213countries/territories reported cases

119 222Confirmed cases5 760Deaths (CFR:4.8%) 22countries/territories reported cases

African Region of WHO:12 360Confirmed cases586Deaths (CFR:4.7%) 45Countries reported cases

Somalia:3 423passengers screened at designated points of entry80laboratory-confirmed cases

15suspected cases quarantined/isolated

396close contacts under follow-up (342 completed 14-day s follow up, 15 contacts were confirmed positive)

172events investigated14isolation facilities available

2000PPEs to manage first 2000 cases distributed to all states

90laboratory samples shipped for testing

46ICU beds available

100Beds in quarantine sites

820HCW staff trained to respond to COVID-19

816rumours reported and investigated

5Death (CFR:6.3%)

CORONAVIRUS DISEASE (COVID-19) SITUATION REPORT- 611 -17 APR, 2020

Jointly published by the Ministry of Health & Human Services, Federal Government of Somalia and WHO Somalia country o�ce

1

This week, the International Organization for Migration (IOM) donated PPEs and other essential hospital supplies for the isolation unit at the De Martino hospital in Mogadishu.

2

During this week, 38 new laboratory-con�rmed cases of COVID-19 were announced by the Ministry of Health & Human Services (MOH&HS), 21 of these were announced on 15 April 2020. The ministry has also announced four deaths this week all of whom are Somali citizens aged between 61 and 84 years, who were tested positive for COVID-19. This brings the total number of COVID-19 cases in Somalia to 80, including �ve associated death (CFR: 6.3%) and two recoveries.

Of the eighty laboratory-con�rmed cases, seventy-two were reported from Banadir, �ve from Somaliland, two from Jubaland and one from Hirshabelle. Six of the eighty laboratory-con�rmed cases were travel-associated reported from 16-24 March 2020. The remaining cases had no travel history and were reported from 25 March to 15 April signifying community transmission. Amongst these cases, �fteen are healthcare workers.

The median age of the con�rmed cases is 31 years (age range: 20-84 years) and 15% are female. All the close contacts of these cases have been quarantined and some of the contacts have been sampled.

A total of 172 suspected cases have been reported and investigated countrywide, during this week. Of these, 15 cases are currently in quarantine/isolation facility. The number of contacts identi�ed so far for the 80 laboratory-con�rmed cases is 396. A total of 90 samples (including repeat samples) have been collected and shipped to Kenya Medical Research Institute (KEMRI) laboratory in Nairobi this week for testing. Some test results are pending.

Background

No.

of c

ases

Epidemic curve of COVID-19 cases in Somalia, 11 Mar-14 Apr, 2020

11 M

ar 2

012

Mar

20

13 M

ar 2

014

Mar

20

15 M

ar 2

016

Mar

20

17 M

ar 2

018

Mar

20

19 M

ar 2

020

Mar

20

21 M

ar 2

022

Mar

20

23 M

ar 2

024

Mar

20

25 M

ar 2

026

Mar

20

27

Mar

20

28 M

ar 2

029

Mar

20

30 M

ar 2

031

Mar

20

1 A

pr

202

Ap

r 20

3 A

pr

204

Ap

r 20

5 A

pr

206

Ap

r 20

7 A

pr

208

Ap

r 20

9 A

pr

2010

Ap

r 20

11A

pr

2012

Ap

r 20

13 A

pr

2014

Ap

r 20

Date of onset of symptoms

1 case Fatal case

0

2

4

6

8

10

12

14

16

3

Isolation facilities identified:

De Martino Hospital

Midnimo Health Centre

Bayhaw general hospital

Dhusamareeb General Hospital

Galkacyo South Hospital

Aden Abdulle International Airport

Garowe Regional Hospital

Bossaso Regional Hospital

Galkacyo Regional Hospital

Jowhar General Hospital

Beletweyne General Hospital

Hudur General Hospital

Dobley District Hospital

Buhoodle Hospital

Screening at International Points of Entry

Kismayo

Dobley

Dolow

Luuq

Region Points of entry Number of travelers screened

Jubaland

Jubaland

Jubaland

Jubaland

1 821

404

1 108

90

Ongoing activities

Daily national coordinaiton committee meetings are ongoing led by the Prime Minister to coordinate the response to COVID-19 outbreak in the country. The daily coordination committee meetings for COVID-19 is attended by federal and state level committee members that are overseeing di�erent response activities.

Jubaland State has established a task force for response to COVID-19. The task force follows the status of the humanitarian response activities on COVID-19, and coordinates and shares updates on the evolving COVID-19 situation in the State.

COVID-19 Task force meetings are ongoing in Jubbaland, Galmudug and Hirshabelle. Hirshabelle state submitted the COVID-19 State response Budget this week.

The Federal government received medical supplies from Turkey, Jack Ma Foundation, UAE, IOM and WHO this week. These supplies are intended to contribute to the response and containment of the COVID-19 outbreak in the country.

Public Health Response Activities

Coordination

4

Surveillance and laboratory detection

Case de�nition for COVID-19 has been added as an reportable health condition into the EWARN system as it is rolled out throughout the country for active surveillance.

On 13 April 2020, Puntland Authorities deployed the Rapid Response Team to investigation alerts of COVID-19 in Garowe, Bossaso and Galkacyo districts. A search operation is ongoing to �nd a suspected case who was lost follow up recently.

Testing capacity has been established at the National Public Health and Reference Laboratory (NPHRL) in Mogadishu since 7 of April while two other testing facilities- one in Garowe and other one in Hargeisa will be operational in the coming week.

Risk communication

The National Risk Communication and Community Engagement Task Force has been established to jointly work on the development of new RCCE massages, publish awareness massages and coordinate risk communication campaigns throughout the country.

During the reporting period, Jubaland MoH has initiated community awareness messages on COVID-19, as preventive measure using di�erent channels, including Radio pits, and TV from 7pm to 5am daily. As a part of the e�orts to curb the spread on the COVID-19, Jubaland administration has imposed curfew and ban on social gatherings.

Most of the ministries of health in the di�erent States have initiated sharing IPC guidelines and messages as well as IPC training. Some health authorities are considering the need for fumigation of hotels where con�rmed cases were lodged.

A press release was issued by Ministry of Health Development of Somaliland on reducing the number of passengers in public transportation as part of WHO recommendation to ensure physical distancing among passengers on the vehicles. The government has also extended school closures.

Activities at the Points of Entry

Screening at points of entry is going on at border crossing points in Jubaland, Somaliland and Puntland. As of 13 of April 2020, the crossing points to Djibouti, Ethiopia and Somaliland were closed as part of the preventive measures.

Screening at points of entry is also ongoing daily in Dhobley, Dolow, Luuq and Kismayo crossing points. Currently, only Beled-haawo and Elwak crossing points do not provide screening services due to logistical challenges. No suspected case has been detected.

In Hirshabelle, authorities are preparing to deploy the rapid response team to start screening at the border crossing points of the State.

5

Case management

A total of 200 health care workers were trained in Puntland state on 13 March 2020, on case management. Galmudug health authorities have identi�ed two isolation sites. The authorities will train health care workers on cases management with support from WHO.

This week, a case management guidelines adaptation workshop was conducted in Somaliland.

WHO has conducted assessment of isolation sites in all states. Most of the isolation sites identi�ed had limited number of beds, oxygen machines and no trained medical persons to manage COVID-19 cases. WHO will speed up the training of medical and health professionals.

Resource mobilization:

The Ministry of Health & Human Services of FGS launched the national preparedness and response plan for COVID-19 on 26 March 2020 with a budget of USD 57.76 million for six-month period. The FGS committed an initial 5 Million USD to the COVID-19 response outbreak in the country. To date, the government reported that, in addition to the governments’ own committed funds, additional 7.5 and 3.2 million USD dollar have been committed to the response by the World Bank and Islamic Development Bank respectively.

To date, WHO has received contributions from the Italian Agency for Development Cooperation, ECHO, CERF and the Embassy of Switzerland against the WHO’s appeal to support the government-led operations response to COVID-19. The contributions have enabled scaling up of operational responses to COVID-19 in Somalia, including for, inter alia, building and rapidly scaling up laboratory diagnostics and testing facilities for COVID-19 in the country.

Discussions are also ongoing with other agencies for funding support.

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For further information, please contact:

Dr Ahmed AdamIncident Management Team LeaderMinistry of Health and Human ServicesFederal Government of SomaliaMob: +252612888418Email: publichealth@moh.gov.so

Dr Abdihamid IbrahimIncident Management Support Team LeadWorld Health Organization, SomaliaTel: +252618388884Email: abdihamidi@who.int

Abdullahi Abdihakim IsmailIMST Planning and Information Team Lead,Ministry of Health and Human ServicesFederal Government of SomaliaMob: +252615509990Email: monitoring@moh.gov.so

URL: http://www.moh.gov.so/en/; http://www.emro.who.int/countries/som/index.html

Fouzia BhattiCommunication OfficerWHO Country Office Mogadishu - SomaliaTel: +252619235880Email: banof@who.int

The Federal Government of Somalia received medical supplies from Turkey and also from WHO this week for its ongoing COVID-19 response operation.