COVID-19 SURVEILLANCE REPORTS
NATIONAL COVID-19 DAILY REPORT DASHBOARD
Please note that due to a technical problem, the reported number of new tests in the public sector for today includes tests from 25 May 2020 that were not reflected in yesterday’s report.
The purpose of this report is to project estimated COVID-19 cases at national and provincial.
The National COVID-19 Epi Model (NCEM) for the National and Provincial long-term projections released on the 6th May 2020 and the short-term projections released on the 12th of June 2020.
This is the second special issue of our COVID-19 series. It details an analysis of HIV as a COVID-19 comorbidity using routine public sector patient data from South Africa’s Western Cape Province. Importantly, the data show that people living with HIV have a modestly elevated risk of poor COVID-19 outcomes, irrespective of viral suppression, and especially if they have other comorbidities.
As this is likely the largest assessment of SARS-CoV-2 and HIV co-infected patients to date, we trust that you will find this information especially useful and informative, given its public health importance. The authors, contributors and reviewers are thanked for their inputs.
Key highlights 10 June:
-During the current stage 4 lockdown, there was a slight initial increase in R with the R returning to around 1.5 indicating ongoing transmission.
-Further easing of lockdown restrictions may be associated with increases in R in different provinces as contacts between people increase. Public adherence to physical distancing measures can have an important impact in reducing virus transmission.
This report summarises data from national laboratory-based surveillance that is used to monitor the COVID-19 pandemic in South Africa. This report is based on data collected up to 1 August 2020 (week 31 of 2020).
-As of 1 August 2020, a total of 511 484 laboratory-confirmed COVID-19 cases had been detected in South Africa. Of these, 56 052 were cases reported since the last report. The number of new cases detected in week 31, 43 532, was lower than the number of new cases detected in week 30, 52 836.
-An additional 1 597 deaths were reported since the last report, case fatality ratio 1.6% (8 366/511 484).
-In the past week, Gauteng Province reported the highest percentage of new cases (14 353/ 43 532, 33.0%), followed by KwaZulu-Natal Province (9 491/43 532; 21.8%), and Free State Province (4 453/43 532, 10.2 %).
The report is based on data collected from 5 March to 2 August 2020 (week 31 of 2020).
-The increase in total numbers of respiratory hospitalisations observed in previous weeks is has gradually declined in the past two weeks, although the numbers are still slightly higher that pre-lock down period.
-The proportion of respiratory hospitalisations in all ages remains at the very high level, though there has been a decrease in the past two weeks in all provinces evaluated. The decline was especially noted among individuals in 20- 49 and ≥50 year age groups.
-Percentage of casualty visits coded as respiratory remains in very high levels in individuals aged 20-49 years and ≥50 years.
-In the current reporting week there were 83 additional patients that tested positive for SARS-CoV-2 in SARI (60), VW (1) and ILI (22) surveillance programs. To date, 418 cases have been detected from all surveillance programmes.
-Since the national lockdown there has only been one detection of influenza in all surveillance programmes. This case was from Gauteng from Viral Watch program in week 24 (week starting 8 June 2020).
-Although there has been an increase in the detection of respiratory syncytial virus, detection levels remain below the seasonal threshold.
This report summarises data from COVID-19 cases admitted to sentinel hospital surveillance sites in all provinces. The report is based on data collected from 5 March to 26 July 2020 (week 30 of 2020).
-As of 25 July, 33401 COVID-19 admissions were reported from 321 facilities. The majority of COVID-19 admissions were reported from four provinces, 13617 (41%) in Western Cape, 9055 (27%) in Gauteng, 4755 (14%) in KwaZulu-Natal and 2153 (6%) in Eastern Cape. Admissions in the Western Cape seem to have plateaued in the past two weeks. Of the 33401 admissions, 6886 (21%) patients were in hospital at the time of this report, 21502 (64%) patients were discharged alive or transferred out and 5013 (15%) patients had died.
-The case fatality ratio (CFR) in patients who had diabetes only was 22% (420/1872) and increased in diabetics with two (927/3126, 30%) and three or more (602/1751, 34%) comorbid conditions. Diabetics with chronic renal disease (241/547, 44%) and obesity (146/292, 50%) had the highest CFRs.
-Of the 12771 patients admitted in the public sector, most patients were admitted to district hospitals (4653, 36%), national central hospitals (4071, 32%) and regional hospitals (2407, 19%). CFR was highest in regional (27%), provincial tertiary (27%), national central (27%) and district hospitals (23%).
This report summarises national laboratory testing for SARS-CoV-2, the virus causing COVID-19, in South Africa. This report is based on data collected up to 1 August 2020 (week 31 of 2020).
-In the period 1 March 2020 through 1 August 2020, 2,726,599 laboratory tests for SARS-CoV-2 have been conducted nationally.
-Free State province had the highest testing rate (482 per 100,000 persons) in week 31, and decreased testing rates were observed in Western Cape, Eastern Cape, KwaZulu-Natal and Gauteng provinces.
-Free State (34.6%), North West (34.3%), Mpumalanga (33.6%) and KwaZulu-Natal (31.1%) provinces had the highest percentage testing positive in week 31.