DATA AS REPORTED BY 1700 HOURS 18 APRIL 2020

MINISTRY OF HEALTH

COVID-19 OUTBREAK IN KENYA

DAILY SITUATION REPORT - 032

1. KEY HIGHLIGHTS
1. Sixteen (16) new confirmed COVID-19 cases were reported in the last 24 hours bringing the total
number of confirmed cases in Kenya to Two hundred and sixty two (262) cases as of April 18,
2020. Twelve (12) cases are local transmissions while four (4) cases are imported. All the new
cases have been reported from Nairobi (10), Mombasa (5) and Homabay (1).

2. One (1) death has been reported over the last 24 hrs. The total deaths reported since the
beginning of the outbreak are 12. Case fatality rate (CFR) 4.6%.

3. As of today, twelve (12) counties have reported cases namely: Nairobi (193), Mombasa (43), Kilifi
(8), Nakuru (2), Kitui (2), Kajiado (2), Kwale (1), Kakamega (1), Mandera (6), Uasin Gishu (1) Siaya
(2) and Homabay (1).

4. One hundred and seventeen - 117 (45%) of the 262 confirmed cases are local transmissions

5. 8 alerts were received today and investigated - Nairobi-7, Kiambu-1.

6. A total of 2,636 contacts have been registered, of which 2047 of them have completed the
mandatory 14 days follow up and have been discharged from daily follow up. 589 contacts are
under follow up.

7. 451 contacts were traced today. 138 contacts were not traced today giving a response rate of 77%.

8. In the last 24 hours, 1,115 samples were tested across various laboratories of which 16 samples
turned positive for COVID-19.

9. As per H. E. The President’s directive issued on the 6th April, restricted movement in and out of
the counties of to Nairobi metropolis, Mombasa, Kilifi and Kwale has taken effect from 8th April 2020
for the next 21 days.

Male = 152 Deaths

Total Cases 262
Female = 110 =12

MOH Kenya / 18 April 2020 1

 COVID-19 SITUATION UPDATE: 18 APRIL 2020

MINISTRY OF HEALTH

1.1 Epidemiology
Since 13 March 2020 when the first case was confirmed in Kenya, a total of 262 confirmed cases have been
line listed. Of these, 145 (55%) were imported cases and 117 cases (45%) are local transmissions. Twelve
(12) deaths have been reported so far: -2 females and 10 males. All were Kenyans (Fig 5). The epi-curve
(Fig 1) below shows both categories of populations; quarantine individuals in Nairobi (majority being
asymptomatic) and within the community. Mandatory quarantine was instituted on 25 March 2020 with
testing of all quarantined people starting on 29 March 2020

Testing of persons
in Quarantine

21 1
Start of
Mandatory 1
21
Quarantine

1
13 1
1
13
6 8
4 14
1 9
8
1 1
8
1 9
1 7
6 6 4 4
5 5 5 3 5
4 4 2 4 4 4 4
1 3 3
2 2 2 2 2 2 2 2 2 2
1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0
10-Mar
11-Mar
12-Mar
13-Mar
14-Mar
15-Mar
16-Mar
17-Mar
18-Mar
19-Mar
20-Mar
21-Mar
22-Mar
23-Mar
24-Mar
25-Mar
26-Mar
27-Mar
28-Mar
29-Mar
30-Mar
31-Mar
1-Apr
2-Apr
3-Apr
4-Apr
5-Apr
6-Apr
7-Apr
8-Apr
9-Apr
5-Mar
6-Mar
7-Mar
8-Mar
9-Mar

10-Apr
11-Apr
12-Apr
13-Apr
14-Apr
15-Apr
16-Apr
17-Apr

Symptomatic Asymptomatic Death

Figure 1 EPI Curve of COVID-19 Outbreak Kenya

MOH Kenya / 18 April 2020 2

 COVID-19 SITUATION UPDATE: 18 APRIL 2020

MINISTRY OF HEALTH

1.2 Distribution of confirmed COVID-19 cases by presentation

Of the 262 confirmed cases, 96 cases (37%) presented with symptoms (fig 2), Fever (53%) and Cough
(49%) were predominant presenting symptoms (Fig 3)

Symptomatic:
96, 37%

Asymptomatic:
166, 63%

Figure 2 Distribution of confirmed COVID-19 cases by presentation

1.3 Distribution of confirmed COVID-19 Cases by symptoms

n=96
PROPORTIONS(%)

53%
49%

21%
16%
13% 13%
9%
5% 5% 5% 3%
Others

sneezing
Fever

Difficulty in

Chest pain
Cough

Sore throat

General body
Headache

Running nose

Nasal Blockage
breathing

malaise

SYMPTOMS

Figure 3 Distribution of confirmed COVID-19 Cases by symptoms

MOH Kenya / 18 April 2020 3

 COVID-19 SITUATION UPDATE: 18 APRIL 2020

MINISTRY OF HEALTH

1.4 Age and Sex Distribution of COVID confirmed cases

One hundred and fifty two-152 (58%) are males and one hundred and ten- 110 (42%) are females. The
majority:-one hundred and sixty three -163 (62%) are in the age group of 30-59 years. The figure below
shows age and sex distribution of Covid-19 cases (Fig 4).

Male (58%) Female (42%)

60+ Years 15 (6%) 5(2%)

30-59 96 (37%) 67 (26%)

AGE (YEARS)

15-29 37 (14%) 33 (13%)

Below 15 4 (2%) 5 (2%)

Figure 4 Age and Sex Distribution of COVID-19 Cases Kenya

1 1 1
Below 15 15-29 30-59 60+ Years

Female Male

Figure 5 Distribution of case fatality by age and sex

MOH Kenya / 18 April 2020 4

 COVID-19 SITUATION UPDATE: 18 APRIL 2020

MINISTRY OF HEALTH

1.5 Distribution of confirmed COVID-19 Cases by County and transmission

classification

Nairobi 125 68

Mombasa 12 31

Kilifi 1 7

Mandera 6

Kitui 1 1

Nakuru 1 1

Siaya 2
Imported Local
Kajiado 2

Kakamega 1

Uasin Gishu 1

Homabay 1

Kwale 1

Figure 6 Distribution of confirmed COVID-19 Cases by County and transmission classification

MOH Kenya / 18 April 2020 5

 COVID-19 SITUATION UPDATE: 18 APRIL 2020

MINISTRY OF HEALTH

1.6 Map of Kenya showing distribution of confirmed COVID-19 cases by county

Figure 7 Distribution of confirmed COVID-19 cases by county

MOH Kenya / 18 April 2020 6

 DATA AS REPORTED BY 1700 HOURS 18 APRIL 2020

MINISTRY OF HEALTH

1.7 Contact follow-up per case since tested positive

One thousand five hundred and seventy-five (1575) contacts were registered for cases 1-115, twenty-three of this contacted tested positive for COVID-19 while
0ne thousand five hundred and fifty-two contacts completed the 14 days follow and discharged from follow up. Fig 8 show status of contact tracing for case 116-
246. Case 237-262 (new cases) contact listing is ongoing.

Contact follow up per case since tested positive

Contact follow up per case since tested positive

100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Case-116
Case-118
Case-120
Case-122
Case-124
Case-126
Case-128
Case-130
Case-132
Case-134
Case-136
Case-138
Case-140
Case-142
Case-144
Case-146
Case-148
Case-150
Case-152
Case-154
Case-156
Case-158
Case-160
Case-162
Case-164
Case-166
Case-168
Case-170
Case-172
Case-174
Case-176
Case-178
Case-180
Case-182
Case-184
Case-186
Case-188
Case-190
Case-192
Case-194
Case-196
Case-198
Case-200
Case-202
Case-204
Case-206
Case-208
Case-210
Case-212
Case-214
Case-216
Case-218
Case-220
Case-222
Case-224
Case-226
Case-228
Case-230
Case-232
Case-234
Case-236
Case-238
Case-240
Case-242
Case-244
Case-246
# of contacts finished 15 days Contacts under followup # Developed signs and symptoms #contacts with positive lab results

Figure 8 Contact follow up case 116-246

MOH Kenya / 18 April 2020 7

 COVID-19 SITUATION UPDATE: 18 APRIL 2020

MINISTRY OF HEALTH

1.6 Status of contract tracing as at today

Of the 589 contacts under follow up 451 (77%) were followed up today.138 contacts that were not reached today across the affected counties: Mombasa
County (57), Nairobi (76), Mandera (1), Kitui (2) and Siaya County (2).figure 9-10 show status of contacting tracing today for case 116-246.

# contacted today (18April) Number Not contacted today

27

29

5 20 1
17 4 9
2 2 0
10
8 7
6 5 5 6 5 6 4
4 3 4
2 1 0 0 0 0 0 2 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Case-116
Case-117
Case-118
Case-119
Case-120
Case-121
Case-122
Case-123
Case-124
Case-125
Case-126
Case-127
Case-128
Case-129
Case-130
Case-131
Case-132
Case-133
Case-134
Case-135
Case-136
Case-137
Case-138
Case-139
Case-140
Case-141
Case-142
Case-143
Case-144
Case-145
Case-146
Case-147
Case-148
Case-149
Case-150
Case-151
Case-152
Case-153
Case-154
Case-155
Case-156
Case-157
Case-158
Case-159
Case-160
Case-161
Case-162
Case-163
Case-164
Case-165
Case-166
Case-167
Case-168
Case-169
Case-170
Case-171
Case-172
Case-173
Case-174
Figure 9 Status of contact tracing as today case 116-174

MOH Kenya / 18 April 2020 8

 Case-175
Case-176
Case-177
Case-178
Case-179
Case-180
MINISTRY OF HEALTH

Case-181

0 0 0 0 0 0 0 0
Case-182

2
Case-183

1110
Case-184

1 0
Case-185

18
Case-186
Case-187

7 7
0 0
Case-188

23
Case-189
Case-190

0 1
Case-191

6
Case-192

75
Case-193
Case-194
Case-195

MOH Kenya / 18 April 2020

Figure 10: Status of contact tracing as today case 175-246
Case-196

0 0 0 0
Case-197

5
Case-198
4

9 20
Case-199

3
2
Case-200
Case-201
Case-202
Case-203

0 0 0 0
Case-204

6
Case-205
Case-206 5
0 13 1

Case-207 1
Case-208
# contacted today (18April)

10

Case-209
Case-210
Case-211
Case-212
Case-213
Case-214
Case-215
Case-216
Case-217
Case-218
Case-219
0 2 0 0 0 0 1 0 0 0 1

Case-220
5

Case-221
Case-222
0 0

Case-223
COVID-19 SITUATION UPDATE: 18 APRIL 2020

3
17

Case-224
Number Not contacted today

Case-225
0 0

Case-226
7

Case-227
0

Case-228
6
0 12 0

Case-229
1
4

Case-230
0

Case-231
4
8 0

Case-232
0
13

Case-233
4
1

Case-234
1

Case-235
9
6
0

Case-236
Case-237
Case-238
Case-239
Case-240
0 0 0 0 0

Case-241
12

Case-242
1

Case-243
0

Case-244
3

Case-245
0

Case-246
 DATA AS REPORTED BY 1700 HOURS 18 APRIL 2020

MINISTRY OF HEALTH

2.0 KEY ACTIONS

2.1 Coordination
➢ The National Emergency Response Committee involving other sectors outside of health e.g. security,
transport, education, finance, trade and chaired by the Cabinet Secretary for Health and the MOH
incident management team continues to meets regularly.
➢ The daily Incident Management Team (IMT) at the PHEOC conducted two separate meetings today,
with WHO and Centres for Disease Control and Prevention (CDC). The meetings were done virtually as
a means of ensuring social distancing during meetings
➢ The Kenya Humanitarian partners (KHPT) is activating the eight operational hubs across the country to
support national and county governement in coordination of the non-state actors icluding IRC, KRCS,
ACF, MSF CH, Save the Children and the key UN Agencies

2.2 Case Management and Infection Prevention & Control

➢ Hospitals currently providing case management in isolation units for the confirmed COVID-19 cases
are :
• In Nairobi: Kenyatta National Hospital, Mbagathi County Hospital, Nairobi Hospital, Aga
Khan University Hospital, MP Shah Hospital, Avenue Hospital and Kenyatta University
Teaching Referral and Research Hospital.
• In Mombasa: Mombasa County Referral Hospital, Aga Khan Hospital and Premier Hospital.
• In Nakuru : Nakuru County Referral Hospital
• In Mandera : Mandera County Referral Hospital
• In Siaya County : Bondo County Referral Hospital
➢ Training of health care workers on case management is ongoing in the 47 counties
➢ Capacity building for 94 county officers on Rapid Réponse and Contact tracing for COVID-19 is
continuing in 10 locations across the country. The first cluster of training was concluded today and the
second cluster of the training is starting tomorrow

2.3 Risk Communication

A. Daily press briefing on COVID-19 outbreak by the cabinet Secretary for Heath continues

B. Community Engagement
➢ Active message dissemination is ongoing at community level by different partners. Different
channels being used e.g social media and other traditional methods.
➢ 53,342 Community Health Volunteers reached out of a target of 63,350 CHVs.
➢ 9.9 million people reached by Community Health Volunteers against a target of 31.5 million.
➢ 1,840,328 households reached by Community Health Volunteers (CHV).
➢ Some Community Health Volunteers are shying away due to not having PPEs.
➢ All data can be accessed through the MOH online platform.
➢ There is need for partners to go beyond reporting on message dissemination and report on behavior
change as a result of the messages.

3.0 CHALLENGES

3.1 Coordination
➢ Suboptimal coordination between National Task Force and County Governments.

MOH Kenya / 18 April 2020 10

 COVID-19 SITUATION UPDATE: 18 APRIL 2020

MINISTRY OF HEALTH

3.2 Case Management and Infection Prevention & Control

➢ Inadequate number of trained and skilled health care workers on case management, IPC and response
in the event of large-scale outbreak.
➢ Lack of adequate essential supplies (personal protective equipment) and life saving basic equipment in
the event of a large-scale outbreak.

3.3 Surveillance and Laboratory

➢ Suboptimal contact tracing observed at county level.
➢ Inadequate number of trained and skilled health care workers contact tracing and rapid response in
the event of large-scale outbreak.

4.0 NEXT STEPS

➢ Training of county teams on Rapid Response and contact tracing, sponsored by WHO, continuing in ten
locations across the country targeting 94 county surveillance officers.
➢ Plans to sensitize the counties and Sub-Counties on the Web based system is under discussion with
the national contact tracing team having been orientated today
➢ Risk Communication
➢ Strengthening the Health promotion pillar both at National and County level to extend reach and
provide consistent messages through community and vernacular radio stations
➢ Strengthen coordination structures and implementation of a more comprehensive package that goes
beyond messaging to behaviour change.
➢ Strengthen M&E component of the messages and behavioural changes

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: manager.eockenya@gmail.com

MOH Kenya / 18 April 2020 11