Corona Virus Disease (COVID-19) Situational ReportCorona Virus Disease (COVID-19) Situational Report Report No.115 Date of Issue 23rd July, 2020, 3pm HIGHLIGHTS As of 23rd July 2020,

COVID-19 SITREP Sierra Leone

Sierra Leone Ministry of Health and Sanitation

New Confirmed 21

Recoveries 4

Deaths 0

Cumulative Confirmed 1752

Recoveries 1292

Deaths 66

Case Fatality Rate (%) 3.8%

Corona Virus Disease (COVID-19) Situational Report Report No.115 Date of Issue 23rd July, 2020, 3pm

HIGHLIGHTS

As of 23rd July 2020, there were 1,752 confirmed COVID-19 cases,

66 deaths and 1292 recoveries in Sierra Leone

Twenty one COVID-19 cases and four recoveries and zero deaths

were reported in the last 24 hours

National attack rate is 23.3/100,000

Two hundred and ninety nine COVID 19 tests were conducted in

four laboratories in the last 24 hours. Positivity rate was 7.0 %.

Total COVID-19 tests conducted to date are 15,828 (2.1/1000

population)

Overall Case Fatality Rate (CFR) is 3.8% but increases with age

76.3% of cases have recovered

164 (9.4%) COVID-19 cases are among health workers

Nationwide trainings on Incident management system, and COVID-

19 Surveillance are ongoing

COVID-19 SITREP Sierra Leone

Sierra Leone Ministry of Health and Sanitation

Figure 2: Daily COVIID-19 Cases and 7-Day Moving Average, Sierra

Leone as of 23rd July 2010

This is the seventeenth week of the COVID-19 outbreak in Sierra Leone

There is an increased proportion of cases reported in Rural Districts Cases Reported Over the last 7 days

74 COVID-19 cases have been reported over the last seven days

The 21 cases reported today are from Tonkolili (8), Moyamba (3), Western Area Urban (2), Bonthe (2), Karene (2), Pujehun (2), Bombali (1) and Kenema (1).

Thirteen of the new cases reported today are contacts of confirmed cases

Figure 1: Daily COVID-19 Cases in Sierra Leone as of 23rd July 2020; Western Area includes Urban and Rural; Rural Districts

includes all other 14 Districts

Figure 3: Weekly COVID-19 Cases Reported in Sierra Leone

6 4

25

57 64

141

198216

140

108

200

158

100115

9376

0

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Wee

k 1

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6

No

. of

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es

Outbreak Week

0

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24/3

/20

1/4/

20

9/4/

20

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/20

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/20

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/20

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/20

27/5

/20

4/6/

20

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/20

20/6

/20

28/6

/20

6/7/

20

14/7

/20

22/7

/20

No

of

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es

Report Date

Daily Cases 7 per. Mov. Avg. (Daily Cases)

0

20

40

60

80

100

120

No

of

Cas

es

Report Date

Comparing COVID-19 Cases- Western Area Vs Rural Districts

Western Area Rural Districts

COVID-19 SITREP Sierra Leone

Sierra Leone Ministry of Health and Sanitation

Figure 4: Age Distribution and Age Specific CFR

Figure 5: Age-Sex Distribution of COVID-19 Cases

Median Age all Cases= 33

years (range <1-98 years)

Males= 929 (53%)

Cases < 45 years=1,299

(74.4%)

60.5% of cases >35 years

are male

Overall CFR=3.8%

CFR among males=4.8%

CFR among Females=2.6%

CFR among cases >60

years=22.4%

15,828 Total COVID-19 Tests

2.11 Tests/1000

population

0.0% 0.0%1.2% 0.9%

1.6%

6.7%

22.4%

0

0

0

0

0

0

0

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500

<5 5-14 15-24 25-34 35-44 45-60 >60

Cas

e Fa

talit

y R

ate

(%)

No

.of

Cas

es

Age Group

COVID-19 Cases- Age Distribution and Mortality

No of Cases Case Fatality Rate

2859

123

219 225

189

86

35 68 136 251 155 111 610

50

100

150

200

250

300

<5 5-14 15-24 25-34 35-44 45-60 >60

Male Female

466 624 401 758 1188 1086 1214 990 1329 1261 1246 1623 1192 1007

5.4%

9.1%

16.0%

18.6%16.7%

19.9%

11.5% 10.9%

15.0%

12.5%

8.0% 7.1% 7.1% 7.5%

0%

5%

10%

15%

20%

25%

0

200

400

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1200

1400

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Week3

Week4

Week5

Week6

Week7

Week8

Week9

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Week12

Week13

Week14

Week15

Week16

COVID-19 Tests and Positivity Rate per Week, Sierra Leone

No of COVID-19 Tests Positivity

COVID-19 SITREP Sierra Leone

Sierra Leone Ministry of Health and Sanitation

Technical Areas Variable No

Contact Tracing Cumulative No. of Contacts Listed 9872

Total No. of contacts currently under monitoring 915

Total No. of contacts reached in the last 24 hours 895 (%)

Quarantine Total No. Currently under quarantine 644

Self-Quarantine 600 (93.1%)

Institutional Quarantine 44 (6.8%)

Laboratory Testing Laboratory tests done in last 24 hours 299

No of positive tests in last 24 hours (% ) 21 (7.0%)

Cumulative number of tests 15,828

Event Based Surveillance

(last 24 hrs.)

Total Alerts Received through 117 System 98

No. of COVID related alerts 18

No. of COVID related alerts investigated 18 (100 %)

Figure 7: Geographic of COVID 19 cases in Sierra Leone as of 23/07/ 2020

• 11 out of 16 districts have reported COVID-19 cases over the last 7 days

• Districts with highest attack rate are Western Area Urban, Western Area Rural, Bo, Bonthe and

Kenema

• National attack rate is 22.9/100,000 and the attack rate in Western Area Urban is three times higher

than the national average

• 98% of contacts currently under follow up were reached by contact tracers

• 93.1% of persons under quarantine are under self-quarantine

• Cumulative number of COVID-19 tests conducted is 15,828 (2.1 tests/1000 population)

• Average positivity rate of samples tested for COVID-19 is 11.1%