dr barry kistnasamy · hiv testing increased by 258% during jan-jun 2020 vs jan-jun 2019. ......

Covid-19 – Workplace Surveillance

Slide 1

Dr Barry Kistnasamy

• New ways of working (teleworking, alternative service delivery, rotation & staggered work hours)

• Occupational health & safety– Legal (OHS Committees)

– Technical

• Infection, prevention & control (IPC) –infectious diseases preparedness

• Shifts in health programmes

The New Normal

Slide 2

WHO: 7 Oct 2020

Covid-19 Data (7 Oct )

35,659,007 confirmed cases of COVID-19, including 1,044,269 deaths

World - Cumulative (30 Dec – 4 Oct)

WHOSlide 4

Europe - Cumulative (30 Dec – 4 Oct)

WHOSlide 5

Africa - Cumulative (30 Dec – 4 Oct)

WHOSlide 6

Figure 2. 7-day moving average number of new cases by province and date of reporting, 12 April to

date, South Africa

0

1000

2000

3000

4000

5000

60001

2-A

pr

19-

Apr

26-

Apr

3-M

ay

10-

Ma

y

17-

Ma

y

24-

Ma

y

31-

Ma

y

7-Ju

n

14-

Jun

21-

Jun

28-

Jun

5-Ju

l

12-

Jul

19-

Jul

26-

Jul

2-A

ug

9-A

ug

16

-Au

g

23

-Au

g

30

-Au

g

6-Se

p

13-

Sep

20-

Sep

27-

Sep

4-O

ct

7-d

ay m

ovi

ng

ave

rage

no

. of

new

dai

ly c

ase

s

Date reported (2020)

Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo

Mpumalanga North West Northern Cape Western Cape Unknown

Figure 5. Cumulative cases by Province

Figure 8. Cumulative cases by Age and Sex

11

EPI Services: Fully Immunized <1 and Measles 2nd dose: Jan to June 2019 vs Jan to June 2020

4613180

3224586128676866

163101218960987

34093607

6793809

47949881

17035878

5060441313639032668455314817804 8005565

290783585657305

3496743112129610

0

20000000

40000000

60000000

Jan- Jun 2019

Fully Immunized Under

1

Jan- Jun

2019

Jan- Jun

2020

%

Changenc Northern Cape Province 4613180 5060441 10%

lp Limpopo Province 32245861 31363903 -3%

kz KwaZulu-Natal Province 28676866 26684553 -7%

ec Eastern Cape Province 16310121 14817804 -9%

mp Mpumalanga Province 8960987 8005565 -11%

nw North West Province 34093607 29078358 -15%

wc Western Cape Province 6793809 5657305 -17%

gp Gauteng Province 47949881 34967431 -27%

fs Free State Province 17035878 12129610 -29%

National 196680190 167764970 -15%

36230

17694

86028

8804

91141

5329336225

28546 28440

38067 17986

84818

8596

88647

5053834299 23822 23563

020000400006000080000

100000

Jan- Jun 2019

Measles 2nd Dose

Jan- Jun

2019 Jan-Jun 2020 % Changelp Limpopo Province 36230 38067 5%

fs Free State Province 17694 17986 2%


nc Northern Cape Province 8804 8596 -2%






National 386401 370336 -4%

Fully immunized <1 decreased by 15% in Jan- Jun 2020 vs Jan- Jun 2019. The Free State and Gauteng provinces had the greatest decline.

During Jan- Jun 2020, Measles 2nd dose reduced by 4% vs Jan- Jun 2019 . The greatest declinene was in the North West and Western Cape provinces.

12

HIV Services: HIV Test and Condom distribution: Jan to June 2019 vs Jan to June 2020

7359428079 60803

198225

37980 54087

949239139 22382

321867

106585 96054

652262

131135

237055

31500

216193

83881

0100000200000300000400000500000600000700000

Jan- Jun 2019

HIV Test total

Jan- Jun

2019 Jan- Jun 2020 % Change

ec Eastern Cape Province 73594 321867 337%

fs Free State Province 28079 106585 280%

gp Gauteng Province 60803 96054 58%

kz KwaZulu-Natal Province 198225 652262 229%

lp Limpopo Province 37980 131135 245%

mp Mpumalanga Province 54087 237055 338%

nc Northern Cape Province 9492 31500 232%

nw North West Province 39139 216193 452%

wc Western Cape Province 22382 83881 275%

National 523781 1876532 258%

1757200 0 0 0 0

20314700

2570465826241967

11422600

2457146 0 0 0 0

197990502196824716028183

69619000

50000001000000015000000200000002500000030000000

Jan- Jun 2019

Condom Distribution

Jan- Jun

2019

Jan- Jun

2020

%

Change

nc Northern Cape Province 1757200 2457146 40%

ec Eastern Cape Province 0 0 0%

kz KwaZulu-Natal Province 0 0 0%

mp Mpumalanga Province 0 0 0%

wc Western Cape Province 0 0 0%





National 85441125 67214526 -21%

HIV testing increased by 258% during Jan-Jun 2020 vs Jan-Jun 2019.

Condom distribution declined by 21% in Jan- Jun 2020 vs Jan- Jun 2019. The Gauteng and Free State Provinces had the greatest declines (39%).

13

TB Services: TB Screening: Jan to June 2019 vs Jan to June 2020

128562

992657 954753

416784 508128 453730

19107101489647

735663

120046912348 854464

355845 427958 380810

16033031244331

6101150

500000

1000000

1500000

2000000

2500000

Jan- Jun 2019

Screen for TB <5

Jan- Jun

2019 Jan- Jun 2020 % Change










National 7590634 6509220 -14%

3812907

5330098

6875064

9021836

6807141782518

28907382254013 1983006

36132704928065

62965088161447

614115 1591753 2568078 197365116402370

2000000

4000000

6000000

8000000

10000000

Jan- Jun 2019

Screen for TB >5 Jan- Jun 2019 Jan- Jun 2020 % Change










National 34630894 31387124 -9%

TB Screening <5 declined across all provinces by an overall percentage of 14% during Jan-Jun 2020 vs Jan- Jun 2019.

The decline in TB Screening >5 was lower than TB screening <5 for the same time period.

Eco-system

• worker at home / community

• worker commuting

• worker at work

• worker as a consumer

Slide 14

Workplace Assessment & Rules

• Risk assessment

• Environmental controls / mitigation

• Demarcation (red, yellow and green zones)

• 5 groups (employees, visitors, contractors, suppliers, patients)

• Symptom screen / thermal screen

• Physical distancing, hand hygiene, cough etiquette

• No entry into certain areas (except special circumstances)

• Personal protective equipment

• Vulnerable persons (age, co-morbidities)

Slide 15

No magic bullet…

• Engineering controls

• Administrative controls

• Personal (behaviour change)

Slide 16

Take Home…

dr barry kistnasamy · hiv testing increased by 258% during jan-jun 2020 vs jan-jun 2019. ......

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