Dr Barry Kistnasamy · HIV testing increased by 258% during Jan-Jun 2020 vs Jan-Jun 2019. ......
Transcript of 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
Slide 3WHO: 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
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Figure 2. 7-day moving average number of new cases by province and date of reporting, 12 April to
date, South Africa
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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
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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
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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%
gp Gauteng Province 86028 84818 -1%
nc Northern Cape Province 8804 8596 -2%
kz KwaZulu-Natal Province 91141 88647 -3%
ec Eastern Cape Province 53293 50538 -5%
mp Mpumalanga Province 36225 34299 -5%
nw North West Province 28546 23822 -17%
wc Western Cape Province 28440 23563 -17%
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.
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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
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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%
lp Limpopo Province 20314700 19799050 -3%
nw North West Province 25704658 21968247 -15%
gp Gauteng Province 26241967 16028183 -39%
fs Free State Province 11422600 6961900 -39%
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%).
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TB Services: TB Screening: Jan to June 2019 vs Jan to June 2020
128562
992657 954753
416784 508128 453730
19107101489647
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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
nc Northern Cape Province 128562 120046 -7%
ec Eastern Cape Province 992657 912348 -8%
lp Limpopo Province 954753 854464 -11%
fs Free State Province 416784 355845 -15%
wc Western Cape Province 508128 427958 -16%
nw North West Province 453730 380810 -16%
kz KwaZulu-Natal Province 1910710 1603303 -16%
gp Gauteng Province 1489647 1244331 -16%
mp Mpumalanga Province 735663 610115 -17%
National 7590634 6509220 -14%
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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
lp Limpopo Province 3812907 3613270 -5%
ec Eastern Cape Province 5330098 4928065 -8%
gp Gauteng Province 6875064 6296508 -8%
kz KwaZulu-Natal Province 9021836 8161447 -10%
nc Northern Cape Province 680714 614115 -10%
wc Western Cape Province 1782518 1591753 -11%
mp Mpumalanga Province 2890738 2568078 -11%
nw North West Province 2254013 1973651 -12%
fs Free State Province 1983006 1640237 -17%
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
Slide 17
Take Home…