A REPORT BY HIS WORSHIP SOLOMON MGUNI
The MAYOR OF BULAWAYO
ON COVID -19
IN THE CITY OF BULAWAYO
i. Situational Report on COVID-19
|Bulawayo City Council Mayors Report 8|
|Outbreak Name||COVID-19||Area on Alert||City of Bulawayo|
|Date / Time of report||28 May 2020 / 10:30hrs||Response start date||25 January 2020|
|Prepared by||City of Bulawayo||PHEIC Declared 31st January 2020|
|National Disaster Declared 17th March 2020||Pandemic Declared 11th March 2020|
SITUATION UPDATE / HIGHLIGHTS
CASE UPDATE / HIGHLIGHTS
|Case #||Diagnosed||Travel||Detail||Possible Contact||Status||Contacts||Cleared|
|11||07 April 2020||Nil||M/79||Zim Case 33||Deceased||67||67|
|14||11 April 2020||Nil||M/53||Zim Case 33||Asymptomatic||24||24|
|15||13 April 2020||Nil||F/34||Not yet Known||Recovered||99||99|
|16||13 April 2020||Nil||F/52||Zim case 11||Asymptomatic||26||23|
|17||13 April 2020||Nil||F/79||Zim case 11||Recovered||107||107|
|19||15 April 2020||Nil||F/4||Zim case 16||Recovered||2||2|
|20||15 April 2020||Nil||F/10||Zim case 16||Recovered||0||0|
|21||15 April 2020||Nil||F/34||Zim case 16||Recovered||2||2|
|22||15 April 2020||Nil||F/16||Zim case 16||Recovered||1||1|
|23||15 April 2020||Nil||F/52||Zim case 15||Recovered||37||37|
|33||28 April 2020||UK||M/70||United Kingdom||Recovered||39||36|
|34||28 April 2020||Nil||M/27||Zim case 33||Recovered||264||206|
|()||27/05/2020||Details to follow|
|()||27/05/2020||Details to follow|
|()||27/05/2020||Details to follow|
The Ministry of Health and Child Care on Wednesday, 27th May 2020 reported 3 new COVID-19 cases for Bulawayo. The details of the new cases were yet to be shared. .
For the first 12 cases, a total of 668 contacts were followed up, of which 610 (91%) have completed the 21 day follow up period. The city depends on the NUST ACTG/NTBRL for RT-PCR tests. The Gene Xpert platform is being capacitated. At least 1 234 specimens have been sent to the laboratory for RT-PCR testing and 1 166 (95%) processed and only 68 results were pending. .
The Lancet laboratory which now collects specimens and sends to their Harare counterpart for RT-PCR testing has not reported any new cases in the city. .
The City had 9 new recoveries that is, they have had at least 2 RT-PCR respiratory specimens testing negative. Two cases are asymptomatic and the City is in the process of identifying an isolation facility for these cases.
The city has received a total of 2764 travellers from outside the country of which 2726 (98.6%) have been cleared and 38 are still being followed up. Of the 2 764 travellers 874 (31.6%) were deportees who passed through Bulawayo Polytechnic College (422) and the United College of Education (452). Of new returnees the city is following up 162 cases that will undergo RT-PCR testing. .
BULAWAYO CITY COUNCIL COORDINATION ACTIVITIES
The Bulawayo City Council (BCC) has different thematic teams participating in the Epidemic response: Call Centre; Case Management; Coordination; Risk Communication & Community Engagement (RCCE), Disease Surveillance; Disinfection, Environmental Sanitation, Waste Management & Body Management; Logistics Supply Chain Management; Rapid Response Teams (RRTs); Suspected / Probable Patient location facilitation.
BCC Health Services Department Epidemic Preparedness and Response Teams get daily updates through physical meetings (beginning 28th of January 2020) and complemented by electronic media platforms.
The overall city response was escalated to the level of the Provincial Minister of State.
A call out roster for staff, enhanced by a WhatsApp chat group is in place. The BCC call centre (backed by resources persons) can be contacted for information / services on numbers:
Two numbers are available for direct calls to the rapid response teams (cell phones courtesy of the Bulawayo Entertainment Industry) i.e.
The national lockdown is in effect indefinitely.
Some sectors are now allowed to resume work on condition that their employees have temperature tests upon entering work premises; hand sanitizers upon entry to sanitize their hands; each employee to wear a face mask in appropriate form; and employees to practise social distancing in the work place.
Bulawayo City Council uses Hydrogen Peroxide to disinfect open spaces characterised by high human traffic. Areas with high human traffic that were disinfected in the past include the Central business district where spraying took place from 7 to 10 April 2020, the Railway station which was sprayed on 11 April, 2020 and Residential areas including Nketa 7 shopping centre, Nketa 9 shopping centre, Emganwini (Food 4 Less), Emganwini (Tashas), Sekusile shops, Sekusile Flea market, Bullet Shopping Centre, Nkulumane Complex, Makokoba Shops, Renkini, Entumbane Complex and Entumbane Long Distance Bus terminus, Cowdray Park areas and Luveve (Chigumira/Matsika) shopping centre, Lobengula and Magwegwe.
EPIDEMIOLOGY & SURVEILLANCE
In Indicator Based Surveillance the District Health Information System (DHIS2) shows that there is an increase in the number of Acute Respiratory Illnesses (ARI) cases month on month up to March as well as in 2020 comparing to 2019, particularly the moderate and severe types. The number of cases in April was much lower than any other month, possibly due to the lockdown.
In Event Based Surveillance the Rapid Response Teams (RRTs) active since February 2020 have been following up rumours of possible suspected cases of COVID-19 and presently have followed up more than 355 scares. They have submitted specimens from 1234 people that fit the case definition to laboratories for Real Time Polymerase Chain Reaction (RT-PCR) tests to detect the virus.
Staff members from the National University of Science and Technology (NUST) Applied Genetic Testing Centre (AGTC) working with those at the National Tuberculosis Reference Laboratory (NTBRL) located at Mpilo Central Hospital in Bulawayo started testing using RT-PCR on the 11th April 2020.
By 0800hrs, on 28st May 2020, the city had submitted 1 234 and 1166 have been processed and 68 are pending. Furthermore at least 162 new deportees are being swabbed for PCR.
The screening of all rumours and follow ups of suspected cases received via the call centre was done.
The number of travellers that came into Bulawayo to their homes was 2 764. Of these at least 2 726 (98.6%) travellers had since been followed up teams in Bulawayo. Follow up of the other travellers is in progress. The area with the highest number of travellers under surveillance remained Suburbs. The updated lists of travellers that come into the country during the month of May was from official Ports of Entry (PoE) keeps being received and follow ups are ongoing.
Of the 2 764 travellers 874 (31.6%) were deportees who passed through Bulawayo Polytechnic College (422) and the United College of Education (452).
In Health Surveillance the implementation of protective factors to reduce the general risk of transmission is ongoing.
These include activities such as active case finding, intensified shop inspections, health education on key messages that include self-isolation, social distancing, and hygiene practices; with special emphasis on the importance of staying at home.
Shops in the CBD are still being monitored to encourage social distancing amongst customers, checking if sanitizers or hand washing facilities are available at entry points as well as educate on the risks of contracting Covid-19.
This week the City has reactivated the Rapid Response Team to at least 5 RRTs.
A WHO case definition which includes all age groups is being used.
The city has 15 confirmed cases of Covid-19 by 28th May 2020.
Three cases are new and details will follow.
Of the 12 previous cases, 11 were due to active local transmission and nine of the cases have now recovered, i.e. they have had at least 2 RT-PCR respiratory specimens testing negative.
The city has 5 active cases at present.
Other than the index case, diagnosed posthumously the other fourteen diagnosed (active and former cases) are stable without symptoms.
It remains emphasised that these low figures should not lull health care workers and the community into complacency because a surge in the number of cases remains possible.
The citywide clinics were trained to triage patients, elicit epidemiological and clinical history as well as expedite movements into and out of the clinic.
Training of trainers on infection prevention was recently conducted by the Ministry of Health and Child Care (MoHCC) and supported by Africa Centre for Disease Control (CDC), with expertise of the Africa Field Epidemiology Network (AFENET).
This will be cascaded.RENOVATIONS AT THORNGROVE HOSPITAL
Thorngrove Hospital is still undergoing renovations and these include the ambulance wash bay, a disinfection septic tank, a wheel bath at the main entrance gate, extension of the drug store, all internal service roads within the facility have been resurfaced with tar, a new entrance and gate created, a walkway leading to staff rest rooms. The children’s isolation ward has been refurbished as follows: external walls painting, roof painting, repairs of broken window panes, and removal of gutters, yet to be replaced.
Two boreholes have been drilled at the Hospital with one borehole fitted to a Jojo Tank.
The City is still working at the Sites and some of the outstanding works include the electrifications to light internal roads and walkways, extension of the laundry among other aspects.
Works are ongoing at the hospital and will be concluded soon.
The City has received information that going forward, Elangeni training institution isolation centre has been deactivated to cater only for positive but not ill cases
RISK COMMUNICATION AND COMMUNITY ENGAGEMENT
The Risk Communication and Community Engagement team is still following the master schedule.
The RCCE team continued giving context specific information related to Covid-19 as well as to respond to any queries.
In response to the pandemic, the city has engaged communities, local partners and various stakeholders to protect individuals and families from Covid-19.
Various strategies have been used to disseminate information to the community.
COVID-19 Campaign during Lockdown:
The City embarked on a COVID-19 campaign covering all the three (3) administrative districts in the city.
A hailer and PA system are used to disseminate information with assistance from ambulance services.
These activities were conducted by City Health Department, Ambulance Services, National AIDS Council (NAC), Population Services Zimbabwe (PSZ), Ministry of Gender and Women’s Affairs and Nehemiah project.
Areas Covered by RCCE teams were as follows.
The focus to date has been on the following hot spots
CBD, (CBD Warnborough Mansions),Robert Sinyoka, St Peters, Mazwi, Hyde Park, Cowdray Park, Luveve, Pumula East, Pumula South, Pumula North, Pumula Old, Lobengula, Northend, Magwegwe North, Magwegwe West, Old Magwegwe, Nketa 7, Nketa 9, Nkulumane Sekusile, Nkulumane Complex, Makokoba, Mzilikazi, Barbourfields, Nguboyenja, Mahatshula North and Mahatshula South.
Old People’s home and Children’s home reached.
Thembiso Children’s Home and Percy Ibboston Home,
Food distribution Points
Lobengula Brethren in Christ Church
Sexual Rights Centre; areas Mzilikazi, Nguboyenja, Makokoba, Barbourfields, Pumula Old, Pumula South, Pumula East, Pumula North, Magwegwe Old and New Magwegwe, Mabutweni and Mpopoma.
Comments and Way Forward
Various messages on COVID-19 continue to be shared on social media.
Pre-recorded messages continue to be flighted on; Skyz Metro, Star FM and Khulumani FM (Sponsored by; City of Bulawayo, PSZ and Plan International).
Print IEC material distributed
Posters and Flyers distributed.
Health Education Sessions in Health Facilities
Health Education sessions on Covid-19 continue to be conducted on daily basis in all health facilities.
CHALLENGES / RESOURCE GAPS IN RESPONDING
1) Limited ability to continue testing, with delay in receiving results
2) Inadequate human resources should the cases increase in numbers and for testing.
3) Need for more oxygen canisters, flow metres, delivers tubes and masks/nasal prongs.
4) Elangeni isolation/ quarantine being deactivated for positive but not ill cases.
RECOMMENDATIONS & PRIORITY FOLLOW UP ACTIONS
1) Capacitate more laboratories to test for COVID-19 using PCR, or GeneXpert
2) Expedite secondment of 15 nurses and laboratory staff to BCC
3) Expediting infrastructure renovations for piped oxygen etc
4) `Urgent identification of a new isolation centre for asymptomatic cases
LOGISTICS AND SUPPLY CHAIN MANAGEMENT
|GOODS RECEIVED||QUANTITY||DATE RECEIVED||DONOR||Reporting Week|
|1. Rice||3 x10kg||28/03/2020||Qoki Zindlovukazi(UK based Zimbabweans)||Week Ending 3 April 2020|
|2. Cooking oil||6 x 5lt||"||"|
|3. Mazoe juice||3 x 2lt||"||"|
|4. Brown sugar||15 x 2kg||"||"|
|5. Red Seal flour||3 x 10kg||"||"|
|6. Food for less White Rice||2 x 2kg||"||"|
|7. Winna Rice parboiled||2 x 5kg||"||"|
|8. Gold rice parboiled rice||1 x 1kg||"||"|
|9. Fiesta parboiled rice||1 x 10kg||"||"|
|10. Fiesta parboiled rice||1 x 5 kg||"||"|
|11. Mealie-meal||3 x 10 kg||"||"|
|12. FFP2 Face Masks||50 each||27/03/2020||PSI Zimbabwe||Week Ending 3 April 2020|
|13. Liquid soap||80 x 5lt||"||"|
|14. Sanitizer||11 x 100ml||27/03/2020||OPHID Trust||Week Ending 3 April 2020|
|15. Sanitizer||1 x 5lt||"||"|
|16. Surgical/Face masks||19 boxes||"||"|
|17. Latex gloves||36 boxes||"||"|
|18. Bed Sheets||300 each||31/03/2020||Rainbow Hotel Bulawayo||Week Ending 3 April 2020|
|19. Pillow slips||300 each||"||"|
|20. Bath Towels||300 each|
|21. Mealie meal||8 x 10kg||30/03/2020||Thuthuka Bulawayo Trust||Week Ending 3 April 2020|
|22. Rice||5 x 2kg|
|23. Instant porridge||10 x 1kg|
|24. Royco usavi soup||4 x 75g|
|25. Matemba||2 x 500g|
|26. Iris biscuits||10 x 1kg||31/03/2020|
|27. Instant porridge||3 x 1kg|
|28. Face Masks||Bulawayo Babies||Week Ending 3 April 2020|
|29. Solar Back Up Power System||15/04/2020||Chloride Zimbabwe||Week Ending 3 April 2020|
|30. Surgical Gloves||30 pair||02/04/2020||MoHCC (Byo Natpharm)||Week Ending 10 April 2020|
|31. Face masks||30 each||"||"|
|32. Gown(Aspace)||25 each||"||"|
|33. Medical Goggles||20 each||"||"|
|34. Shoe Covers||25 pairs||"||"|
|35. Thermometers||9 each||"||"|
|36. Hydrogen Peroxide||30 x 35kg||03/04/2020||Fossil Agro||Week Ending 10 April 2020|
|37. Mazoe Syrups||18 x 2lt||01/04/2020||NAC Nkulumane||Week Ending 17 April 2020|
|38. Mineral water||48 x 500ml||"||"|
|39. NAC COVID-19 Posters||500||09/04/2020||NAC Bulawayo Province||Week Ending 17 April 2020|
|40. Disinfectant liquid||19||09/04/2020||"|
|41. Latex gloves||400||09/04/2020||"|
|42. Face Masks||5 x pack of 180||09/04/2020||Masks against Corona Virus (email@example.com) Well-wisher through Cllr Mabutho||Week Ending 17 April 2020|
|43. Bottled water||9 cases of 24 x500ml||10/04/2020||Nehemiah Project||Week Ending 17 April 2020|
|44. Sticky stuff||1 packet||"||"|
|45. Pepsi fizzy drink||1 case of 24 x 500ml||"||"|
|46. Mirinda Fizzy drink||2 cases of 24 x 500ml||"||"|
|47. Arenel biscuits||3 cases of 12||"||"|
|48. Sanitizers (Gel)||50 x 100ml||11/04/2020||WHO||Week Ending 17 April 2020|
|49. Infrared Thermometres||5||"||"|
|50. Surgical Masks||2/pack of 50||"||"|
|51. Tablets for data collection||5||"||"|
|52. Diesel fuel coupons||500lt||"||"|
|54. 200 sets of protective personal equipment||(400 Overalls, 400 Aprons, 2000 gloves, 2000 Dust masks , 2000 shoes covers)||Donated 9 /04/2020 Handed over 23/4/2020||Old Mutual and CABS||Week Ending 17 April 2020|
|55. Fully Equipped Borehole at Thorngrove||14/04/2020||Bravo Borehole Drillers||Week Ending 17 April 2020|
|56. Health Workers Gowns||40||12/4/2020||Bulawayo Entertainment Industry Association||Week Ending 17 April 2020|
|57. Groceries||ZWL$25,000||21/4/2020||Amavevane Social Football Club||Week Ending 24 April 2020|
|58. Personal Protective Equipment (Sanitisers, Surgical Masks & Gloves)||21/4/2020||Nedbank through Iam4Byo fighting against COVID-19||Week Ending 24 April 2020|
|59. Gas Stove, 15 kg Gas cylinder, Supply of LP Gas during the COVID19 pandemic||21/4/2020||Value Gas||Week Ending 24 April 2020|
|60. Sanitisers, Hydrogen Peroxide & Masks, Digital Advertising Space at Bradfield shopping centre||21/4/2020||Solatek Motor spares & Digitech Advertising||Week Ending 24 April 2020|
|61. Sanitisers||50 x 20 litres||21 April 2020||Green Fuel||Week Ending 24 April 2020|
|62. Hydrogen Peroxide||23 April 2020||Tierra Marketing||Week Ending 24 April 2020|
|63. Hand Sanitisers||280||24 April 2020||Danish Church||Week Ending 24 April 2020|
|64. Face Masks||1000|
|65. Hand Gloves||1000|
|66. Infrared thermometers||4|
|67. Handwashing Liquid Soap||18|
|68. Handwashing water buckets||5|
|69. Plastic Aprons||2000|
|70. Stand-alone Banners Executive||3|
|71. Banners Standard Roll Up||1|
|72. Vehicle Registration Stickers||25|
|73||Cellphones x 2 N95 Face Masks x 20 Cotton Face Masks x 200 Gloves x 600 Soap Dispensers 5 x 750ml||27 April 2020||Bulawayo Entertainment Industry||Week ending 1 May 2020|
|74||Cotton Face Masks x 50 Magic Markers x 3||27 April 2020||TICOZ|
|75. Personal Protective Equipment||2.N95 masks x 400 2.Space suits x 30 3.Plastic aprons x 5 rolls 4.Googles x 20 5.Shygmometer x 5 6. Gloves x 10 boxes (500) 7. Bin liners x 10 rolls 8. Surgical Masks x 400||28 April 2020||Ezra Sibanda Initiative||Week ending 1 May 2020|
|76. PPE Bread||50 x 5 litres Sanitisers 84 x 2litres dishwasher 50 loaves of Bread||28 April 2020||Chicken Inn Football Club||Week ending 1 May 2020|
|77. Risk Communication Material||28 April 2020||Danish Church Aid||Week ending 1 May 2020|
|78. Clothes||2 suitcases for Ekuphumuleni Old People’s home||28 April 2020||Adelaide Shearly||Week ending 1 May 2020|
|79||Mineral Water 120 x 500ml 6 x 2 litres Mazoe||28 April||Sexual Rights Centre||Week ending 1 May 2020|
|80. Electrical Equipment||19 mm Conduit Pipe 25mm Nipples 19mm Couplings 19mm Nipples 3 x 3 Flash Boxes 13 amp double sockets 4ft Led tubes||29 April 2020||PDC Bulawayo Metro Province through Panashe Electricals||Week ending 1 May 2020|
|81. PPE||1440 Face Masks 1000 Gloves 250ml x 20.5 litres||30 April 2020||Bulawayo Members of Parliament and Councillors||Week ending 1 May 2020|
|82||Face Masks x 1450 Latex Gloves x 1000 Hand Sanitiser 20 x 5 litres||30 April 2020||Senator G Shoko (Medlive Marketing)||Week ending 1 May 2020|
|83. Handwashing Equipment and Sanitiser Units||Four (4) Handwashing Equipment (1 –Thorngrove, 1 Luveve Clinic & 2 Ekusileni Hospital) Two (2) Sanitiser units||30 April 2020||Mr Chauke||Week ending 1 May 2020|
|84. Electric Pot||150 litres Electric Jacketed Pot||4 May 2020||Donald M Sibindi (0772 336 728)||Week ending 8 May 2020|
|85||10 kgs Blue Ram Mealie Meal 2 kg Mega Value Long grain rice 2 litres pure drop cooking oil 2 kgs Selati Golden Brown sugar 1 g Mega Premium iodised salt 2 kg Gloria Self raising flour 500 grams green laundry bar soap 5 litres Sunklin Handsanitiser Box of 100 Qube Latex powdered gloves 100 cloth face masks 20 litre Petrotrade Diesel coupon||4 May 2020||PMD Bulawayo Dr W Mlilo||Week ending 8 May 2020|
|86. Personal Protective Equipment||Gloves Slightly powdered MED 10 X100s x 5 boxes Face Masks x 50 pieces x 20||6 May 2020||Qoki Zindlovukazi (UK Based Zimbabweans)||Week ending 8 May 2020|
|87||Food Parcels for COVID -19 Patients||13 May 2020||Zimbabwe Christian Alliance||Week ending 15 May 2020|
|88||201 Cloth Face Masks||11 May 2020||Mopane Foundation|
|89||Food Parcels to the Bulawayo City Football Club||13 May 2020||Johane Masowe Chishanu|
|90||Smile for Africa|
|91||80 Bars of Laundry Soap||Tuesday, 19 May 2020||CBC Old Boys Association||Week Ending 22 May 2020|
|92||25 litres NUSTISER 3 boxes latex Gloves (3000) 260 Surgical masks||Tuesday, 19 May 2020||Bring Back Bulawayo||Week Ending 22 May 2020|
|93. Personal Protective Equipment||6 x 100 latex gloves 66 goggles. 65 overalls 66 Aprons 65 rubber gloves (PVC) 65 Surgical masks 65 N95 Masks 5 x pack of 100 latex gloves.||22 May 2020||Econet Group in partnership with Cassava Smarttech, Higher Life Foundation||Week Ending 22 May 2020|
|94. Personal Protective Equipment||2 buckets and Mop Kits Sinklin Bleach x 34 Sinklin Handwash x 12 Sinklin Dishwasher x 10 50 Bars of Green Bar Elangeni Soap||22 May 2020||ZAPU||Week Ending 22 May 2020|
|95. Water Tanks||2 x 200 litre Tanks||22 May 2020||Youth Alliance for Safer Cities||Week Ending 22 May 2020|
|96. Hospital Beds||20||28 May 2020||Ezra Sibanda & Friends Initiative||Week Ending 29 May 2020|
COUNCILLOR SOLOMON MGUNI