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10.11604/pamj.2020.37.384.27486

http://scihub22266oqcxt.onion/10.11604/pamj.2020.37.384.27486
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33796197!7992418!33796197
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suck abstract from ncbi


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pmid33796197      Pan+Afr+Med+J 2020 ; 37 (ä): 384
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  • The first sixty days of COVID-19 in a humanitarian response setting: a descriptive epidemiological analysis of the outbreak in South Sudan #MMPMID33796197
  • Waya JLL; Lako R; Bunga S; Chun H; Mize V; Ambani B; Wamala JF; Guyo AG; Gray JH; Gai M; Maleghemi S; Kol M; Rumunu J; Tukuru M; Olu OO
  • Pan Afr Med J 2020[]; 37 (ä): 384 PMID33796197show ga
  • INTRODUCTION: the coronavirus disease 2019 (COVID-19) was declared a pandemic on March 11, 2020. South Sudan, a low-income and humanitarian response setting, reported its first case of COVID-19 on April 5, 2020. We describe the socio-demographic and epidemiologic characteristics of COVID-19 cases in this setting. METHODS: we conducted a cross-sectional descriptive analysis of data for 1,330 confirmed COVID-19 cases from the first 60 days of the outbreak. RESULTS: among the 1,330 confirmed cases, the mean age was 37.1 years, 77% were male, 17% were symptomatic with 95% categorized as mild, and the case fatality rate was 1.1%. Only 24.7% of cases were detected through alerts and sentinel site surveillance, with 95% of the cases reported from the capital, Juba. Epidemic doubling time averaged 9.8 days (95% confidence interval [CI] 7.7 - 13.4), with an attack rate of 11.5 per 100,000 population. Test positivity rate was 18.2%, with test rate per 100,000 population of 53 and mean test turn-around time of 9 days. The case to contact ratio was 1: 2.2. CONCLUSION: this 2-month initial period of COVID-19 in South Sudan demonstrated mostly young adults and men affected, with most cases reported as asymptomatic. Systems limitations highlighted included a small proportion of cases detected through surveillance, low testing rates, low contact elicitation, and long collection to test turn-around times limiting the country s ability to effectively respond to the outbreak. A multi-pronged response including greater access to testing, scale-up of surveillance, contact tracing and community engagement, among other interventions are needed to improve the COVID-19 response in this setting.
  • |*COVID-19 Testing[MESH]
  • |*Disease Outbreaks[MESH]
  • |*Relief Work[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Age Distribution[MESH]
  • |Aged[MESH]
  • |COVID-19/diagnosis/*epidemiology[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Contact Tracing[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Infant[MESH]
  • |Infant, Newborn[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Sentinel Surveillance[MESH]
  • |Sex Distribution[MESH]
  • |South Sudan[MESH]


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