Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698833857148.pdf (Saint Kitts and Nevis)
Briefing of Media on COVID-19 30 April 2020 PAHO/WHO Representation Barbados and Eastern Caribbean Countries 1 Key Message 1.

Most of the Caribbean population remains susceptible and epidemics can easily re-ignite.

2.

We are encouraged that some countries are starting to plan how to ease social restrictions.

3.

It is critical that these measures are a phased process.

4.

Lifting so-called lockdown restrictions is not the end of the epidemic in any country.
Countries must ensure they can detect, test, isolate and care for every case, and trace every contact #UniversalHealth Global Situation Globally, the number of total confirmed cases has exceeded 3 million.
Nearly 214, 512 deaths Four countries accounting for more than half of all new confirmed cases: USA, Russian Federation, Turkey and the United Kingdom 4 Epidemic curve of confirmed COVID-19, by date of report and WHO region through 29 April 2020 The Region of the Americas last 24 hours ( 29 April) 33, 101 cases 3043 deaths 1.246,202 cases 79,919 deaths – a 4% relative increase in both total cases and deaths compared to the previous day.
7 Critical actions for response to COVID-19 pandemic in the Americas SAVE LIVES • Reorganize health services & plan workforce surge • Maintain infection prevention & control (IPC) in all health services • Optimize clinical management along a continuum of care • Assure supply chain PROTECT HEALTH CARE WORKERS At work & in community SLOW SPREAD • Detect & isolate cases, trace & quarantine contacts • Engage actively with community on basic IPC practices & following measures • Implement social distancing & travel-related measures Keep up surveillance & reference laboratory | Generate evidence for action Priority Areas of Work 1.
Emergency response mechanisms 2.

Risk communication & public engagement 3.

Case finding, contact tracing and management 4.

Surveillance 5.

Public health measures (hand hygiene, respiratory etiquette and social distancing) 6.

Laboratory testing 7.

Case management 8.

Infection prevention and control 9.


Societal response (business continuity plans and whole-of- society approach) https://www.who.int/docs/default-source/coronaviruse/20200307-cccc-guidance-table-covid-19-final.pdf?sfvrsn=1c8ee193_10 No cases Prepare for cases No cases Sporadic cases Stop transmission and prevent spread.
Sporadic cases Clusters of cases Stop transmission and prevent spread Clusters of cases Slow transmission and reduce impact Community transmission Severity profile of COVID-19 Hypothetical estimate of numbers requiring hospitalization based on current size of outbreak: 5% critical 15% severe Country Patients need mechanical ventilation Patients need oxygen therapy Number of reported cases 40% moderate Pneumonia 40% mild Barbados French G. Grenada Antigua Martinique 79 109 14 24 170 20% (# people requiring oxygen & ventilation) 15 22 3 6 34 Adjusting public health measures • Anticipating that, based on current evidence, the most plausible epidemiological evolution of the pandemic that may be observed in the coming months might involve recurring epidemic waves interspersed with periods of low-level transmission, also including different transmission scenarios simultaneously occurring in non- contiguous areas within the same country.
Adjusting •(i) The epidemiology, and, in particular, the rate of spread of SARS-CoV-2 virus, causing covid cases • This should be maintained at a level at which new cases do not exceed the capacity of health services; adjusting • (ii) The capacity of the health system (public health and health services), • (iii) The risks for the amplification of SARS- CoV-2 virus transmission in high- vulnerability settings Adjusting • (iv) The existence of preventive measures in workplaces; • •(v) On the basis of the epidemiological situation, the saturation of health services at any given point in time, the capacity to minimize the exportation and importation of cases, including through arrangements at points of entry; • •(vi) The level of community engagement in accepting and complying with changing measures in either direction.
Situation in the ECC Epidemiological Situation Update Epidemiological patterns • Zero cases  None • Sporadic cases only  ATG, GRD, LCA, KNA, VCT • Clusters of cases  BRB, DMA • Community transmission  None Overall morbidity and mortality • 184 cases  Incidence rate: 20.05 per 100,000 population • 100 recoveries  Recovery rate: 54.3% • 9 deaths  Case fatality rate: 4.9% COVID-19 Testing in Barbados and EC 10 March 2020 – 25 April 2020 Number of tests done by country Covid-19 virus Test positivity rate 22 PAHO Support to Surveillance and Contact Tracing • Orientation of health care workers on case definitions and data collection tools • Introduction of GO.DATA software for analysis of chain of transmission and contact tracing • Training on mathematical modelling to guide short term forecasting of resources • Short term contracting of surveillance officers to enhance surveillance and contact tracing • Procurement of additional computers to support data management Health Services Organization Health Services Organization - Saving Lives • Supported the development of the COVID-19 Pandemic Preparedness and Response Plans • Provided technical assistance for the design of quarantine and isolation facilities and the organization of health services delivery.
• Capacity building to model COVID-19 case projections and resource needs Protecting Health Care Workers • Enabled the protection of HCWs by: • Conducting training in IPC with the proper use of PPEs and facemask • Providing tools and training for HCWs COVID-19 exposure risk assessment and management.
• Providing PPEs to countries for the protection of HCWs Risk Communication and Community Engagement Online Course / Webinars 30 Risk Communication and Community Engagement • Communications materials produced and distributed to countries: • Posters (8,620), Banners (26), Booklets (5,000) on COVID-19, preventive public health measures, use of masks, parenting and coping with stress • Collaborated with UNICEF in the production of • pamphlets and videos focused on children.
• Social media cards on coping strategies for adults and children s t e l k o o b , s r e t s o p , s r e n n a B Toolkits 32 Risk Communication and Community Engagement • Assistance provided to Health Promotion Units in St Kitts and Nevis, to streamline communication activities, through mission visit • Financial assistance provided to Barbados and St Vincent and the Grenadines for in-country production of videos and posters.
• Production of videos for Health Care Workers on Infection Prevention and Control • Communications consultant hired to assist countries with communication campaigns Briefings/sensitization sessions – Mental Health and Psychosocial Support Sessions conducted: • Psychological First Aid • Management of stress and management flow for Health Care Workers exposed to COVID-19 (Antigua & Barbuda) • Mental Health and Psychosocial support for Health Care Workers Maternal and Child Health Situation Updates 28 Situation updates disseminated to date 36 Logistics Integrated Regional Logistics Mechanism (RLM) 38 Resource Mobilization COVID-19 Resources mobilized to date – Barbados and the Eastern Caribbean Countries Fund Source Canada European Union: Spotlight Initiative (reallocation) PAHO Flexible Funds USAID WHO Flexible Funds WHO Voluntary Contributions - Emergencies Grand Total Fund Source –Pipeline European Union (ATG, BRB, DMA, GRD, KNA, LCA, VCT ) European Union: Grenada Grand Total Available Funding Implemented Balance 50,000 30,000 132,100 460,000 1,500 1,239,939 1,913,539 - 93,111 - - 678,044 771,155 50,000 30,000 38,988 460,000 1,500 561,894 1,142,383 Available Funding 918,750 500,000 1,418,750 41 COVID-19 Resources mobilized to date –by Fund and Country/Territory PAHO Flexible Funds USAID WHO Flexible European Union Canada Funds Grand Total Country/Territory WHO Voluntary Contribution s Anguilla Antigua and Barbuda Barbados British Virgin Islands Dominica Grenada Montserrat Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Grand Total Thank You