The Republic of the Fiji Islands Situation Report 1- 24th March 2020 Report as of 22 March 2020

Coronavirus Disease (COVID-19)

• TwoConfirmedCases

• Nonewcasesasof22/03/2020(5pm).

• Thetwoconfirmedcasesarewellandareisolatedin

healthcarefacilities.

• 1stSituationReportTemplatesentout:21/03/2020.

• 25responsesexpectedfrom:3DivisionalHospitals,20Sub-

DivisionalHospitals,1FPBSand1FCDC.

• 17responses:1Divisional(CWM),7Sub-Divisional(Suva,Rewa,Naitasiri,Navua,Lakeba,Levuka,Kadavu,

Macuata,Cakadrove,BuaandTaveuniRotuma,Lomaloma,Sigatoka,Nadi,Lautoka,Macuata,Cakadrove,

Bua,Taveuni)AResponseRateof68%.

• 30/03/2020:LastflightsintoandoutofFiji.

• There isa reported- lackof IEC (Information,EducationalandCommunication)materialsatmosthealthfacilitiesconcerning:COVID-19(e.g.highlighting the locationof feverclinics,MHMScontactnumbers forconcernedpatientstocallonandinquireon).

• HealthfacilitiesarerequiringPPE’sandhandsanitizer’ssupplies.Operationspillarhasbeeninformed.• Thereisalackofback-upelectricity(generator)andwaterservicesinthesomehealthfacilities.• Ashortageofambulanceservices(Navua,Mokani).• Inadditiontoinfrastructuretocompletefeverclinicimplementationthereisneedforadditionalstaffingand

medicalequipmentplanning.

• TheIncidentManagementTeamhasbeenactivatedtorun24/7.TheIMTconsistsofsixpillars:Planning&Information,Communication,Administration&Finance,Operations,Logistics,andDonorCoordination.TheIMThasbeenestablishedtoprovideoperationalmanagementoftheFijiCOVID-19outbreakresponse.

• StrategicmanagementoftheCOVID-19responseisbasedonactionsoutlinedintheCOVID-19PreparednessandResponsePlan.

CurrentOperationalGuidelinesProducedbyIMT:

• EnvironmentCleaningandDecontamination(Draft)Policy.• PublicHealthandPrimaryCare.• ProtocolforFeverClinics.• Guidelinesforlocalcommunityfacilityisolation.

Cases Deaths

Global 267,013 11,201

Fiji 2 0

Total countries affected

184/195= 94.36% of all countries

HIGHLIGHTS:

CURRENT RISK ASSESMENT

STRATEGIC APPROACH TO PREVENTION, DETECTION AND CONTROL OF COVID-19

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• COVID-19Definitionofclosecontacts.• StandardOperatingProcedureforNasopharyngealCollection.• AmbulanceServicesGuidelines

Leadership and Coordination of the response: • DailybriefingsfortheMinisterofHealthandthePermanentSecretaryofHealth.• IMTDailyMeetings(8.30amand4pm).• Regularcabinetbriefings

Surveillance, contact identification and follow-up:

• From23/03/2020FCDCwillbegeneratingEPI-Curves. • 50personnelfromtheRepublicoftheFijiMilitaryForces(RFMF)havebeentrainedincontacttracing. • TheFijiPoliceForceshaveofferedadditionalsecurityservicestoallhealthfacilitiesastheneedarises.The

FijiPolicehavecurrentlyarrested11peopleforattemptingtobreechchokepoints. • The implementation of the ICT tool- Surveillance Outbreak Response Management and Analysis System

(SORMAS).

Figure 1: Geographical Distribution of Suspected Cases

SITUATION UPDATE

ACTIONS TO DATE

Figure 3: Location of Fever Clinics Suva-Nausori

Figure 4: Location of Fever Clinics in Lautoka

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Laboratory: • COVID-19testingcurrentlybeingdoneattheFijiCentreforDiseaseControl(FCDC).

Clinical Management and Service Delivery:

• ClinicalpracticeguidelinesfromAustraliahavebeensuppliedtoallIntensiveCareUnits(ICU’s)nationally.• Personal Protective Equipment (PPE’s) training has been conducted in most health facilities and will

continuetobeanon-goingprocess. Prevention and control:

• TheFijiCoronavirus(COVID-19)PreparednessandResponsePlanDraft.• Environment Cleaning and Decontamination (Draft) Policy Ministry of Health & Medical Services,

GovernmentofFiji.• PublicHealthandPrimaryCareGuideline.• ProtocolforFeverClinics.• Guidelinesforlocalcommunityfacilityisolation.• COVID-19Definitionforaclosecontact.• StandardOperatingProcedureforNasopharyngealCollection.• AmbulanceServicesGuidelines.

Risk communication and social mobilization: • Regularmediabriefings.• DailyCOVID19advisoriesinnewspaperreleasedinalllanguages.• Multiplesocialmediaupdates.• InformationEducationCommunicationmaterials.• Posteradvisingofrestrictedvisitor’smovementthroughhospitals.• Publicmessagingpackagetosupportcompliancewithsocialdistancingandquarantinemeasuresforuseby

allGovernmentAgenciesengagedinCOVID-19response. Supplies and Logistics:

• A surge projection plan for equipment, medical supplies, X-Ray and Pathology has been completed andsuppliedtoFPBS.

Point of Entry and IHR travel and trade measures:

• ThelastflightsintoandoutofFijiwillbeonthe30thMarch2020. Operational Partnerships

• TheWorldHealthOrganization(WHO).• LiaisonOfficersfrom(TheMinistryofEducation,TheMinistryofWomen,ChildrenandSocialWelfare,The

Ministry of Agriculture, The Ministry of Economy, The Ministry of Defence and National Security, TheMinistryofEmploymentandProductivity,TheMinistryofLocalGovernment,TheRepublicofFijiMilitaryServices,TheFijiPoliceForce,TheFijiFireAuthority,TheMinistryofLands,TheMinistryofInformationetc.).

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• Continue24/7IMToperations.• RolloutIECmaterial.• ProvideallthehealthfacilityaroundFijiwithpreventive,detectionandcontroldocumentsoncefinalized

andapproved.• WorkwiththelogisticsteamtoaddressthelackofPPE’s,ambulanceservices,backupwaterandelectricity

services, sanitizersmedical supplies andmedical equipment to ensure the swift running of health careservices.

Indicators of Community Transmission

1.NumberofconfirmedCOVID-19casewithnoknownlinktoasourceofinfection(=n(%))

2.NumberofClustersofconfirmedCOVID-19caseswithinthecountry(=n)

3.COVID-19positivityrate(testresultsobtainedfromsentinelsurveillancesystems(testpositive/tested))

4.AnunexpectedincreaseinILI,SARIorsimilarsyndromicsurveillance(YorN)

5.ReportsofsuspectedcasesofCOVID-19orclustersfromanevent-basedsurveillancesystem(YorN)

0

0

2/131

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