In Gambia 15 new cases of the novel coronavirus (COVID-19) cases have been registered - the highest reported in a single day - bringing to 93 the total number of COVID-19 cases ever confirmed in the country.

1. # 100
Report No. 100, 2020
I. HIGHLIGHTS
II. EPIDEMIOLOGICAL DESCRIPTION
Figure 1 is a schematic diagram showing the dates of reporting and the transmission classification of COVID-19 cases.
Fig. 1: Schema of the transmission classification of confirmed COVID-19 cases, The Gambia, 2020
Situation Report: Confirmed COVID-19 Location: The Gambia
Date of Report: 16th
July 2020 Investigation Start Date: 17th
March 2020 as of 18hrs.
Prepared by: Epidemiology and Disease Control Unit, MoH, The Gambia
COVID-19 SITUATION IN
NUMBERS
Globally
Confirmed Cases: 13,938,371
Recoveries: 8,272,701
Deaths: 591,964
Senegal
Confirmed Cases: 8,481
Recoveries: 5,735
Deaths: 156
The Gambia
Confirmed Cases: 93
Recoveries: 49
Deaths: 4
This is the 100th
national situation report since the confirmation of the first case
of the novel coronavirus disease (COVID-19) in The Gambia, on the 17th March
2020
• 15 new cases registered - the highest reported in a single day - bringing to
93 the total number of COVID-19 cases ever confirmed in the country
o Of these, whereas 6 are nosocomial COVID-19 cases from the 6&7 Ward of the
EFSTH, 1 is an orderly from the same ward
o The rest recently came into the country from locations with ongoing local
transmission
• The new cases also include a deceased case, bringing to 4 the total number
of COVID-19 related deaths registered – a crude case fatality rate of 4.3
• 15 patients recovered bringing the cumulative number of active cases to 40
• 108 new laboratory test results received (1 from MRCG and 107 from NPHL)
• While 19 persons were newly taken into quarantine, 20 have been
discharged
o Of these, 15 are Gambian Islamic scholars who travelled from Saudi Arabia
through Senegal and entered through the Amdalai Border Post
• The country currently has 662 people in quarantine; 39 active and 3 probable
cases

2. COVID-19 National Situation Report #100 |16th
July 2020
2 | P a g e
*as of 17th
July 2020 @ 00:06. Data from WHO novel coronavirus dashboard and European CDC situation report
 Over 80% of confirmed cases were imported (See Fig. 1)
Figures 2 and 3 are the age-sex distribution and the Epi-curve of confirmed cases by reported date, respectively.
Fig. 2: Age-Sex Distribution of Confirmed COVID-19 Cases Fig. 3: Epidemic Curve of Laboratory-Confirmed Cases by
Date Reported, COVID-19 Pandemic, The Gambia, 2020

A considerable amount of time elapsed between date of reporting and the date of laboratory confirmation of some cases
 66% of the confirmed cases are males (See Fig. 2)
 About 54% of the confirmed cases are below age 40 (See Fig. 2)
 Two main waves of infection occurred – the pre and post airport closure waves (See Fig. 3)
 Within the last 20 days, there has been over a 50% increase in the number of COVID-19 cases reported by
the country (See Fig. 3)
Figures 4 and 5 depict the locations of confirmed COVID-19 cases in both The Gambia and Senegal.
 All but 1 of the 7 health regions reported cases of COVID-19 (See Fig. 4)
Fig 5: Distribution of COVID-19 Cases in SenegalFig 4: Map of The Gambia showing COVID-19 affected regions
8
13
8
15
9
5
4
≤ 20
21 - 30
31 - 40
41 - 50
51 - 60
61 - 70
> 70
2
14
6
2
4
2
1
Males Females
A
g
e
1 1
4
1 1
2
1 1
2
1
3
2
1 1 1 1 1
2
1
3
1
2
4
5
1
2
4
1
3
1
8
3
4
7
1
0
1
2
3
4
5
6
7
8
9
10
16/03/2020
22/03/2020
28/03/2020
03/04/2020
09/04/2020
15/04/2020
21/04/2020
27/04/2020
03/05/2020
09/05/2020
15/05/2020
21/05/2020
27/05/2020
02/06/2020
08/06/2020
14/06/2020
20/06/2020
26/06/2020
02/07/2020
08/07/2020
14/07/2020
Airport Closed
Importation from across land boders
began

3. COVID-19 National Situation Report #100 |16th
July 2020
3 | P a g e
*as of 17th
July 2020 @ 00:06. Data from WHO novel coronavirus dashboard and European CDC situation report
 Districts in URR South are at higher risk of importation of cases of COVID-19 from Senegal (See Fig. 5)
Brief Description of Newly Confirmed Case(s)
Table 1: Line list of Newly Confirmed Cases
Case # Nationality Age
(Years)
Sex Occupation Transmission
Classification
Epi-Linkage
079 Gambian 39 Male - Imported Same flight with Cases
082, 083 and 84
080 Gambian 28 Female
-
Imported
Same flight with Case 081
081 Gambian 7 months Female - Imported Same flight with Case 080
082 Gambian 30 Female - Imported
Same flight with Cases
079, 083 and 84
083 Gambian 65 Male - Imported
Same flight with Cases
082, 079 and 84
084 Gambian 47 Male - Imported
Same flight with Cases
082, 083 and 079
085 Gambian 50 Female Orderly, EFSTH Local (Nosocomial) Linked to Case 074*
086 Gambian 53 Male - Local(Nosocomial) Linked to Case 074*
087 Gambian 25 Male - Local(Nosocomial) Linked to Case 074*
088 Gambian 29 Male - Local(Nosocomial) Linked to Case 074*
089 Gambian 56 Male Deceased Case Local(Nosocomial) Linked to Case 074*
090 Gambian 50 Male - Local(Nosocomial) Linked to Case 074*
091 Gambian 19 Male - Local(Nosocomial) Linked to Case 074*
**092 Senegalese 7 months Male - Imported -
093 French 28 Male Business Local
Hosted a send-off party
attended by about 30
people
*Case 074 was admitted in the same ward (the 6&7 Ward of EFSTH) with cases 086, 087, 088, 089, 090 and 091.
Case 085 works in the same ward as an orderly.
** Case 092 and his mum (who has a pending lab result) were returned to Senegal

4. COVID-19 National Situation Report #100 |16th
July 2020
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*as of 17th
July 2020 @ 00:06. Data from WHO novel coronavirus dashboard and European CDC situation report
Tables 2 and 3 show the epi-classification of confirmed cases (both new and cumulative) and the summary of outputs
on the various public health activities undertaken.
Table 2: Epi-Classification of Reported Cases, by Region, COVID-19 Outbreak, The Gambia, 2020
Health Region 2020
Population
Estimates
Epi-Classification
New Cumulative
Suspect
ed
case(s)
Probab
le
Case(s)
Confir
med
case(s)
Reco
very
(ies)
Death
(s)
Suspecte
d case(s)
Probable
Case(s)
Confirmed
case
(s)
Recovery
(ies)
Death(s)
Western One 950,266 78 0 11 0 0 2331 9 63 23 3
Western Two 514,999 13 0 1 0 0 380 0 15 4 0
Upper River 283,911 1 0 1 0 0 92 0 3 2 0
North Bank
West 130,196 0 0 1 0 0 174 0 6 2 0
North Bank
East 129,629 0 0 0 0 0 147 0 0 0 0
Lower River 88,100 0 0 0 0
0 23 0 1
1
0
Central River 257,332 1 0 1 0 0 195 0 5 2 0
National Total 2,354,433 93 0 15 0 0 3342 9 93 34 3
• Over 70 percent of confirmed cases are located in the urban areas (Western 1 Health Region) (See Table 2)
Table 3: Summary of New and Cumulative Public Health Response Outputs, COVID-19 Pandemic, The Gambia, 2020
* Follow-up completed prior to the 17th
March (when the first confirmed case was reported)
* * Includes both low-risk and high-risk contacts and not mutually exclusive with number quarantined (as some have been quarantined)
* * * Includes repeat tests in bracket
Status New Cumulative
In Quarantine 19 662
Completed quarantine 20 878
Completed follow-up (asymptomatic people with
travel history to affected countries) *
0 310
Contact(s) Traced (Target)** 21
1,002/1052(Target)Follow-up Made to Low-Risk Contacts 133/168
Completed follow-up of low risk contacts 0
Total Tests conducted (Repeat Test (s))*** 108(0) *** 3944
Positive test result (Repeat Test (s)) 15 (0) 93
Negative test result (Repeat Test (s))*** 93 (0)*** 3674
Inconclusive test result (Repeat Test (s))*** 0 (0)***

5. COVID-19 National Situation Report #100 |16th
July 2020
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*as of 17th
July 2020 @ 00:06. Data from WHO novel coronavirus dashboard and European CDC situation report
III. Major Response Activities
Table 4: Major response activities undertaken newly, COVID-19 Outbreak, The Gambia, 2020
Component Interventions
Coordination
Surveillance/ Laboratory
• Daily coordination meetings held at both central and regional levels
• 15 new cases registered, bringing to 93 the total number of COVID-19 cases
ever confirmed in the country
• 108 new laboratory test results received (1 from MRCG and 107 from NPHL)
Case Management / Psychosocial
Support and Research
• 1 new COVID-19 death registered. The said case was admitted at the 6 & 7
Ward of EFSTH but had his sample collected on the 15th
July after a patient
admitted in the same ward tested positive for COVID-19. His test result came
out on July 16th
and he was pronounced dead on the 17th
of July
• 15 new recoveries registered bringing the total active cases to 39
• Currently, there are 39 active cases in the country
Logistics / Safety • More security officers deployed to reinforce security in the quarantine centres
Risk Communication and
Community Engagement
• 3 TV and 18 radio programs successfully conducted
• Influential leaders in 12 communities were engaged in radio phoning
programmes across the country
• Summary of social media activities: 1 Facebook and 1 Twitter posts shared
with a cumulative engagement of 31,012 people
• Summary of calls made to 1025: a total of 46 calls received (42 COVID-19
related and 4 non-COVID-19 related. 3 booked for further follow up by
contact tracing teams and 5 booked for further follow up by quarantine
team)
 Case 065 is still on the run despite being an active case
 Occurrence of COVID-19 among healthcare workers
 Frequent power outages in the PHEOC due to the reliance on NAWEC
 Overcrowding at some video clubs with the recommencement of Europe’s football leagues
 Cost borne by government at designated quarantine facilities is prohibitive and may be unsustainable
 A high-risk contact of one of the cases (a taxi driver who drove him) is at large
 Delay in getting a functional e-surveillance system that would ensure the availability of real-time response data
 Truck drivers, carrying essential commodities, are being allowed to enter the country from locations with
ongoing community transmission of COVID-19
IV. GAPS/CHALLENGES:

6. COVID-19 National Situation Report #100 |16th
July 2020
6 | P a g e
*as of 17th
July 2020 @ 00:06. Data from WHO novel coronavirus dashboard and European CDC situation report
V. NEXT STEPS/RECOMMENDATIONS:
 IPC measures should be strictly adhered to in all healthcare settings
 The search for Case 065 needs to be intensified in order to halt the potential spread of the virus by him
 Testing of all healthcare workers and patients at EFSTH (including the polyclinic)
 Provision of adequate stocks of PPEs to all health facilities
 Health workers to observe all COVID-19 preventive measures including the donning of appropriate PPEs at all
times
 Ensure there is uninterrupted electricity supply either by the procurement and installation of a solar system or the
provision of a standby generator
 Fumigation of the ferries and the ferry terminals
 Mass testing targeting taxi drivers and other high-risk groups
 Testing of low-risk contacts at commencement and end of follow-up
 Video clubs should remain closed despite the resumption of Europe’s football leagues
 Government to come up with a more sustainable alternative for quarantine
 There should be more security presence at all points of entry around the country to ensure no people are smuggled
 Expedite the process of getting all relevant response staff trained on e-surveillance
For comments or questions, please contact:
Sana .M. Sambou
Public Health Emergency Operations Center
Epidemiology and Disease Control Unit, The Gambia
Email: sanasambou@hotmail.com Phone: +220 3516320/2422949