Covid-19 Management in Cambodia

1. Covid-19 Management in
Cambodia
Chanvatanak LY,MHPEd, BSN, RN
lchanvatanak@fhi360.org
lychanvatanak_cedhp@uhs.edu.kh
My Motto is below
We Love, We Care,
and We Share for the
World Synergy

2. Disclaimer
The conclusions, Information, and opinions
expressed by Speaker contributing to this
presentation do not necessarily reflect the
official position of the Fhi360 and/or
University of Health Sciences, or the
Speaker’s affiliated institutions.
2

3. Objectives:
At the end of this presentation participants will be able to:
1. Summarize about Cambodia
2. Explain on Covid-19 responded and management in Cambodia
3. Enumerate the upcoming events and priorities respond to
Covid-19 management in Cambodia

4. REMINDER
• This presentation is tailored according to the current information
relayed by Communicable Diseases Control Department of Ministry
of Health (MoH) regarding the cases of COVID-19 found in the
kingdom of Cambodia.
• This presentation currently assumes that local transmission is not a
driver of COVID-19 transmission to this day in Cambodia, but this
will possibly change in the days/weeks to come.

5. Summary
of
Camb
odia
16,769,525
Source:
https://worldpopulationreview.com
/countries/cambodia-population

6. Situation Summary
Highlights of Current Situation Report
As of 6 September 2020, 274 confirmed cases of COVID-19 have been
reported from Cambodia, of which 272 have recovered. 236 cases were
acquired overseas, representing 11 nationalities in addition to Cambodian,
with the rest locally acquired. One patient is currently being treated in
Chak Angre Health Centre and one case is hospitalized at Khmer-Soviet
Friendship Hospital, both in Phnom Penh.
81 contacts are being quarantined at a quarantine center in Phnom Penh
or in their respective province and are monitored daily for possible
development of symptoms.
Source: Joint WHO-MoH Covid-19 Situation Report#10
(CDC/MoH September 7, 2020)

7. The National COVID-19 Masterplan includes the creation of multi-
sectorial provincial committees led by the
provincial governors. Plans are being developed to build capacity
at provincial and district level around key
priority areas.
There is a continued focus on strengthening health care readiness.
140 oxygen pulse oximeters, 196 bio boxes, more than 500,000
items of Personal Protective Equipment (PPE) and 300 oxygen
concentrators have recently arrived in Cambodia.
Source: Joint WHO-MoH Covid-19 Situation Report#10
(CDC/MoH September 7, 2020)

8. 25 Aug.
On the 25 August, the Ministry
of Education, Youth and Sport
(MoEYS) issued guidelines for
the second phase of the plan to
reopen schools.
September
Public kindergartens, primary and
secondary schools will be allowed to open
in September provided they can adhere to
appropriate health safety standards.
Source: CDC/MoH

9. On September 11, 2020 MoH was announcedZERO
covid-19 case in Cambodia (2nd Time)
1st Time of Zero cases used
to announced by MoH on
May 15, 2020 (122 Cases)Source: Ministry of Health,
Cambodia 2020

10. One case Covid-19 positive
announced by MoH on
September 12, 2020. A
British man age 54 years
old travel from UK.
Source: Ministry of Health,
Cambodia 2020

11.  Confirmed cases reported
1. Phnom Penh
2. Sihanoukville
3. Kampong Cham
4. Tboung Khmum
5. Battambang
6. Siem Reap
7. Banteay Meanchey
8. Kep
9. Kampong Speu
(Sisopon)
10. Kampong Chhnang
11. Kandal (Ta Khmau)
12. Koh Kong
13. Kampot
14. Preah Vihear (ThbengMeanchey)
N = 275
173 (1 active)
40
16
8
8
7
5
4
3
3
2
2
2
2
Resource: Communicable Disease ControlDepartment/MoH
(September 12, 2020)
(Sinanoukville
)
Covid-19 affected areas

12. Covid-19 Respond and Management inCambodia
5Es
Key
strategy
1. Early
Detection
2. Early Contact
Tracing
3. Early
Isolation
4. Early
Treatment
5. Early
Prevention
Source: Her Excellency Dr. Or Vandin
Secretary of Sates/MoH
https://t.me/morodoktecho/416

13. Committee Chair
by Prime Minister
Technical lead by
Minister of
Ministry of Health
Source: Ministry of Health,
Cambodia 2020

14. 1. Surveillance and Risk assessment
•Case Definitions
•Laboratory Request Form
•Investigation Form
•Contact tracing form
•Contact follow up form PDF | Excel
2. Laboratory
•Laboratory Testing
COVID-19 Documents Management
(CDC/MoH, 2020)

15. COVID-19 Documents
Management (Cont.)
3. Clinical Management &
Infection Control
Treatment Protocol
4. Risk Communication
5. Point of Entry
6. Health Advice
Advice on home quarantine
for the traveler
Advice on self-monitoring
for casual contact
Advice for home quarantine
for close contact
(CDC/MoH, 2020)

16. Upcoming Events and Priorities
Rapid Response Teams (RRTs) at provincial level will receive
refresher trainings to build their surveillance and contact tracing
capacities. A Training of Trainers is being led by MOH CDC with
support from technical partners, including WHO. The training will be
cascaded to districts and health center RRTs.
MOH has begun conducting national weekly transmission stage
assessments using multisource surveillance.
Meetings with the provinces to initiate and support provincial stage
assessments have begun. Source: Joint WHO-MoH Covid-19 Situation Report#10
(CDC/MoH September 7, 2020)

17. Upcoming Events and Priorities (Cont.)
MOH is beginning activities to expand the Influenza-like illness (ILI)
sentinel surveillance system to include a further seven new sites
across the country to strengthen surveillance and early detection for
COVID-19.
MOH is developing a rapid containment strategy to plan the
detection and response activities in the event
of localized transmission for COVID-19.
Source: Joint WHO-MoH Covid-19 Situation Report#10
(CDC/MoH September 7, 2020)

18. Upcoming Events and Priorities (Cont.)
MOH is progressing with plans to expand and decentralize laboratory
testing capacity for COVID-19 to three provincial laboratories: Siem
Reap, Sihanoukville and Battambang. A comprehensive proposal for
the expansion of a sustainable. Molecular Diagnostics capacity in
Cambodia has been developed. Testing at the new laboratory in
Siem Reap has begun, adding provincial laboratory testing capacity
to the existing three labs. The University of Health Science has also
been approved to begin testing for a one-month trial period.
Source: Joint WHO-MoH Covid-19 Situation Report#10
(CDC/MoH September 7, 2020)

19. Upcoming Events and Priorities (Cont.)
MOH Department of Hospital Services (DHS) is finalizing version 3.0
of the clinical guidelines. This version includes content on
management of severe and critical cases; oxygen considerations;
procedures for SARSCoV-2 monitoring; discharge criteria; use of
medicines; and post-discharge management.
A Maternal, Newborn and Child Health Services COVID-19 technical
brief, led by the National Maternal Child Health Centre, is also being
finalized to complement the clinical guidelines.
Source: Joint WHO-MoH Covid-19 Situation Report#10
(CDC/MoH September 7, 2020)

20. Upcoming Events and Priorities (Cont.)
The National Immunization Programme is drafting the COVID-19
National Deployment and Vaccination Plan (NDVP).
The government continuously assesses the adjustment of non-
pharmaceutical interventions (NPIs) through a gradual step-wise
approach that considers the effectiveness, socio-economic cost, and
public acceptability of each measure, while continuing to increase
surveillance to inform decision-making.
Source: Joint WHO-MoH Covid-19 Situation Report#10
(CDC/MoH September 7, 2020)

21. ស ម អ រ
គុ ណ
Thank You