Regional and temporal variations in Covid-19 cases and deaths in Ethiopia

Lessons learned from the Covid-19 enhanced surveillance and response

Datos Bibliográficos

ID19594465
AutoresGizaw Teka (Ethiopian Public Health Institute, autor de correspondencia), Adane Woldeab (Ethiopian Public Health Institute, autor de correspondencia), Nebiyu Dereje (0000-0001-5406-4171, Addis Ababa University, autor de correspondencia), Frehywot Eshetu (0000-0001-8058-2044, Africa Centres for Disease Control and Prevention, autor de correspondencia), Lehageru Gizachew (0000-0002-5956-0737, International Trachoma Initiative, autor de correspondencia), Zelalem Tazu (International Trachoma Initiative, autor de correspondencia), Leuel Lisanwork (International Trachoma Initiative, autor de correspondencia), Eyasu Tigabu Seyoum (0000-0002-2362-9018), Eyasu Tigabu (International Trachoma Initiative, autor de correspondencia), Ayele Gebeyehu (Ethiopian Public Health Institute, autor de correspondencia), Adamu Tayachew (0000-0001-6338-9824, Ethiopian Public Health Institute, autor de correspondencia), Mengistu Biru (Ethiopian Public Health Institute, autor de correspondencia), Tsegaye Berkessa (0000-0003-2376-6917, Ethiopian Public Health Institute, autor de correspondencia), Abrham Keraleme (Ethiopian Public Health Institute, autor de correspondencia), Fentahun Bikale Kebede (0000-0001-6350-7085), Fentahun Bikale (Ethiopian Public Health Institute, autor de correspondencia), Wolde Shure (Ethiopian Public Health Institute, autor de correspondencia), Admikew Agune (Ethiopian Public Health Institute, autor de correspondencia), Bizuwork Haile (Ethiopian Public Health Institute, autor de correspondencia), Beza Addis (0000-0002-3476-6210, Ethiopian Public Health Institute, autor de correspondencia), Muluken Moges (0000-0003-4572-3424, Ethiopian Public Health Institute, autor de correspondencia), Melaku Gonta (Ethiopian Public Health Institute, autor de correspondencia), Aster Hailemariam (0009-0000-7326-6123, Ethiopian Public Health Institute, autor de correspondencia), Laura Binkley (Ohio Department of Health, autor de correspondencia), Saira Nawaz (0000-0003-1826-551X, Ohio Department of Health, autor de correspondencia), Shu-Hua Wang (0000-0001-8006-2401, Ohio Department of Health, autor de correspondencia), Zelalem Mekuria (Ohio Department of Health, autor de correspondencia), Ayalew Aklilu (0009-0008-4073-6975, Addis Ababa University, autor de correspondencia), Jemal Aliy (0009-0009-9545-0592, Addis Ababa University, autor de correspondencia), Sileshi Lulseged (0000-0001-6801-7034, Addis Ababa University, autor de correspondencia), Abiy Girmay (autor de correspondencia), Abok Patrick, Berhanu Amare (Africa Centres for Disease Control and Prevention, autor de correspondencia), Hulemenaw Delelegn (Africa Centres for Disease Control and Prevention, autor de correspondencia), Sharon Daves (0009-0001-7824-8394, Africa Centres for Disease Control and Prevention, autor de correspondencia), Getnet Yimer (0000-0002-1469-837X, University of Pennsylvania, autor de correspondencia), Ebba Abate (International Trachoma Initiative, autor de correspondencia), Mesfin Wossen (0000-0002-1689-5801, Ethiopian Public Health Institute, autor de correspondencia), Zenebe Melaku (Addis Ababa University, autor de correspondencia), Wondwossen A Gebreyes (0000-0003-1885-3952, Ohio Department of Health, autor de correspondencia), Wondwossen Gebreyes, Desmond E Williams (0000-0002-7915-7486, Africa Centres for Disease Control and Prevention, autor de correspondencia), Aschalew Abayneh (0000-0002-0091-1731, Ethiopian Public Health Institute, autor de correspondencia)
EditoresSukanta Chowdhury (0000-0003-3053-4241)
Año2024
Volumen4
Número5
Páginase0003175
Fecha de publicación2024-05-23
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPLOS Global Public Health (JOURNAL)
Identificadores de la revistaISSN: 2767-3375 • E-ISSN: 2767-3375
EditorialPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0003175
PMID38781131
OpenAlexW4398256297
IdiomaEN
Referencias citadas22

Background The COVID-19 pandemic is one of the most devastating public health emergencies of international concern to have occurred in the past century. To ensure a safe, scalable, and sustainable response, it is imperative to understand the burden of disease, epidemiological trends, and responses to activities that have already been implemented. We aimed to analyze how COVID-19 tests, cases, and deaths varied by time and region in the general population and healthcare workers (HCWs) in Ethiopia. Methods COVID-19 data were captured between October 01, 2021, and September 30, 2022, in 64 systematically selected health facilities throughout Ethiopia. The number of health facilities included in the study was proportionally allocated to the regional states of Ethiopia. Data were captured by standardized tools and formats. Analysis of COVID-19 testing performed, cases detected, and deaths registered by region and time was carried out. Results We analyzed 215,024 individuals’ data that were captured through COVID-19 surveillance in Ethiopia. Of the 215,024 total tests, 18,964 COVID-19 cases (8.8%, 95% CI: 8.7%– 9.0%) were identified and 534 (2.8%, 95% CI: 2.6%– 3.1%) were deceased. The positivity rate ranged from 1% in the Afar region to 15% in the Sidama region. Eight (1.2%, 95% CI: 0.4%– 2.0%) HCWs died out of 664 infected HCWs, of which 81.5% were from Addis Ababa. Three waves of outbreaks were detected during the analysis period, with the highest positivity rate of 35% during the Omicron period and the highest rate of ICU beds and mechanical ventilators (38%) occupied by COVID-19 patients during the Delta period. Conclusions The temporal and regional variations in COVID-19 cases and deaths in Ethiopia underscore the need for concerted efforts to address the disparities in the COVID-19 surveillance and response system. These lessons should be critically considered during the integration of the COVID-19 surveillance system into the routine surveillance system

2019-20 coronavirus outbreak · Disease · Economic growth · Environmental health · Health care · Outbreak · Pandemic · Pathology · Population · Public health · COVID-19 epidemiological studies · COVID-19 Impact on Reproduction · Demography · Medicine · SARS-CoV-2 detection and testing · Epidemiology · Virology