Update on the coronavirus and vaccines by Premier Alan Winde - 29 April

As of 1pm on 29 April, the Western Cape has 1846 active COVID-19 infections, with a total of 283 776 people having been infected with COVID-19 to date and 270 196 recoveries. The vaccine totals have been delayed today and will be updated tomorrow.

Total confirmed COVID-19 cases

283 776

Total recoveries

270 196

Vaccines administered  -

Total deaths

11 619

Total active cases (currently infected patients)

1846

Total number of tests

1529558

Hospital admissions 751 of which 149 are in ICU or high care
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Municipality

Cases

Recoveries

City of Cape Town

 180481

171704 

Cape Winelands District Municipality

 36184

34440 

Central Karoo District Municipality

 2429

2263 

Garden Route District Municipality

33972

32400

Overberg District Municipality

 13111

12579 

West Coast District Municipality

 14072

13396

Unallocated

3527

3414

Total

283776

270196

 Sub Districts Cape Town Metro:

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Sub-districts

Cases

Recoveries

Western

28948

27875 

Southern

 29437

28012 

Klipfontein

 17025

15912 

Mitchells Plain

17444

16491 

Tygerberg

 30091

28649 

Khayelitsha

12147

11480

Eastern

26568

25244

Northern

18821

18041

 Sub Districts Non-Metro:

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Municipality

Cases

Recoveries

City of Cape Town

180481

171704

Cape Winelands District Municipality

36184

34440

Breede Valley

8982

8500

Drakenstein

11319

10810

Langeberg

4271

4067

Stellenbosch

6569

6293

Witzenberg

5017

4770

Central Karoo District Municipality

2429

2263

Beaufort West

1905

1770

Laingsburg

267

251

Prince Albert

257

242

Garden Route District Municipality

33972

32400

Bitou

2761

2646

George

12041

11508

Hessequa

1968

1852

Kannaland

890

839

Knysna

4827

4650

Mossel Bay

7419

7190

Oudtshoorn

4066

3715

Overberg District Municipality

13111

12579

Cape Agulhas

1669

1569

Overstrand

4991

4834

Swellendam

1747

1679

Theewaterskloof

4704

4497

West Coast District Municipality

14072

13396

Bergriver

2243

2125

Cederberg

935

877

Matzikama

2090

1995

Saldanha Bay

4120

3918

Swartland

4684

4481

Unallocated

3527

3414

The Western Cape has recorded 6 additional deaths since Wednesday 28 April, bringing the total number of COVID-19 related deaths in the province to 11619. We send our condolences to their loved ones at this time.

Additional data is available on the Western Cape COVID-19 data dashboard which also features active cases per sub-district, active cases per 100 000 and 7-day moving averages. Access the data dashboard here: https://coronavirus.westerncape.gov.za/covid-19-dashboard 

The dashboard has been updated with the latest COVID-19 cases at the suburb and town level

To view the latest COVID-19 data for the town and suburb level, please visit: https://coronavirus.westerncape.gov.za/files/atoms/files/COVID-19%20Towns%20and%20Suburbs_16%20April%202021.pdf 

Premier Winde launches a multi-sectoral emergency response plan to reduce TB

Yesterday, Premier Winde launched the Western Cape Government’s multi-sectoral emergency response plan to reduce the spread of TB in the Western Cape. This plan is data-driven and iterative, which means that we will develop and strengthen it further as we implement it. It is further guided by the WHO’s health system building blocks and key levers.

Our primary goal is to make our TB Programme stronger than ever through a back-to-basics approach, the acceleration of innovations, and harnessing collective responsibility through united action to end TB.

In doing so, we have a clear four-step programme of action:

  1. Raise awareness of TB and its harms to our society
  2. Prevent new TB infections
  3. Rapidly diagnose TB, commence early initiation of treatment and adherence up to treatment completion
  4. Mobilise a whole government and whole of society approach to tackle TB

The first step in the response plan is to raise awareness of TB as the leading cause of death in South Africa for more than a decade, encouraging more people to know and see the signs in themselves and others, and to react accordingly. We will do this through:

  • Smart interventions including a weekly dashboard, similar to our COVID-19 dashboard. The weekly dashboard will include TB diagnosis from the NICD, TB deaths, treatment successes, treatment initiation, and TB preventative therapy (TPT) initiations.
  • This will be supported by a fully-fledged public communications campaign to promote testing and treatment. The campaign will include:
    • personal stories, including those of survivors;
    • messaging on personal responsibility for prevention; and
    • messaging on collective responsibility
  • These efforts will be supported by a campaign to destigmatize TB in our communities.

The second step is to prevent new TB infections. We aim to do this by:

Increasing the uptake of Tuberculosis Preventative Treatment (TPT) at healthcare facilities. This will be done by expanding the Chronic Medical Conditions to include TB treatment and TPT;

  • Implementing new TPT regimens including 3HP and 3RH treatments;
  • Conducting joint screening of TB and COVID-19 and testing for COVID-19 and TB according to the revised guidelines;
  • Implementing a TB Screening App;
  • Using the community health worker programme to increase testing for TB among all TB contacts and high-risk populations;
  • Improving and maintaining infection prevention and control at healthcare facilities, and other places of congregation;
  • Increasing TB testing at shelters used to house homeless people during national emergencies; and
  • Maintaining BCG vaccination coverage.

Our third step is ensuring the rapid diagnosis of TB, early initiation of treatment and adherence up to treatment completion. Technology will play a key role in use implementing this step. We will:

  • Use SMSs to inform patients of whether they tested negatively or should visit a TB facility;
  • We will strengthen hospital management and information systems, and enable linkage to care when patients are referred to other hospitals or the primary health care level if needed;
  • Technology will also play a role as we will pilot and progressively expand the use of mobile digital chest x-rays;
  • We will implement the urine LAM testing in facilities which is recommended for those with advanced HIV disease or PLHIV with possible TB; and
  • This will be supported through targeted universal TB Testing for high-risk groups.

Our fourth step is to mobilise a whole of government and a whole of society response to tackle TB. We will:

  • Mobilise all Civil Society organisations to take the lead in our campaign to mobilise citizens and communities in our collective fight against TB  
  • Establish a multi-sectoral team to define specific contributions for other government departments

Through these steps, we aim to not only meet but hopefully exceed global and local commitments to end TB by 2035.

A person’s socioeconomic circumstances play a huge role in their susceptibility to getting TB. For this reason, another equally important leg of our plan is to conduct enhanced advocacy for socio-economic improvements, including psycho-social and nutritional support interventions for those living with TB.

These efforts will be brought together through the establishment and launch of a Provincial TB Caucus housed in the Western Cape Provincial Parliament.

While our response plan will go a long way, I call on residents, NGOs, faith-based organisations, civil society and those in the private sector to join us in the fight against TB. I speak for myself and the entire PCAT group when I say that TB is our next big fight, and we are committed to fighting it head-on.

If we stand together now, we can defeat TB in the Western Cape and help achieve the well-being and dignity that every single person in our province deserves.

To read the rest of the statement, please use the following link: https://www.westerncape.gov.za/news/premier-winde-launches-multi-sectoral-emergency-response-plan-reduce-tb