{"id":49299,"date":"2021-02-10T11:40:01","date_gmt":"2021-02-10T16:40:01","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/?p=49299"},"modified":"2023-06-06T18:05:48","modified_gmt":"2023-06-06T22:05:48","slug":"report-from-malawi-weathering-a-second-wave-or-tsunami-of-covid-19","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/medicine\/news\/report-from-malawi-weathering-a-second-wave-or-tsunami-of-covid-19\/","title":{"rendered":"Report from Malawi: Weathering a second wave\u2014or tsunami\u2014of COVID-19"},"content":{"rendered":"<figure id=\"attachment_49301\" class=\"thumbnail wp-caption alignright\" style=\"width: 310px\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-49301\" src=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/mina-h-headshot-600x600-1-300x300.jpg\" alt=\"mina-h-headshot-600x600-1.jpg\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/mina-h-headshot-600x600-1-300x300.jpg 300w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/mina-h-headshot-600x600-1-150x150.jpg 150w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/mina-h-headshot-600x600-1-301x301.jpg 301w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/mina-h-headshot-600x600-1.jpg 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption class=\"caption wp-caption-text\">Mina Hosseinipour, MD, MPH<\/figcaption><\/figure>\n<p><em>By Mina Hosseinipour, MD, MPH<\/em><\/p>\n<p>Officials announced the first confirmed case of COVID-19 in Malawi on April 2, 2020. At UNC Project Malawi, we\u2019d been working for a month to carefully review and prepare for the virus. We established COVID preventive procedures and clinical management guidelines and planning for staff and staff relatives. We enhanced our oxygen supply through concentrators and obtained more oxygen cylinders. We worked with Kamuzu Central Hospital (KCH) to assist in training and preparations for the onslaught.<\/p>\n<p>And then we waited for the cases to come. A series of events came and went, activities that should have prompted community spread of COVID-19 but didn\u2019t. The month of June brought election campaigning and by early July, we saw a significant increase in cases in the country. The KCH COVID unit filled with patients. This wave lasted approximately two months and then, nearly as suddenly and without appreciable mitigation measures, the cases seemed to go away. Many of us wondered why the incidence of COVID fell so rapidly and nearly completely \u2014 we had no admissions, the COVID units closed, we saw less than 1 percent positivity rate among tested individuals, and seemingly no increased admissions, deaths or otherwise in the communities. Malawi was spared, it seemed, and the country seemed to rejoice. Through October and November, things seemed to be back to our usual existence.<\/p>\n<p>In early December, we could see the epidemic picking up in South Africa and we knew there was constant traffic between our two countries. Countries throughout the region were seeing an uptick. Many of us recognized the threat and issued warnings to maintain vigilance, but with so few cases to point to, it was difficult to convey the potential seriousness to communities and our staff.<\/p>\n<p>Read more in the <a href=\"http:\/\/By Mina Hosseinipour, MD, MPH Officials announced the first confirmed case of COVID-19 in Malawi on April 2, 2020. At UNC Project Malawi, we\u2019d been working for a month to carefully review and prepare for the virus. We established COVID preventive procedures and clinical management guidelines and planning for staff and staff relatives. We enhanced our oxygen supply through concentrators and obtained more oxygen cylinders. We worked with Kamuzu Central Hospital (KCH) to assist in training and preparations for the onslaught. Mina H headshot Mina Hosseinipour, MD, MPH And then we waited for the cases to come. A series of events came and went, activities that should have prompted community spread of COVID-19 but didn\u2019t. The month of June brought election campaigning and by early July, we saw a significant increase in cases in the country. The KCH COVID unit filled with patients. This wave lasted approximately two months and then, nearly as suddenly and without appreciable mitigation measures, the cases seemed to go away. Many of us wondered why the incidence of COVID fell so rapidly and nearly completely \u2014 we had no admissions, the COVID units closed, we saw less than 1 percent positivity rate among tested individuals, and seemingly no increased admissions, deaths or otherwise in the communities. Malawi was spared, it seemed, and the country seemed to rejoice. Through October and November, things seemed to be back to our usual existence. In early December, we could see the epidemic picking up in South Africa and we knew there was constant traffic between our two countries. Countries throughout the region were seeing an uptick. Many of us recognized the threat and issued warnings to maintain vigilance, but with so few cases to point to, it was difficult to convey the potential seriousness to communities and our staff.\">UNC Institute for Global Health and Infectious Diseases Newsroom<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Mina Hosseinipour, MD, MPH Officials announced the first confirmed case of COVID-19 in Malawi on April 2, 2020. At UNC Project Malawi, we\u2019d been working for a month to carefully review and prepare for the virus. We established COVID preventive procedures and clinical management guidelines and planning for staff and staff relatives. We enhanced &hellip; <a href=\"https:\/\/www.med.unc.edu\/medicine\/news\/report-from-malawi-weathering-a-second-wave-or-tsunami-of-covid-19\/\" aria-label=\"Read more about Report from Malawi: Weathering a second wave\u2014or tsunami\u2014of COVID-19\">Read more<\/a><\/p>\n","protected":false},"author":69419,"featured_media":49301,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[100,2],"tags":[630],"class_list":["post-49299","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-infectious-diseases","category-news","tag-630","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Report from Malawi: Weathering a second wave\u2014or tsunami\u2014of COVID-19 | Department of Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/medicine\/news\/report-from-malawi-weathering-a-second-wave-or-tsunami-of-covid-19\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Report from Malawi: Weathering a second wave\u2014or tsunami\u2014of COVID-19 | Department of Medicine\" \/>\n<meta property=\"og:description\" content=\"By Mina Hosseinipour, MD, MPH Officials announced the first confirmed case of COVID-19 in Malawi on April 2, 2020. At UNC Project Malawi, we\u2019d been working for a month to carefully review and prepare for the virus. We established COVID preventive procedures and clinical management guidelines and planning for staff and staff relatives. We enhanced &hellip; Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/medicine\/news\/report-from-malawi-weathering-a-second-wave-or-tsunami-of-covid-19\/\" \/>\n<meta property=\"og:site_name\" content=\"Department of Medicine\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/UNCDeptMedicine\" \/>\n<meta property=\"article:published_time\" content=\"2021-02-10T16:40:01+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-06T22:05:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2021\/02\/mina-h-headshot-600x600-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"600\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Kim Morris\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta 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