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Ethiopian Diaspora Medical Advisory Panel - Shared screen with speaker view
Mengistu Yilma
03:25:18
I can't join the presentation, what is wrong with it?
Dr. Abiy Girmay
03:28:55
I have a difficulty in hearing
Merga Dheresa
03:29:19
sound
Solomie
07:21:35
AT what time will the meeting start?
mulugeta
07:25:29
3-5:00pm
Solomon Gebru
07:49:59
yes we can hear you
Alemayehu Hailu
07:50:20
Happy to see your face friends
Tibebe.A
07:51:40
I am asking you a permission to record it... is it possible?
Rachel
07:52:39
Dear Host: Is this meant being recorded to share afterwards?
Rachel
07:52:48
is this meeting being recorded...
People To People Inc.
07:53:30
meeting is recorded
Natan Belachew
07:53:53
Yes, you may record!
Teferi
07:54:40
yes, you're sharing screen
kebedew
07:55:07
Yes, u can record.
Yaregal Fufa
07:56:32
Dear host can I record?
aw
07:57:43
yes
Mulatu Biru Shargie
07:58:32
Doesn't allow to record ?
Yaregal Fufa
07:58:57
yes
Emishaw
08:00:08
Can I record this presentation?
Beth Scott
08:00:20
could we please circulate slides? very useful :)
Dr. Sentayehu Tsegaye
08:01:05
Can we increase the uptake to >300 as more and more people are texting/calling to join ...
Selam
08:01:45
Hello
Kebede
08:02:55
please ask the MOH, how much certain about the method of testing, limitation, attempts to train to decrease false negative...
Sabit Ababor
08:03:42
Don't you think segregating quarantined people based on their risk level in order to reduce number of cases coming from quarantined contacts
Elias Siraj
08:04:16
we are trying to increase capacity to more than 300
fitsum habte
08:04:29
What measures are being taken to prevent imported cases from Somalia and Djibouti?
Titike
08:04:36
Hello Organizers, I would appreciate if you make sure that we ill get a copy of the presentations.
Rachel
08:05:19
Are we tracking increased mortality? Increased reports of ARI across the country?
Elias Siraj
08:06:15
To all speakers, until we increase our capacity, please do not log off! as you my may not be allowed back due to capacity.
Tesfaye
08:08:17
why screening is so high in two regions and not to the others?
Emishaw
08:08:21
My question to Dr. Lia; is our country using PCR or any rapid test kits are there for testing suspected individuals. I am asking this because our testing capacity has increased these days
HP
08:08:33
house to house survey, is it using antibody test or Rt-Pcr?
Abate Bane
08:08:33
Great job. Can we also quarantine/test truck drivers retrurning from Djibouti,flight crews,AND hotel workers at quarantine hotels before they return to community from their work places?
Geteneh-Moges
08:08:33
I thank you and appreciate your effort so far ........Sensitivity and specificity of testing, limitation, train to decrease false negative... How we are monitoring this for quality results?
Solomon Gebru
08:09:01
This is Dr. Solomon Gebru please share with everyone through peopleTopeople the presentations Thank you for organizing this important informative session
Gizaw Teka
08:09:07
can the host facilitate CT/MRI for atypical cases(chronic asymptomatic shedders)
Tesfaye
08:11:40
any plan on sever acute malnutrition, food insecurity, and refuges handeling
Fre Tibebu
08:11:41
thank you for organizing this meeting ...very useful. question: What measures are done for returnes from abroad? and just a suggestion Webex can accommodate upto 1000 participants and safe to use than zoom.
emengesha
08:12:17
Her Excellency; increasing the diagnostics centers and also using addition option other than RT-PCR will increase the access to the community. as of April 21,2020 more than 550 COVID-19 tests were introduced and approved by different authorities. So we have around 314 GeneXpert machines in the country and we need to use them for COVID-19. I know it was initiated but it should be a focus point cause these machines were distributed in more than 281 health facilities in the country.
Gizachew Kedida
08:12:40
Do you think the number of testing being conducted so far may substantiate the case detection rate it would be otherwise? Gizachew from EMLA
Dereje Woreta
08:12:45
is the use of mask mandatory in public places? if is is why it is not enforced( it is visible and easy to enforce)
Galaxy J6+
08:12:59
is there any plan to use antibody related test?
Tesfaye
08:13:29
Thank you!!
Dereje Woreta
08:13:33
what is the limitation to enforce social distancing in public places
Tegbar Yigzaw Sendekie
08:15:40
Thank you so much Dr Lia for an informative status update on the COVID response!
Jemal Aliy (ICAP-E)
08:16:05
Thank you Dr Lia for excellent work. Testing positivity is a bit lower than other countries. Do we have a quality control mechanism from sample collection to testing?
Nuria Adem
08:16:34
what method are using to test ? what is your daily capacity ? is any of you site using a high output instruments to test COVID such as Cepheid , Roche Cobas instruments
Hanna Demeke
08:17:03
make sure to mute your line if you are not talking
Negussie Deyessa
08:17:21
Dr Gudina, please mute your mic!
Tesfaye
08:17:22
would you please mute your microphone except the presentor ?
Alemayehu Haddis Getahun
08:17:27
Please manage the noise behind the presenter
Zelalem Mehari
08:17:30
People need to mute themselves...a lot of background noises
Tegbar Yigzaw Sendekie
08:17:34
The host can mute everyone
Solomon E
08:17:47
Dear HM Dr LT, Considering the very low positivity rate among tested, very low suspected cases from millions of house to house screening, and very precarious socio economic condition of the country to sustain sort of lock down measures; don't you think this is the time to think of concrete exit strategy? I think so.
mirgissa
08:18:36
Not numbers but interpretation in light of contexts! Useful point.
Abate Bane
08:20:39
As prevention is the key strategy ,we have to focus more on high risk areas and people like airport,,hotels,,border entry routes and as well as index case areas---and quarantine and test them away from big cities before they mix with community.
mirgissa
08:20:41
https://www.bbc.com/news/world-asia-india-52283748?prompt
Wassie Kebede
08:20:48
Given that there are specific factors to each locality such as rural-verus Urban, how can a national projection is possible and reliable?
wuleta
08:21:10
Thank you Dr Lia for your steadfast leadership and the excellent update you provided. We are always by your side.
mirgissa
08:21:12
when (at what stage of infection) and how would transmission happens from A to B?
Solomon Gebru
08:21:38
Thank you your excellency for the great overview of COVID19 situation in Ethiopia .Are there work restrictions for health care workers with underlying health conditions and also pregnant women who are at higher risk from COVID19
Titike
08:23:14
Her Excellency and Dr. Alemayehu: How, and to what extent weather/climate does come into play in the infectivity of COVID-19?If temperature and humidity are determinants of COVID-19 transmission and survival; So, will there be a possibility for waves of COVID-19 outbreak in the central and northwestern parts of Ethiopia where Kiremt is the principal rainy season?Can we use the prediction of climate models, satellite information, and clinical and public health data to develop statistical models to analyze and demonstrate the feasibility of COVID-19 prediction ahead of the season?Is the environmental/weather/climate aspect of COVID-19 a part of the research initiative mobilized by the Ethiopian public health association and the Ministry of Health?Thank you!
Abate Bane
08:24:25
Thank you so much Dr. Lia and all for such great job and very useful networking at national and global level involving great experts and experienced professionals.
Geteneh-Moges
08:24:34
Congratulations for todays Negative result
Desalew Mekonnen
08:25:25
Thank you Dr Lia for your excellent presenation.
Lia, MOH Ethiopia
08:25:36
For some questions
Geteneh-Moges
08:25:38
How do we are assure the modeling \/projection is truly reflect the pandemic COVID-19 situation
Tesfa S. Egzertegegne
08:26:26
Thank you Dr.Lia. what are the main challenges, further needs of the country in the preparedness for COVID? If you can also mention about the preparation related to health care workers and PPE. thank you
Elias Siraj
08:26:52
Basic reproduction number is the number of people who get infected from 1 index case assuming all the population is susceptible... Elias Siraj
iPhone
08:27:12
question for Dr Lia 1) How many test so far are done from the community infection without any link with incoming travelers? 2) For each community infection identified, how many contacts are traced and tested? 3) Do you have the mechanism and manpower to do contact tracing all over the country? 4) Have you thought of using medical , nursing, public health students, in a form of campaign to go to all over the country and do public health work including contact tracing, education and isolation 5) How do you explain the current infection numbers be low in Ethiopia when we see infection rising at exponential rate in other countries who has the first infection at the same time as we had our first infection in Ethiopia? do you think your strategy of contact tracing and isolation working or any other variables in our case?
Elias Siraj
08:27:58
Ro for influenza is usually 1.5 ish and it leads to big epidemics
Elias Siraj
08:28:34
Ro 2-3 of COVId is much higher than flu when taking exponential growth into consideration
Mulatu Biru Shargie
08:28:37
Q to Prof. Alemayehu. is it not important to consider in the assumption the existing trend and capacity of testing for SARS COV-2 ?
Negussie Deyessa
08:28:50
Regarding basic Reproductive number (Ro) and effective reproductive (Re) number that are different should be differentiated, Basic Ro is not changeable so don't consider Ro =2.6 and Ro=1.5 etc
Yewunetu Malefia
08:28:59
Thank you, Dr. Lia
emengesha
08:29:26
Dear HE Dr Lia for you excellent overview presentation. Including Real time reporting technologies like GxAlert and ASPECT which are already developed for COVID-19 in the national plan and using it real time testing reports with out manual entry.
Lia, MOH Ethiopia
08:30:10
To answer some questions on testing, we are using only RT-PCR for testing. As of today, testing capacity has become 4543.
Gudina
08:30:11
Excellent presentation H.E Dr.Lia
mirgissa
08:30:39
The fact that we are slowly moving to rainy season and current rain may have to be taken in to consideraitons
mirgissa
08:31:52
Yes Prof. Alemayehu - Perhaps regional project may provide much better picture
Elias Siraj
08:32:02
Also, be aware that the projection do not get activated until there is a community transmission which will be the trigger
Samson Seged
08:32:08
This is to Dr. Lia1. How are we managing those in remission? they may still be transmitting2. Are we using these drugs Chloroquine and Azitromycin, we have read some reports they help some patients , reports from china, SK, France and US. What is our experience?3. So far our patients, most of them didn't need intensive care support, what made our patients different? could it be their age or what do you think is the reason?Thank you
Abate Bane
08:32:24
Thank you so much Dr Lia for your hard work and excellent presentation. Would insulating high risk areas help further including big cities?
Makeda Semret, Dr
08:32:35
Have any of the assumptions going into modelling taken into account the young age ie. possibility that the % severe/critical may be lower than the 20% of countries with older populations?
Wassie Kebede
08:32:38
In addition to regional projection, rural urban specific project will help for proper interventions.
Dr Demissie Tadesse
08:32:40
we hear reports of positive cases who are not isolated, and with no travel history. that means transmission in the community.how are you catching those cases, how was it reported to you. Are the community members self reporting?
Abate Bane
08:33:35
How abut treating COVID cases with Azthromycine and choloquine as additional preventive strategy?
Zelalem Mehari
08:34:36
Currently regions are doing house to house search for suspected cases. Given the shortage of logistics(PPEs) and other practical reasons, is HH case finding feasible, safe and effective? Especially when PPEs are needed by health workers. if we are not equipping people going house to house with necessary PPEs, they may be infected or transmit the virus. In order to understand the extent of the spread of the virus, WHO recommends to conduct testing in surveillance sites ( in our case in selected health facilities on people with flue like symptoms, pneumonia and severe acute respiratory syndrome). I didn't find countries doing house to house search on my quick search.
alemayehumekonen
08:35:02
No evidence of decreasing mortality after chloroquine treatment
Gudina
08:35:03
Thank You Prof
Tesfa S. Egzertegegne
08:35:10
Thank you Proff. Alemayehu.
Endriyas-S
08:35:28
Wonderful Presentation and Thank you Proff. Alemayehu
Tegbar Yigzaw Sendekie
08:35:29
Thanks Prof Alemayehu for a very good presentation!
Abate Bane
08:35:54
Thank you prof Alemayehu for excellent presentation
AA AAU
08:35:56
Thank you Prof. Alemayehu
Wondwossen Amogne
08:36:07
Prof Alemayehu, Excellent Presentation. Wondwossen
emengesha
08:36:11
Thanks Professor
Jemal Hussein
08:36:19
Thank you prof Alemayehu for excellent presentation
Emishaw
08:36:22
Thank you Prof. Alemayehu
Mengistu Yilma
08:36:25
Thank you Prof. Alemayehu for your nice presentation
solomon Zeleek
08:36:37
H.E Dr Lia L, Thank you for nice presentation. allowing public transport to Region / rural side do not think, this will not increase diseases transmission more regions ? Does we have clear evidence no community transmission? Thank you all
Nebiyou Fasil
08:36:54
Thank you Dr. Lia and Prof. Alemayehu for wonderful presentations! very informative!!
Fisseha Shiferie Tadesse
08:37:12
Thank you Professor Alemayehu for the great presentation.
Endriyas-S
08:37:12
Question for Proff. Alemayehu … In which scenario Ethiopia is now operating among the 6 scenarios presented?
Geteneh-Moges
08:37:24
Can you a bit louder?
Sabit Ababor
08:37:29
Thank you professor Alemayehu for the nice presentation
Nigussie Assefa
08:37:41
Dear H.E Dr. Lia, thank you for the hard work. My question to you, test kits are nowadays a concern for sensitivity and specificity. are we trusting the companying producing the kits or do we have a capacity to check them at same level here in Ethiopia? thanks
Bereket Alemayehu
08:37:49
For Prof. Alemayehu. Could you please tell us if you looked at the projected weekly hospitalization rates under the different scenarios instead of the cumulative projection just to understand how much work is needed towards the nation's ICU bed capacity?
emengesha
08:37:52
A bit louder please
Sefonias Getachew
08:38:12
Thanks prof for the nice presentation!
Yewunetu Malefia
08:38:15
Thank you for your excellent presentation Prof. Alemayehu.
Solomon Feyissa
08:38:40
Sharing my experience with regard to clinical care. There is no double blind, randomized clinical trial completed so far to give us a definite answer about any specific drug therapy, however there are some anecdotal reports about some benefit of remdesvir, IL-6 antagonists and some promise regarding convalescence serum. No benefit so far from chloroquine, hydroxychloroquine or azithromycin despite wide spread use.
mnegash
08:38:51
Good morning. Would you please ask the Minister why there are so many disparities in the regions. What is the impact of this? The slides H.E. showed under stragegy #1.
Tesfahun Mulatu
08:39:15
Thank you Prof. Alemayehu for sharing the pragmatic resource
mirgissa
08:39:16
I think the assumptions should consider to what extent prevention interventions are implemented at operational level as well
Wasihun
08:39:38
Thank you Prof Alemayehu for your intresting oresentation
alemayehumekonen
08:40:08
Is there a way the model addresses current transmission rate?
ashiferaw
08:40:11
Many thanks Prof. Almayehu
Sabit Ababor
08:40:30
I think region and sub region specific modeling is more worthy...
Tekle
08:42:07
thanks all organizers, facilitators and Presents
Kjell Arne Johansson
08:43:16
Thank you for an excellent webinar and very good presentations! Does anyone know the ICU capacity in Ethiopia (ICU beds per capita)?
emengesha
08:43:27
The modeling must be performed by geographical distribution
Solomon Feyissa
08:43:51
Heavy Use of China's data may not give accurate information due to lack of transparency and question about the reliability of the data
Nigussie Assefa
08:44:30
Thank you Prof. Alemayehu for the big work.
Elias Siraj
08:44:57
Keep in mind that the china data was not taken as is... was age adjusted + additional adjustment to take Ethiopian situation into consideration...
Solomon Feyissa
08:46:10
How does epidemiologic projections work without considering seasonality of the virus and the effect of harm weather on viral transmission?
Yewunetu Malefia
08:47:22
How do you measure effective implementation of social distancing?
fitsum habte
08:48:34
The Ministry has to aggressively promote the use of face mask by the general public.
M.Goji
08:48:43
Dr. Amir is facemask consider 25% effectiveness?
Solomon Feyissa
08:48:50
Too many assumptions, how can one measure and quantify the implementation of mitigation measures which are used heavily as input for projection modeling
Fifi Derso
08:49:26
question: Do you have a testing rate for Bahirdar, Gondar, wollo, Tigray
Zelalem Mehari
08:49:52
why are we not taking into consideration of lock down of some places not the whole country? or are we equating social distancing with lock down?
Elias Siraj
08:49:52
Bahir Dar. Mekelle, Gondar are in the 400 K category...
Sisa y A CDC
08:50:12
1) Now we know the case fatality rate from China is underestimated2) Given that the Ethiopian census is very old, the population estimate of cities like Addis is way too low as the population projections based on that census doesn’t adequately factor in immigration appropriately
Fifi Derso
08:50:20
okay Thanks Dr Siraj
Wassie Kebede
08:50:43
why handwashing which is critical prevention mechanism is not include din the assumption. And face masking is unrealistic to rural communities
Kebede
08:50:45
please comment that all these will be nothing without intervention When?now without affecting the economy which is impossible without more collateral damage
Titike
08:51:10
@Solomon Feyissa: I have the same concern regarding environmental aspect COVID-19, and the possibility of incorporating climate parameter for seasonal projection. Please take a look my questions which I presented to Dr. Lia and Dr. Alemayehu.
mirgissa
08:51:28
Suggest use of physical distancing instead of social distancing
Gizaw Teka
08:51:33
we highly promoted hand washing and hand sanitization. why not considered it in the modeling?
emengesha
08:51:45
for both presenters; I would appreciate if you have included "staying home" as assumption
wmengste
08:52:41
physical distancing is better than social distancing
Wassie Kebede
08:52:55
Social distancing is a misused concept considering the Ethiopian cultural context. Translated into local language, social distancing becomes unacceptable. So we need a consistent use of the term "Physical distancing"
Tegbar Yigzaw Sendekie
08:53:05
Excellent presentations Dr Amir!
Fifi Derso
08:53:22
Knowing that Social distancing is an effective intervention why not focusing just that for Ethiopia
Surafel Gebreselassie
08:53:37
Excellent work and presentation. Cloth based face mask is the way to go.
alemayehumekonen
08:53:41
Very informative
Gudina
08:53:43
Excellent work
Endriyas-S
08:53:43
Thank you Dr Amir
Blaen Abraham
08:53:45
Good news to see masks can go a long way and provide an alternative to restrictions which are quite painful for our type of economy
mirgissa
08:53:52
One of the problem with the assumptions have to do with how to enforce this given the Ethiopia we know in its different faces
Adem Yesuf’s iPhone
08:53:54
Thank you Dr Amir, that was Terrific!
Blaen Abraham
08:53:57
thanks Dr Amir
Fifi Derso
08:53:58
Thank you Dr Amir
Nuria Adem
08:54:03
thank you for the organizations and Ethiopia COVID-19 team? what type of need do you have from lab/COVID testing ?
alemayehumekonen
08:54:05
How does this reach to the right ear?
Emishaw
08:54:08
Thank you Dr. Amir for your excellent presentation
JMAINA
08:54:09
Excellent job team!
Endriyas-S
08:54:14
Question for Dr Amir...what kind of face maek considered in your scenario?
Adane
08:54:23
have we tried to check r0 to ethiopian setting from cases that were detected from non quarantine setting. because using international r0 might not tell u local reproduction rate (environment, genetic and way of life is different). in other word what do you think is the r0 for ethiopia so far
Solomon Feyissa
08:54:25
As a person practicing medicine in the USA, I see significant seasonal pattern of respiratory viral disease transmission so I'm very skeptical about any model which doesn't take in to account weather and seasonality of respiratory viral infections
Mesele Mengsteab
08:54:41
Let me ask a layman question: Did the projection consider intense social interactions going on in open markets and also cash exchanges in banks and public transportations?
Yewunetu Malefia
08:54:45
Thank you, Dr. Amir
Addis Woldemariam
08:54:51
Is it possible to get the ppt?
emengesha
08:54:59
very informative dr Amir; thanks you
Yared, USAID_Transform: PHC
08:55:01
Thank you Dr Amir, it was a great work.
Wondimu Ayele
08:55:09
is that possible to estimate transmission rate for Asymptomatic mild, severe cases separately?
mandaras
08:56:08
please could you share us all materials includes Chinese health team presentation
Yibeltal Tebekaw Bayou
08:57:00
Face masking in rural Ethiopia, among the pro-poor, effective handwashing practices, age-specific mortality variation bn rural and urban residence,....many factors should be put into the models.???
MMihretu
08:57:44
Do you all think current mitigation measures are sufficient? Is there a scope for more?
Makeda Semret, Dr
08:57:52
Great work, very convincing and thank you Dr Lia for a very sound, thoughtful approach. Question regarding the timing of interventions: you mentioned these should start at the start of sustained community transmission. In the absence of evidence that that has happened, what is the impact of having implemented some of the measures (ie. risk of starting too early) + any sense yet of the collateral damage? Already hearing of empty hospitals and lack of essential medical care out of fear.
Elias Siraj
08:57:52
Face masking is more effective in urban... where social distancing is a challenge in Ethiopia setting.
Sefonias Getachew
08:57:58
Why hand washing is missed as highly important in our context? We know this very low in our senario. But why we relay only on this three. Even some are difficult to measure in our context. Good to think various factors.....
lanyerob
08:58:07
Thank you for the presentations, have the models taken into consideration Hand washing interventions?
Solomon Feyissa
08:58:28
For organizers, it would be helpful for some health healthcare providers to share their first hand experience with regard to COVID-19 clinical management. Too much emphasis given on the illusive modeling
Dr Desalegn D.
08:58:57
My quick question for Dr Lia and the presenters, Where do you think are we in terms of the transmission scenario? community transmission established or not yet? which strategy do you think you consider for out setting: Mitigation- so that infections continue to occur but reduce the imact on the healthcare system and allow herd immunity to build. OR suppression- strict control now and prepare for a bigger wave later???
AA AAU
08:59:15
Disinfection was done on roads....how this mitigation helps? can it be included in the models?
Nigussie Assefa
08:59:23
Dear Dr. Amir, thank you for the excellent work and presentation. using SEIR model for this epidemics, can we see the compartments between susceptibility and exposure, where there is no any clinical symptoms at the stage of exposure, but they do spread the disease unlike the suscep. This is against the assumption of the SEIR model. So, shouldn't we need to rely on the infected and recovered one in this case, that my inquire to look for another differential models, that currently gets strong support. Thank you again,
mirgissa
09:00:33
Fully agree Prof - basic assumptions are based on estimates based on data from other country. So, in as useful this numbers are it is imperative to recognize the limitaitons.
Enyew Birru
09:00:49
can we have the slides please? they will be really helpful
Dawit (GEOHealth)
09:02:12
Dear Dr. Amir
Kjell Arne Johansson
09:04:16
There is uncertainty about the effectiveness about non-medical use of facemasks. Norway for example, did a systematic review and did not reccomend scale-up of facemasks for the general population. Is it possible to test scale-up of facemasks in Ethiopia as an
Kjell Arne Johansson
09:04:58
…as a trial/cluster rct?
Solomon Feyissa
09:05:37
Can someone from Ethiopia share their experience with regard to seasonality of respiratory infections?, does continuous surveillance of such diseases exist? is there any testing/viral swab screening for viral infections? with many unanswered questions we could be just walking blind folded.
Aaron's iPhone
09:08:08
The terminology face mask must be qualified, it’s been used in its general terms but always good to see efficacy in medical facilities as opposed to general public
Pixel 3a XL
09:09:04
when do we say community transmission is established? what are the metrics and thresholds?
Solomon Feyissa
09:10:18
I think strong epidemiological analysis is needed to accurately understand the viral spread in different geographic areas/countries, very misleading to assume similar spread for countries with different climates/weather. I strongly believe tropical countries will have a different viral spread than temperate climates with colder winter seasons.
Dr. Abiy Girmay
09:10:25
Thank you all presenters
awoket
09:11:56
Thank you all presenters.
Mitik_2
09:12:15
this is very true Prof yemane the use of face mask and or social distancing should be strengthened
dmuluneh
09:12:44
Thank you all
Yared Mekonnen
09:12:49
"Prolongation" ? until heard immunity achieved or to postpone the apex
Dagmawit Tewahido
09:13:18
Thank you Prof. Yemane for the excellent summayyou all presenters.
Atalay
09:13:23
what happens to the economy when we prolong the pandemic
mirgissa
09:13:29
I fully agree - we shouldn't spend any more time arguing on models. We need to move with this with caution. I suggest this one to be published as it may trigger others to think through on modeling using this one as a reference
Dawit (GEOHealth)
09:14:03
Thank you all
Abduilhafiz H
09:14:12
''Deliberate..."?????
Nebreed Zemicheal
09:14:25
How much does the 83% rural setting protective to the potential effect of the pandemic
Mulatu Biru Shargie
09:14:26
Q. For the specific places like D/Dawa, I believe that place specific projection has to be done due to the nature of variation in transmission dynamics. What do you say ?
Abate Bane
09:14:31
Thank you Prof Yemane for excellent presentation.
Skassa
09:14:32
Thank you all presenter.
alemayehumekonen
09:14:39
Very nice and informative
Teruworkk
09:14:39
Many thanks to all the presenters
Mitik_2
09:14:42
decreasing panic among health workers is very important, we need to push that
Galaxy J6+
09:14:48
Thank all for excellent presentation
mandaras
09:14:55
thank you prof yemena
Tegbar Yigzaw Sendekie
09:14:55
Excellent and insightful presentation Prof Yemane!
Tesfa S. Egzertegegne
09:14:56
thank you Prof. Yemane
Salem TG
09:14:59
Thank you for the sound interpretation, Dr. Yemane.
Sefonias Getachew
09:15:00
sure! this must be taken in to considerations. thanks for nice brife you give us!
Yewunetu Malefia
09:15:04
Thank you, Prof Yemane
AA AAU
09:15:08
Thank you all honorable presenters for the excellent presentation
emengesha
09:15:16
Thanks Ambassador
Fisseha Shiferie Tadesse
09:15:23
Thank you Professor Yemane for the great presenation. very informative!
Alemayehu Haddis Getahun
09:15:25
Thank you prof Yemane. I like the summary in the last slide
Jemal Hussein
09:15:26
Thank you all for nice presentation
Teshome Gebre
09:15:29
Excellent presentations
wmengste
09:15:31
Thank you All presenters
Nigus Bililign
09:15:31
Hello, I think the EPHI should organize online training for researchers on "statistical methods of modeling & projections", so that everyone in the universities and research institutes can do the local projections.
wuleta
09:15:31
Thank you Dr Yemane for an excellent and thought provocative presentation. We need to push for the implementation of the SOE.
Solomie Deribessa
09:15:34
the coffee/ buna shops every where, the small restaurants, the small trades at the community, which looks very difficult to change...
fitsum habte
09:15:36
Thanks to all presenters!
Endriyas-S
09:15:55
Thank you Prof. Yemane for the wonderful summery and direction.
Selam
09:16:00
Dear all I thank you for the contribution you did so far to help and support public health sector in our country in this critical situation that the nation of the world are in general and our nation in particular . #Covid -19
Emory
09:16:00
I would like to thank all the presenters for their excellent presentations
Solomon Feyissa
09:16:05
In developed countries with temperate weather there is a surveillance system for respiratory illness usually activated when the colder weather started in late fall through winter and until early spring and stops in late spring and the summer, basically following seasonal pattern following weather changes. In addition to the surveillance of respiratory illness and viral swab screen is performed to check for around 20 viruses which gives public health officials a good ideas about the overall picture with regard to respiratory infections so that it would be easier if something new pops up like a new epidemic/outbreak
Yared Mekonnen
09:16:08
Al models are wrong but some models are useful. Model parameters are mostly uncertain & cannot be validated. Prof Yemane is right we shouldn't dwell on the accuracy of the model.
Getaneh Assefa
09:16:29
Thank you all the presenters for the wonderful presentations. Would love to get the slides.
Meskerem Aleka
09:17:07
Thank you to H.E Dr Lia and all the presenters , what would Dr Lia mention as the biggest challenge for the COVID response in ETh
Teshome Gebre
09:17:10
The sons of Mr. Siraj are doing great job. Thanks a lot.
Solomie Deribessa
09:17:33
thank you for the wonderful presentations , pls upload the webinar.
Tigist
09:17:37
thank you all for the excellent presentaion
Tseganeh Amsalu
09:17:49
What an informative presentations by the experts and summary by Prof. Yemane.
Semira
09:17:57
Thank you Prof. Alemayehu and Dr. Amir for nicely presenting models. Thank you prof. Yemane for excellent interpretation.
Shabbir Abbas
09:18:18
very well prepared and organized webinar! very informative.
M.Goji
09:18:24
Thank you all presenters for excellent presentations. This incidence might be a case to see the importance of leading from where we are and working together.
Jemal Aliy (ICAP-E)
09:18:50
thank you all for Excellent presentations. As there will be prolonged epidemic; do you think the mitigation /prevention efforts would have started later, once community transmission established and sustained for longer period (7weeks or so) rather than what we did (with no community transmission)?
Etsegenet Asmamaw
09:19:01
Thank you all for the presentations. can we also have a few comments on what our hospital admission and discharge criteria should be in Ethiopia's setups. in other countries mild case have been treated at home and patients admitted for moderate COVID have been discharged after finishing medications and when symptom free.what standards are we going to be using in regards to the treatment of COVID patients.
Lelisa Amanuel
09:19:01
thank you for the presentation but what is the advise to the government of ethiopia for the poor implementations and response of lockdowns?
Emishaw
09:19:14
Thank you prof. Yemane
alemayehumekonen
09:19:15
we love to get those slides
Firehiwot Workneh
09:19:17
Thank you all for the excellent presentation!
Ashetu Hunduma
09:19:33
Thank you Profs Alemayehu, Yemane, Dawud and all other presenters for making such extraordinarily wonderful presentations.
Seada Beyan
09:19:33
Thank you all very informative
Mulatu Biru Shargie
09:19:38
Really great move forward and highly encouraging presentations from all. Thank you very much !!
Wondimu Ayele
09:19:43
good in placing strong law enforcement to achieve stated assumption.
Sisa y A CDC
09:19:53
Thank you Prof. Yemane and all the presenters, excellent work from everyone. I think we need to really consider the impact of this epidemic on other health issues. Need team to be organized and see this aspect and advise leadership
Dessalew Emaway
09:20:00
thanks all presenters for excellent presentations
Dawit (GEOHealth)
09:20:09
Dear all the presenters, Thank you for the presentations and I think the issue here is how are we going to communicate such kind huge projections to the public.
Nebiyou Fasil
09:20:11
Thank you so much Dr. Amir and Prof. Yemane for your presentations. My question is, when do we anticipate local epidemic to hit any part of the country. i.e Addis Ababa?
alemayehumekonen
09:22:39
Addis Ababa Mortality Surveillance project base don 60-70 cemetries
alemayehumekonen
09:23:04
It is running for the last many years
Natan Belachew
09:23:51
a thousand a day?
alemayehumekonen
09:24:12
Target is 4500 per day
Worku
09:24:25
Dear all presenters, Thank you for the most interactive and informative presentations. Monitoring SRI morbidity and mortality is great. But, also advised from experts in the US monitoring hospitalisation rate will help us plan and execute resources, not to exceed the hospital or isolation centre capacities.
Wondimu Ayele
09:24:53
it would be great if MOH establish platform to track community death since due to low health facilities utilization it might underestimated
Kindalem Fentie
09:24:54
do u think there is community transmission at this point
Yared Mekonnen
09:24:57
excellent job you tested Mekedonia !!!
Damtew Woldemariam
09:25:08
thank you so much all for the amazing presentations.
Samir Awol
09:25:17
Thank you all for your contribution to save the lives of your brothers and sisters! Keep the good work!👌
dani
09:25:33
Great job on testing high risk population groups like Mekedonia.
mirgissa
09:25:46
The test shouldn't be a one time action perhaps findings may change with time
zgashu
09:25:46
Can we consider the complete lock down of Diredewa city?
Damtew Woldemariam
09:25:57
What is the plan to engage private health facilities in testing and treating COVID-19?
Emishaw
09:26:31
I am really satisfied. Thank you Dr. Lia
Zelalem Mehari
09:26:55
What about the health facilities on people with unknown cuase of pneumonia and severe respiratory disease? Health facilities are good starting points as suspected COVID19 cases wil come to health facilities
alemayehumekonen
09:27:37
Well responded, Dr. Lia
Yared Mekonnen
09:27:44
I don't handwashing can be captured in a model.
Lia, MOH Ethiopia
09:28:01
So far one of the labs testing is a private lab. We plan to engage more which already have RT-PCR machines
etsub
09:28:33
Global trends show cases start to double within the first one month after detecting the 100th case. However this does not seem the case here. Why do think the trajectory in Ethiopia is taking a different course compared to Asia, Europe and the US?
Ashetu Hunduma
09:29:31
Q to MoH/EPHI: Are we repeating the test if required because the test can miss in detecting considerable amount of the already infected ones? Or once negative, negative forever?
emengesha
09:29:36
Our hero Dr Lia well addressed
Titike
09:30:16
I have bunch of papers, I can share it with you?????
Dr Tsegaye F
09:31:18
how do you think of the WHO report about ''the worst is yet to come for Africa'' ?
Yared Mekonnen
09:31:33
To: Dr. Alemayehu - how did you account for age in your model ? especially in estimating case fatality rate. Being a young population, COVID19 related mortality could be much lower in Ethiopia.
Feyisa
09:31:47
The major mode of transmission is Contact; and the major NPI intervention is around that. Hence, must be considered any way
Nebreed Zemicheal
09:31:50
Thanks all great presentation and discussion .....reminder it is both social and physical distancing remember we are telling people to avoid social events ...
Enyew Birru
09:32:55
Do we have any exposed population group? we didn't hear any special group of people so far with more exposure to contract the disease than others
Yifokire Tefera
09:33:19
We monitor 620 people from different services (Market, Bank, Taxi, Hotels, Bus, Health centers, on Street cross); 28% hand haygine, 38% physical distance, 18% use of mask in Addis Ababa by AAU. We monitor every week
Mike Endale
09:33:59
Question to MoH - is there an operating assumption as to what explains the low infection rate in Ethiopia vs. the global index?
Selamawit Abu
09:34:07
How are the recovered cases join the community? Do they stay 14 days after the test is negative? Is there any guide line for home care ?
Yared Mekonnen
09:34:09
To: Dr. Alemayehu - - Did you take account of population density in your model ? some models used population density to create scenarios on social distancing
Alemayehu Worku
09:36:11
yes we did in the second projections for differetn localities.
Manuel K
09:36:27
Hello Prof Dawd, could you/others please share some thoughts on ethical dilemma in handling suspects and confirmed cases, and privacy issues around disclosure of private socio-demo and health information. Tx
Amsalu Shiferaw
09:36:35
How are we balancing the essential health services provision with COVID-19 response. I think COVID-19 is propagated across the world and country and masked the essential health services. The price from other health problems may outweigh the COVID-19 in Ethiopia
Berhanu F Alemaw
09:37:24
To hon. minister and everyone. we need support and encourage the community-based surveillance initiative in both rural and urban areas which is underway with more resources and focussed investment. we can mitigate the effect Vovid-19 very effectively and as early as possible.
Yemane Berhane
09:37:43
Please feel free to share papers and other resources. Thanks
Selamawit Negash
09:38:21
thank you so much all. very informative. may God give you more wisdom and protect our country.
Fifi Derso
09:38:38
what plan do you have to educate the people from other regions out of Addisababa about covid 19 transmission and prevention? people think the information they got from media national TV are all the cases are from people who travelled abroad
Tamrat Assefa
09:38:44
Thank you all, organizers and hon. presenters, it was a great and informative webinar
Fifi Derso
09:39:13
so we are not traveling and should be safe and don’t need to practice the guide line
663 121 485
09:39:17
What is the rationale to resume public transportation from Addis to the rest of the country at this time? And would you comment on imposing a rule of odd/event plate numbers in Addis?
Aaron's iPhone
09:39:55
This kind of intellectual discussions should continue and thank you to organizers and presenters
Sabit Ababor
09:40:24
To Dr. Lia, are people in quarantine segregated by their risk level?
Fifi Derso
09:40:37
Right communication choice of words and education and information dissemination should at the local level
Nebiat Sileshi
09:41:04
who r those people who r reported to have high risk job that predispose them to infection. how are you tracing them.
Makeda Semret, Dr
09:42:18
Thank you Dr LIa and other presenters. This was most informative. The challenges are huge, but the opportunity to re-inforce the public hospitals and quality of care overall, are really there, now. Would you consider creating a task force to actually start strategizing and planning Horizontal improvements, that are affordable and will have impact on the overall health
Yejimmawerk Ayalew
09:42:36
Great presentations and explanations. Thank you all for making this to happen. It would be great to have similar arrangements continuously. Stay Safe and Take Care.
Anne-Marie Hibbert
09:42:38
Thanks very much
Yared Mekonnen
09:42:43
Hi Prof Yeman/Dr. Alemyehu, there is one modelling exercise that specifically focuses on the population of Addis Ababa. It is based on a SEIR model and differential equations. You may want to review it at your convenience.
iPad (4)
09:42:44
What is the protocol for releasing a covid patient? we are seeing negative patients retested and coming up positive? is the false negative rate of 40 % accounted for in your modeling?
Beakal Amare
09:43:05
thank u.
663 121 485
09:43:26
How are the leadership of the health sector and other sectors intending to juggle response to CoVID-19, maintaining essential services and reportedly emerging epidemics of measles and yellow fever in SNNP region?
Yonas Libageba
09:43:37
I wonder, if Dr. Liya can give as a highlight on the implementation of the quarantine and its relation with the acquiring the infection during their period at the center.
Wondimu Ayele
09:43:58
how it account the probability of transmission for asymptotic, mild and severe in the model please ?
Yared Mekonnen
09:44:05
Thank you Dr. Alemayehu
Yewunetu Malefia
09:45:05
Question to Dr. Lia: How transparent is the government in disclosing test results?
iPad (4)
09:45:25
please ask lia her protocol for releasing covid patients back to the community
Ambachew Tefera
09:46:24
Thank you all, our minster, all the presenters and the moderator. It is well done!
Amir Siraj
09:46:25
Thank you all for the comments and questions. I will try to answer questions and forward to the organizers.
Dr Desalegn D.
09:46:38
Thank you Dr Lia, great response. Good to take our Djibouti border seriously. It could give us a problem going forward.
Daniel Yilma Bogale
09:47:07
Thanks for arrangement and nice discussion. 1. Good to compile data on clinical presentation and progress for 116 participants so far and share for clinicians and surveillance team in different regions
Dr. Abiy Girmay
09:48:09
WHO and MoH/EPHI updating and following on this
Solomon Feyissa
09:48:33
I don't think house to house screening is a good idea. Has never been done any where in the world so can any one share the public case benefit of such a measure. Contact tracing should be strengthened but house to house screening is unhelpful for such kind of problem
Mitik_2
09:49:04
well done EPHI?MOH
Haregewoin Bekele
09:49:18
Thank you so much for an excellent presentations! The fact that corona virus can stay on surfaces for varied time, what are some of the precautionary measures for sanitation workers/ solid waste collectors?
Hanna Demeke
09:49:43
Thank you everyone. We are in this together regardless of where we live. So glad to see such level of collaboration is heart warming 👏🏽 👏🏽 👏🏽
Fifi Derso
09:49:49
Excellent contact tracing
Tegbar Yigzaw Sendekie
09:50:18
This is very informative data visualization on contacts. This demonstrates third generation infection Prof Yemane was alluding to
Addis Woldemariam
09:50:30
Superb pages by Dr Sinte
Solomie Deribessa
09:50:36
Excellent contact tracing!
Worku Worku
09:50:40
our hero Dr.Lia
Edward Brown
09:50:43
Thanks so much to all presenters. This has given me great confidence in the Government of Ethiopia and the collective efforts to mitigate against risks related to COVID....God bless.
Amsalu Shiferaw
09:50:44
Excellent Dr. Lia and Dr. Sintayehu and all presenters. Wonderful session.
Yewunetu Malefia
09:50:44
Very impressive tracing.
Guadie,from Lesotho
09:50:47
an encouraging contact tracing!
wuleta
09:50:57
Excellent contact tracing - thanks Sente for sharing.
miliardderbew
09:51:05
Excellent webinar, Thank you all!!
Emishaw
09:51:05
I have seen an excellent job from Dr. Sintayehu`s slide...thank you so much all
Makeda Semret, Dr
09:51:09
BRAVO
Solomie Deribessa
09:51:13
thanks you Dr.Liya for the hard work!
Marshet
09:51:21
thank you
Addis Woldemariam
09:51:23
Reassuring to see our minister Dr Lia on top of her game
Edward Brown
09:51:26
I'm grateful to be living in Ethiopia and not my home country (USA:)
Worku
09:51:31
Thank you, H.E. Dr. Lia, presenters and organisers for the wonderful work so far and your enlightenment.
Daniel Telake
09:51:40
Came late to the meeting (due to high demand). Very interesting
Skassa
09:51:42
Thank you Dr. Sintayehu
M.Goji
09:51:43
Excellent concluding remark Dr. Lia. Together we can win
Zenebe Yirsaw
09:51:59
Excellent webinar. Thank you ALL!
Emishaw
09:52:07
Great job Prof. Dawd!!
Elias Siraj
09:52:08
Regarding the 3 generations with the Japanese patient, some what concerning but it is not sustained... it was stopped by contact tracing. The total numbers also matter. So my take, not enough to say community transmission.
Hermon
09:52:12
This has been very informative. Thank you H.E. Dr. Lia, thank you all!
Ayalew T Muluneh
09:52:14
Thank you all. Excellent presentation and discussion
Saint Gabriel General Hospital
09:52:27
Very informatve seminar. Thank you to all the presenters.
Daniel Yilma Bogale
09:52:33
Thanks All!
fitsum habte
09:52:40
Enforce face mask use by the public
Seife F
09:52:42
Thank you all.
BM
09:52:44
Excellent webinar. please think having another one soon
Daniel Fikreyesus
09:52:50
Thank you excellent presentations
alemayehumekonen
09:52:50
Really impressive work. Yagere Lijoch
Yoni
09:52:51
thank you all!
Solomon Gebru
09:52:58
Thank you
wmengste
09:52:58
Thanks, for everyone, very helpful for us
Getaneh Assefa
09:52:58
Thank you for very informative meeting.
Alemayehu
09:52:59
Thank you all
Fifi Derso
09:52:59
Thank you , Dr Enawgaw and Dr Libyan and all wonderful Organizers
Shabbir Abbas
09:53:00
Thanks a million!
wuleta
09:53:00
Thank you for an excellent t session. Look forward for more.
Yonas Libageba
09:53:01
Thank you very much
Tegbar Yigzaw Sendekie
09:53:03
Excellent webinar. We should continue collaborative efforts like this!
Fifi Derso
09:53:03
great job
Nigussie Assefa
09:53:04
Thank you all
Dawit (GEOHealth)
09:53:04
It was very nice session and thank you!!
etsub
09:53:05
thank you so much
Gudina
09:53:08
Thank You all
Sefonias Getachew
09:53:08
thanks all!
alemayehumekonen
09:53:10
Great!!
Neghist Tesfaye
09:53:12
THANK YOU
Fisseha Shiferie Tadesse
09:53:15
Thank you all!!!
lanyerob
09:53:18
Thank you
Elias Siraj
09:53:20
great job team!
solomon Zeleek
09:53:21
Thank you all!!
Tigest Shifraw
09:53:24
Thank you all for the nice presentation and discussion.
Teruworkk
09:53:25
Thanks a lot, quite informative!
Getnet samuel Dadebo
09:53:26
ጠሀሃነከ
Zebideru Zewdie
09:53:29
Thank you all
Azeb Asaminew Alemu
09:53:30
thank you
Tesfa S. Egzertegegne
09:53:34
thank you
Desalew Mekonnen
09:53:41
Thank you very much!
Tewabech
09:53:42
Tewabech Bishaw Thank You all very much. Keep up the spirit and the Diaspora local partnership!
Ati Ferede
09:53:43
Thank you. Great work!
Emnet A. T
09:53:50
excellent !! thank you all!
Getnet samuel Dadebo
09:53:53
thank you
Titike
09:53:57
Thank you so Much!
ABERAE
09:54:27
Thanks to organizers and Dr Lia
Berhanu F Alemaw
09:54:38
This Berhanu from Botswana. it was informative event. pl keep it up.