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Last Updated: 29/05/2024

LAKANA Covid-19 surveillance study

Objectives

To strengthen the Government of Mali in its COVID-19 surveillance and response, and collect supporting sero-epidemiological and health system data. 

  1. Measure the impact of the epidemic on health service delivery at 12 health facilities in the Kayes and Kita regions of Mali. 
  2. Monitor the exposure to Covid-19 infection (presence of SARS-Cov-2 antibodies in serum) among healthcare workers at 12 health facilities in or near the town of Kita and compare the Covid-19 antibody seroprevalence among health workers to that of similar-aged people in the general population.
  3. Describe the characteristics of suspected, probable, and confirmed Covid-19 patients presenting at 12 health facilities in or near the town of Kita.
  4. Estimate the prevalence of symptomatic and asymptomatic Covid-19 infection (detection of SARS-Cov-2 RNA in nasopharyngeal secretion) and exposure to Covid-19 infection (presence of SARS-Cov-2 antibodies in serum) among household contacts of individuals with a confirmed Covid-19 infection. Describe the presentation and risk factors of Covid-19 infection among the contacts.
  5. Estimate the population-level prevalence of acute Covid-19 infection and exposure to Covid-19 infection in rural and urban settings, separately in four age strata (under 5, 5 to 14, 15 to 60, and over 60 years). Describe the risk factors of Covid-19 infection in the general population.
Principal Investigators / Focal Persons

Per Ashorn

Rationale and Abstract

Coronavirus disease 2019 (Covid-19) is a potentially severe acute respiratory infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus was identified as the cause of an outbreak of pneumonia of unknown cause in Wuhan City, Hubei Province, China, in December 2019. The clinical presentation is that of a respiratory infection with a symptom severity ranging from a mild common-cold-like illness to severe viral pneumonia leading to acute respiratory distress syndrome that is potentially fatal. Mali identified its first cases on 25th March 2020. The LAKANA Covid-19 Surveillance Study will use an established research platform in the Kayes and Kita regions of Mali to implement a package of public health interventions to strengthen the health system and establish effective disease surveillance of Covid-19 infection to reduce the spread of the disease.

The LAKANA Covid-19 Surveillance Study is an observational study supporting the Ministry of Health and Social Affairs’ strategy to strengthen epidemiological surveillance and implement a package of public health interventions to reduce the transmission of the disease. The study will be built on a public health intervention, designed to support and enhance the national response in Mali to limit the spread of Covid-19 epidemic at health facilities and in the community and to mitigates its impact the population’s health. 

Study Design

Research question 1 (impact on health services): indicators of health service delivery will be recorded on a daily basis.

Research question 2 (seroprevalence among health workers): all healthcare workers at selected facilities will be enrolled and followed for the duration of the study.

Research questions 3 (characteristics of Covid-patients) and 4 (infections among household contacts): will be based on a prospective case-ascertained study design in which all household contacts of a laboratory confirmed Covid-19 patient will be tested and followed for up-to 28 days.

Research question 5 (prevalence of current and past infection) will be a population-based survey, conducted separately in rural and urban settings, in which a multi-staged sampling approach will be used.

Thematic Categories

Epidemiology
Surveillance

Date

Apr 2020 — Aug 2020

Total Project Funding

$1,000,000

Project Site

Mali

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