Coronavirus (Covid-19) Information
What is Coronavirus?
Coronaviruses are a family of virus that includes the common cold, SARS and MERS. The most recent COVID-19 outbreak involves a new strain that previously had not been identified in humans.
Main Signs and Symptoms
- Coughing/Sneezing
- Fever
- Pneumonia
- Difficulty breathing
How is Coronavirus Transmitted?
The virus lives in the droplet of water in an infected person’s respiratory system. If they sneeze, cough or touch their mouth, these particles can spread. These particles can then land in the mouth or nose of uninfected people or be inhaled.
How to Protect Yourself
- Wash your hands often with soap and water.
- Use an alcohol-based hand sanitiser if soap and water are not available. This is particularly important after taking public transport.
- Avoid touching your eyes, nose, and mouth with unwashed hands.
- Avoid close contact with people who are sick.
- When you cough or sneeze, cover your mouth with a tissue, then throw the tissue in a bin.
- Clean and disinfect frequently touched objects and surfaces in the home and work environment.
Treatment
There is no known treatment for COVID-19, nor has a vaccine been developed.
Urgent Action Needed to Control Further Spread of COVID-19 in West Africa 02 April 2020
The Gambia Records Third Confirmed Case of COVID-19 24 March 2020
First COVID-19 Death Recorded in The Gambia 23 March 2020
Statement: Patient Confidentiality at the MRC Unit The Gambia at LSHTM 20 March 2020
Information on COVID-19 Testing at the MRC Unit The Gambia at LSHTM 18 March 2020
Confirmed Case of COVID-19 In The Gambia 17 March 2020
The Medical Research Council Unit The Gambia at the London School of Hygiene and Tropical Medicine is the testing centre for COVID-19 in The Gambia. COVID-19 testing is facilitated by our partners at the Ministry of Health.
Our target turnaround time (TAT) for providing test results to the Ministry of Health is 24 hours from when the sample is received at our Unit in Fajara. The waiting period for samples collected from remote locations would include the time it took to deliver them to the lab.
Please note that the current waiting period internationally ranges from 2 to 4 days or more. For example, Public Health Ontario Canada has a TAT of 4 days, and some commercial test providers in South Africa indicate 2-4 days TAT.
This page will be updated daily to provide information on the number of tests conducted, and the results from these tests. Do check back regularly to stay updated on our COVID-19 diagnostics support to the Ministry of Health.
Termination of Daily COVID-19 Diagnostics Reports from MRCG at LSHTM
With effect from 4th June, the Unit will no longer share daily diagnostics reports on social media and our website. While we will continue to conduct testing as part of our support to the national COVID-19 response efforts, reporting will be done through the Ministry of Health’s channels. We encourage members of the public to follow the daily COVID-19 Situation Reports from the Ministry for relevant information.
Samples Tested – New: 28
Suspected Cases Tested – New: 28
Total: 1969
Total: 1793
Cases Tested Positive – New: 0
Cases Tested Negative – New: 28
Total: 26
Total: 1836
Samples Tested – New: 53
Suspected Cases Tested – New: 20
Total: 1941
Total: 1765
Cases Tested Positive – New: 1
Cases Tested Negative – New: 49
Total: 26
Total: 1808
Samples Tested – New: 33
Suspected Cases Tested – New: 32
Total: 1888
Total: 1745
Cases Tested Positive – New: 0
Cases Tested Negative – New: 33
Total: 25
Total: 1759
Samples Tested – New: 31
Suspected Cases Tested – New: 31
Total: 1855
Total: 1713
Cases Tested Positive – New: 0
Cases Tested Negative – New: 31
Total: 25
Total: 1726
Samples Tested – New: 7
Suspected Cases Tested – New: 2
Total: 1824
Total: 1682
Cases Tested Positive – New: 0
Cases Tested Negative – New: 4
Total: 25
Total: 1695
Samples Tested – New: 19
Suspected Cases Tested – New: 10
Total: 1817
Total: 1680
Cases Tested Positive – New: 0
Cases Tested Negative – New: 19
Total: 25
Total: 1691
*1 repeat test on active case gave positive results
Samples Tested – New: 20
Suspected Cases Tested – New: 4
Total: 1798
Total: 1670
Cases Tested Positive – New: 0
Cases Tested Negative – New: 19
Total: 25
Total: 1672
Samples Tested – New: 53
Suspected Cases Tested – New: 52
Total: 1778
Total: 1666
Cases Tested Positive – New: 0
Cases Tested Negative – New: 53
Total: 25
Total: 1653
Samples Tested – New: 17
Suspected Cases Tested – New: 10
Total: 1725
Total: 1614
Cases Tested Positive – New: 0
Cases Tested Negative – New: 14
Total: 25
Total: 1600
Samples Tested – New: 124
Suspected Cases Tested – New: 117
Total: 1708
Total: 1604
Cases Tested Positive – New: 1
Cases Tested Negative – New: 123
Total: 25
Total: 1586
*3 repeat tests on active cases gave positive results
Samples Tested – New: 12
Suspected Cases Tested – New: 4
Total: 1584
Total: 1487
Cases Tested Positive – New: 0
Cases Tested Negative – New: 9
Total: 24
Total: 1463
Samples Tested – New: 9
Suspected Cases Tested – New: 8
Total: 1567
Total: 1475
Cases Tested Positive – New: 0
Cases Tested Negative – New: 9
Total: 24
Total: 1498
*3 repeat tests on active cases gave positive results
Samples Tested – New: 19
Suspected Cases Tested – New: 8
Total: 1558
Total: 1467
Cases Tested Positive – New: 0
Cases Tested Negative* – New: 16
Total: 24
Total: 1489
Samples Tested – New: 22
Suspected Cases Tested –New: 16
Total: 1539
Total: 1459
Cases Tested Positive – New: 1
Cases Tested Negative – New: 21
Total: 24
Total: 1470
Samples Tested – New: 14
Suspected Cases Tested –New: 14
Total: 1517
Total: 1443
Cases Tested Positive – New: 0
Cases Tested Negative – New: 14
Total: 23
Total: 1449
Samples Tested – New: 96
Suspected Cases Tested –New: 86
Total: 1503
Total: 1429
Cases Tested Positive – New: 0
Cases Tested Negative – New: 96
Total: 23
Total: 1435
Samples Tested – New: 11
Suspected Cases Tested –New: 10
Total: 1407
Total: 1343
Cases Tested Positive – New: 0
Cases Tested Negative – New: 11
Total: 23
Total: 1339
Samples Tested – New: 24
Suspected Cases Tested –New: 17
Total: 1396
Total: 1333
Cases Tested Positive – New: 0
Cases Tested Negative – New: 24
Total: 23
Total: 1328
Samples Tested – New: 79
Suspected Cases Tested –New: 71
Total: 1372
Total: 1316
Cases Tested Positive – New: 1
Cases Tested Negative – New: 78
Total: 23
Total: 1304
Samples Tested – New: 45
Suspected Cases Tested –New: 43
Total: 1293
Total: 1245
Cases Tested Positive – New: 2
Cases Tested Negative – New: 41
Total: 22
Total: 1226
Samples Tested – New: 93
Suspected Cases Tested –New: 90
Total: 1248
Total: 1202
Cases Tested Positive – New: 0
Cases Tested Negative – New: 93
Total: 20
Total: 1185
Samples Tested – New: 77
Suspected Cases Tested –New: 76
Total: 1155
Total: 1112
Cases Tested Positive – New: 2
Cases Tested Negative – New: 75
Total: 20
Total: 1092
Samples Tested – New: 194
Suspected Cases Tested –New: 194
Total: 1077
Total: 1036
Cases Tested Positive – New: 1
Cases Tested Negative – New: 192
Total: 18
Total: 1017
Samples Tested – New: 160
Suspected Cases Tested –New: 160
Total: 881
Total: 842
Cases Tested Positive – New: 0
Cases Tested Negative – New: 160
Total: 17
Total: 825
Samples Tested – New: 161
Suspected Cases Tested –New: 161
Total: 721
Total: 682
Cases Tested Positive – New: 0
Cases Tested Negative – New: 161
Total: 17
Total: 665
Samples Tested – New: 11
Suspected Cases Tested –New: 11
Total: 560
Total: 521
Cases Tested Positive – New: 0
Cases Tested Negative – New: 11
Total: 17
Total: 504
*2 samples gave indeterminate results and will be resampled.
Samples Tested – New: 28
Suspected Cases Tested –New: 28
Total: 549
Total: 510
Cases Tested Positive – New: 5
Cases Tested Negative* – New: 11
Total: 17
Total: 491
Samples Tested – New: 25
Suspected Cases Tested –New: 24
Total: 518
Total: 483
Cases Tested Positive – New: 0
Cases Tested Negative – New: 25
Total: 12
Total: 472
Samples Tested – New: 22
Suspected Cases Tested –New: 22
Total: 493
Total: 459
Cases Tested Positive – New: 1
Cases Tested Negative – New: 21
Total: 12
Total: 447
Samples Tested – New: 24
Suspected Cases Tested –New: 24
Total: 471
Total: 437
Cases Tested Positive – New: 1
Cases Tested Negative – New: 23
Total: 11
Total: 426
Samples Tested – New: 33
Suspected Cases Tested –New: 32
Total: 447
Total: 413
Cases Tested Positive – New: 0
Cases Tested Negative – New: 33
Total: 10
Total: 403
Samples Tested – New: 2
Suspected Cases Tested –New: 2
Total: 416
Total: 383
Cases Tested Positive – New: 0
Cases Tested Negative – New: 2
Total: 10
Total: 373
Samples Tested – New: 6
Suspected Cases Tested –New: 2
Total: 404
Total: 371
Cases Tested Positive – New: 0
Cases Tested Negative – New: 6
Total: 10
Total: 361
Samples Tested – New: 30
Suspected Cases Tested –New: 30
Total: 398
Total: 369
Cases Tested Positive – New: 0
Cases Tested Negative – New: 30
Total: 10
Total: 359
Samples Tested – New: 6
Suspected Cases Tested –New: 2
Total: 368
Total: 339
Cases Tested Positive – New: 0
Cases Tested Negative – New: 6
Total: 10
Total: 329
Samples Tested – New: 29
Suspected Cases Tested –New: 29
Total: 362
Total: 337
Cases Tested Positive – New: 0
Cases Tested Negative – New: 29
Total: 10
Total: 327
Samples Tested – New: 23
Suspected Cases Tested –New: 16
Total: 333
Total: 308
Cases Tested Positive – New: 1
Cases Tested Negative – New: 22
Total: 10
Total: 298
Samples Tested – New: 9
Suspected Cases Tested – New: 8
Total: 310
Total: 292
Cases Tested Positive – New: 0
Cases Tested Negative – New: 8
Total: 9
Total: 283
Samples Tested – New: 5
Suspected Cases Tested – New: 4
Total: 301
Total: 284
Cases Tested Positive – New: 0
Cases Tested Negative – New: 4
Total: 9
Total: 275
Samples Tested – New: 5
Suspected Cases Tested – New: 5
Total: 296
Total: 280
Cases Tested Positive – New: 0
Cases Tested Negative – New: 5
Total: 9
Total: 271
Samples Tested – New: 6
Suspected Cases Tested – New: 5
Total: 291
Total: 275
Cases Tested Positive – New: 0
Cases Tested Negative – New: 5
Total: 9
Total: 266
Samples Tested – New: 6
Suspected Cases Tested – New: 6
Total: 285
Total: 270
Cases Tested Positive – New: 0
Cases Tested Negative – New: 6
Total: 9
Total: 261
Inconclusive test: 1
Samples Tested – New: 76
Suspected Cases Tested – New: 76
Total: 279
Total: 264
Cases Tested Positive – New: 5
Cases Tested Negative – New: 70
Total: 9
Total: 255
Samples Tested – New: 4
Suspected Cases Tested – New: 4
Total: 203
Total: 188
Cases Tested Positive – New: 0
Cases Tested Negative – New: 4
Total: 4
Total: 184
Samples Tested – New: 6
Suspected Cases Tested – New: 6
Total: 199
Total: 184
Cases Tested Positive – New: 0
Cases Tested Negative – New: 6
Total: 4
Total: 180
Samples Tested – New: 21
Suspected Cases Tested – New: 19
Total: 193
Total: 178
Cases Tested Positive – New: 0
Cases Tested Negative – New: 19
Total: 4
Total: 174
*The results for one of the samples was inconclusive. A retest will be done for a final result.
Samples Tested – New: 39
Suspected Cases Tested – New: 39
Total: 172
Total: 159
Cases Tested Positive – New: 0
Cases Tested Negative – New: 38*
Total: 4
Total: 154
Samples Tested – New: 3
Suspected Cases Tested – New: 3
Total: 133
Total: 120
Cases Tested Positive – New: 0
Cases Tested Negative – New: 3
Total: 4
Total: 116
Samples Tested – New: 5
Suspected Cases Tested – New: 5
Total: 130
Total: 117
Cases Tested Positive – New: 0
Cases Tested Negative – New: 5
Total: 4
Total: 113
Samples Tested – New: 16
Suspected Cases Tested – New: 14
Total: 125
Total: 112
Cases Tested Positive – New: 0
Cases Tested Negative – New: 14
Total: 4
Total: 108
Samples Tested – New: 11
Suspected Cases Tested – New: 11
Total: 109
Total: 98
Cases Tested Positive – New: 0
Cases Tested Negative – New: 11
Total: 4
Total: 94
Samples Tested – New: 5
Suspected Cases Tested – New: 3
Total: 98
Total: 87
Cases Tested Positive – New: 0
Cases Tested Negative – New: 3
Total: 4
Total: 83
Samples Tested – New: 14
Suspected Cases Tested – New: 12
Total: 93
Total: 85
Cases Tested Positive – New: 0
Cases Tested Negative – New: 12
Total: 4
Total: 80
Samples Tested – New: 23
Suspected Cases Tested – New: 23
Total: 79
Total: 72
Cases Tested Positive – New: 1
Cases Tested Negative – New: 22
Total: 4
Total: 68
Samples Tested – New: 5
Suspected Cases Tested – New: 4
Total: 56
Total: 49
Cases Tested Positive – New: 0
Cases Tested Negative – New: 4
Total: 3
Total: 46
Samples Tested – New: 6
Suspected Cases Tested – New: 5
Total: 52
Total: 45
Cases Tested Positive – New: 0
Cases Tested Negative – New: 5
Total: 3
Total: 42
Samples Tested – New: 16
Suspected Cases Tested – New: 16
Total: 45
Total: 40
Cases Tested Positive – New: 0
Cases Tested Negative – New: 16
Total: 3
Total: 37
Samples Tested – New: 3
Suspected Cases Tested – New: 2
Total: 29
Total: 24
Cases Tested Positive – New: 1
Cases Tested Negative – New: 1
Total: 3
Total: 21
Samples Tested – New: 3
Suspected Cases Tested – New: 3
Total: 26
Total: 22
Cases Tested Positive – New: 1
Cases Tested Negative – New: 22
Total: 2
Total: 20
Samples Tested – New: 1
Suspected Cases Tested – New: 0
Total: 23
Total: 19
Cases Tested Positive – New: 0
Cases Tested Negative – New: 0
Total: 1
Total: 18
Samples Tested – New: 4
Suspected Cases Tested – New: 4
Total: 22
Total: 19
Cases Tested Positive – New: 0
Cases Tested Negative – New: 4
Total: 1
Total: 18
Samples Tested – New: 1
Suspected Cases Tested – New: 1
Total: 18
Total: 15
Cases Tested Positive – New: 0
Cases Tested Negative – New: 1
Total: 1
Total: 14
Samples Tested – New: 5
Suspected cases tested – New: 5
Total: 17
Total: 14
Cases Tested Positive – New: 1
Cases Tested Negative – New: 4
Total: 1
Total: 13
Samples Tested – New: 1
Suspected Cases Tested – New: 1
Total: 12
Total: 9
Cases Tested Positive – New: 0
Cases Tested Negative – New: 1
Total: 0
Total: 9
Samples Tested – New: 3
Suspected Cases Tested – New: 3
Total: 11
Total: 8
Cases Tested Positive – New: 0
Cases Tested Negative – New: 3
Total: 0
Total: 8
Samples Tested – New: 2
Suspected Cases Tested – New: 1
Total: 8
Total: 5
Cases Tested Positive – New: 0
Cases Tested Negative – New: 1
Total: 0
Total: 5
Samples Tested – New: 1
Suspected Cases Tested – New: 1
Total: 6
Total: 4
Cases Tested Positive – New: 0
Cases Tested Negative – New: 1
Total: 0
Total: 4
Samples Tested – New: 1
Suspected Cases Tested – New: 1
Total: 5
Total: 3
Cases Tested Positive – New: 0
Cases Tested Negative – New: 1
Total: 0
Total: 3
Samples Tested – New: 2
Suspected Cases Tested – New: 0
Total: 4
Total: 2
Cases Tested Positive – New: 0
Cases Tested Negative – New: 0
Total: 0
Total: 0
Samples Tested – New: 2
Suspected Cases Tested – New: 2
Total: 2
Total: 2
Cases Tested Positive – New: 0
Cases Tested Negative – New: 2
Total: 0
Total: 2
Our Laboratory Management values its relationship with colleagues across the country. Please click this link to access and view the laboratory manual which provides laboratory tests available and their requirements. External clients can refer to the laboratory manual and the laboratory request forms below to complete and forward to laboratory management by sending to labcare@mrc.gm
As part of our preparedness response to COVID-19, our Clinical Services Department has developed and shared the below series of SOPs, flowcharts and guidelines focused on the clinical management of suspected and confirmed COVID-19 cases. The documents cover critical aspects of patient management and transmission prevention, and may be particularly useful as part of an early-phase COVID-19 response.
Each document is available to download and was designed to serve as a flexible template, which can be easily adapted according to clinical setting and/or regional specifications.
2019 novel Coronavirus (SARS-CoV-2/COVID-19) Executive Summary
Self-Isolation
Flowcharts
SOPs
- Donning of Personal Protection Equipment (PPE) for Managing Airborne High Consequence Infectious Diseases (AHCID, eg COVID-19)
Checklists
25 March 2020
The Medical Research Council Unit The Gambia at LSHTM is continuously monitoring the developments on the COVID19 pandemic. We have developed this FAQ to respond to the questions we have been receiving, as well as some key questions that can be helpful, with reference to the World Health Organization guidelines.
This FAQs will be updated as the situation changes, especially in The Gambia. Please check back regularly to get the most up-to-date information.
Coronaviruses are a large family of viruses which may cause illness in animals or humans. In humans, several coronaviruses are known to cause respiratory infections ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS). The most recently discovered coronavirus causes coronavirus disease COVID-19.
COVID-19 is the infectious disease caused by the most recently discovered coronavirus. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019.
Yes. The Gambia confirmed its first positive case of COVID-19 on 17th March 2020. To see the total number of cases and details on testing in The Gambia, please click on the Daily Diagnostics Report tab above.
Yes. The Ministry of Health has teams in place to ensure urgent contact tracing. Those identified as close contacts are now being quarantined, and will be tested, in line with the decision to test all persons in quarantine before they are released.
Yes. The Medical Research Council Unit The Gambia at the London School of Hygiene & Tropical Medicine provides the COVID-19 testing in The Gambia, and this is done in close collaboration with the Ministry of Health. The Unit is also providing support to the Ministry to facilitate testing at the National Public Health Laboratories.
Our facilities are not open to walk-in requests for testing at the moment. COVID19 testing is facilitated by our partners at the Ministry of Health. All persons who may be observing COVID-19 symptoms should contact the Ministry of Health by calling the national helpline 1025 from any network, free of charge. Please follow the guidance you will receive.
The Unit is not charging any fees for the testing of suspected COVID19 cases.
At present, the MRC Unit The Gambia at LSHTM is the only testing centre in The Gambia. Tests are being conducted in collaboration with the Ministry of Health.
The Gambia government has issued directives to limit public gatherings and encourage social distancing. Please refer to current directives from the Gambia Government website.
The risk depends on where you are – and more specifically, whether there is a COVID-19 outbreak unfolding there. For most people in most locations, the risk of catching COVID-19 is still low. However, there are now places around the world (cities or areas) where the disease is spreading. For people living in, or visiting, these areas the risk of catching COVID-19 is higher. Governments and health authorities are taking vigorous action every time a new case of COVID-19 is identified. Be sure to comply with any local restrictions on travel, movement or large gatherings. Cooperating with disease control efforts will reduce your risk of catching or spreading COVID-19. COVID-19 outbreaks can be contained and transmission stopped, as has been shown in China and some other countries. Unfortunately, new outbreaks can emerge rapidly. It’s important to be aware of the situation where you are or intend to go. WHO publishes daily updates on the COVID-19 situation worldwide. You can see these at https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/
No. Antibiotics do not work against viruses, they only work on bacterial infections. COVID-19 is caused by a virus, so antibiotics do not work. Antibiotics should not be used as a means of prevention or treatment of COVID-19. They should only be used as directed by a physician to treat a bacterial infection.
While some western, traditional or home remedies may provide comfort and alleviate symptoms of COVID-19, there is no evidence that current medicine can prevent or cure the disease. WHO does not recommend self-medication with any medicines, including antibiotics, as a prevention or cure for COVID-19. However, there are several ongoing clinical trials that include both western and traditional medicines. WHO will continue to provide updated information as soon as clinical findings are available.
Not yet. To date, there is no vaccine and no specific antiviral medicine to prevent or treat COVID-2019. However, those affected should receive care to relieve symptoms. People with serious illness should be hospitalized. Most patients recover thanks to supportive care. Possible vaccines and some specific drug treatments are under investigation. They are being tested through clinical trials. WHO is coordinating efforts to develop vaccines and medicines to prevent and treat COVID-19. The most effective ways to protect yourself and others against COVID-19 are to frequently clean your hands, cover your cough with the bend of elbow or tissue, and maintain a distance of at least 1 meter (3 feet) from people who are coughing or sneezing. (See Basic protective measures against the new coronavirus).
Only wear a mask if you are ill with COVID-19 symptoms (especially coughing) or looking after someone who may have COVID-19. Disposable face mask can only be used once. If you are not ill or looking after someone who is ill then you are wasting a mask. There is a world-wide shortage of masks, so WHO urges people to use masks wisely. WHO advises rational use of medical masks to avoid unnecessary wastage of precious resources and mis-use of masks (see Advice on the use of masks). The most effective ways to protect yourself and others against COVID-19 are to frequently clean your hands, cover your cough with the bend of elbow or tissue and maintain a distance of at least 1 meter (3 feet) from people who are coughing or sneezing. See basic protective measures against the new coronavirus for more information.
The “incubation period” means the time between catching the virus and beginning to have symptoms of the disease. Most estimates of the incubation period for COVID-19 range from 1-14 days, most commonly around five days. These estimates will be updated as more data become available.
Coronaviruses are a large family of viruses that are common in animals. Occasionally, people get infected with these viruses which may then spread to other people. For example, SARS-CoV was associated with civet cats and MERS-CoV is transmitted by dromedary camels. Possible animal sources of COVID-19 have not yet been confirmed. To protect yourself, such as when visiting live animal markets, avoid direct contact with animals and surfaces in contact with animals. Ensure good food safety practices at all times. Handle raw meat, milk or animal organs with care to avoid contamination of uncooked foods and avoid consuming raw or undercooked animal products.
It is not certain how long the virus that causes COVID-19 survives on surfaces, but it seems to behave like other coronaviruses. Studies suggest that coronaviruses (including preliminary information on the COVID-19 virus) may persist on surfaces for a few hours or up to several days. This may vary under different conditions (e.g. type of surface, temperature or humidity of the environment). If you think a surface may be infected, clean it with simple disinfectant to kill the virus and protect yourself and others. Clean your hands with an alcohol-based hand rub or wash them with soap and water. Avoid touching your eyes, mouth, or nose.
The following measures ARE NOT effective against COVID-2019 and can be harmful: In any case, if you have fever, cough and difficulty breathing seek medical care early to reduce the risk of developing a more severe infection and be sure to share your recent travel history with your health care provider.