The First Hundred Days of Novel Corona-virus Disease 2019 in Ethiopia, 13 March to 21 June 2020: Retrospective Analysis

BackgroundThe Novel Coronavirus Disease 2019 (COVID-19) pandemic was originated from Wuhan city, China and spread to almost all countries and territories in the world. Ethiopia reported its first COVID-19 confirmed case on 13 March, 2020. This study aims to show the epidemiological characteristics of the pandemic in Ethiopia in the first hundred days, which would help to guide the ongoing national response efforts to control and prevent the spread of the disease through generating scientific evidence.MethodWe conducted secondary data analysis of COVID-19 data extracted from a national database at Ethiopian Public Health Institute from 13 March to 21 June, 2020. We anonymized personal information for privacy protection. Data was cleaned and descriptive analyses was employed. We used Arc GIS to illustrate the geographical distribution of COVID-19 cases.ResultsOf the 216,328 examined individuals, 4,534 (2.1%) tested positive for COVID-19 of which 74(CFR: 1.6%) have died. People aged between 20–49 years attributed for 76.3% of the total cases. Majority, 2,851 (62.9%) of the cases were male, 3,222 (71.3%) reported from Addis Ababa, 982 (21.7%) of the cases were imported, 413(9.1%) had contact with confirmed cases, 3,139 (69.2%) had no travel history nor contact with confirmed case, and 4,180 (92.2%) of the cases reported were asymptomatic. Health Care Workers contributed for 3.7% of the total cases reported.ConclusionThe magnitude and distribution of COVID-19 cases and deaths and Health Care Workers infection has increased throughout the country over-time. Due emphasis needs to be given by the government, all stakeholders, and partners to scale-up and expand laboratory diagnosis capacities, strengthen surveillance and contact tracing, implement proper Infection Prevention and Control measures, improve case management services and the community should strictly follow social distancing measures. There should be an appropriate health care workers risk factors assessment and intervention to adequately protect the health care workers exposure and infection. Further study shall be conducted to describe the knowledge gaps on the asymptomatic transmission of the virus.