Policy responses for Lithuania - HSRM

Lithuania


Policy responses for Lithuania

1.4 Monitoring and surveillance

The definition of COVID-19 in Lithuania was changed several times (see also section 1.5). Since January 29, the MOH used the WHO definition.(1) First update of the definition was made on 4th of February (2019-nCoV) where ECDC definition (2) was used for case detection and epidemiological surveillance. Since February 24, the local definition was adapted based on decision of the Emergency Operation Centre of the MOH, and it is based on the guidelines of international organizations (see also section 1.5).(4) The newest definition (5) (in place since 28th March) includes: 1. Persons with respiratory infection symptoms (fever, cough, breathing difficulties), who returned from an area with the spread of COVID-19 in the past 14 days. 2. Person with respiratory infection symptoms who had close contact with confirmed or suspected COVID-19 case.  

From 7th April, MOH added a requirement to test anyone entering the country at the border or within 24 hours of entry.(6) Any suspected or confirmed case of COVID-19 shall be reported immediately to the National Center for Public Health (NCPH) under the Ministry of Health. In order to control the spread of communicable diseases, the NCPH conducts an epidemiological investigation of all COVID-19 cases (they use interviews, clarify circumstances of the infection, conduct contact tracing and collect other epidemiologically relevant information). Those who have been in contact are isolated, contacted daily and their health status is evaluated. The information on the results of the ongoing study, including the sites visited by COVID-19 infected persons, are published online on the NCPH website.

On 20th of March the Department of Statistics of Lithuania prepared a virtual map collection for analyzing a set of COVID-19 statistics (7) (e.g. registered cases, deaths, number of tests) at the national, county or municipality level. The map can be found here:
https://osp.maps.arcgis.com/apps/MapSeries/index.html?appid=79255eaa219140dfa65c01ae95ed143b

From 20th of May COVID-19 statistics are also reported in a virtual map, providing information on the situation of coronavirus infection in Lithuania according to various indicators by different municipalities, gender and age groups, trends and daily changes. https://registrucentras.maps.arcgis.com/apps/opsdashboard/index.html#/becd01f2fade4149ba7a9e5baaddcd8d

Monitoring and surveillance of cases (and deaths) include both long-term care facilities and home care. If an outbreak is detected in any care home, the monitoring is performed for all person who may have had a contact with a possible COVID-19 carrier (see section 3.2).
An app has also been created to monitor COVID-19 cases (see section 1.3)

Current situation as of 15th of May suggests that COVID-19 management is under control, with comparatively low disease incidence (54 cases per 100 thousand population). The distribution of cases varies regionally, with highest rates recorded in Klaipeda, followed by Vilnius and Marijampolė. Although new cases are still detected, they seem to be localized. The number of deaths currently stands at 60 in total.

Sources:

1. MOH (29/01/2020) http://sam.lrv.lt/uploads/sam/documents/files/KORONA/2020-01-29%20del%20koronaviruso%20epid%20prieziuros.pdf 
2. MOH (04/02/2020) http://www.ulac.lt/uploads/downloads/20200204_nCoV%20infekcijos%20atvejo%20apibrezimas.pdf 
3. MOH (24/02/2020) http://www.ulac.lt/uploads/downloads/20200224_161601.pdf 
4. MOH (27/02/2020) http://www.ulac.lt/uploads/downloads/3R-190.pdf 
5. MOH (27/03/2020) https://sam.lrv.lt/uploads/sam/documents/files/V-593.pdf 
6. MOH (08/04/2020) https://sam.lrv.lt/uploads/sam/documents/files/KORONA/D%C4%96L%20S%C4%84LYT%C4%AE%20TUR%C4%96JUSI%C5%B2%20ASMEN%C5%B2%20GR%C4%AE%C5%BDUSI%C5%B2%2C%20I%C5%A0%20U%C5%BDSIENIO%20VALSTYBI%C5%B2%2C%20IZOLIAVIMO%20PAKEITIMO%20(V-757).pdf 
7. LR Government (24/03/2020) http://lrv.lt/lt/aktuali-informacija/informacija-del-naujojo-koronaviruso/svarbiausia-informacija/2020-03-24-parengtas-virtualu-zemelapiu-rinkinys-leidziantis-analizuoti-ivairius-su-covid-19-virusu-susijusius-statistinius-duomenis