Policy responses for Ukraine - HSRM


Policy responses for Ukraine

1.4 Monitoring and surveillance

In June the WHO Country Office, together with MoH and UPHC, has launched the First Few Cases study in 11 regions in Ukraine aiming to collect data for COVID-19 cases and their contacts. The WHO is also (i) providing technical support on regional levels with data collection and management through mobilizing additional workforce for COVID-19 data entry and data management; (ii) has mobilized technical support in epidemiological modeling for national and regional levels to support the decision making and public health responses in Ukraine and on regional level; (iii) developed draft of Vision and Strategy for contact tracing in Ukraine.

The existing respiratory disease surveillance systems is tasked with COVID-19 surveillance. Each patient who visits a family doctor or emergency aid unit with COVID-19 symptoms should be confirmed by a PCR test by the (regional) Oblast Laboratory Center (OLC). The following case definition (in accordance with  national guidelines) is used: acute respiratory infection regardless of need for hospitalization AND recent travel to or residence in a country with local transmission of SARS-CoV-2 OR a close contact with a probable or confirmed case of COVID-19. All suspected cases should be reported to the OLC in the respective territory (Oblast).  The epidemiologists of the OLC conduct an epidemiological investigation which also includes close contact tracing of:
- Persons residing in a household with COVID-19 case,
- Persons in direct physical contact with a COVID-19 case
- Persons in direct contact with a respiratory discharge (sputum) of a COVID-19 patient
- Persons who have been within 2 meters distance of a COVID-19 patient for at least 15 minutes
- Health workers or other persons taking care of a COVID-19 patient or lab personnel handling samples from COVID-19 patients without proper (or misusing) personal protective equipment
- Contacts during travel by airplane within two seats in any direction or other co-travellers and crew members if there is reason to assume a wider risk exposure.   

Contact tracing and monitoring is being organized by the OLCs with involvement of primary healthcare workers through phone and on-line or personal visits. Contacts with symptoms should be tested.

On 29 September, the UPHC and the Prometheus educational platform have adapted a free online course from Johns Hopkins University professors on "How to track contacts in COVID-19".

On 18 May, UPHC has introduced new mechanisms for collecting and analysing data on COVID-19 with the support of UNICEF. All COVID-19 incidence statistics are collected and updated daily at 9:15 on the dashboard, which is available on the official website of the UPHC. The tool provides information on laboratory confirmed cases, as well as the number of people who have recovered and died, for the entire period and the last day available. The interactive map contains statistics by region, as well as the number of cases of infection among members of different genders and age groups. A mobile version of the dashboard is also available.

WHO is supporting oblast laboratory centres (OLCs) in strengthening COVID-19 surveillance. To
ensure uninterrupted and timely COVID-19 cases and contacts data entry, IT-equipment has been procured to assist 25 OLCs. In addition, 12 OLCs have been provided with the possibility tomobilise additional workforce to assure complete and accurate COVID-19 data management and analysis.

Additional credits: Dr Elina Dale; Dr Vitalii Stetsyk; Dr Liudmyla Slobodianyk;Mr Artem Skrypnyk;Ms Olga Demeshko; Ms Anastasiya Brylova; Ms Tetiana Dolhova