When Is Third Wave Expected in South Africa?

   
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When Is Third Wave Expected in South Africa?

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The announcement of new case numbers is a routine part of the day for many South Africans almost 18 months into the COVID-19 pandemic. There are many unanswered questions, including when the third wave will terminate and whether a fourth wave will occur. The interpretation of COVID-19 case and hospitalization data presents many difficulties. As the epidemiological picture includes SARS-CoV-2 vaccine coverage, they will probably get much more complicated. The National Institute for Communicable Diseases (NICDMichelle )’s Groome, Harry Moultrie, and Adrian Puren, three experts whose job is to keep track of everything, were questioned by The Conversation Africa on what the numbers indicate.

What Impression Do The Figures Currently Give You?

The National Health Laboratory Service’s NICD is a specialized section crucial to the surveillance of infectious diseases. It collaborates with other organizations to assist in managing the present epidemic by the national health department. For instance, concerning COVID-19, the NICD offers routine reporting and analysis, epidemic modeling, advisories, surveillance, and research. In all nine provinces, the recent comeback caused by the Delta variation seems to be waning.

In the timing and scope of the first two waves, there were disparities at the provincial, district, and sub-district levels; however, these differences have become more prominent in the third wave. The latest resurgences in the Free State and Northern Cape began in April, waned in June, and then picked back up in August. The patterns observed in these two provinces most likely originated from early initial resurgences caused by the Beta variety, followed by a later overlaid resurgence caused by the more contagious Delta form. In contrast, Gauteng saw a significant and rapid resurgence in June and July. This may be due to the arrival of the Delta variety and a second wave that was considerably shorter and truncated.

What Impact Does Testing Have On The Image?

Access to SARS-CoV-2 laboratory testing, individual motivations for testing (or not testing), and province testing techniques significantly impact case identification. Provinces’ testing rates vary widely, with Limpopo and the Eastern Cape regularly being on the lower end of the scale.

Antigen test reporting consistency has also been a challenge. PCR testing is performed in labs, and the health department typically receives the results via automated laboratory information systems. However, the department must manually collect and submit point-of-care antigen test results using a web interface. It is exceedingly challenging to ensure that all of the websites offering antigen tests submit findings due to the overwhelming number of them.

Which Patterns Can You Identify By Province?

Interesting patterns in the provincial case statistics have been observed. At the beginning of the second wave, the Eastern Cape and Western Cape provinces were the first to notice an increase in cases, followed by KwaZulu-Natal. Gauteng saw a comparatively tiny wave compared to the coastal provinces and only noticed a surge in instances much later after stricter restrictions were put in place. In the third wave, the number of cases in the Free State and Northern Cape gradually began to rise. The case counts in North West, and Gauteng rocketed past the peaks seen with the first two waves.

These variances are the result of numerous interrelated variables. Several of them include underlying immunity from prior illnesses, population movement patterns, adherence to non-pharmaceutical therapies, degree of constraints regarding the surge’s timing, and meteorological conditions.

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