Questions and Replies

Reply:

(1) There is variability in the average medicine collection rates overtime, taking into consideration public holidays and the number of months supplied to patients on chronic medication at various facilities. Based on the information available to the National Department of Health, the average rate of collection for the first four months of 2020 is depicted in the table below:

	Jan	Feb	Mar	April*
National	89.9%	92.6%	86.7%	84.8%
Eastern Cape	94.5%	94.4%	87.8%	87.0%
Free State	94.6%	96.9%	87.0%	75.9%
Gauteng	91.0%	96.2%	86.1%	81.6%
KwaZulu Natal	92.3%	94.4%	88.0%	85.5%
Limpopo	95.3%	96.2%	88.4%	81.5%
Mpumalanga	93.1%	97.2%	91.8%	87.5%
North West	95.6%	96.1%	83.1%	85.6%
Northern Cape	94.5%	93.4%	77.1%	78.9%

2. (a) Tracing of patients who defaulted on their medication

• Tracking and tracing (telephonically and in-person) of clients lost to follow-up is ongoing in the majority of our facilities. District supporting partners and Community Health Workers (CHWs) assist with community tracking and tracing of patients; a list of missed appointments is drawn weekly from Tier.Net and those who missed appointments are contacted via SMS (by District support partners) and in some cases are delivered to patients directly;
• The Department of Health has developed messaging for People Living with HIV (PLHIV) and people living with TB regarding the importance of treatment. These various messages have been circulated to clients through SMS and social media;
• The Adherence Guidelines SOP also provide the procedure to track and trace patients who defaulted.

(b) Distribution of medicines in each province

• The Department of Health has been implementing the Central Chronic Medicines Dispensing and Distribution (CCMDD) programme, a National Department of Health (NDoH) initiative to improve access to chronic medicines to stable patients by enabling them to collect their repeat medicines prescriptions from a convenient collection point near their home or place of employment.
• Eligible patients (i.e. stable on treatment) on ARVs and other chronic medication collect their medicines for free from a convenient contracted pick-up point such as Dis-Chem, Clicks, Pick-n-Pay, Pharmacy, or even a local Spaza shop. The majority of these service providers have been open during the National lockdown, allowing clients to collect their treatment without interruption.
• In health facilities, before and during the lockdown, all stable patients are given two months TEE supply and three months TLD supply of ARVs.
• The Department of Health has also strengthened in-facility processes and support to PLHIV on ART in order to maintain adherence.
• For TB patients, the Department of Health has made arrangements for home delivery of TB medicines by Community Health Workers. The Community Health Workers also collect sputum from patients who require follow up testing.

END.

Reply:

Measures have been put in place to allow all South Africans to be able to come back home, the below-mentioned is applicable to all countries including those listed (a) to (d):

Medical Evacuation processes have been developed to accomodate every person who requires to travel into South Africa for medical attention including foreign nationals. South Afrcians who are in need of medical attention may travel back into the country to obtain all necessary medical attention. This is managed through the embassies who then communicate through to the Department of International Relations and Cooperation (Dirco). Depending on the condition or nature of illness of the person, they are allowed to enter the country by means of an ambulance or general transportation in cases that do not warrant ambulance services. The application process for medical evacuation is facilitated by the referring health facility or directly from the embassy in the case of outpatients.

END.

Reply:

1. (a) In order to standardize stock control of Personal Protective Equipment (PPE) nationally, the Department of Health has taken measures as follows:

• Seventeen (17) PPE items were identified as minimum requirements for the prevention of the spread of COVID-19;
• Specifications for the identified 17 PPE items have been developed for use and adopted by Provincial Departments of Health and they are currently being used in procuring PPE equipment of acceptable quality;
• Prices were set for each PPE item in by National Department of Health in collaboration with National Treasury and issued under National Instruction Note 3 of 2020/21 and subsequently repealed and replaced by National Instruction Note 5 of 2020/21 in an attempt to prevent price exploitation or unnecessary price hike by manufacturers and distributors;
• The Department issued Infection Prevention Control (IPC) guidance to cover PPE use and change regimes. The correct use of PPE is key to forecasting PPE demand and ensure correct stock holding is secured at facilities;
• A Demand Forecasting Model was developed to ensure that the correct PPE items that are compliant with the set specifications are procured at the right price, right quantity and correct quality;
• Stock Visibility Systems (SVS) was expanded for it to cater for both PPE and Pharmaceutical products which is funded and procured by NDOH and distributed devices were rolled out to provinces. Currently facilities in the provinces can capture their stock levels using SVS;
• Another tool called PPE Reporting Tool (PPERT) was developed at National and was rolled out to provincial level to capture stock levels and order information of PPE at depot level;
• In cases of shortages, donations were used to augment stock levels at the facilities in the provinces;
• Training in the use of SVS were provided to provincial users and access to National Surveillance Centre (NSC) provided to empower provincial decision makers to access, interpret and take action regarding stock levels, distribution and logistics of PPE and sourcing and procurement of PPE items;
• A Supplier Mapping Portal was developed to provide Provincial Health departments access to information of PPE manufacturers and distributors available in their prospective provinces.

(b) In order to standardize stock control of Personal Protective Equipment (PPE) provincially, the Department of Health has taken measures as follows:

Ensure that each province appoints a dedicated Provincial PPE coordinator who monitors stock level continuously from depot to facilities so that they can be able to track the following:

• Provincial visibility of stock on hand;
• Stock use, quality and specification of PPE;
• Storage and distribution;
• Demand forecasting;
• Allocation of PPE stocks.

(c) In order to standardize stock control of Personal Protective Equipment (PPE) in local clinics, the Department of Health has taken measures as follows:

• Stock Visibility System (SVS) has been expanded and rolled out thereof to local clinics.

2. The stock management systems differ per province and per facility depending on the IT infrastructure in so far as monitoring the following activities:

• storage capacity;
• distribution method of PPE;
• stock ordering system, and
• replenishment methods;
• stock count procedures; and
• controls of PPE.

END.

Reply:

The National Department of Health collaborated with the National Treasury and Department of Trade and Industry to identify local manufacturers and distributors to enable departments to procure locally manufactured Personal Protective Equipment (PPE) products. To this effect, the following initiatives have been concluded:

• Visibility of local manufacturers and distributors: A market intelligence tool was developed listing all local manufacturers and their distributors of the key seventeen (17) PPE items used in the prevention of the spread of COVID-19. The tool enables public sector buyers to inter alia identify manufacturers and their distributors as follows:

• • According to their provinces, cities, towns and districts;
  • It also provides information such as GPS coordinates of manufacturers and distributors;
  • Contact details of manufactures and distributors for ease of use
  • Information of where the PPE comes from such as country of origin and quality assurance;
  • It allows public sector buyers to identify exactly where the stock they are procuring coming from.
  • Local manufacturers’ information regarding BBBEE Level;
  • % Black Ownership;
  • Manufacturer information
  • Product Name
  • Product Price;
  • Shipper Pack Quantities; and
  • Product Category (Distinguishing between 17 Essential PPE Categories and Non-Essential PPE Product Categories).

(2) The National Department of Health and all provincial departments have allowed access to this tool for use in the sourcing of PPE items/products. The tool is available online and data / information is continuously updated with the information of new entry of service providers to PPE market.

• On Central Supplier Database (CSD) there are approximately 20 000 suppliers registered who have indicated that they are able to for deliver PPE items. On the basis of that information the National Department of Health collaborated with National Treasury to ask Treasury to do modification on CSD that will allow all service providers who are registered on CSD for the supply of PPE to be able to provide additional information such as stock-on-hand information;

• As at 7 June 2020, approximately 2600 suppliers have uploaded stock-on-hand information. This initiative will enable public sector buyers to be able to source PPE products with service providers who actually have stock;

• They can select service providers according to their province, districts and towns etc;

• They can further select service providers according to their BEE status, % black ownership, military veterans, black youth, black women, owned by black persons with disabilities, rural or township based business and SME status.

END.

Reply:

1. Policies are constantly reviewed to meet the demands of an evolving epidemic. Due to the global shortage of testing extraction kits, earlier policies that advocated repeat testing had to be revised. The National Institute for Communicable Diseases has aligned its recommendation to WHO Guidelines and national resources imperatives. Second tests are not conducted on persons who are negative and asymptomatic due to the shortage of testing kits.

2. (a) Those persons that test negative and are asymptomatic are not tested again, however those that are symptomatic- tests are repeated for these individuals, especially those that are at high risk.

(b) The health professional staff are not tested routinely except if they have symptoms of Covid-19 or fulfil the criteria of a high-risk exposure with a person who tested positive with Covid-19. They may after seven days of self-isolation be clinically evaluated and tested on day 8 with the possibility of early return to work if they have a negative test and are clinically well. They will continue to be monitored for symptoms till day 14 and are counselled on personal hygiene measures. Health professional staff are monitored daily through symptom screening. The rationale is that there are not enough test kits and targeted testing is needed. Risk assessments in health care settings, use of public health measures, personal hygiene, training on Covid-19 and personal protective equipment all contribute to a lowered risk of transmission exposure.

END.

Reply:

a) The World Health Organisation (WHO) Solidarity Trial is a global study that is evaluating therapeutic interventions to support the treatment of patients admitted with COVID-19. This protocol describes a randomised trial among adults (age ≥18 years) hospitalised for COVID-19 that randomly allocates them between four treatment arms, each to be given in addition to the usual standard of care in the participating hospital. Randomisation is proposed into the following 4 arms: a) Standard of care; b) Remdesivir; c) Lopinavir-Ritonavir with Interferon β1b; and hydrochloroquine. This trial will be subjected to South African research standards to protect human rights through regulatory approval for clinical trials and ethics, besides similar processes being undertaken at a global level. The ethical review is rigorous and robust in ensuring that a relevant Research Ethics Committee protects potential participants by taking into account potential risks and benefits for the community in which the research will be carried out. In line with ethical principles, the Ethics Committee ensures protection of individual autonomy through informed consent; protecting participants against grievous bodily harm, and justice in assessing risks and benefits of the study

The South African Health Products Regulatory Authority (SAHPRA) is statutorily obliged to ensure that medicines, drugs and other health care products available in the country comply with the requirements for safety, quality and efficacy. It is also authorised to terminate a trial when serious breaches of Good Clinical Practice (GCP) occur, and where participants in clinical trials have had, their safety or well-being compromised. To date, a number of clinical trials have been approved in South Africa to determine the effectiveness of different therapeutic interventions to treat and prevent SARS-CoV-2 infection. SAHPRA has reviewed and approved one COVID-19 vaccine trial application submitted by Professor Shabir Madhi who is one of South Africa’s leading vaccinology experts and is the director of Wits University and the Medical Research Council Respiratory and Meningeal Pathogens Research Unit (RMPRU). The proposed vaccine study will be undertaken by RMPRU, in partnership with the Wits Reproductive Health and HIV Institute and the Setshaba Research Unit, organised under the auspices of Wits University’s flagship vaccinology programme, the African Leadership in Vaccinology Expertise (ALIVE).

b) The South African Solidarity Trial Team is led by Prof Helen Rees and senior academics and clinicians from eight medical schools who have made major contributions to the study design. These researchers have been conducting community advocacy, as well as engaging communities and healthcare workers on the ground.

The leading hospitals in South Africa are:

• Livingston Tertiary Hospital and Dora Nginza Hospital (Nelson Mandela University)

• Dr George Mukhari Hospital (Sefako Makgatho Health Science University)

• Tygerberg Hospital (Stellenbosch University)

• Groote Schuur Hospital (University of Cape Town)

• Military Hospital, NHLS Universitas Hospital, Pelonomi Hospital and a private hospital with Mediclinic (University of Free State)

• King Edward Addington and Inkosi Albert Luthuli Hospital (University of KwaZulu-Natal)

• Steve Biko Academic Hospital (University of Pretoria)

• Baragwanath and Charlotte Maxeke (Wits University)

The candidate COVID-19 vaccine that has been approved for study was developed by Oxford University in the UK and is called ChAdOx1. The Oxford University vaccine developers have completed the early Phase 1 trials in the UK and have demonstrated that the vaccine is safe and immunogenic. There is now a second phase clinical trial being undertaken in the UK to determine the safety and efficacy of the vaccine. There are over 1200 participants already enrolled, and a further 9,000 participants to be enrolled over the next few months. Brazil and Kenya will also be involved in clinical trials of the same vaccine. In South Africa, it is proposed that 2000 volunteers will be recruited to join the study, with similar numbers to be enrolled in the study planned in Brazil. The ability of RMPRU to lead the proposed study has been assessed and approved by the governing regulatory authorities in South Africa.

COVID-19 vaccine development is proceeding at an unprecedented speed, with many of the world’s leading scientific institutions contributing to this effort. There are currently over 100 vaccines in development and clinical trials have been undertaken in the UK, USA and France. For products such as vaccines, it is critically important that studies are performed in Southern Hemisphere countries including in the African region, concurrently with studies in Northern Hemisphere countries. This allows evaluation of the efficacy and safety of candidate vaccines to be assessed in a global context, failing which the introduction of many life-saving vaccines into public immunization programmes for Low Middle Income Countries (LMICs) frequently lags behind that in High Income Countries (HIC). Furthermore, if South Africa participates in the development of a vaccine it places an ethical obligation on the vaccine developers to allow early access to that vaccine in the countries where the research was undertaken.

END.

Reply:

a) We cannot respond specifically on this question as it is a matter that was relating to The Presidency. It is best that this question is addressed to The Presidency;

b) As indicated above it is not clear what information The Presidency was referring to therefore we cannot provide more details in this regard;

c) The details are as follows:

(i) The Modelling consortium Incident Management Team has developed detailed projections and recommendations of the hospital requirements in all provinces including isolation beds, general beds and critical care beds;

(ii) A National Hospital Readiness Task Team has been established comprising of clinicians, disaster management experts and experienced hospital managers. The role of this team is to provide guidance and support to the provinces on all aspects of hospital readiness;

(iii) The Department has developed a surge strategy, which guides the provinces in various areas of health system support. The strategy also includes guidance on the management of the various categories of the covid-19 patients. Alongside this strategy, a detailed guidance has already been provided to all hospitals on all aspects of hospital readiness including in the form of Action Plans. Ten of these plans have already been provided to the hospitals covering: Preparation, Area allocation, Command and Control, Bed Statistics, Safety, Communication, Assessment, Decontamination, Surge capacity and Triage;

(iv) All hospitals have been provided with an on-line assessment of readiness including: equipment requirements, oxygen requirements, operational management, case management, infection prevention and control, human resources, infrastructure, medicines, linen, supply chain and support services;

(v) Hospitals have been provided with detailed clinical guidelines for the clinical management of patients;

(vi) Ventilators that were donated by the US Government have been distributed to hospitals in Gauteng, Western Cape and Eastern Cape Provinces;

(vii) All provinces have developed and have started implementing detailed hospital readiness strategies;

(viii) The bed allocation for the covid-19 response is as follows:

• General beds = 12 029;
• High Critical Beds = 2 309;
• High care beds = 13 129.

END.

Reply:

The strategy for curbing infections in communities is in keeping with the World Health Organisation’s recommendations, which is to undertake contact tracing, community screening and testing - which has now evolved into targetted community screening, especially in the hotspots (where there is greater than 5 cases per 100 000 population). The National Department of Health is also working closely with its provincial counterparts to also ensure hospital readiness for COVID-19. Moreover, community messaging on social distancing and hygiene practices are being stepped up in provinces, especially where the hotspots have been identified. A revised testing strategy will prioritise those persons who are at very high risk and are symptomatic.

The lockdown has been effective in managing new infections. The mathematical models have shown us that we would have had a five times higher mortality if the lockdown was not implemented.

Additionally the lockdown provides the health system an opportunity to plan for the surge of infections. The lockdown has achieved both these objectives reducing new infections and providing the healthcare system with more time to prepare for the surge.

The new strategy is a risk adjusted model of alert levels based on the level of infection and the health system capacity in an area. The health system must focus its energy and resources on these areas where there are high levels of infection. These areas are different from other areas where there is little or no infection. The areas with low risk do not require the stringent restriction that areas of high risk require. There is little value in a generalised lockdown when the reality is that there are specific areas of the country that are of high risk (Hotspot). These areas require intervention to curb the spread of infection. The risk adjusted approach is intended to focus our attention on areas that are at high risk. This is a much more efficient approach to responding to COVID-19.

END.

Reply:

(1) (a) The total number of outstanding tests fluctuates on a daily basis, mainly due to the increased community screening that was undertaken in the provinces with corresponding increase in demand for testing for persons under investigation. The number of outstanding COVID-19 tests as at 16 June 2020 in the public sector is currently 54 901, obtaining data from the private sector is proving difficult. The weekly outstanding tests are tabulated below, with backlogs being cleared:

	09/05/20	14/05/20	21/05/20	25/05/20	28/05/20	04/06/20	09/06/20	10/06/20	11/06/20	16/06/20
Total	49 550	58 930	101 000	96 480	83 767	81 069	70 219	63 244	57 034	54 901

(b) Currently the outstanding tests are about 107 hours old, this is approximately 4 and a half days.

(c) (i) The outstanding tests started in the first week of May 2020 when demand exceeded supply, this was due to:

• A global shortage of extraction and high throughput kits for undertaking the tests;
• Logistical issues – interruptions with production, flights cancellations, customs delays;
• The number of tests allocated to the country is not determined by what the country ordered or needs but by what the supplier can provide.

(ii) The Republic has the capacity to undertake 30 000 tests per day, the key challenge being faced is the supply of chemicals and reagents to undertake the testing. Testing will be prioritised in the hotspot areas especially among the vulnerable persons (greater than 60 years of age and those with underlying medical conditions).

END.

Reply:

(1) (a) As of 3 June 2020, 15,224,792 individuals have been screened for COVID19. The provincial breakdown is tabulated below:

Province	Number of Individuals Screened
Eastern Cape	1,419,988
Free State	1,914,289
Gauteng	1,835,140
KwaZulu-Natal	1,755,049
Limpopo	3,098,840
Mpumalanga	1,889,989
North West	1,892,341
Northern Cape	838,831
Western Cape	580,325
National	15,224,792

(b) The community screening campaign started on the 8th of April 2020 and continues to date, however a shift to a more targeted screening strategy commenced on the 18th of May 2020;

(c) The screening activities focussed in areas with confirmed CODIV-19 cases such as townships, villages, farms, suburbs including vulnerable groups such as old age homes, prisons, supermarkets etc. The number of people screened is highest in Limpopo Province as a result of careening even in districts with no confirmed COVID-19 cases. The list of areas where community screening was done received from GP,NW, EC and LIM is attached. Some provinces did not respond to the request on the areas covered through community screening;

(d) There is no evidence on the time it will take to physically screen every person in the country as this will be influenced by the distance and travel time between households, demographic structure, the number of household members per household and the working hours per each person doing screening. In order to reach others an application called Healthcheck was deployed. It can be used by anyone with a mobile phone to check and report symptoms. Between April 13 to June 3,922,626 users screened for symptoms through Healthcheck.

2. Statements are made on the screening activities as part of the media release on COVID-19.

END.

Reply:

1. We release data on Covid-19 daily. The following information is contained in the data daily reports to the public:

• Cumulative number of tests conducted by public and private sector laboratories;
• Daily new number of tests conducted by public and private sector laboratories;
• Cumulative number of positive cases identified by province;
• Cumulative number of recoveries by province;
• Cumulative number of deaths per province, including age and gender distribution of deaths; and
• We will indicate the issue of race classification later.

2. I am willing to make a statement in the House in this regard.

END.

Reply:

Information from a number of provinces including the Eastern Cape, Gauteng, Kwazulu-Natal and Western Cape shows that during the lockdown retail stores became a node for the transmission of COVID-19. This should not surprise us as grocery shops were one of the essential parts of the economy that had to be kept open with high volumes of people congregating in them. Thus facilitating the spread of the virus. This also meant that infected shoppers – many of whom may have been asymptomatic (that is they didn’t know that they were infected) also infected employees in the retail sector. These employees then go back to their communities and the virus spreads in their local communities.

Provinces have implemented a number of steps to mitigate the risk of transmission in retail stores. In the Western Cape the Department of Economic Affairs and Tourism had several engagements with the owners and management of small and large retail outlets and mall management. They were provided with guidelines on the prevention of COVID-19 transmission, including deep cleaning, dealing with personal hygiene, dealing with staff that become symptomatic, making public announcements, etc. In Gauteng, the MECs for health and economic affairs met with the leadership of the retail sector in the province to discuss the implementation of measures to prevent transmission of the virus, including hand washing/ sanitizing and social distancing as well as the use of masks. The major retail stores are currently implementing these measures nation-wide. In the Eastern Cape, health officials have visited retail stores in urban areas to monitor compliance.

Workplace health and safety issues were also discussed at NEDLAC. These included the need to conduct risk assessments in all workplaces, implementation of public health measures to prevent the spread of the virus as well as personal hygiene measures. It was also agreed that sector specific guidelines will be produced and implemented

END.

Reply:

1.(a) (i) The number of screenings as of 1 June 2020 across all 9 provinces in each municipality stands at 20,170,837;

(ii) The numbest of tests as 2 June 2020 across all 9 provinces in each municipality stands at 785,979;

(b) The number of health professionals as of 1 June 2020 that tested positive for COVID-19 is 2,084;

(c) (i) The number of health professionals as of 1 June 2020 that recovered from COVID-19 is 808;

(ii) and that died from COVID-19 is 18.

2. (a) All sixty-seven (67) NHLS mobile testing units have been delivered to all nine provinces. The testing mobile units rotate through the province depending on the schedule determined by the provincial department of health.

(b) Not applicable;

3. The backlog is experienced in the process of test samples due to inadequate supply of extraction kits to perform PCR tests and the high through put test kits for integrated testing platform like GeneXpert and Roche instruments;

4. (a) (i) A total of 136 out of 396 sites have been activated as of 1 June 2020 across all 9 provinces in each municipality;

(ii) testing facilities are available in each municipality;

(b) Refer to the table below

Table 1.

Province	(ii) Laboratory location	(c) Municipality
Eastern Cape	Port Elizabeth Provincial Hospital	Nelson Mandela Bay Municipality
	Nelson Mandela Academic/Walter Sisulu University	OR Tambo Municipality
	East London Laboratory, Frere Hospital	Buffalo City Municpality
Free State	Universitas Academic Hospital	Mangaung Metro
	Pelonomi Hospital	Mangaung Metro
	Manapo Hospital	Thabo Mofutsanyana
Gauteng	Charlotte Maxeke Johanessburg Academic Hospital	City of Johannesburg Metro
	Tshwane Academic Division,University of Pretoria	City of Tshwane Metro
	Dr George Mukhari Hospital	City of Tshwane Metro
	Tambo Memorial Hospital	Ekurhuleni Metro
	Braamfontein TB Laboratory	City of Johannesburg Metro
KwaZulu Natal	Inkosi Albert Luthuli Central Academic Hospital	Ethikwini Metro
	Addington Hospital	Ethekwini Metro
Limpopo	Mankweng Provincial Hospital	Polokwane Municipality
	Polokwane	Polokwane Municipality
Mpumalanga	Rob Ferreira	Mbombela
North West	Tshepong Hospital	Dr KK Municipality
	Rustenburg Hospital	Bojanala Municipality
Western Cape	Greenpoint	City of Cape Town Metro
	Groote Schuur Academic Hospital	City of Cape Town Metro
	Tygerberg Academic Hospital	Belville Municipality

END.

Reply:

a) There is no policy to increase testing by 12 times. However the National Health Laboratory Service (NHLS) has been steadily increasing the number of COVID-19 tests that they are conducting. Cumulatively as at 02 June 785,979 tests have been done with 51% done in the public sector with the remainder in the private sector.

b) On average over the past 14 days, an average of 19,024 tests are being done daily, and in the previous two weeks the average number of tests done per day were 15,471.

c) (i) Currently both public and private laboratories are using the polymerase chain reaction (PCR) test. The South African Health Products Regulatory Authority (SAHPRA) is in the process of evaluating the rapid antibody tests;

(ii) As more test kits as well as the rapid antibody tests become available and more people are referred for testing the rate at which we test will increase – it should be noted that we have already surpassed the 3,000 tests done daily as shown above.

d) SAHPRA is in the process of evaluating the rapid tests for quality and once they are registered they will be used - largely for surveillance to assess how many people have antibodies which means that they have had the virus.

END.

Reply:

1. Government hospitals are constantly equipped with personal protective equipment (PPE) to deal with COVID-19 infections.

Information obtained from National Surveillance Center data as at end May 2020 indicated the following stock on hand at Provinces (reporting compliance at Gauteng has been low). Information is highly dependent on Provincial reporting.

It should be noted that the position can change on a daily basis and although stock may be available it may not be adequate in the long term

PROVINCE	STOCK ON HAND
	MASKS	GLOVES	SANITISORS/ BLEACH
EC	443,962	796,481	10,934
FS	164,409	404,398	4,385
GP	55,715	23,636	7,258
KZN	2,205,748	5,541,039	991,071
LIMP	619,658	434,745	32,365
MPU	886,321	1,490,271	68,052
NC	57,703	355,844	339,729
NW	342,886	524,507	260,528
WC	2,085,684	5,758,626	17,925
TOTAL	6,862,086	15,302,547	1,732,247

2. Yes, Pelonomi Training Hospital has been adequately equipped with the PPE.

Description for Portal	Product Long Description	SIZE	Unit of Measure (UOM)	Latest Stock-on-Hand as per the indicated UOM
Surgical Gloves - Nitrile	Glove, surgical, sterile, Type 2 (gloves made primarily from nitrile rubber latex, polychloroprene rubber latex, styrene-butadiene rubber solution, styrene-butadiene rubber emulsion or thermoplastic-elastomer solution). Single use, Powder free, One pair (1 left + 1 right) of gloves are folded & packed in a paper wallet. The paper wallet is packed in a plastic pouch which is sealed from all sides. Inner package shall be clearly marked with the size and the designation "left" or "L" or "right" or "R" on the package. Easy donning. To comply with the latest issue of SANS 68 Packaged as pairs in Sterile Packages. Size:6; 6.5; 7; 7.5; 8; 8.5; 9 50 pairs of gloves. Box of 100	6	Pairs	300
		6.5	Pairs	250
		7	Pairs	450
		7.5	Pairs	200
		8	Pairs	350
		8.5	Pairs	100
		9	Pairs	0
Examination Gloves Latex	Glove, examination, non-sterile,type1 (gloves made primarily from natural rubber latex), Single use, Powder free, ambidextrous. SANS 11193-1, Size: S; M; L & XL Box of 100 gloves	S	Glove	0
		M	Glove	20,00
		L	Glove	19,400
		XL	Glove	0
Examination Gloves Nitrile	Glove, examiniation, non-sterile, type2 (gloves made primarily from nitrile rubber latex, stryene-butadiene rubber solution, stryene-butadiene rubber emulsion or thermoplastic-elastomer solution) single use, Powder free, Ambidextrous. SANA 11193-1 Size: S; M; L & XL Box of 100 gloves	S	Glove	0
		M	Glove	0
		L	Glove	0
		XL	Glove	0
General Purpose Gloves	Gloves for general purposes and cleaning		Pairs	0
Surgical Mask (Medical)	Mask, face, aseptic: Fluid Resistant, Molded, Blue (3 PLY)		Unit	0
Mask Respirator N95	N95 Mask - Respirator		Unit	3,305
Mask Respirator KN95/FFP2	KN95 / FFP2 - Mask Respiratior / Dust Mask Box of 10 Pieces		Unit	4,980
Apron	Apron, plastic, full body, single use, no-noise smooth plastic material Length from neck: not less than 110cm Width: not less than 65cm Thickness: 25 micron Ties length: not less than 50cm Width: not less than 5cm		Unit	0
Eye Protection	Goggles Good seal with the skin of the face, Flexible PVC frame to easily fit with all face contours even with pressure, Enclose eyes and the surrounding areas, Accommodate wearers with glasses, Clear plastic lenses with fog and scratch resistant treatment		Each	76
Visor	Disposable Constructed from high-quality optically clear, distortion-free 7mil polyester film Anti-fog coating Must fit well over spectacles. Foam brow-band fits comfortably against the forehead. Headband/arms to holds visor in place disposable/reusable		Each	1,358
Gowns Disposable	Isollation gown Protective 3- layers of spunbond meltblown spunbound fabric( Top layer of spunbound polypropylene, a middle layer of meltdown polypropylene and a bottom layer of meltdown polypropylene for light fluid contact and contact Isolation, elastic cuff, Tape-tab neck closure, Tie waist, Non Sterile Dimensions: Large Length: (from shoulder to hem) 116cm Sleeve length: (from shoulder to wrist) 56cm Belt length: 167cm; Belt Width: 5cm; Belt place: (neck to top of belt) 38cm		Each	0
Gowns Surgical	Gown, surgical, non-woven polypropylene body+- 54g/m sleeves +- 66g/m. Long sleeves with cuffs. Reinforced in chest and forearm areas. Resistant to liquid penetration. Lint free, non flammable, Bacteria barrier effeciency, to comply with SANS 53795, Compliance certificate to be submitted, Sterile, individual doudle peel packed		Each	0
Coveralls	Protective cover bodysuits, disposable MEDIUM, LARGE, X-LARGE, XX-LARGE, 3X LARGE	M	Each	0
		L	Each	0
		XL	Each	0
		XXL	Each	0
		3XL	Each	0
Boot Covers	Overshoe, non-woven, single use. To be made from durable, water-repellent, opaque material Seam free under sole. Elasticated opening. Suitable for all size shoes		Pairs	20
Digital Thermometer	Digital Body Thermometer INFRARED NON CONTACT		Each	0
Saniters	Sanitizer, with not less than 70% alchohol must comply to WHO-recommended handrub formulations	500ml	Units	23
		1000ml	Units	0
		1 litre	Units	0
		20 litre	Units	0
		25 litre	Units	10
Disinfectants		Sachets	Units	0
Biohazard bags	Bright red colour PP bags are easy to open and are used to dispose used Micro tips, Tubes and other plastic products, made of 60 micron/240 gauge thickness		Each	0
Body Bags	Manufactured from 280 micron reinforced PVC, both ends are stitched and sealed to prevent any leakage, there must be 3 handles on each side with a full length curved zip, all handles must be box stitched using Polycotton Corespun Polished 36 Tex thread, and box stitching dimensions are all 4cm x 3cm. The dimensions are as follows: Length: 2.4 METERS Width: 1 METER, Zip: 1.8 METERS, Sizes:(Child, Small, Medium, Large, Extra-large)		Each	0
Shoe-string bags	WHO Standards		Each	0
Spray Bottles	Spray Bottles	250 ml	Units	0
		500ml	Units	0

END.

Reply:

The following response is based on the information received from the provinces.

EASTERN CAPE

a) Total amount spent to procure PPE is R 78,771,950.00

b) Breakdown in costs of the procured PPE.

ITEMS/ COMMODITIES	Amount Spent
Masks Respirator N95/FFP2/KN95	2 372 295
Masks Surgical/medical	17 282 250
Gloves Examination sterile	23 691 335
Gloves examination non-sterile	19 686 340
Gloves surgical	349 280
Gowns Disposable	3 570 230
Safety Goggles	703 190
Aprons	105 632
Hand Sanitizers	1 772 725
Disinfectant	7 663 993
Infrared Thermometers	1 574 680
	TOTALS	78 771 950

c) (i) Companies listed as suppliers	(ii) corresponding PPE equipment specified companies supplying
Allenco Medical and Dental Supplies Cc Total	Sanitizers, Surgical Masks
B Braun Medical (Pty) Ltd Total
Barrs Pharmaceuticals Industries (Pty) Ltd Total	Sanitizers
Central Medical (Pty) Ltd Total	Aprons
Central Medical (Pty) Ltd (Kzn) Total	Aprons
Dr Temp (Pty) Ltd Total	Thermometer (disposable)
Evergreen Latex (Pty) Ltd Total	Gloves
Lechoba Medical Technologies (Pty) Ltd Total	Masks
Liora Medical Supplies Cc Total	Masks N95
Logan Medical & Surgical (Pty) Ltd Total	Masks/Surgical Gowns
Medical International Orthopaedic Cc Total	Gloves
Medi-Core Technologies (Pty) Ltd Total	Gloves
Medtex (Pty) Ltd Total	Gloves
Multisurge Cc Total	Masks/Gloves/Isolation Gowns
Promed Technologies (Pty) Ltd Total	Surgical Gowns
Quality Medical Supplies (Pty) Ltd Total	Safety Goggles
Royal Fortress Holdings (Pty) Ltd Total	Gloves
Tara Technologies Cc Total	Safety Goggles/Sanitizer/Disinfectant
Unitrade 1032 Cc Total	Masks
Dessert Rose 0305	3-ply surgical masks
Vortex Health	Sanitizers/Hand Soap/ Disinfectant
Sanbonani	Thermometers
Motla Investments	Thermometers
Zuys Enterprise	Heavy duty gloves
Beloved Ventures	Safety Goggles

FREE STATE

a) Total amount spent to procure PPE is R 20,606,539.50

b) Breakdown in costs of the procured PPE

	ITEMS/ COMMODITIES	Amount Spent
Masks Surgical/medical	R 5 739 000.00
Gloves surgical	R 121 365.00
Gowns Disposable	R 1 117 500.00
Safety Goggles	R 388 200.00
Visors	R 180 000.00
Humidifier bottles	R 279 450.00
Coveralls	R 3 590 000.00
Hand Sanitizers	R 2 385 000.00
Disinfectant	R 5 654 400.00
Body bags	R 266 660.00
Infrared Thermometers	R 376 400.00
Toiletries	R 29 175.00
Mattresses-Durafoam	R 479 389.50
	TOTALS R 20 606 539.50

c) (i) Companies listed as suppliers	(ii) corresponding PPE equipment specified companies supplying
1st Order Placed (26 March 2020)
1. Tara Healthcare	Hand Sanitizers Surgical Masks
2. Lechoba Medical Technologies	Safety Goggles Coverall
3. Unitrade 1032	Visors – Face Shields
4. Supra Healthcare	Surgical Gloves
5. Logan Medical and Surgical	Isolation Gowns
6. Alframed	Digital Thermometers
2nd Order Placed (21 April 2020)
1. Imperial Logistics HC 3 2. East Coast Medical Northern Region 3. Barrs Pharmaceuticals Industries 4. FS & NCP Medical Agency 5. Zaahir Concept & Design Projects 6. Kaofela Clothing & Textile 7. Arjo Huntleigh SA 8. Roka Media	Surgical Masks Humidifier Bottles Disinfectants Body Bags Gowns Mattress-Durafoam Toiletries

GAUTENG

a) Total amount spent to procure PPE R86 283 902

b) Breakdown in costs of the procured PPE

	ITEMS/ COMMODITIES	Amount Spent
Masks Respirator N95/FFP2/KN95	R 6 674 016
Masks Surgical/medical	R31 464 691,75
Gloves Examination sterile	R184 225
Gloves examination non-sterile	R1 298 357
Gloves surgical	R322 875,90
Gloves general purpose/cleaning
Gowns Disposable	R 5 450 053
Safety Goggles	R 520 990
Visors	R 515 819,90
Boot covers	R 150 173
Aprons	R255 000
Coveralls	R 19 843 277,25
Hand Sanitizers	R 19 753 108
Infrared Thermometers	R 26 317,54
	TOTALS	R86 283 902,44

c) (i) Companies listed as suppliers	(ii) corresponding PPE equipment specified companies supplying
1. Senatla’s Medical Surgical Solutions	Coveralls, Face Shield, Safety Spectacles, Disposable Aprons, Foot Covers, Surgical Masks, Gloves, Sanitizers
2. Be Sure	Sanitizers
3. Dinaane Consulting Services	Surgical Masks, Hand Sanitisers
4. Future Advertising and Medical	Gloves, Surgical  Mask , Masks - FFP2 , Disposable Visors, Goggles, Overshoe 100s, Gloves powder free, Hand Sanitizer, Mask - FFP1, Surgical Gloves
5. Jendza Capital	FFP2 Masks
6. Liora Medical Supplies	Googles, Theater overshoes
7. Opal Sky (Pty) Ltd	Hand Sanitiser
8. Ori Medical Supplier	FFP2 Masks
9. Promed	FFP2 Masks
10. Teeprash Pty Ltd	Surgical gowns
11. Dischem	Infrared Thermometers
12. Babonolo Holdings	Antiseptic Bar Soap
13. Black Renaissance	Mask Surgical 3 ply
14. Bliss Pharmaceuticals (PTY) Ltd	Hand Sanitizer, Mask - 3Ply Face Mask
15. Macduke Trading Projects	Mask ear loop or tie on - surgical  3 ply,  Surgical Gloves
16. Mbuso Medical	Thermometer Digital
17. Nkhane Projects & Supply	Hand Sanitizers, Medical Disposable Coveralls, Disposable Visors, Goggles, Dromex Chemical Gloves
18. Steelwood International (PTY) Ltd t/a Medena	3 ply surgical mask

KWAZULU-NATAL

a) Total amount spent to procure PPE R 205 935 455

b) Breakdown in costs of the procured PPE

ITEMS/ COMMODITIES	Amount Spent
Apron	R4,240
Boot Covers	R22,048
Coveralls	R261,712
Digital Body Thermometer	R22,567,546
Gloves (latex/examination and high risk)	R 4,935,542
Goggles	R 336,260
Isolation Gowns	R 21,095,332
N95 Masks	R 23,737,953
Sanitizer	R 51,062,910
Scrub Suits	R 224,232
Surgical Gowns	R 1,233,437
Surgical Masks	R 76,967,243
Visor / face shield	R 3,487,000
TOTAL	R 205,935,455

c) (i) Companies listed as suppliers	(ii) corresponding PPE equipment specified companies supplying
Access Medical	Surgical Mask
AG Medical	Digital Thermometers
Alframed Pty (Ltd)	Digital Body Thermometer
Andile Ruby Trading	Sanitizer; N95 Mask
BSN Trading	Surgical Mask
Buhle Waste	Biohazard Bag
Community Health	Sanitizer
Cyngatha CC.	Sanitizer
Dart Props	Surgical Mask
EGS	Surgical Mask
Ezamancinza Investments	Surgical Mask
Ezombuso Group	Surgical Mask
Gibela Trade & Investment	Sanitizer
Halyard Health SA	Scrub Suite; Gloves: Cuff-length High Risk; Surgical Gowns; N95
Healthware	Surgical Mask
Inqaba Medical	Surgical Mask
Iphakhade Trading (Pty) Ltd	Surgical Mask; Sanitizer
Ithosi Healthcare Solutions	Surgical Mask
Juba Fly	Particulate Respirator (Mask) N95/FFP2
Lechoba Medical	Isolation Gown; Coveralls
Liamed Medical	Latex Gloves
LionBee Investments (Pty) Ltd	Sanitizer; Isolation Gown
Logan Medical and Surgical Supplies (Pty) Ltd	Sanitizer; Isolation Gowns; Surgical Masks
Mafinikio Capital Investments	Sanitizer
Multisurge Medical	Digital Body Thermometer
National Community Marketing	Sanitizer
Nondlu Consultants	Surgical Masks
NYI Logistics	Surgical Masks
Orap Medical Supplies	Surgical Masks
Petroright LTD	Surgical Masks
Platinum	Surgical Masks
Pro Secure Ltd	Sanitizer
RMA	Particulate Respirator (Mask) N95/FFP2
SA Health	Gloves: Cuff-length High Risk
Safarmex	Gloves: Examination (Latex)
Sebenzani Trading	Surgical Mask; Surgical Gown
Steiner Hygiene	Sanitizer
The New Look	Surgical Mask
Unitrade	Visor/ Face-Shield; Coveralls

LIMPOPO

a) Total amount spent to procure PPE R329,674,987

b) Breakdown in costs of the procured PPE

ITEMS/ COMMODITIES	Amount Spent
Body bag	4,263
Boots Rubber Durable	65,218
Cap Theatre Balaclava	160,000
Chlorhexidine	1,799,278
Coveralls	164,925
Dispenser Sanitizer	7,567,347
Dispenser soap	641,687
Face Cloth Mask 2 Ply	1,374,201
Goggles	495,303
Infrared Thermometers	57,700,445
Mask surgical	148,412,012
Overshoes	172,800
Paper Towel	211,687
Sanitizer	109,081,101
Soap Anti-bacterial	27,130
Visor	1,797,590
Total	329,674,987.00

c) (i) Companies listed as suppliers	(ii) corresponding PPE equipment specified companies supplying
Indlovu Manufacturers	Body bag
Eagles Eyes Suppliers	Boots Rubber Durable
Pienaar Bros	Cap Theatre, Coveralls & overshoes
Tsopane Pharm T/a LennyMed Pharmacy Inc	Chlorhexidine & Mask surgical
Clinipro (Pty) Ltd	Dispenser Sanitizer & sanitizer
Prosecure (Pty) Ltd	Dispenser Sanitizer & sanitizer
Liberer Consulting T/a Laundry Dynamics	Face Cloth Mask 2 Ply
Magaga Ditshwene Trade & General Project	Face Cloth Mask 2 Ply
Mma Maru Pty(Ltd)	Face Cloth Mask 2 Ply
Samsrec Production	Face Cloth Mask 2 Ply
Tsalach Solution (Pty) Ltd	Face Cloth Mask 2 Ply
Khayalamandaba Business Solutions	Goggles
Gigy's Trading (Pty) Ltd	Infrared Thermometers
IVM Chemicals (Pty) Ltd	Infrared Thermometers
Limacon CC	Infrared Thermometers
Lunako Solutions	Infrared Thermometers
Malutend Trading (Pty) Ltd	Infrared Thermometers
Mamello Clinical Solutions	Infrared Thermometers
Manare 5 (Pty) Ltd	Infrared Thermometers
Optics Defined Technology (Pty) Ltd	Infrared Thermometers
Pro Asanta (Pty) Ltd	Infrared Thermometers
Smandi Project Management Cc	Infrared Thermometers
Steelwood Int (Pty) Ltd T/a Medena	Infrared Thermometers
T7 Mash (Pty) Ltd	Infrared Thermometers
Value Chem Medical Group	Infrared Thermometers
AG Medical	Mask surgical
Asitanga Trading & Projects (Pty) Ltd	Mask surgical
Basani IT Solutions	Mask surgical
BD IT Solutions	Mask surgical
Devine Catering & Events (Pty) Ltd	Mask surgical
Enpro Laboratories	Mask surgical
Glen Life Group	Mask surgical
Hipco Trading (Pty) Ltd	Mask surgical
Hudi Medical Equipment	Mask surgical
Kobuhla Engineering Building Services	Mask surgical
Luhura Trading & General Supplies	Mask surgical
Mahika Trading	Mask surgical
Makanama (Pty) Ltd	Mask surgical
Malache Business Solutions	Mask surgical
Maphondo Trading & Projects	Mask surgical
Marothodi Projects	Mask surgical
Masemosi Developers	Mask surgical
Mizana Trading (Pty) Ltd	Mask surgical
Mmapadi Group	Mask surgical
Murunwa Consulting	Mask surgical
North Siders Management Consultant	Mask surgical
RRA Trading	Mask surgical
Sedilaka Projects	Mask surgical
Shilombe Trading (Pty) Ltd	Mask surgical
YNF Engineering	Mask surgical
Mavu-Ashu Civil Construction	Mask surgical & Infrared thermometers
NMM Investment Solutions (Pty) Ltd	Mask surgical & Infrared thermometers
RIHM Media & Marketing (Pty) Ltd	Mask surgical & Infrared thermometers
Tshiamiso Trading 135	Mask surgical & Infrared thermometers
Promed Technologies (Pty) Ltd	Paper Towel
Servest (Pty) Ltd	Soap Anti bacterial
Bapedi Conglomerate Holdings (Pty) Ltd	Visor
Bas Medxpress Cc	Visor
Big O Trading 844 Cc	Visor
Nox Business Trading (Pty) Ltd	Visor
Pat & Josh Business Consultants	Visor
Rebantle Trading & Projects (Pty) Ltd	Visor
Sejala Business Enterprise	Visor
Tendiroli Business Enterprise (Pty) Ltd	Visor
Thinamuthu General Trading	Visor
Tshimangi Accommodation & Cash Loans	Visor

MPUMALANGA

a) Total amount spent to procure PPE R63, 723,000.00

b) Breakdown in costs of the procured PPE

 

	ITEMS / COMMODITIES	Amount spent
1	Masks Respirator N95/FFP2/KN95	112,000
2	Masks Surgical/medical	43,212,000
3	Gloves Examination sterile	8,000
4	Gloves examination non-sterile	8,493,000
5	Gloves surgical	142,000
6	Gowns Disposable	451,000
7	Safety Goggles	2,453,000
8	Boot covers	324,000
9	Aprons	250,000
10	Hand Sanitizers	6,918,000
11	Infrared Thermometers	1,359,000
	Totals	63,722,000

Companies listed as suppliers	(ii) corresponding PPE equipment specified companies supplying
Stop Medical	Aprons
BCN Medical	Masks Surgical/medical
Biosurge (Pty) Ltd	Boot covers
Bophirima Healthcare	Masks Surgical/medical
Central Medical	Aprons
Clinipro	Gloves examination non-sterile & Hand Saniters
Emergency Medical	Gloves Examination sterile & Safety Goggles
Flotenk	Masks Surgical/medical
G-Merv	Masks Surgical/medical
Hlalulindzile	Masks Surgical/medical
Jaaziel	Masks Surgical/medical
Liora Medical	Masks Respirator N95/FFP2/KN95
Logan Medical	Gowns Disposable
Multisurge	Masks Surgical/medical
Nala Medical	Gloves examination non-sterile
Nkabo Waters	Masks Surgical/medical
Promed	Gowns Disposable
Quality Medical	Safety Goggles
Resmed	Hand Sanitizers
Vitea Zoe	Infrared thermometer
Pristine	Infrared thermometer
Silver Falls	Masks Surgical/medical
Tara Technology	Masks Surgical/medical
Uhuruwankha	Masks Surgical/medical
Umndeni	Masks Surgical/medical
Unitrade	Hand Sanitizers

NORTHERN CAPE

a) Total amount spent to procure PPE R 24,841,500.00

b) Breakdown in costs of the procured PPE

	ITEMS/ COMMODITIES	Amount Spent R'000
Masks Respirator N95/FFP2/KN95	1 828 500
Masks Surgical/medical	6 525 200
Gloves Examination sterile
Gloves examination non-sterile	432 000
Gloves surgical
Gloves general purpose/cleaning
Gowns Disposable	13 712 500
Safety Goggles	555 400
Visors	75 000
Boot covers
Aprons	133 200
Coveralls	402 900
Hand Sanitizers	470 000
Disinfectant
Biohazard bags
Body bags
Infrared Thermometers	706 800
	TOTALS	24 841 500

c) (i) Companies listed as suppliers	(ii) corresponding PPE equipment specified companies supplying
1. DNS Supplies	1000 X 500ml sanitizers and 4000 boxes X 100 gloves
2. CMED Medicals	200 000 surgical masks, 30 000 N95 masks, 5 000 X 500ml sanitizers, 2 000 coveralls, 1 000 goggles, 1 000 face shield, 10 000 gowns, 100 hand gun thermometers
3. Revolt Headboy	240 000 surgical masks
4. Mellow Live	100 000 disposable gowns, 10 000 goggles, 300 infra-red thermometer, 180 000 aprons

NORTH WEST

a) The department has committed R 87,045,585.26 to procure PPE.

b) Breakdown costs of the commitments of the procured PPE

ITEMS/ COMMODITIES	Amount Committed
Apron	R216 950,00
Body Bag	R77 015,90
Boot covers	R230 000,00
Coveralls	R104 650,00
Disinfectant	R4 198 067,00
Gloves Examination non-sterile	R5 459 617,00
Gloves Examination sterile	R869 707,00
Gloves general purpose/cleaning	R75 000,00
Gloves surgical	R3 740 792,76
Goggles	R161 330,00
Gown disposable	R881 603,00
Hand sanitizer	R2 776 979,60
Infrared Thermometer	R6 441 939,60
Masks Respirator N95/FFP2/KN95	R40 289 169,00
Masks Surgical/medical	R4 990 330,00
Ventilators	R16 479 934,40
Visors	R52 500,00
Grand total	R87 045 585,26

c) (i) Companies listed as suppliers and (ii) corresponding PPE equipment specified companies supplying

(ii) corresponding PPE equipment specified companies supplying	(i) Companies listed as suppliers
Apron plastic yellow	Apron	CENTRAL MEDICAL
Apron plastic light blue	Apron	CENTRAL MEDICAL
Plastic aprons	Apron	Winimed
Plastic apron (100`s)	Apron	MULTISURGE
Plastic apron (100`s)	Apron	CENTRAL MEDICAL
Plastic apron (100`s)	Apron	CENTRAL MEDICAL
Plastic apron (100`s)	Apron	CENTRAL MEDICAL
Protective cover body suit disposable- different size	Body Bag	ALFREHUTCH
Protective cover body suit disposable- different size	Body Bag	ARC Technology (Pty) Ltd
Protective cover body suit disposable- different size	Body Bag	ARC Technology (Pty) Ltd
Protective cover body suit disposable-Non woven med, L, XL, XXL 3X L polypropylene	Body Bag	ARC Technology (Pty) Ltd
Protective cover body suit disposable- different size	Body Bag	ALFREHUTCH
Overshoes 100`s	Boot covers	MULTISURGE
Overshoes 100`s	Boot covers	MULTISURGE
Disposable coveralls - Medium 1`s	Coveralls	CHEMICAL WORLD
Disposable coveralls - Large 1`s	Coveralls	CHEMICAL WORLD
500ml Jik	Disinfectant	Tumi & Rori construction
Trigger Spray Bottels	Disinfectant	Promed Technologies
Disinfectant 5lt bottle	Disinfectant	TARA HEALTHCARE
	Disinfectant
	Disinfectant	Red spot trading
CHLORHEXIDINE SOL 4% 500ML WITH PUMP (S/SCRUB) 1'S	Disinfectant	Barrs
CHLORHEXIDINE SOL 4% 500ML WITH PUMP (S/SCRUB) 1'S	Disinfectant	Barrs
CHLORHEXIDINE SOL 4% 500ML WITH PUMP (S/SCRUB) 1'S	Disinfectant	Barrs
CHLORHEXIDINE SOL 4% 500ML WITH PUMP (S/SCRUB) 1'S	Disinfectant	Barrs
Bleach 5l	Disinfectant	E.G.S Investment Solutions
Spray Bottles 250ml	Disinfectant	E.G.S Investment Solutions
Spray Bottles 500ml	Disinfectant	E.G.S Investment Solutions
BOTTLE SPRAY CAP	Disinfectant	OFENTSE'S PROMOTION DISTRIBUTIONS
Disinfactant hand soap	Disinfectant	Remorabaji
Liquid hand soap	Disinfectant	Remorabaji
Hand wipes-anti bacteria	Disinfectant	Remorabaji
Bio Scrub	Disinfectant	Remorabaji
Non-sterile Examination Gloves	Gloves Examination non-sterile	Cherish Life
Non-sterile gloves	Gloves Examination non-sterile	Promed Technologies
Examination gloves TYPE 1 Small Non-sterile	Gloves Examination non-sterile	PROMED
Examination gloves TYPE 1 Small Non-sterile	Gloves Examination non-sterile	Mutsh medical international
Examination gloves TYPE 1 Small Non-sterile	Gloves Examination non-sterile	Rachis Projects
Examination gloves TYPE 1 Small Non-sterile	Gloves Examination non-sterile	Evergreen
Examination gloves TYPE 1 Small Non-sterile	Gloves Examination non-sterile	Evergreen
Examination gloves TYPE 1 Medium non-sterile	Gloves Examination non-sterile	PROMED
Examination gloves TYPE 1 Medium non-sterile	Gloves Examination non-sterile	PROMED
Examination gloves TYPE 1 Medium non-sterile	Gloves Examination non-sterile	Rachis Projects
Examination gloves TYPE 1 Medium non-sterile	Gloves Examination non-sterile	Mutsh medical international
Examination gloves TYPE 1 Large	Gloves Examination non-sterile	PROMED
Examination gloves TYPE 1 Large	Gloves Examination non-sterile	Rachis Projects
Examination gloves TYPE 1 Large	Gloves Examination non-sterile	PROMED
Examination gloves TYPE 1 Large	Gloves Examination non-sterile	Evergreen
Examination gloves TYPE 1 Large	Gloves Examination non-sterile	Mutsh medical international
Heavy duty gloves medium red	Gloves Examination non-sterile	STEPAHEAD MANUFACTURING
Gumboots size 6	Gloves Examination non-sterile	Emergency hospital suppliers
Gumboots size 7	Gloves Examination non-sterile	Emergency hospital suppliers
Gumboots size 8	Gloves Examination non-sterile	Emergency hospital suppliers
Isolation gown - Medium	Gloves Examination non-sterile	GENESIS PHARMACEUTICALS
Isolation gown - Medium	Gloves Examination non-sterile	Plan B trolley engineering and operation
Isolation gown - small	Gloves Examination non-sterile	GENESIS PHARMACEUTICALS
Isolation gown - small	Gloves Examination non-sterile	Plan B trolley engineering and operation
Heavy duty gloves large red	Gloves Examination non-sterile	STEPAHEAD MANUFACTURING
Sterile Surgical Latex Gloves, different sizes	Gloves Examination sterile	Liora Medical Supplies
Sterile Med gloves	Gloves Examination sterile	Evergreen Latex CC
Elbow extender sterile gloves	Gloves Examination sterile	Evergreen Latex CC
Elbow reach sterile gloves Medium & L	Gloves Examination sterile	Evergreen Latex CC
Non-sterile Examination Gloves	Gloves Examination sterile	Winimed
Sterile and powder free surgical gloves	Gloves Examination sterile	Medtex
Examination gloves small	Gloves general purpose/cleaning	E.G.S Investment Solutions
Examination gloves medium	Gloves general purpose/cleaning	E.G.S Investment Solutions
Examination gloves large	Gloves general purpose/cleaning	E.G.S Investment Solutions
Surgical gloves size 6 to 8	Gloves surgical	Evergreen Latex CC
Examination gloves TYPE 2 Large	Gloves surgical	Access
Examination gloves TYPE 2 Large	Gloves surgical	Supra
Examination gloves TYPE 2 Large	Gloves surgical	Medtex
Examination gloves TYPE 2 Large	Gloves surgical	PROMED
Examination gloves TYPE 2 Large	Gloves surgical	Medi-Core
Examination gloves TYPE 2 Medium	Gloves surgical	Access
Examination gloves TYPE 2 Medium	Gloves surgical	Access
Examination gloves TYPE 2 Medium	Gloves surgical	Supra
Examination gloves TYPE 2 Small	Gloves surgical	Access
Examination gloves TYPE 2 Small	Gloves surgical	Supra
Examination gloves TYPE 2 Small	Gloves surgical	Supra
Surgical gloves size 8 packs of 50`s	Gloves surgical	Evergreen
Surgical gloves size 8 packs of 50`s	Gloves surgical	Evergreen
Surgical gloves size 6.5 packs of 50`s	Gloves surgical	Evergreen
Surgical gloves size 6.5 packs of 50`s	Gloves surgical	Meze Bussiness trading
Surgical gloves size 6.5 packs of 50`s	Gloves surgical	Evergreen
Full face mask with eye protection	Gloves surgical	Allenco
Full face mask with eye protection	Gloves surgical	Allenco
Full face mask with eye protection	Gloves surgical	Allenco
Surgical gloves size 7 packs of 50`s	Gloves surgical	Evergreen
Surgical gloves size 7 packs of 50`s	Gloves surgical	Evergreen
Surgical gloves size 7 packs of 50`s	Gloves surgical	Evergreen
Surgical gloves size 7.5 packs of 50`s	Gloves surgical	Evergreen
Surgical gloves size 7.5 packs of 50`s	Gloves surgical	Evergreen
Surgical gloves size 7.5 packs of 50`s	Gloves surgical	Evergreen
Surgical gloves , hypoallergic , sterile size 7	Gloves surgical	Medtex
Surgical gloves , hypoallergic , sterile size 7	Gloves surgical	Medtex
Surgical gloves , hypoallergic , sterile size 7	Gloves surgical	Supra
Safety goggles 1`s	Goggles	LECHOBA
Goggles- good seal with skin of the face	Goggles	ARC Technology (Pty) Ltd
Visitor disposable constructed high quality optically clear.	Goggles	ARC Technology (Pty) Ltd
Google flexible PVC	Goggles	TARA HEALTHCARE
Gown surgical long sleeves with cuffs	Gown disposable	Promed Technologies
Isolation gown X-large	Gown disposable	Lechaba Medical Supplies
Isolation gown	Gown disposable	ALFREHUTCH
Isolation gown- large	Gown disposable	GENESIS PHARMACEUTICALS
Isolation gown- large	Gown disposable	Plan B trolley engineering and operation
Water less hand sanitizers 70%	Hand sanitizer	Bareki Itumeleng Suppliers and Projects
Water less hand sanitizers 70%	Hand sanitizer	Selcas Trading PTY Ltd
Medical hand sanitizer 70% alcohol 500ml	Hand sanitizer	TARA HEALTHCARE
Hand sanitizer 5l	Hand sanitizer	E.G.S Investment Solutions
Hand sanitizer 20l	Hand sanitizer	E.G.S Investment Solutions
500ml gel hand sanitizer	Hand sanitizer	Remorabaji
Chlorhexidine in alcohol green hand disinfectant	Hand sanitizer	Barrs
Chlorhexidine in alcohol green hand disinfectant	Hand sanitizer	Barrs
Chlorhexidine in alcohol green hand disinfectant	Hand sanitizer	Barrs
Chlorhexidine in alcohol green hand disinfectant	Hand sanitizer	Biotech
Handsanitizer (alcohol based ) 500ml	Hand sanitizer	LOGAN MEDICAL
Handsanitizer (alcohol based ) 500ml	Hand sanitizer	Red spot trading
Sanitizer 70% alcohol 25 liters	Hand sanitizer	Red spot trading
Sanitizer 70% alcohol 25 liters	Hand sanitizer	Red spot trading
Digital body thermometer	Infrared Thermometer	TARA HEALTHCARE
Digital thermometer infrared non contact	Infrared Thermometer	MULTISURGE (Pty) Ltd
Thermometer Electronic temporal artery temprature measure 3cm away from forehead	Infrared Thermometer	Sambonani Holding
THERMOMETERS CLINICAL NON-MERCURYS ORAL & AUXILLARY 1'S	Infrared Thermometer	Dr Temp
THERMOMETERS CLINICAL NON-MERCURYS ORAL & AUXILLARY 1'S	Infrared Thermometer	Dr Temp
THERMOMETERS CLINICAL NON-MERCURYS ORAL & AUXILLARY 1'S	Infrared Thermometer	Dr Temp
THERMOMETERS CLINICAL NON-MERCURYS ORAL & AUXILLARY 1'S	Infrared Thermometer	Dr Temp
THERMOMETERS CLINICAL NON-MERCURYS ORAL & AUXILLARY 1'S	Infrared Thermometer	Dr Temp
THERMOMETER NON-MERCURY SEMI - DISPOSABLE E 100'S	Infrared Thermometer	Dr Temp
THERMOMETER NON-MERCURY SEMI - DISPOSABLE E 100'S	Infrared Thermometer	Dr Temp
THERMOMETER NON-MERCURY SEMI - DISPOSABLE E 100'S	Infrared Thermometer	Dr Temp
Infrared Thermometer	Infrared Thermometer	Sanbonani
Infrared Thermometer	Infrared Thermometer	Sanbonani
N95 - size small	Masks Respirator N95/FFP2/KN95	LECHOBA
N95 - size small	Masks Respirator N95/FFP2/KN95	Allenco
N95 - size small	Masks Respirator N95/FFP2/KN95	Liora
N95 - size small	Masks Respirator N95/FFP2/KN95	QUALITY MEDICAL SUPPLIES
3-Ply Masks	Masks Respirator N95/FFP2/KN95	Meddreg Technology
3-Ply Masks	Masks Respirator N95/FFP2/KN95	Multisurge PTY Ltd
3-Ply Masks	Masks Respirator N95/FFP2/KN95	Sooliman's Retail Enterprise
3-Ply Masks	Masks Respirator N95/FFP2/KN95	Sooliman's Retail Enterprise
N95 Masks	Masks Respirator N95/FFP2/KN95	Lechaba Medical Supplies
N95 Masks	Masks Respirator N95/FFP2/KN95	ALFREHUTCH
Filtering half mask	Masks Respirator N95/FFP2/KN95	LIORA Med. Supplies
Particulate filtering mask disposable N95 S,M & L	Masks Respirator N95/FFP2/KN95	Quality Medical Supplies
N95 Masks	Masks Respirator N95/FFP2/KN95	E.G.S Investment Solutions
Face mask with loops 50`s	Masks Respirator N95/FFP2/KN95	LOGAN MEDICAL
Face mask with loops 50`s	Masks Respirator N95/FFP2/KN95	Medi-Core
Face mask with loops 50`s	Masks Respirator N95/FFP2/KN95	GENESIS PHARMACEUTICALS
Face mask with loops 50`s	Masks Respirator N95/FFP2/KN95	KHUABO HOLDINGS (PTY) LTD
N95 - Mask medium 1`s	Masks Respirator N95/FFP2/KN95	LECHOBA
N95 - Mask large 1`s	Masks Respirator N95/FFP2/KN95	LECHOBA
Mask surgical face	Masks Surgical/medical	Chemical Medical
Mask surgical face with eye shield	Masks Surgical/medical	ALLENCO MEDICAL & DENTAL SUPPLIES
Surgical mask	Masks Surgical/medical	E.G.S Investment Solutions
Surgical mask tie-backs	Masks Surgical/medical	Allenco
Surgical mask tie-backs	Masks Surgical/medical	MULTISURGE
Ventilators	Ventilators	Draggler
Disposabel Visors	Visors	Evergreen Latex CC

WESTERN CAPE

a) Total amount spent to procure PPE

(i) Orders placed as at end March 2020 R115 304 818

(ii) Of which R15 952 162 had been received and invoiced

(b) Breakdown in costs of the procured PPE

1. (i) and (ii) Suppliers with corresponding PPE supplying

NATIONAL DEPARTMENT OF HEALTH

(a) Total amount spent to procure PPE R6,853,123.44

(b) Breakdown in costs of the procured PPE

ITEMS/ COMMODITIES	Amount Spent (R)
Masks Respirator N95/FFP2/KN95	3,297,545.25
Masks Surgical/medical	806,791.00
Masks cloth	195,500.00
Face shields	983.25
Gloves Examination sterile	6,716.00
Gloves examination non-sterile	7,452.00
Gloves surgical	17,112.00
Safety Goggles	44,850.00
Boot covers	289,800.00
Aprons	1,380.00
Coveralls	391,000.00
Hand Sanitizers	1,440,466.12
Infrared Thermometers	353,527.82
TOTALS	6,853,123.44

(c) (i) Companies listed as suppliers	(ii) corresponding PPE equipment specified companies supplying
1. BARRS Pharmaceutical Industries	Hand Sanitizers
2. Unicore Holdings (Pty) Ltd	Thermometers
3. Mr. First Aid (Pty) Ltd	Hand sanitizers, shoe covers, disposable gowns, gloves, masks and goggles
4. Biologica Pharmaceuticals	Surgical masks
5. X-Business Resources	N95 masks
6. SciProfs	Face shields
7. Tammy Taylor Nails	Cloth face masks
8. Lora Medical Supplies	N95 masks
9. Libera Management Services	Hand Sanitizers

END.

Reply:

1. (a) The Department has a database that includes mortuaries in hospitals, forensic pathology and private funeral undertakers. The database is updated on a daily basis as and when new information is received from provinces and municipality. The database as at 04 June 2020 is as follows:

Table 1: Database of number of Mortuaries in forensic pathology, hospitals and private funeral undertakers

PROVINCE	NUMBER OF MORTUARIES
Eastern Cape	374
Free State	279
Gauteng	440
Kwazulu Natal	522
Limpopo	242
Mpumalanga	229
North West	272
Northern Cape	150
Western Cape	189
Total	2697

(b) The attached table provides a record of corpses that were received in each mortuary as a result of COVID–19.

Table 2: Covid-19 deaths and mortuaries

District	Health Facility	Undertaker/Mortuary	Number of Mortal Remains received
GAUTENG
City of Tshwane	Pretoria East Hospital (Private) Steve Biko Academic Hospital	Muslim Community (Pretoria and Central Muslim Burial)	2
	Dr. George Mukhari	Rhulani Funerals	1
SUB-TOTAL			3
City of Johannesburg
	Fourways Hospital (Private)	Poonees Funeral Undertaker- Cremation	1
	Charlotte Maxeke Academic hospital	Kupane Funeral Undertaker	1
	Sunninghill	Chevra Kadisha	1
	Chris H Chris Hani Baragwanath	Kwa Vusa Funeral Undertaker	1
	Leratong Hospital	Associated funeral homes	1
	Chris Hani Baragwanath Hospital	Vuyo Funeral Undertaker	1
	Chris Hani Baragwanath Hospital	Nkanyiso Funerals	1
	Charlotte Maxeke Academic hospital	Lebowa Funeral Undertaker	1
SUB-TOTAL			8
Westrand District Municipality	Pinehaven Hospital (Private) Krugersdorp Hospital (Private)	AVBOB - Krugersdorp AVOBOB – Carltonville	2 1
	Leratong Hospital	Sepotokele Funeral Parlour	1
SUB-TOTAL			4
City of Ekurhuleni	Charlotte Maxeke Academic hospital	Lebowa Funeral and was transferred to Cape town	1
	Morningside Mediclinic	J&S Funerals Boksburg	1
	Unitas Hospital	Kupane Funeral Undertaker	1
	Glynwood Private Hospital Tembisa Hospital	Doves	2
	Charllotte Mxeke Academic Hospital	Central Islamic Trust	1
	Thelle Mogoerane	Phuthang Batho Funeral Service - Thokoza	1
	Thelle Mogoerane	Surprise Funerals - Orange Farm	1
SUB-TOTAL			8
GRAND TOTAL GAUTENG	23 (As of 04 June 2020)
LIMPOPO
District	Health Facility	Undertaker/Mortuary	Number of Mortal Remains received
Capricorn	Netcare Pholosho	Lebowa funeral undertaker	1
	Netcare Pholosho	Ruth Modiba funeral undertaker	1
Sekhukhune	Mojalefa Practice, Medi 24	Wivani funeral undertaker	1
GRAND TOTAL LIMPOPO	3 (As of 04 June 2020)
KWAZULU NATAL
District	Health Facility	Undertaker/Mortuary	Number of Mortal Remains received
Ethekwini	St Augustine’s Hospital	Nqaki Funeral Undertakers	1
	Umhlanga Hospital	Newlands Funeral Undertakers	1
	St Augustine’s Hospital	Oakleigh Funeral Home	2
	St Augustine’s Hospital	Wyebank Funeral Undertakers	1
	St Augustine’s Hospital	Isipingo Funeral Undertakers	1
	Parklands Hospital	Ndabes Dignified Funeral Undertakers	1
	Life Entabeni	Khalidsha Bawa (Bayview Muslim Burial Services)Clairwood	1
	Lenmed Shifa Hospital)	Bayview Muslim Services	1
	Kingsway Hospital	AVBOB	1
	IALCH	Khalidsha Bawa (Bayview Muslim Burial Services) Clairwood	1
	St Augustine’s Hospital	Cebolethu Funeral Services	1
	St Augustine’s Hospital	AVBOB	1
	St Augustine’s Hospital	Khalidsha Bawa (Bayview Muslim Burial Services) Clairwood	1
	Parklands Hospital	Wyebank Funeral Undertakers	1
	St Augustine’s Hospital	Phoenix Funeral Undertaker	1
	Umhlanga Hospital	Muslim Burial Society	1
	St Augustine’s Hospital	Doves Greyville	1
	St Augustine’s Hospital	AVBOB	1
	KwaDabeka Clinic - RK Khan	Ndabes Funeral	1
	St Augustine’s Hospital	Shanleys Funeral Home	1
	St Augustine’s Hospital	Khalidsha Bawa (Bayview Muslim Burial Services) Clairwood	1
	Westville Hospital	Ndabes Funeral	1
	St Augustine’s Hospital	Doves Greyville	1
	Entabeni Hospital	Khalidsha Bawa (Bayview Muslim Burial Services) Clairwood	1
	Entabeni Hospital	Shanleys Funeral Home	1
	Victoria Hospital	Mandeni Funeral parlour	1
	Entabeni Hospital	Wyebank Funeral Undertakers	1
	Kingsway Hospital	Doves Greyville	1
	Entabeni Hospital	Khalidsha Bawa (Bayview Muslim Burial Services) Clairwood	1
	Nu Shifa Hospital	Ethekwini Funeral Services	1
	Crompton Hospital	Oakleigh Funeral Home	1
	Umhlanga Hospitial	Ethekwini Funeral Services	1
	Entabeni Hospital	AVBOB	1
	Durdoc Hospital	Doves Greyville	1
	Parklands Hospital	Mosaic Funeral Undetakers Ugu District	1
	Entabeni Hospital	Pinetown Funeral Services	1
	IALCH	Bayview Muslim Burial Service	1
	Entabeni Hospital	Doves Greyville	1
	King Edward Hospital	Cebolethu Funeral Services	1
	Isipingo	Doves Greyville	1
	Lenmed Nu Shifa Hospital	Bayview Muslim Burial Service	1
	Lenmed Ethekwini Heart Hospital	Wyebank Funeral Services	1
	RK Khan Hospital	Cebolethu Funeral Services	1
	IALCH	Oceans Funeral Services	1
	Kingsway Hospital	Doves Greyville	1
SUB-TOTAL			46
King Cetshwayo	Ngwelezane Hospital	Notha Funeral Parlour	1
	Netcare the Bay Hospital	Eshowe Crematorium	1
SUB-TOTAL			2
uThukela	Ladysmith Larvena Hospital	AVBOB	2
SUB-TOTAL			2
Ugu	Margate Private Hospital	Above All Funeral Undertakers	1
SUB-TOTAL			1
GRAND TOTAL KZN	51 (As of 04 June 2020)

WESTERN CAPE
District	Health Facility	Undertaker/Mortuary	Number of Mortal Remains received
Cape Town	Groote Schuur Hospital	AVBOB	1
	Constantia Medi-clinic	Doves	2
	Durbanville Medi-clinic	Peninsula Funeral Services	1
	Heideveld Emergency Centre	Quest Funerals	1
	Tygerberg Hospital	Western Cape Muslim Undertakers Forum	1
	Community death	AVBOB	1
	Tygerberg Hospital	Alijac Funeral Services	1
	Tygerberg Hospital	Sweet Victor/Kabashe Funerals	1
	Groote Schuur Hospital	AVBOB	1
	Community death	AVBOB	1
	Groote Schuur Hospital	Western Cape Muslim Undertakers Forum	2
	Tygerberg Hospital	Uzuko/Keiza Funerals	1
	Tygerberg Hospital	Amazizi/Lafuta Funerals	1
	Tygerberg Hospital	Mthuthuzeli Funerals	1
	Groote Schuur Hospital	AVBOB	3
Sub Total			19 (As of 25 April)
Cape Winelands DM	Ceres Hospital	Fourbeth Funerals	4
	Worcester Hospital	Valley Funerals	1
	Ceres Hospital	Ceres Funerals	4
	Worcester Hospital	Undertaker: Avbob Worcester	1
	Worcester Hospital	Undertaker: El Shaddai Begrafnisdienste	1
	Paarl Hospital	Willy’s Funerals	8
	Paarl Hospital	AVBOB	3
	Paarl Hospital	Aubrey Solomon’s Funerals	1
	Paarl Hospital	Paarl Muslim Jamaa	2
	Paarl Hospital	I. Arm (undertaker from City of Cape Town)	1
	Paarl Medi Clinic	Willy’s Funerals	1
	Name of Facility not mentioned	Name of undertaker not mentioned	5
SUB-TOTAL			32 (As of 4 June 2020)
West Coast DM	No death recorded		0
Overberg DM	No death recorded		0
Central Karoo DM	No death recorded		0
Garden Route DM	No death recorded		0
GRAND TOTAL WC – Gross underreporting has been noted and the Province is currently correcting and updating the figures	51 (As of 04 June 2020)
FREE STATE
District	Health Facility	Undertaker/Mortuary	Number of Mortal Remains received
Mangaung Metro	Pelonomi Hospital	Molly	1
	Medi Clinic	AVBOB	1
	Medi Clinic	Bloemfontein Funerals	1
	At home	AVBOB	1
	National Hospital	AVBOB	1
GRANT TOTAL FREE STATE	5 (As of 25 April 2020)

EASTERN CAPE
District	Health Facility	Undertaker/Mortuary	Number of Mortal Remains received
Amathole DM	Frere Hospital, East London	AVBOB East London, transferred to AVBOB Butterworth	1
	Life Beacon Bay East London	Thuso Funeral Parlour Idutywa	1
	Stutterheim Hospital Hospital Road	Hewu Funerals Mlungisi Location Stutterheim	1
SUB-TOTAL			3
OR Tambo DM	Died at home. New Payne Village, Mthatha, KSD LM	Phakamani Bantu, Payne Village, Mthatha, KSD LM	1
SUB-TOTAL			1
Nelson Mandela Bay	Mercantile Private Hospital	Vantyi and Vantyi Funeral Home, Zwide, Port Elizabeth	1
	Livingstone Hospital	Fortuin Funeral Home, Bethelsdorp, Port Elizabeth	1
	Lingstone Hospital, Port Elizabeth	Shweme Zilamkhonto, Zwide, Port Elizabeth	1
	Livingstone Hospital, Port Elizabeth	Vantyi and Vantyi Funeral Home, Zwide, Port Elizabeth	1
SUB-TOTAL			4
Chris Hani DM	Frontier Hospital	Russel and Son Funeral Directors	5
	Queenstown Private	Russel and Son Funeral Directors	3
	East London Private Hospital	Russel and Son Funeral Directors	1
	Frontier Hospital, Hewu Hospital & Frere Hospital	AVBOB, Komani	3
	Cradock Hospital	Tusano Funerals	1
	Middelburg Hospital, Greenacres Hospital	Middelburg Funerals	2
SUB-TOTAL			15
GRAND TOTAL EASTERN CAPE	23 (As of 4 June 2020)
MPUMALANGA
Gert Sibande	No death recorded		0
Ehlanzeni	No death recorded		0
Nkangala	No death recorded		0
GRANT TOTAL MPUMALANGA	0
NORTH WEST
Bojanala	JST Hospital	Name of undertaker not mentioned	1
Ngaka Modiri Molema	No death recorded		0
Dr Kenneth Kaunda	No death recorded		0
Dr Ruth Mogomotsi Mompati DM	No death recorded		0
GRAND TOTAL NORTH WEST	0
NORTHERN CAPE
Namakwa	No death recorded
Frances Baard DM	Jan Kenpdorp CHC	Kgalalelo	1
John Taolo Gaetsewe	No death recorded
Pixley ka Semme	No death recorded
ZF Mgcawu	No death recorded
GRAND TOTAL NORTHERN CAPE	1

2. A statement will be made on the matter as part of media statements to update the country on the outbreak.

END.

Reply:

a) The first part of the question related to the number of Quarantine facilities that have been activated in the country and shown per province.

Province	NO OF SITES	NO OF BEDS
Eastern Cape	19	662
Free State	5	313
Gauteng	21	6236
KwaZulu Natal	48	1098
Limpopo	6	313
Mpumalanga	6	434
North West	6	188
Northern Cape	9	497
Western Cape	16	2537
Grand Total	136	12278

There are a number of sites on standby but is only activated as and when the Province deem it necessary to accommodate patients and or PUI's.

(b) There is currently 64 privately owned and 72 state owned facilities utilised. The following types of facilities are being utilised:

Type of facility	Number of Sites in this category
B&B	15
CARAVAN PARK/CAMP SITE	1
HEALTH FACILITY	52
HOTEL	38
LODGE	7
NATURE RESERVE LODGE	6
Other	1
RESORT	12
Training Centre	4
Grand Total	136

These sites were assessed for their suitability against a set of guidelines that looks at their locality, access to the site, ventilation, basic infrastructure requirements like access to electricity and water and then space for each occupant.

(c) There is a list of equipment requirements provided for in the guideline that include the following:

Minimum Equipment

Clinical gloves (latex, single-use gloves for clinical care)

N95 masks – only for aerosol generating procedures (taking of specimens) Medical/Surgical masks

Aprons - disposable

Sharps containers

Red health risk waste bags to be in health care risk waste box with biohazard sign

Alcohol-based hand sanitiser

Liquid hand wash

Clean single-use towels (e.g. paper towels)

Cleaning gloves (reusable vinyl or rubber gloves for environmental cleaning)

Appropriate detergent for environmental cleaning and disinfectant for disinfection of surfaces, instruments or equipment

Large plastic bag for general waste (black or transparent)

Linen bags

Collection container for used equipment

What has been issued to each site is dependent on the type of site and their own commitment to the cause. In the Western Cape for example some privately owned sites only required masks, gloves, bioboxes and red bags. The rest were provided by the establishment themselves.

(d) A standard set of training is conducted by Provincial Departments of Health related to the following:

• Training of healthcare professional on SOPs that needs to be followed at the quarantine centres for daily examination, movements in the facility, infection prevention control measures and use of PPE kit etc.
• Paramedical staff (staff nurses, medics, pharmacist etc) need to be trained on SOPs to be followed at quarantine/isolation centres and use of PPE.
• Support staff (housekeepers/cleaners, caterers, security staff, drivers and general duty staff) need to be trained on the use of masks, gloves, cleaning and disinfection procedures and use of PPE kit, etc.
• When a new staff member is assigned to a quarantine/isolation site, it needs to be ensured that he/she has received proper training before undertaking the work.
• All training should emphasise that all activities/procedures must be done under the strict monitoring and observation of trained specialists.

The exact numbers of people trained at these facilities is currently unknown.

(e) The costs associated at each of these centres varies and is dependent on the type of facility, who owns it and what the commitment is from each related to the cause. Private facilities in the hospitality industry is paid per person per night. For that they provide the full accommodation and catering support function, and the Provincial departments pick up the bill related to any clinical and waste management services. Costs associated with that range between R850 to R1200 per night per person. This includes accommodation and two meals per day.

For public facilities, again depending on the type of facility the cost would vary. From a priority perspective, public facilities already equipped with linen, beds and other basic furniture and services were first activated. In more dire times the Department is preparing public facilities by procurement of all beds, furnishing and operational equipment to activate facilities as a second priority. However, in the short term there is a heavy reliance on privately owned facilities where the moneys paid, also strengthened the tourism industry where no income could be generated.

The procurement of Health Technology equipment is also not done in bulk and at a rapid rate to make provision and address the demands that Covid-19 is placing on the department. Equipment is issued to where it is needed and includes Medical, Isolation and Quarantine facilities so to isolate the costs to only quarantine facilities is difficult at present.

END.

Reply:

1. (a) The mother (21 years old) delivered the baby (the mother's third delivery) at Clocolan, JD Newberry District Hospital with a reported history of meconium stained liquor and Apgar score of 5/10 and 6/10 at 1 minute and 5 minutes respectively. The mother arrived un-booked as a result no ultrasound was done antenatally. The baby was preterm estimated gestation age of 34-35 weeks with low birth weight (1,98 kg). In addition the following were found: Dysmorphic features and multiple congenital anomalies, anorectal malformation - imperforate anus, bilateral renal malformation - confirmed by kidney ultrasound, severe respiratory distress - most likely due to lung hypoplasia during pregnancy and upper gastrointestinal bleeding.

(b)-(c) The patient was transferred to the Neonatal ICU at the Dihlabeng Regional Hospital where the baby was put on a Continuous Positive Airway Pressure (CPAP) machine to assist the baby to breathe. As the baby's respiratory distress worsened the medical officer decided to transfer the patient Universitas Academic Hospital.

(d) The baby's condition was critical and it was transported via air transport, given respiratory support via CPAP. On arrival at Universitas Academic Hospital the baby was admitted to the Neonatal ICU as his condition required life support - at no stage did parents raise the issue of objection to the baby being put on life support.

(e) The baby died while on life support machines and his parents were allowed to hold the baby whilst he was still intubated.

(f) A post-mortem was offered to the parents but they refused.

2. Yes.

END.

Reply:

1. (a) The number of hospitals ready to treat COVID-19 patients is 262 hospitals.

(b) The Department conducts weekly audits on the availability, requirements and current equipment and commodities in hospitals. Where challenges are found they are highlighted to provincial officials to intervene.

2. (a) All (3467 Primary Health Care facilities/clinics) are provided with the national protocols through their provinces for handling corona virus suspected patients and are submitting individual questionnaires on their readiness to respond to the pandemic.

(b) Precautions to be taken in the event of an outbreak in Clinics include use of Personal Protective Equipment (PPE's) by all staff; ensuring effective triage facilities are in place to separate patients with COVID-19 symptoms from those without symptoms, rapid and safe referral of patients to hospitals for patients who need to be hospitalised.

(3) The initial transmission of the COVID-19 virus was from imported cases from high risk countries. The ban on travel in/out of the country is purely to disrupt transmission from other countries, especially high risk countries.

(4) A comprehensive Risk Communication and Stakeholder Engagement (RCCE) Strategy has been developed as guided by the International Health Regulations of the World Health Organisation.

Some of the Objectives of this strategy are:

• To ensure that people have the life-saving information they need to protect themselves and others (from the virus and to reduce its impact on health, social life, and the economy)
• To ensure consistency in information and language from all partners and avoid misinformation/rumours.
• To inform the general public how the public health response is being conducted and health authorities are being pro-active in monitoring, detecting, and preventing the spread of COVID-19.

To ensure participation of and engagement with relevant communities to work out barriers to the implementation and uptake of public health measures.

END.

Reply:

The following table reflects the details in this regard

Western Cape Districts	(a)(i) Serviceable ambulances	(a)(ii) Fully equipped ambulances	In each (aa) district, (bb) local municipality in the public health sector in the Province	(b) Area in square kilometres each ambulance service
City of Cape Town	254	115	115	2 446
Cape Winelands		40	40	21 473
Central Karoo		16	16	38 854
Garden Route		30	30	23 331
Overberg		24	24	12 239
West Coast		29	29	31 119

END.

Reply:

The following table reflects the details in this regard

North West Districts	(a)(i) Serviceable ambulances	(a)(ii) Fully equipped ambulances	In each (aa) district, (bb) local municipality in the public health sector in the Province	(b) Area in square kilometres each ambulance service
Dr Ruth Segomotsi Mompati	119	17	17	43 700
Dr Kenneth Kaunda		18	18	14 642
Bojanala		11	11	18 333
Ngaka Modiri Molema		21	21	28 206

END.

Reply:

The following table reflects the details in this regard

(a) (i) serviceable ambulances	(a) (ii) fully equipped ambulances (aa) in each district municipality	(a) (ii) (bb) in each local municipality in the public health sector in the Province	(b) Area in square kilometres each ambulance services
134	EHLANZENI =48	Mbombela = 20	Ambulances are not restricted to a service Area
		Nkomazi = 13
		Thaba Chweu = 8
		Bushbuckridge = 7
	NKANGALA = 40	Emalahleni = 10
		Steve Tshwete = 8
		Emakhazeni = 6
		Thembisile Hani = 4
		Dr JS Moroka = 8
		Victor Khanye = 4
	GERT SIBANDE = 46	Mkhondo = 3
		Albert Luthuli = 7
		Msukaligwa = 5
		Govan Mbeki = 12
		Pixley Ka Seme = 7
		Albert Luthuli = 4
		Lekwa = 4
		Dipaleseng = 4

END.

Reply:

The following table reflects the details in this regard

Limpopo Districts	(a)(i) Serviceable ambulances	(a)(ii) Fully equipped ambulances	In each (aa) district, (bb) local municipality in the public health sector in the Province	(b) Area in square kilometres each ambulance service
Capricorn	164	59	59	21 705
Waterberg		48	48	44 913
Sekhukhune		56	56	13 528
Mopani		73	73	20 011
Vhembe		64	64	25 597

END.

Reply:

The following table reflects the details in this regard

Northern Cape Districts	(a)(i) Serviceable ambulances	(a)(ii) Fully equipped ambulances	In each (aa) district, (bb) local municipality in the public health sector in the Province	(b) Area in square kilometres each ambulance service
Frances Baard	85	18	18	12 836
John Taolo Gaetsiwe		11	11	27 322
Namakwa		24	24	126 836
Pixley ka Seme		20	20	103 411
Zf Mgcawu		12	12	102 484

END.

Reply:

There have been claims of false positive results, however, it is difficult to confirm the claims because the same sample needs to be tested to determine if there are inconsistent results. The results are determined by the amount of virus in the sample and this can differ if samples are taken at different times. The National Health Laboratory Service (NHLS) will conduct external quality assurance and proficiency testing schemes to determine the quality of results. Proficiency testing schemes are performed by providing participants with test samples for analysis and determine how closely their results agree with the accepted values. Regular participation in a proficiency testing scheme provides staff with an insight into their laboratory’s performance, benchmark performance with that of the other participant laboratories and demonstrate to end user of analytical data, regulatory bodies and accreditation bodies that there is a commitment to measuring quality.

END.

Reply:

(1) (a) (i) The District Health Information System (DHIS) only collects nutrition-related data on severe acute malnutrition (SAM) in children under 5 years of age. The DHIS data is available for March and April 2020 and reflects that nationally 991 children were admitted in public hospitals for SAM in March 2020. In comparison 1220 children under 5 were admitted with SAM in March 2019. In April 2020 596 children under 5 were admitted to public hospitals with SAM compared to 1118 in April 2019. These data show that the number of children admitted with SAM were lower in March and April 2020 compared to the same period in 2019. Refer to Annexure 1.

(ii) According to the DHIS in March 2020 there were 83 SAM related deaths in public hospitals while in April 2020 there were 50. In comparison in March 2019 and April 2019 there were 91 SAM related deaths each month. As for SAM admissions, SAM deaths were lower in March and April 2020 compared to the same period in 2019. Refer to Annexure 1.

(iii) The DHIS does record the number of children or adults currently being treated for hunger-related diseases.

(b) The National Department of Health has no data from the private hospitals on number of people treated for hunger-related diseases, died from hunger related diseases or still being treated for hunger-related diseases.

(2) The statement has already been made on this matter.

END.

Reply:

(a) The State’s position has always been to first utilise state-owned facilities before utilising private facilities, the cost would differ based on facility availability, type of facility and ownership thereof.

For private-owned facilities the operational costs are included in the rate negotiated with the facilities and excludes all clinical services. The rate is negotiated by the Department of Public Works and Infrastructure (DPWI) for each site and as such the National Department of Health does not get involved in this other than to provide the clinical and support services.

The costs therefore would be a combination of costs associated with the clinical services, support services and operationalisation of these sites as carried by the Department of Health and the procurement of private facilities as currently carried by the Department of Public Works and Infrastructure.

(b) The Department of Public Works and Infrastructure will be responsible for the infrastructure costs relating to quarantine facilities and the Department of Health will be responsible for the operationalization costs of the quarantine facilities.

END.

Reply:

As per the approved GUIDELINES FOR QUARANTINE AND ISOLATION IN RELATION TO COVID-19 EXPOSURE AND INFECTION it states that: “Because some quarantined people might be COVID-19 positive (or might become positive during the quarantine period), individuals in quarantine facilities must be kept under individual quarantine (self-quarantine) within the facility. Those who develop symptoms {meet the person-under-investigation (PUI) criteria} should be tested and managed appropriately.” It also indicates the following: “The recommended duration of quarantine for COVID-19 exposure is 14 days from the time of exposure (close contact or entering the country). If the patient remains well during the period of quarantine, they do not need to test/retest at the end of the 14-day period.”

There are certain circumstances that necessitate testing and others that do not. Testing is dependent on the risk assessment of the individual at any specific point in time.

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Reply:

All the laboratories in public hospitals that test for COVID-19 are part of the National Health Laboratory Service (NHLS). These laboratories are accredited with the Standard ISO 15189. Furthermore, all laboratories participate in the external quality assurance and proficiency testing schemes to ensure quality results.

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Reply:

1. (a) To date the Republic of Cuba has availed 187 Medical Specialists who will be assisting South Africa in the response to Covid-19.

Epidemiology (Technologist)

Health Technology

Family Physician

Biostatistics Dr

Biotechnologist

Public Health Specialist

(b) The 187 Medical Specialists in the areas that the Country is unable to produce enough. These are qualified in Biostatistics, Epidemiologists, Family Physicians and Health Technologists

(c) Epidemiology (Technologist); Health Technology; Family Physician; Biostatistics, Biotechnologist and Public Health Specialist

2. All of them

3. The following table reflects the details in this regard

 

Activity	Number	Estimated Cost	Notes on the activities
Registration with the Health Professions Council of South Africa (HPCSA)	187	R734 100.00	It is a norm that the registration cost is paid by an individual health professional to the Council. However, as per the Government-to-Government Agreement, the South African pays the fee to the HPCSA and thereafter, deduct the full amount of registration from the individual health professionals’ first salary. This means there is no actual cost to be incurred by the South African Government, however it is a convenient process arranged to ensure that all of the professionals are registered accordingly.
Accommodation	187		Most Provinces have entered into agreements with providers for a 12 months period. Other provinces are only accommodating the brigade for May and June and then move them to hotspots Districts / communities. Therefore, the accommodation in these areas are still not confirmed, as negotiations are still underway. A table below shows the cost on accommodation where available. The Provinces will first consider Doctors quarters where the brigade will be stationed.
Salaries	187	R239 181 933	The estimated budget cost is informed by actual appointment levels of the Cuban Health Brigade as determined by their Registration category, which took into consideration years of experience. All the Family Physicians and Biostatisticians are appointed at Grade 2 of Medical Officer level and Epidemiology Technologists/ Health Technology and Public Health Specialists are at Deputy Director level while Biomedical Engineers are at ASD level. Table below give overall illustration of salary levels and numbers in each level.

 

ACCOMMODATION OF CUBAN BRIGADE IN PROVINCES

Province	Accomodation	Period	Costs
Eastern Cape	The brigade has been distributed in various Facilities across the Province. They are residing in B&Bs and should be accommodated for the full period of their contract	12 Months	R384 000.00
Free State	The brigade is currently accommodated at Premier Hotel in Bloemfontein, while going through orientation processes. They will be accommodated until end of June at Premier hotel. After which from 1 July 2020, they will be distributed to facilities across the Province and they will be staying in Facility accommodation	May-June July 2020-April 2021	R162 464.00 (R3500X17X10) R595 000
Gauteng	The Brigade are accommodated at Burgers Park till 30 June 2020 It is expected that they will be distributed across the Province from I July 2020 to April 2021. Accommodation will then to be Provided by Hospitals	15 May-30 June 2020 July 2020-April 2021	Negotiated rate at Burgers Park Hotel is R1000 per room include breakfast, lunch and dinner, laundry services and hand sanitation
KwaZulu-Natal	Information from the Province will be submitted in due course.
Limpopo	The brigade is currently accommodated at Zanami Lodge (Polokwane), while being orientated. It is expected that they will be distributed across the Province from I July 2020 to April 2021. Accommodation will then to be Provided by Hospitals	19 May 2020 to June 2020 July 2020-April 2021	R252 000.00 Not yet finalised
Mpumalanga	Information outstanding Want a formal letter to HOD	19 May-19 August
Northern Cape	The brigade is currently accommodated at B&B till June 2020 It is expected that they will be distributed across the Province from I July 2020 to April 2021. Accommodation will then to be Provided by Hospitals	May –June 2020 July 2020-April 2021	R320 000.00 (9X12000X11) R1 188 000.00 2 Doctors are at an Official Accommodation
North West	The brigades have been distributed across the Provincial districts staying in B&Bs and others in Hospital Accommodation	June 2020 – April 2021	R 2 016 000
Western Cape	The brigade is currently accommodated at B&B called Icon Luxury Apartments for 12 months.	12 months	R1 200 000 p/a

 

OVERALL - CUBAN BRIGADE HEALTH WORKFORCE
Qualification	Agreed Post Classification (DPSA)	No	Total cost
Family Physician	MO Gr 2	116	172,767,798
Health Technology (IM)	Deputy Director: Information Management	32	25,941,166
Epidemiology Technologists (IM)	Deputy Director: Information Management	18	14,715,735
Biostatistics (Medical Doctors)	MO Gr 2	13	19,566,449
Public Health Specialist	DPSA salary level 11 (NON OSD)	2	2,231,276
Biomedical Engineer	ASD Salary level 9	5	2,773,887
Nurse	Gr3	1	528,852
		187	239,181,933

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Reply:

1. (a) (i) and (ii) The Health Sector has placed advertisements on National and Provincial platforms to recruit volunteers and retired health professions (i.e. nurses and doctors) for the fight against Covid-19.

2. The table below informs of number of volunteers (i) nurses and (ii) doctors recruited in each Province:

Province	Status of responding to Covid-19 to date
Eastern Cape	The Province has not employed any volunteers to date. However, in response to Covid-19 a total of 669 Nurses and 3 Medical Doctors have been employed.
Free State	The Province has not employed any volunteers to date. However, in response to Covid-19 a total of 533 Nurses and 1 Medical Doctor have been employed.
Gauteng	Gauteng has appointed 9 volunteers (5 MO; 2 nurses and 2 Admin clerks as data capturers). 1200 volunteers are enlisted but not deployed as yet due to them not covered by COIDA. Appointments for COVID-19 has been done in two phases: have 1- 404 appointments have been made up of 360 nurses and 44 Medical Officers Phase 2 is in the process of ensuring that 169 Doctors; 915 nurses and Allied health professionals are appointed to a tune of R500 m
KwaZulu-Natal	The Province has not employed any volunteers to date. However, the Province has advertised posts with a closing date of 5 June 2020 and can only commence with a selection process after the said date.
Limpopo	A number of health care professionals have submitted their documents as an indication of their willingness to join the department. A database is being developed, and costed in line with the expected increases. The necessary approvals to recruit and appoint will be concluded, so that as and when it is necessary, the health professionals will be activated for appointment. To date no one has been recruited as the level infections are still low.
Mpumalanga	Mpumalanga Department of Health has not appointed either Nurses or Doctors as volunteers for the fight against COVID - 19. However, up to the 30 April 2020, a total number of 492 Nurses have been appointed on a six-month contract.
Northern Cape	The Province has not employed any volunteers to date. However, the Province have since appointed additional personnel on a sessional basis or on fixed term contracts.
North West	The Province has only managed to recruit nurses and doctors on contract and no volunteers have been recruited. Province have since appointed additional personnel on a sessional basis or on fixed term contracts: 18 Professional nurses 6 Sessional doctors 34 Environmental Health Practitioners
Western Cape	The Province has established an online Volunteer Information Management System (VIMS). A total number of volunteers appointed to date are: (i) Nurses 460 (ii) Doctors 256 Others i. Student Nurses 20 ii. Student Doctors 6 iii. Pharmacy 90 iv. Pharmacy Assistants 180 v. Emergency Care Practitioners 317

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Reply:

(a)-(b) We are unsure which statement from the Presidency this question refers to. However there have been media requests for the modeling done by various groups to be made public. The National Department of Health convened a public symposium of all modelers on Thursday the 21st of May 2020 during which the models, together with the assumptions used for the modeling outputs were presented.

(c) Hospitals in the public sector are currently being prepared to deal with the COVID-19 pandemic. General beds are being repurposed into critical care beds and field hospitals are being built jin many provinces. In addition, a national ventilator project has been established by DTI and donations have been received (for example 1,000 ventilators donated by the US government - of which 50 have already been received).

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Reply:

(1) There is a global need for test kits with countries in the north taking up the majority of the kits that are available given the large number of positive patients in these countries. This has resulted in a global shortage of test kits. The Department has worked with the National Health Laboratory Service to increase the number of test kits that are available to South Africa. The Minister has engaged with some of the manufacturers of test kits to encourage them to increase the number of test kits that they supply to South Africa. A challenge is that the limited number of flights from countries that manufacture the test kits adds to the challenges being experienced.

(2) Yes, steps have been taken to reduce the turnaround time. In-hospital admission, patients under investigation are prioritised, and the turnaround time for these patients will be reduced to 48 hours. The turnaround time for the other samples are being addressed through utilisation of academic platform testing sites and private laboratories, as well as increased output at NHLS laboratories. Over the last week the number of tests have increased from 51,000/week to about 60,000/week.

As a result of the global shortage of COVID-19 test kits, including extraction kits, the criteria for testing has been amended. The Department has prioritised testing of patients in hospitals with respiratory conditions, as well as people who have had contact with a known positive patient as well as health care workers. As soon as serological (antibody) tests are registered by the South African Health Products Regulatory Authority (SAPHRA) these will be used for population level surveillance to get prevalence rates.

(3) As noted above, the criteria for testing have been changed. We have halted mass testing as the target that was set of 14 million people screened through community screening has been achieved and we have moved to targeted screening and testing. In addition, as mentioned the number of laboratories that test for COVID-19 has increased. With respect to antibody testing, the NHLS and SAPHRA are fast tracking the validation and registration of these tests. However, it should be noted that these tests will largely be used for surveillance with the PCR test used to test individual patients for acute infections.

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Reply:

1. The health professional staff are not tested routinely except if they have symptoms of Covid-19 or fulfil the criteria of a high-risk exposure with a person who tested positive with Covid-19. They may after seven days of self-isolation be clinically evaluated and tested on day 8 with the possibility of early return to work if they have a negative test and are clinically well. They will continue to be monitored for symptoms till day 14 and are counselled on personal hygiene measures. Health professional staff are monitored daily through symptom screening.

The rationale is that there are not enough test kits and targeted testing is needed. Risk assessments in health care settings, use of public health measures, personal hygiene, training on Covid-19 and personal protective equipment all contribute to a lowered risk of transmission exposure.

2. The health care professional cannot refuse to clinically evaluate and test the person based on the national Department of Health guideline of prioritized testing for patients in hospitals with respiratory conditions as well as health care workers.

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Reply:

The following table reflects the details in this regard

Gauteng Districts	(a)(i) Serviceable ambulances	(a)(ii) Fully equipped ambulances	In each (aa) district, (bb) local municipality in the public health sector in the Province	(b) Area in square kilometres each ambulance service
City of Ekurhuleni	915	240	240	1 975
City of Johannesburg		168	168	1 645
City of Tshwane		160	160	6 298
Sedibeng		118	118	4 173
West Rand		118	118	4 087

END.