At World Child Cancer, we have been closely assessing and monitoring the present situation and potential future implications of Coronavirus/COVID-19. We are working diligently and responding accordingly to government advice in order to help mitigate the impact of the virus. Our current primary concern is to ensure the safety of all associated with World Child Cancer; children and their families, staff, volunteers and supporters, whilst still delivering vital cancer care to children across the world. 

Cancer patients are particularly vulnerable to COVID-19 due to weakened immune systems as a result of treatment. Because of this, we have made the decision to suspend all avoidable travel until the global situation becomes clearer. All programme management and twinning visits will be postponed in an effort to minimise further spread of the disease. In such challenging times the self-sustainability of our programmes is key. Many of our programmes also receive a significant level of both medical and programme support through online platforms, which will continue and we plan to increase. As the situation is changing so fast we are reviewing our programmes on a daily basis and will make adaptations in response as needed.  

When we are better able to, we will assess the longer-term impact on individual programmes and whether there will be any significant changes in our capacity to deliver. For now though, we will continue working to provide the best possible care we can to children with cancer and their families across our programmes.

 

In-Country Responses
 

As of 27th April 2020 the COVID 19 situation has progressed dramatically, and World Child Cancer are doing everything they can to support healthcare professionals, children with cancer and their families through this pandemic. Below we have provided updates of what we and the respective governments are doing to curb the spread of this virus. We will continue to update this information as situations change.

Bangladesh

Updated 26th August

The Bangladeshi government has closed all schools and colleges in an attempt to slow the spread of COVID-19. Emergency services, banks and some food stores and all workplaces have now been opened. Mass gatherings are not permitted, meaning we have suspended awareness day events and group workshops/training sessions at the hospitals we work in.

After a period of working from home, the in-country office is now open for three working days a week.

High quality PPE has been delivered to hospitals in Dhaka from China. Read the full article here. Read the original sources on The Daily Star or bdnews24.

Healthcare professionals have been affected by COVID-19 in three hospitals in Dhaka. 

Cancer patients were not being properly supported during Covid-19, as they were not being able to travel to Dhaka due to lockdown and public transport was not available. But during this pandemic, government hospitals have tried to ensure continuous support for children with cancer with the support from World Child Cancer UK and other donors.

After lockdown lifted, patients from far-away districts are accessing treatment in the hospitals and healthcare professionals are trying to provide services smoothly.

Cameroon

In Cameroon, schools, colleges and universities have been closed. Mass gatherings are also not permitted. Cameroon borders have been closed.

At our programme centre, Mbingo Baptist Hospital, strict hand-washing rules upon entering and leaving the wards have been implemented and signposts are being put onto every door at the entry of the ward with the message to stop and wash your hands. Where possible, additional hand washing stations are being set up.

Protective masks will be given to each patient, caregivers and staff and staff uniforms will be kept and washed in the hospital, to minimise risk of transmission. 

As most of the patients seen in Cameroon come from rural area without good access to the mass media, the team in Cameroon are also holding frequent education sessions for patients and families, noting that patients with cancer have a higher vulnerability to the infection so extra care must be taken.

To enforce social distancing, there will be a limit of one caregiver per patient with strict visitation policies - phone calls being encouraged. The ward is being well ventilated and where possible, space between hospital beds will be made. Non-healthcare staff (e.g. counsellors) will maintain at least a one metre distance from families at all times. Additionally, all staff will be provided with telephone credit so they can easily communicate regarding updates and support.

With limited public transport, patients in need of travel support will receive food and travel grants, assessed on a case-by-case basis. For patients at home, an increased number of follow ups will take place over the phone. Calls will also include further education on COVID-19.

Due to the closing of national borders, managing drug supply will be critical ensuring there are enough drugs for a three-month period.

Isolation areas are prepared for any suspected COVID-19 cases.

Update 27th April: Secured 1000 gowns, hand sanitizer and gloves for the hospitals in Mbingo, but they are still missing enough face shields and masks. The plan is to have everything by the end of the week.

Ghana

Ghanaian borders have now closed, meaning there will be no programme monitoring or twinning visits. There has also been a partial lockdown in some parts of the country.

The Ghanaian government has ordered the closure of all educational institutions: public and private schools and universities. This means that the hospital school at our Accra programme centre, Korle Bu Teaching Hospital (KBTH), has also had to close. Public gatherings have also been suspended. This includes conferences, workshops and rallies meaning that awareness raising events and group training sessions will be postponed.

Additionally, the mother’s hostel at KBTH will now be used to accommodate paediatric oncology out-patients and one guardian. This means children receiving cancer treatment, who are more susceptible to infection, will not have to travel back and forth from hospital on public transport. The families in the hostel will be appropriately distanced. They will also be provided with basic supplies like food, toiletries and hygiene products so they do not have to leave the hostel.

As of 23rd March, the programme office in Ghana has closed, with all non-medical staff working from home.

On Thursday April 9, 2020 Ghana News reported that WCC donated PPEs and medical consumables worth over GHS 100,000 to Korle Bu Teaching Hospital (KBTH) and Komfo Anokye Teaching Hospital (KATH). Read the full story here. Read the original source on News Ghana.

Update 27th April: Lock down has been removed which will allow patients at the shared care centers to be transferred to Korle Bu Teaching Hospital. Everyone has to wear face masks if they travel and enter places.

Malawi

The Malawian government have announced the closure of all schools, colleges and universities. They have also banned mass gatherings of more than 100 people.

Update 27th April: Still not on lock down. Seven cases of Covid-19 reported, and three deaths. Judgement on the injunction against the lock down will be decided this week.

New fridge for the paediatric oncology ward to hold more drugs and procure more welcome packs for the families coming onto the ward.

Myanmar

In Myanmar, public gatherings and events are to be suspended, including our group workshops and trainings. Pre-schools have been closed, including the Heroes School at Yangon Children’s Hospital (YCH), our programme centre in Myanmar.

At YCH, isolation rooms have been organised for suspected COVID-19 cases, with access to ventilator facilities.

Update 27th April: The team in Myanmar are collecting quotes for PPE to donate to Mandalay Children's Hospital and Yangon Children's Hospital as there are lots of suppliers and need to make sure the quality is good enough with certification. This will be purchased by the latest the middle of next week.

Extension of lockdown and everyone must stay inside from 10pm to 4am.

There are 111 cases of COVID-19.

Philippines

The Southern Philippines Medical Center (SPMC) in Davao City will only allow children with cancer that have already been admitted to stay there but are accepting no new admissions.

Doc Mae is managing the shared care centres that World Child Cancer supports over the phone.

As of 25th August 2020, The Philippines has reported 2,998 fatalities.