Premier
(4) why has community transmission become “entrenched” as indicated by the Premier on 16 May 2020;
In any epidemic there are essentially 4 transmission scenarios that a country moves through as the virus spreads and all four scenarios can occur at the same time in a Country, Province, District and sub-district as the virus can spread at different rates. These 4 scenarios have been described by WHO as follows:
Scenario 1: No cases
Scenario 2: Sporadic cases, one or more cases, imported or locally detected
Scenario 3: Clusters of Cases, cases clustered in time, geographical location or common exposure
Scenario 4: Community transmission, established local transmission
The City of Cape Town district is now in scenario 4 where there is established local transmission
