COVID-19 pandemic in the Comoros

COVID-19 pandemic in the Comoros
COVID-19 pandemic in the Comoros
Disease	COVID-19
Virus strain	SARS-CoV-2
Location	Comoros
First outbreak	Wuhan, China
Index case	Moroni
Arrival date	23 April 2020[lower-alpha 1]; (2 years, 6 months, 1 week and 2 days)
Confirmed cases	3,473 (as of 19 February)[1]
Recovered	3,059
Deaths	142
Government website
	stopcoronavirus.km

The COVID-19 pandemic was confirmed to have reached the Comoros on 30 April 2020,[2] and by 4 May the first death was announced.[3]

Background

On 12 January 2020, the World Health Organization (WHO) confirmed that a novel coronavirus was the cause of a respiratory illness in a cluster of people in Wuhan City, Hubei Province, China, which was reported to the WHO on 31 December 2019.[4][5]

The case fatality ratio for COVID-19 has been much lower than SARS of 2003,[6][7] but the transmission has been significantly greater, with a significant total death toll.[8][6] Model-based simulations for the Comoros indicate that the 95% confidence interval for the time-varying reproduction number R_t was stable below 1.0 from June to August 2020.[9]

Timeline

COVID-19 cases in Comoros ()
Deaths Recoveries Active cases
2020202020212021
AprAprMayMayJunJunJulJulAugAugSepSepOctOctNovNovDecDec
JanJanFebFeb
Last 15 daysLast 15 days
Date	# of cases	# of deaths
2020-04-30	1(n.a.)	0(n.a.)
2020-05-01	1(=)	0(n.a.)
2020-05-02	3(+200%)	0(n.a.)
2020-05-03	3(=)	0(n.a.)
2020-05-04	4(+33%)	1(n.a.)
2020-05-05	4(=)	1(=)
2020-05-06	8(+100%)	1(=)
⋮	8(=)	1(=)
2020-05-09	11(+38%)	1(=)
⋮	11(=)	1(=)
2020-05-14	11(=)	1(=)
⋮	11(=)	1(=)
2020-05-19	34(+209%)	1(=)
⋮	34(=)	1(=)
2020-05-22	78(+129%)	1(=)
2020-05-23	78(=)	1(=)
2020-05-24	87(+12%)	1(=)
⋮	87(=)	1(=)
2020-05-27	87(=)	2(+100%)
⋮	87(=)	2(=)
2020-05-30	106(+22%)	2(=)
⋮	106(=)	2(=)
2020-06-02	132(+25%)	2(=)
2020-06-03	132(=)	2(=)
2020-06-04	132(=)	2(=)
2020-06-05	132(=)	2(=)
2020-06-06	141(+6.8%)	2(=)
⋮	141(=)	2(=)
2020-06-10	162(+15%)	2(=)
2020-06-11	162(=)	2(=)
2020-06-12	163(+0.62%)	2(=)
2020-06-13	176(+8%)	2(=)
⋮	176(=)	2(=)
2020-06-16	197(+12%)	3(+50%)
2020-06-17	197(=)	3(=)
2020-06-18	210(+6.6%)	5(+67%)
2020-06-19	210(=)	5(=)
2020-06-20	247(+18%)	5(=)
⋮	247(=)	5(=)
2020-06-23	265(+7.3%)	7(+40%)
2020-06-24	265(=)	7(=)
2020-06-25	272(+2.6%)	7(=)
⋮	272(=)	7(=)
2020-06-30	303(+11%)	7(=)
⋮	303(=)	7(=)
2020-07-03	309(+2%)	7(=)
2020-07-04	309(=)	7(=)
2020-07-05	311(+0.65%)	7(=)
⋮	311(=)	7(=)
2020-07-08	313(+0.64%)	7(=)
2020-07-09	314(+0.32%)	7(=)
2020-07-10	314(=)	7(=)
2020-07-11	317(+0.96%)	7(=)
⋮	317(=)	7(=)
2020-07-15	321(+1.3%)	7(=)
2020-07-16	328(+2.2%)	7(=)
⋮	328(=)	7(=)
2020-07-19	334(+1.8%)	7(=)
2020-07-20	334(=)	7(=)
2020-07-21	337(+0.9%)	7(=)
2020-07-22	337(=)	7(=)
2020-07-23	337(=)	7(=)
2020-07-24	337(=)	7(=)
2020-07-25	340(+0.89%)	7(=)
⋮	340(=)	7(=)
2020-08-01	386(+14%)	7(=)
⋮	386(=)	7(=)
2020-08-04	388(+0.52%)	7(=)
⋮	388(=)	7(=)
2020-08-08	399(+2.8%)	7(=)
⋮	399(=)	7(=)
2020-08-12	399(=)	7(=)
⋮	399(=)	7(=)
2020-09-01	423[10][11](+6.0%)	7(=)
⋮	423(=)	7(=)
2020-09-08	456[12](+7.8%)	7(=)
⋮	456(=)	7(=)
2020-09-15	457[13]+0.2%	7(=)
2020-09-16	467[14](+2.2%)	7(=)
⋮	467(=)	7(=)
2020-09-23	467[15](=)	7(=)
2020-09-24	467(=)	7(=)
2020-09-25	474[16](+1.5%)	7(=)
⋮	474(=)	7(=)
2020-10-01	484[17](+2.1%)	7(=)
⋮	484(=)	7(=)
2020-10-07	491[18](+1.4%)	7(=)
⋮	491(=)	7(=)
2020-10-13	496[19]+1.0%	7(=)
⋮	496(=)	7(=)
2020-10-30	537[20]+8.2%	7(=)
2020-10-31	545[21]+1.5%	7(=)
⋮	545(=)	7(=)
2020-11-04	554[22]+1.7%	7(=)
⋮	554(=)	7(=)
2020-11-18	591[23]+6.7%	7(=)
⋮	591(=)	7(=)
2020-11-22	596[24]+0.8%	7(=)
⋮	596(=)	7(=)
2020-12-01	613([25]+2.9%)	7(=)
⋮	613(=)	7(=)
2020-12-18	643([26]+4.8%)	7(=)
⋮	643(=)	7(=)
2020-12-22	693([27]+7.8%)	7(=)
2020-12-23	693(=)	7(=)
2020-12-24	715([28]+3.1%)	7(=)
⋮	715(=)	7(=)
2020-12-31	823([29]+15%)	10(+43%)
2021-01-01
2021-01-02	864([30]+3.9%)	13(n.a.)
⋮
2021-01-05	995([31]+15%)	13(n.a.)
2021-01-06
2021-01-07	1,050([32]+5.6%)	16(n.a.)
2021-01-08
2021-01-09	1,150([33]+9.5%)	18(n.a.)
⋮
2021-01-12	1,288([34]+12%)	30(n.a.)
⋮
2021-01-16	1,577([35]+22%)	41(n.a.)
⋮
2021-01-20	1,933([36]+23%)	54(n.a.)
⋮
2021-01-23	2,260([37]+17%)	70(n.a.)
⋮
2021-02-01	2,726([38])	93(n.a.)
2021-02-02	2,848([39]+4.5%)	100(+7.5%)
⋮
2021-02-05	2,975([40])	105(n.a.)
2021-02-06	3,086([41])	108(+2.9%)
⋮
2021-02-13	3,220([42])	122(n.a.)
⋮
2021-02-17	3,393([43])	133(n.a.)
2021-02-18
2021-02-19	3,473([1])	142(n.a.)
Source: stopcoronavirus.km

April 2020

As a preventative measure, arriving travellers were to be quarantined for 14 days upon arrival. In order to prevent the spread of the virus, the government has cancelled all incoming flights and banned large gatherings.[44]

On 15 April, a person arriving in Mayotte from the Comoros tested positive for COVID-19.[45]

On 16 April, Dominique Voynet, Director of Mayotte Regional Health Agency, announced that a person who died on 8 April before being evacuated to Mayotte on the basis of a x-ray of COVID-19 was Said Toihir, the Grand Mufti of the Comoros.[46] The announcement caused a diplomatic rift between Comoros and France. Mohamed El-Amine Souef, Foreign Minister of Comoros said "If a case is confirmed in the Comoros, it is not Dominique Voynet to announce it, we have been independent since 6 July 1975."[47]

On 17 April, the World Health Organization delivered medical aid to the Comoros.[48]

On 20 April, the rapper Cheikh Mc released a video saying that his wife had been infected by COVID-19. The rapper was arrested by the gendarmerie at 16:00 after the video was shared many times.[49] Cheikh Mc had been released again around 21:00.[50] The Ministry of Health announced on 21 April that Cheikh Mc's fears could not be confirmed without testing, but the contacts of his wife will be followed up.[51]

On 22 April, a polymerase chain reaction (PCR) screening machine was delivered and the Comoros can start testing for COVID-19 from 23 April onwards.[52]

On 30 April, the first case was confirmed, a 50-year-old man who was admitted to the El-Maarouf hospital in Moroni on 23 April.[2][53] The patient had been in contact with a Franco-Comorian national on 18 March.[54] On 2 May, Ibrahim Djabir, Head of the emergency department of the El-Maarouf hospital, said that his condition is improving, but he is still on oxygen. The protocol for mild cases who do not require hospitalisation is being studied, but they will probably receive Artequick in tablet.[55] President Azali Assoumani also disclosed that a curfew had been instituted.[53]

May 2020

On 2 May, it was announced that two more cases had tested positive. All cases are on the island of Grande Comore.[56]
There was a video conference between President Assoumani and President Rajoelina of Madagascar. Madagascar will send medical aid to the Comoros.[57]

On 4 May, the first death was announced.[58]

On 6 May, President Azali Assoumani announced that total confinement is not an option for the islands. A donation of 100,000 face masks had been received, and India will be sending medical supplies and doctors to support the local health care.[59]

There are now eight cases, five of which are on Grande Comore and three on Mohéli.[3] 54 people had been tested, and 53 contacts had been traced.[60]

On 8 May, UNICEF donated 5 ventilators to the Ministry of Health. Comoros had nearly 25 ventilators on the three islands.[61]

On 13 May, the United Nations donated 1,000 rapid tests to the Ministry of Health.[62]

On 16 May, the first repatriation flight arrived from Tanzania with 134 people on board. 70 people returned from Kenya, and on 17 May two more flights will arrive from Tanzania.[63]

On 19 May, the virus had been confirmed on Anjouan (Ngazidja), and is now active on all major islands.[64]

On 21 May, the Grand Mufti requested that the people celebrate Eid al-Fitr at home in these exceptional times.[65]

In May there were 105 new cases, bringing the total number of confirmed cases to 106. The death toll was 2. 26 patients recovered, leaving 78 active cases at the end of the month.[66]

June 2020

During June there were 197 new cases, bringing the total number of confirmed cases to 303. The death toll rose to 7. The number of recovered patients rose by 174 to 200, leaving 96 active cases at the end of the month (23% more than at the end of May).[67]

July to September 2020

On 8 July, the President made wearing face masks outdoors mandatory on the whole territory.[68]

On 21 July, the island of Mohéli no longer had active COVID-19 cases.[69]

In July there were 83 new cases, bringing the total number of cases to 386. The death toll remained unchanged. The number of recovered patients increased to 330, leaving 49 active cases at the end of the month.[70]

There were 37 new cases in August, raising the total number of confirmed cases to 423. The death toll remained unchanged.[10] At the end of the month there were 17 active cases.[11]

There were 55 new cases in September, bringing the total number of confirmed cases to 478. The death toll remained unchanged. By the end of the month 458 patients had recovered, leaving 13 active cases going into October.[71]

October to December 2020

There were 67 new cases in October, bringing the total number of confirmed cases to 545. The death toll remained unchanged. By the end of the month 498 patients had recovered, leaving 40 active cases.[72]

There were 66 new cases in November, bringing the total number of confirmed cases to 611. The death toll remained unchanged. The number of recovered patients increased to 586, leaving 18 active cases at the end of the month.[73]

There were 212 new cases in December, taking the total number of confirmed cases to 823. The death toll rose to 10. The number of recovered patients increased to 705, leaving 108 active cases at the end of the month.[74]

January to March 2021

The first cases of the 501.V2 variant were confirmed on 23 January.[75]

There were 1903 new cases in January, taking the total number of confirmed cases to 2726. The death toll rose to 93. The number of recovered patients increased to 1731, leaving 902 active cases at the end of the month.[76]

There were 845 new cases in February, taking the total number of confirmed cases to 3571. The death toll rose to 144. The number of recovered patients increased to 3314, leaving 113 active cases at the end of the month.[77]

There were 125 new cases in March, taking the total number of confirmed cases to 3696. The death toll rose to 146. The number of recovered patients increased to 3525, leaving 25 active cases at the end of the month.

In March, the government received 100, 000 doses of the Sinopharm vaccine from China.[78]

April to June 2021

On 10 April 2021, president Azali Assoumani, his wife Ambari and several other public figures received the first dose of the Sinopharm vaccine in Moroni to mark the start of Comoros' vaccination programme.[78]

There were 138 new cases in April, taking the total number of confirmed cases to 3834. The death toll remained unchanged. The number of recovered patients increased to 3684, leaving 14 active cases at the end of the month. By the end of April, 43,104 persons had received their first inoculation.[79]

There were 115 new cases in May, taking the total number of confirmed cases to 3949. The death toll remained unchanged. The number of recovered patients increased to 3719, leaving 16 active cases at the end of the month. By the end of May, 83,907 vaccine doses had been administered.[80]

There were 64 new cases in June, taking the total number of confirmed cases to 4013. The death toll remained unchanged.[81]

July to September 2021

There were 15 new cases in July, taking the total number of confirmed cases to 4028. The death toll rose to 147. The number of recovered patients increased to 3869, leaving 12 active cases at the end of the month.[82]

There were 37 new cases in August, bringing the total number of confirmed cases to 4065. The death toll remained unchanged. The number of recovered patients increased to 3901, leaving 17 active cases at the end of the month.[83]

There were 76 new cases in September, bringing the total number of confirmed cases to 4141. The death toll remained unchanged. The number of recovered patients increased to 3963, leaving 31 active cases at the end of the month.[84]

October to December 2021

There were 125 new cases in October, bringing the total number of confirmed cases to 4266. The death toll remained unchanged. The number of recovered patients increased to 4070, leaving 49 active cases at the end of the month.[85]

There were 242 new cases in November, bringing the total number of confirmed cases to 4508. The death toll rose to 150. The number of recovered patients increased to 4298, leaving 60 active cases at the end of the month.[86]

There were 2180 new cases in December, raising the total number of confirmed cases to 6688. The death toll rose to 157. The number of recovered patients increased to 4798, leaving 1733 active cases at the end of the month.[87] Modeling carried out by the WHO's Regional Office for Africa suggests that due to under-reporting, the true cumulative number of infections by the end of 2021 was around 394,000 while the true number of COVID-19 deaths was around 333.[88]

January to March 2022

There were 1144 new cases in January, raising the total number of confirmed cases to 7832. The death toll rose to 160. The number of recovered patients increased to 7648, leaving 24 active cases at the end of the month.[89]

There were 201 new cases in February, bringing the total number of confirmed cases to 8033. The death toll remained unchanged. The number of recovered patients increased to 7855, leaving 18 active cases at the end of the month.[90]

There were 55 new cases in March, raising the total number of confirmed cases to 8088. The death toll remained unchanged. The number of recovered patients increased to 7920, leaving 8 active cases at the end of the month.[91]

April to June 2022

There were 18 new cases in April, bringing the total number of confirmed cases to 8106. The death toll remained unchanged. The number of recovered patients increased to 7945, leaving one active case at the end of the month.[92]

There were 14 new cases in May, bringing the total number of confirmed cases to 8120. The death toll remained unchanged.

There were 19 new cases in June, bringing the total number of confirmed cases to 8139. The death toll remained unchanged.[93]

July to September 2022

There were 176 new cases in July, bringing the total number of confirmed cases to 8315. The death toll remained unchanged. The number of recovered patients increased to 8124, leaving 31 active cases at the end of the month.[94]

There were 140 new cases in August, bringing the total number of confirmed cases to 8455. The death toll rose to 161. The number of recovered patients increased to 8281, leaving 13 active cases at the end of the month.

There were 16 new cases in September, bringing the total number of confirmed cases to 8471. The death toll remained unchanged. The number of recovered patients increased to 8305, leaving five active cases at the end of the month.[95]

Preventive measures

All schools have been closed.[53]
Arriving travellers are quarantined for 14 days.[44]
Incoming flights are banned.[44]
Large gatherings are banned.[44]
Curfew has been instituted between 20:00 to 05:00 as of 25 April.[96]

Statistics

New cases per day

Deaths per day

Active cases per day

No data reports from 12 August until 1 September.

Chronology of the number of active cases for all islands:

Chronology of the number of active cases in Grand Comore:

Chronology of the number of active cases in Mohéli:

Chronology of the number of active cases in Anjouan:

Source: stopcoronavirus.km

Notes

The patient had been hospitalized one week before diagnosis

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"Outbreak brief 59: Coronavirus disease 2019 (COVID-19) pandemic". Africa CDC. 2 March 2021. Retrieved 3 March 2021.
"Comoros president receives injection of Chinese COVID-19 vaccine". www.msn.com. Retrieved 12 April 2021.
"Covid-19 : 94% des personnes éligibles aux Comores sont vaccinées". Comores-infos (in French). 29 April 2021. Retrieved 4 May 2021.
"Weekly epidemiological update on COVID-19 - 1 June 2021". World Health Organization. 1 June 2021. p. 17. Retrieved 2 June 2021.
"COVID-19 situation report for WHO Africa Region" (PDF). NIHR Global Health Research Unit Tackling Infections to Benefit Africa at the University of Edinburgh. 1 July 2021. p. 18. Retrieved 8 July 2021.
"Weekly bulletin on outbreaks and other emergencies" (PDF). World Health Organization. 1 August 2021. p. 4. Retrieved 4 August 2021.
"COVID-19 situation report for WHO Africa Region" (PDF). NIHR global health research unit tackling infections to benefit Africa at the University of Edinburgh. 2 September 2021. p. 18. Retrieved 5 September 2021.
"COVID-19 situation report for WHO Africa Region" (PDF). NIHR global health research unit tackling infections to benefit Africa at the University of Edinburgh. 30 September 2021. p. 18. Retrieved 11 October 2021.
Pandémie COVID -19/ Union des Comores. Communiqué №400, 31 October 2021.
"COVID-19 situation report for WHO Africa Region" (PDF). NIHR global health research unit tackling infections to benefit Africa at the University of Edinburgh. 2 December 2021. p. 18. Retrieved 7 December 2021.
Pandémie COVID -19/ Union des Comores. Communiqué №461, 31 December 2021.
Cabore, Joseph Waogodo; Karamagi, Humphrey Cyprian; Kipruto, Hillary Kipchumba; Mungatu, Joseph Kyalo; Asamani, James Avoka; Droti, Benson; Titi-ofei, Regina; Seydi, Aminata Binetou Wahebine; Kidane, Solyana Ngusbrhan; Balde, Thierno; Gueye, Abdou Salam; Makubalo, Lindiwe; Moeti, Matshidiso R (1 June 2022). "COVID-19 in the 47 countries of the WHO African region: a modelling analysis of past trends and future patterns". The Lancet Global Health. 10 (8): e1099–e1114. doi:10.1016/S2214-109X(22)00233-9. PMC 9159735. PMID 35659911. Retrieved 2 June 2022.
Pandémie COVID -19/ Union des Comores. Communiqué №492, 31 January 2022.
"Outbreak brief 111: Coronavirus disease 2019 (COVID-19) pandemic". Africa CDC. 1 March 2022. p. 3. Retrieved 4 March 2022.
Pandémie COVID -19/ Union des Comores. Communiqué №551, 31 March 2022.
"Outbreak brief 120: Coronavirus disease 2019 (COVID-19) pandemic". Africa CDC. 3 May 2022. p. 3. Retrieved 7 May 2022.
"Outbreak brief 129: Coronavirus disease 2019 (COVID-19) pandemic" (PDF). Africa CDC. 5 July 2022. p. 3. Retrieved 7 July 2022.
"Weekly bulletin on outbreaks and other emergencies" (PDF). World Health Organization. 7 August 2022. p. 7. Retrieved 15 August 2022.
"Outbreak brief 142: Coronavirus disease 2019 (COVID-19) pandemic". Africa CDC. 5 October 2022. p. 4. Retrieved 5 October 2022.
"Communiqué #10 : Couvre feu". Stop Coronavirus.km (in French). Retrieved 1 May 2020.

External links

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[1] The patient had been hospitalized one week before diagnosis

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[upd-11-18-24] "591 cas de Coronavirus dont 12 nouveaux enregistrés". Comores-Infos. Retrieved 18 November 2020.

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[upd-12-18-27] "643 cas de Coronavirus, l'épidémie signe son retour à Moheli". Comores-Infos. Retrieved 18 December 2020.

[upd-12-22-28] "693 cas dont 40 nouveaux positifs en moins de 48h aux Comores". Comores-Infos. Retrieved 23 December 2020.

[upd-12-24-29] "Une 2ème vague aux Comores? 30 nouveaux cas à Mohéli, 715 cas au total". Comores-Infos. Retrieved 27 December 2020.

[upd-12-31-30] "58 nouveaux cas positifs dont 42 à Moheli en moins de 24h, 823 cas au total". Comores-Infos. Retrieved 1 January 2021.

[upd-2001-01-02-31] "Urgent: 41 nouveaux cas positifs de Coronavirus en moins de 24h, 864 cas au total". Comores-Info. Retrieved 3 January 2021.

[upd-2021-01-05-32] "Nouveau bulletin : 131 nouveaux positifs de Coronavirus". Comores-Info. Retrieved 6 January 2021.

[upd-2021-01-07-33] "Les Comores comptent 1050 cas de COVID-19 dont 55 nouveaux en moins de 24h". Comores-Info. Retrieved 6 January 2021.

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[upd-2021-01-16-36] "Nouveau bulletin: 108 nouveaux cas positifs de COVID-19, 3 nouveaux décès". Comores-Info. Retrieved 17 January 2021.

[upd-2021-01-20-37] "Nouveau bulletin: 66 nouveaux cas positifs de COVID-19, 3 nouveaux décès". Comores-Info. Retrieved 22 January 2021.

[upd-2021-01-23-38] "100 nouveaux cas de COVID-19 et 7 décès aujourd'hui". Comores-Info. Retrieved 25 January 2021.

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[upd-2021-02-13-43] "A Samba, il n'y a qu'un seul anesthésiste réanimateur". Comores-Info. Retrieved 15 February 2021.

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[comoros_mayotte-46] "Un cas de Coronavirus a été importé des Comores". Mayotte la 1ère (in French). Retrieved 15 April 2020.

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[48] "l'Union des Comores dénonce " Une violation du secret médical et professionnel "". Guyane la 1ère. Retrieved 17 April 2020.

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[86] Pandémie COVID -19/ Union des Comores. Communiqué №400, 31 October 2021.

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[90] Pandémie COVID -19/ Union des Comores. Communiqué №492, 31 January 2022.

[91] "Outbreak brief 111: Coronavirus disease 2019 (COVID-19) pandemic". Africa CDC. 1 March 2022. p. 3. Retrieved 4 March 2022.

[92] Pandémie COVID -19/ Union des Comores. Communiqué №551, 31 March 2022.

[93] "Outbreak brief 120: Coronavirus disease 2019 (COVID-19) pandemic". Africa CDC. 3 May 2022. p. 3. Retrieved 7 May 2022.

[94] "Outbreak brief 129: Coronavirus disease 2019 (COVID-19) pandemic" (PDF). Africa CDC. 5 July 2022. p. 3. Retrieved 7 July 2022.

[95] "Weekly bulletin on outbreaks and other emergencies" (PDF). World Health Organization. 7 August 2022. p. 7. Retrieved 15 August 2022.

[96] "Outbreak brief 142: Coronavirus disease 2019 (COVID-19) pandemic". Africa CDC. 5 October 2022. p. 4. Retrieved 5 October 2022.

[97] "Communiqué #10 : Couvre feu". Stop Coronavirus.km (in French). Retrieved 1 May 2020.