COVID-19 pandemic in Moldova

• 23 January 2020: in the context of prevention and early detection of 2019-nCoV, the management of the Ministry of Health, Labour and Social Protection and representatives of the National Agency for Public Health and the National Center for Pre-hospital Emergency Medical Assistance had a meeting with the Ambassador Extraordinary and Plenipotentiary of the People's Republic of China to the Republic of Moldova, Mr. Zhang Yinghong. During the meeting, vigilance and preventive measures related to the spread of the virus were discussed. The Ambassador showed openness to provide all the necessary information support to Moldova regarding the evolution of the new coronavirus spread and the steps taken by the Chinese authorities.[9]
• 24 January 2020: the Ministry of Health, Labour and Social Protection issued the first press-release on the prevention and control measures related to the infection with the new type of Coronavirus (2019-nCoV). In the press-release, it was stated that the epidemiological situation at national level regarding the infection with 2019-nCoV is daily monitored by the National Agency for Public Health, and if there are suspect or detected cases of 2019-nCoV, specialized anti-epidemic teams are ready to intervene. It was also stated that the virology laboratory within the National Agency for Public Health has facilities, equipment and trained personnel for laboratory diagnosis of the most common viruses: influenza (A and B), non-influenza (RSV, Coronavirus, including MERS-CoV) and bacteria (Pneumococcus, Haemophilus influenzae type B, staphylococcus) to confirm acute respiratory infections.[9]
• 27 January 2020: the Minister of Health, Labour and Social Protection Mrs. Viorica Dumbrăveanu convened an extended meeting of the Commission for Exceptional Situations and Public Health Emergencies of the Ministry of Health, Labour and Social Protection. This meeting was also attended by representatives of the Ministry of Foreign Affairs and European Integration, the Ministry of Internal Affairs, the Ministry of Finance, the General Inspectorate of Border Police, the Customs Service, the National Insurance Company in Medicine, the National Food Safety Agency and the National Agency for Public Health. Participants discussed the measures to prevent and control the infection with the new type Coronavirus (2019-nCov), based on the epidemiological situation and the global spread of the infection.[10]
• 2 February 2020: the Extraordinary National Commission of Public Health was convened by the Prime Minister Mr. Ion Chicu.[11] The commission has examined the information presented by the Ministry of Health, Labour and Social Protection and found that the epidemiological situation related to the infection with the novel Coronavirus (2019-nCoV) is tense, which has led the World Health Organization to declare a Public Health Emergency of International Concern. The commission adopted the Decision No. 1 which provides, inter alia, that risk assessment for public health will continue to be carried out with the attribution, if necessary, of the alert code resulting from the epidemiological situation related to the infection with the new Coronavirus (2019-nCoV).[12]
• 18 February 2020: the National Agency for Public Health received from Germany, with the support of the World Health Organization, test kits to detect the virus that causes COVID-19.[13][14]

• 24 February 2020: the Extraordinary National Commission of Public Health was convened by the Prime-minister Mr. Ion Chicu.[15] The commission adopted the Decision No. 2 which provides, inter alia, the establishment of the Code Yellow alert at national level in the context of the epidemiological situation related to COVID-19 infection and considering the possible risk for a public health emergency.[12][16]
• 25 February 2020: the Republic of Moldova has put into action some anti-coronavirus measures.[17] The Minister of Health, Labour and Social Protection, Mrs. Viorica Dumbrăveanu, convened in a meeting the representatives of the public medical-sanitary institutions, the Ministry of Internal Affairs, the General Inspectorate of Border Police and the National Center for Pre-hospital Emergency Medical Assistance. During the meeting was examined the activity of the National Agency for Public Health, in its quality of International Health Regulations (IHR) National Focal Point, regarding the control and prevention at national level of the infection with the new type of Coronavirus and the future measures to be taken. On that meeting, the Minister of Health, Labour and Social Protection declared that starting from that day (25 February 2020), the authorities will meet every day at 7:30 AM and will provide information on what happened during the last 24 hours, what measures have been taken and what are the difficulties. It was decided that these meetings will take place as long as there is a risk of importing and spreading the new type of coronavirus.[18]
• 26 February 2020: the customers of Moldovan mobile phone operators received from the Government an SMS on precautionary measures to prevent the infection with the new coronavirus. The message was the following: "Take care of your health. Call immediately your family doctor if you have a fever or cough. If you have returned from areas with Coronavirus and are feeling unwell, call 112" (the original message in Romanian: "Aveti grija de sanatate. Sunati imediat medicul de familie daca aveti febra sau tuse. Daca V-ati intors din zone cu Coronavirus si Va simtiti rau, sunati 112"). This action to inform the population was carried out at the initiative of the Ministry of Health, Labour and Social Protection, within the national information campaign on the prevention of the coronavirus infection. In order to answer to many speculations related to the question "Where does the Government get the phone numbers from?", the above-mentioned Ministry explained that this initiative was a free social action organized in partnership with the Moldovan mobile phone operators.[19]

The first coronavirus case in the Republic of Moldova was announced on 7 March 2020. The infected person is a 48-year-old woman who had returned to Moldova from Italy with the flight Milano-Chisinau. She had been taken to hospital immediately from the plane, being in a serious condition: bilateral bronchopneumonia, acute respiratory failure, fever, cough, general weakness. She suffers from a few chronical illnesses: diabetes, overweight and hypertension.[1] According to the Ministry of Health, Labour and Social Protection of Moldova, she was diagnosed with bilateral bronchopneumonia, fever and cough on 4 March in Italy. She was prescribed antibiotic treatment at home and put in home quarantine pending confirmation of a new type of coronavirus infection, but she decided to return to Moldova.[20]

• 8 March 2020: the Extraordinary National Commission of Public Health established the Code Orange alert at national level in the context of the epidemiological situation related to COVID-19 infection.[20]
• 10 March 2020: the Ministry of Health, Labour and Social Protection of Moldova confirmed another two cases (the 2nd and the 3rd) of coronavirus. The infected people are a woman and a man, both of them returned from Italy, on 26 February and 1 March, respectively.[21] On the same day all foreigners coming from the countries affected by coronavirus have been banned from entering Moldova by plane.[22]
• 11 March 2020: the 4th case has been confirmed.[23] Government announced that it closing all kindergartens, schools, colleges and universities for two weeks.[24]
• 12 March 2020: 2 new cases (the 5th and the 6th) were confirmed.[25] As per 12 March 2020, there were no confirmed cases in the Transnistrian region,[26] but 8 people were quarantined after returning from abroad.[27]

• 13 March 2020: the Extraordinary National Commission of Public Health established the Code Red alert at national level in the context of the epidemiological situation related to COVID-19 infection.[28] During this day other 2 new cases (the 7th and the 8th) have been confirmed.[29]
• 14 March 2020: 4 new cases were confirmed. Thus, the total number of infected people reached 12.[30]
• 15 March 2020: 11 new cases were confirmed. The total number of infected people reached 23.[31]
• 16 March 2020: 6 new cases were confirmed. The total number is 29.[32] One woman recovered.[33]

• 17 March 2020: the Parliament declared the state of emergency for the entire territory of the Republic of Moldova for a period of 60 days (17 March - 15 May 2020).[34] During 17 March 2020, the 30th case has been confirmed.[35]
• 18 March 2020: the first death was confirmed, a 61-year-old woman who had travelled to Italy.[36] Another 6 new cases of infection have been confirmed.[37]
• 19 March 2020: 13 new cases were confirmed. The total number of infected people since 7 March 2020 reached 49.[38]
• 20 March 2020: 17 new cases were confirmed, and the total number of infected people since 7 March 2020 reached 66.[39] Upon the request of MoH, based on WHO Moldova recommendations short-list, Trimetrica LLC /www.trimetrica.com/ (ESRI Partner in Moldova) launched the customized ArcGIS Dashboard (an online platform) - allowing the real-time monitoring of COVID-19 cases in the Republic of Moldova. It's updated for 2 times per day.[40] The platform is accessible at this link: gismoldova.maps.arcgis.com
• 21 March 2020: 14 new cases were confirmed, the total number of infected people since 7 March 2020 reaching 80. Out of these 14 new cases, 2 cases were recorded for the first time in the Transnistrian region. At the same time, it was announced that the first person infected and confirmed in the Republic of Moldova (on 7 March 2020), was treated and transferred to another section for recovery against other chronic diseases. Thus, the number of recovered persons reached 2.[41]
• 27 March 2020: the second death was confirmed, a 79 years old woman who was a doctor working at the Emergency Medical Assistance Service. She got sick on 19 March, and on 24 March she was admitted to the Republican Clinical Hospital, in serious condition. The patient suffered from several chronic diseases (diabetes, heart failure, high blood pressure).[42] During 27 March 2020, 22 new cases were confirmed, the total number of infected people since 7 March 2020 reaching 199. On the same day, 3 patients recovered, the total number of recoveries reaching 5.[43]
• 29 March 2020: the third death was confirmed, a woman from the Transnistrian region of Moldova.[44][45]
• 31 March 2020: after 280 tests were performed, a record number of 55 new cases were confirmed, of which 48 cases were with local transmission, while 7 were import cases (of which 6 were from the United Kingdom and 1 from Austria). Thus, the total number of infected persons since 7 March 2020 reached 353. At the same time, 4 patients were treated and discharged from hospitals, the total number of recoveries reaching 22. Also, during 31 March 2020 the fourth death was confirmed, a man from the Briceni District of the Republic of Moldova.[45]

• 1 April 2020: the fifth death was confirmed, a person from the Transnistrian region.[46]
• 2 April 2020: the sixth death was confirmed, a 53-year-old person from Ștefan Vodă District, which was hospitalized in a hospital from Chișinău. The patient also suffered from other chronic diseases.[47]
• 27 April 2020: the quarantine regime in the Carahasani village of the Ştefan Vodă District (established on 1 April 2020) was lifted.[48]

• 9 May 2020: during this day, 1254 new tests, both primary and repeated, were performed. As a result, 139 new cases, all with local transmission, were registered, and thus, the total number of infected persons since 7 March 2020 reached 4867. The territorial distribution of these new cases was the following: Chisinau Municipality - 42; Transnistrian region - 16; Cahul District - 8; Balti Municipality - 7; Ungheni District - 7; Gagauzia Autonomous Territorial Unit - 6 (all in Ceadir-Lunga District); Soroca District - 6; Edinet District - 5; Ocnita District - 5; Straseni District - 5; Ialoveni District - 4; Anenii Noi District - 3; Căușeni District - 3; Criuleni District - 3; Dubăsari District - 3; Rezina District - 3; Basarabeasca District - 2; Fălești District - 2; Hîncești District - 2; Orhei District - 2; Călărași District - 1; Leova District - 1; Rîșcani District - 1; Ștefan-Vodă District - 1; Telenești District - 1. Of the total number of the new registered cases in this day, 25 were employees of medical institutions: doctors - 6, nurses - 14, support staff - 5. Also, 9 deaths were registered during that day (the highest daily fatality since the first case was registered in Moldova on 7 March 2020), and thus, the total number of deaths reached 161.[49]
• 15 May 2020: 1344 tests were performed during this day (1117 primary tests and 227 repeated tests). As a result, 192 new cases were registered and thus, the total number of infected persons since 7 March 2020 reached 5745. Of the total number of the new registered cases, 18 were employees of medical institutions: doctors - 5, nurses - 8, support staff - 5. On the same day, 52 persons recovered (the total number of recoveries reached 2280) and 8 persons died (the total number of deaths reached 202).[50][51]

The Extraordinary National Commission of Public Health adopted the Decision No. 10[12] which provided the following:

1. The state of emergency in public health is declared for the entire territory of the Republic of Moldova for the period 16 May - 30 June 2020, with the possibility to exend this period depending on the evolution of the epidemiological situation.
2. The Ministry of Health, Labour and Social Protection and the National Agency for Public Health are designated as the responsible public authorities to manage the public health emergency.
3. The decisions of the Extraordinary National Commission of Public Health are mandatory for the authorities of the central and local public administration, for the legal and natural persons, regardless of the field of activity and the legal organisational form.
4. Non-compliance with the provisions/measures established by the National Commission of Public Health is a danger for the public health and will serve as a basis for the prosecution of administrative offences or criminal offences.

• 16 May 2020: 1429 tests were performed during this day (1180 primary tests and 249 repeated tests). As a result, 189 new cases were registered and thus, the total number of infected persons since 7 March 2020 reached 5934. Of the total number of the new registered cases, 30 were employees of medical institutions: doctors - 9, nurses - 13, support staff - 8. On the same day, 64 persons recovered (the total number of recoveries reached 2344) and 5 persons died (the total number of deaths reached 207).[52][53]