DailySituation1May

DAILY SITUATION REPORT COVID-19

BALOCHISTAN PROVINCE

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Updates from Operations Cell, Health Department, Govt. of Balochistan

Updates till: 08:00 PM

Date: 01-05-2020

Graph 01. COVID-19 cases details till 01 May 2020, Balochsitan 30000

27256

25000 20000

15653

15000 9821

8685

10000 5000

1136

937

386

87

16

183

Death

Recovered

1736

0 Total Total Negative Screened Suspected Cases

Total Positive

Graph 02. Provincial wise positive cases of COVID-19, 01 May 2020 20000 18000 16000 14000 12000 10000 8000 6000 4000 2000 0

1200

17698

Todays Positive

Test Total Test Active case Conducted Conducted today

Result Pending

Graph 03. Quarantine population Till 01 May 2020 - Balochsitan

1032

1000 800 6675 1136

6340 4315

2799 343

339

66

407

600

429

400 200

274 174 18 11 19 16 2

0

12 15 21 12 1 28

0

BALOCHISTAN HIGHLIGHTS •

•

• • • •

COVID-19 is spreading very fast in Balochsitan province. The number of

confirmed cases has risen to 1049 with 87 new cases including overall 16 deaths (CFR 1.4). The active cases are 937 in province.

Local transmission is increasing, out of 1136, 86% (983) cases are from local community, Quetta (847), Chagai (15) Lorlai (07), Jaffarabad (21), Khuzdar (01),Mastung (14), Kharan, (03) Nushki (02), Pishin (45), Killabdullah (09), Sibi (08) Ziarat (05), Panjgoor (04) and Harnai (02).

02 positive cases expired due to Co-morbidity associated with COVID-19 today.

Secretary Health chaired the Smart Lock down strategy meeting, task assigned operational cell to coordinate with all stakeholders.

The COVID-19 positivity rate is 11.56%, 78% of cases are male, the mean age of cases were 35 years with age range of 2 months -94 years.

The most affected age group was 30-44 years 33.78% (n=353) followed by 15-29 years 26.51% (n=277). The highest attack rate (284/1000000 population) was in

The total deaths are 16 in province due to Co-Morbidity with COVID-19.

The primary reason of deaths are renal failure / other co-morbidities.

The deaths are taken because secondary came COVID-19 positive.

Death Category with positive COVID-19 03 Renal Failure 06 Hypertension/Diabetes 06 ARDS/COPD 01 Carcinoma 03 positive cases came negative from home-based isolation. The total recovered are 183.

•

age group 60+ years followed by 45-59 Years age group (AR=284/1000000 population). The overall attack rate was 79/1000000 population in Province.

Districts with Local transmission Districts % Numbers Quetta 86.2 847 Chagai 1.5 15 Lorlai 0.7 7 Killabdullah 0.9 9 Pishin 4.6 45 Mastung 1.4 14 Sibi 0.8 8 Jafarabad 2.1 21 Khuzdar 0.1 1 Harnai 0.2 2 Kharan 0.3 3 Ziarat 0.5 5 Nushki 0.2 2 Panjgoor 0.4 4

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Surveillance / Rapid Response Team / PDSRU •

• • •

P.RRT was part of meeting at PPHI Office Quetta regarding the D. RRTs workload distribution, availability of teams for day and night shifts, Chief Executive officer PPHI, DC Quetta, DHO Quetta, DSM PPHI Quetta and MERK official were also present P. RRT screened 56 persons for COVID-19 and took 28 Lab samples of suspected cases from Health department and Sariab Riad Quetta On 30th April 2020, the RRTs screened 2075 persons with following details, P. RRT 56, Quetta 975 and Lasbella 1022 persons for COVID-19.

RRTs took total 223 lab samples of Suspected COVID19 cases with following details, P. RRT 28 and Quetta 178

Local transmission %ge district wise - Balochsitan, 01 May 2020 100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0

86.2

1.5

0.7

0.9

4.6

1.4

0.8

2.1

0.1

0.2

0.3

0.5

0.2

0.4

Risk Communication and Community Engagement (RCCE) Sessions on COVID-19 conducted at District Level by PEI Staff

District BARKHAN BOLAN CHAGHAI DUKKI GWADUR HARNAI JAFARABAD JHALMAGSI KABDULAH KALAT KECH KHARAN KHUZDAR KOHLU KSAIFULAH LASBELA LORALAI MASTUNG

Medical Staff (n) 3 34 13 3 27 6 69 35 38 107 0 13 34 12 11 81 3 22

Paramedical Staff (n) 6 112 7 6 3 14 157 33 65 99 0 27 73 22 57 105 7 39

Support Staff (n) 3 4 2 5 1 0 2 14 70 5 0 0 15 0 20 0 9 4

Informal HCP (n) 0 6 0 5 0 8 0 10 6 17 0 0 8 0 16 1 1 1

Community Members (n) 27 59 0 13 0 20 124 19 52 21 122 44 10 8 26 144 13 6

FLWs (n) 0 9 0 0 23 6 91 59 126 17 0 154 6 5 22 48 0 39

Courier Staff (n) 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Hospital Cleaning Staff (n) 3 4 2 4 0 4 46 15 22 9 3 2 10 2 12 1 1 8

Total Persons Trained 42 231 24 36 54 58 489 185 379 275 125 240 156 49 164 380 34 119

Total Sessions Conducted 4 15 1 1 1 4 33 9 31 13 3 10 7 6 11 21 2 5

MUSAKHEL NOSHKI NSIRABAD PANJGOUR PISHIN QUETTA SHARANI SIBI

22 60 63 4 66 25 33 13

19 87 83 27 60 23 43 60

6 6 1 0 8 2 29 2

10 2 2 0 0 6 1 4

20 80 85 30 1 14 74 9

6 5 22 117 0 0 35 0

0 2 0 0 0 0 0 0

7 12 6 0 7 7 1 4

90 254 262 178 142 77 216 92

6 22 13 3 11 7 14 9

EPIDEMIOLOGICAL ANALYSIS OF 1045 CAES TILL 30 APRIL 2020 A total of One thousand and forty-five (1045) confirmed COVID-19 cases were reported from Balochistan. The case fatality rate was 1.3%. The mean age of cases were 35 years, median age was 34 years, and with age range of 2 months -94 years.

Mean Age

35.2 Years

Median Age

34.0 Years

Min age

2 Months

Max Age

94 Years

Age Group: The most affected age group was 30-44 years 33.78% (n=353) followed by 15-29 years 26.51% (n=277). The highest attack rate (284/1000000 population) was in age group 60+ years followed by 45-59 Years age group (AR=284/1000000 population). The overall attack rate was 79/1000000 population in Province.

Age group (Y) Number of Cases Percentage Population of that Attack rate/1000000 age Group population <1-14 93 8.90% 6715115 14 15-29 277 26.51% 2832969 98 30-44 353 33.78% 2462510 143 45-59 195 18.66% 884338 221 60 + 84 8.04% 295446 284 Unknown 43 4.11% Grand Total 1045 100.00% 13190378 79 Note: population of Districts & UCS was taken from 2017 Censes and population for year 2020 was calculated with growth rate of 2.6.

Gender Distribution: The male 78% (817) were affected than females 22% (n=228). The male to female ratio was 3.5: 1.

DISTRIBUTION OF CASES BY SEX 22%

Female

Male

78%

The graph below shows the distribution of COVID-19 Confirmed cases by reporting sites in Balochistan

Distribution of Cases by Reporting Site 600

492

500 400 267

300 200 100

1

1

1

1

2

2

3

3

3

4

4

5

5

7

7

9

15

11

12

14

27

22

61

73

0

Majority of Cases 82% (n=858) belongs from District Quetta District wise Attack rate per 1000000 per population Balochistan District Ziarat Sibi Harnai Kachhi Kharan Khuzdar Mastung Musakhaiil Sohbatpur Zhob Pishin Killa Abdullah Chaghi Nushki Loralai Jaffarabad Quetta

Number of Cases

Population 4 9 1 1 1 1 17 1 1 2 50 12 8 5 7 22 858

Attack Rate/1000000 population 171234 144864 103666 253275 166854 857187 284723 178464 214282 331827 786705 809499 241498 191050 424636 549028 2431666

23 62 10 4 6 1 60 6 5 6 64 15 33 26 16 40 353

Union Council Wise Distribution of Cases and Attack Rate District Quetta Balochistan Union Council

Number of Cases

Population of UC

6&7 Hazara Town 10 B 5, 9 Sheikhan W8 Kharotabad 1 Cantt W 12 11, A 10 C 13 C Goharabad Zarghoonabad Kotwal A Kuchlak B Samangli 10 , A Ahmad Khanzai B Baleli A Baleli B GOR 13 A 1,2,3,4 13 E Punj pai Camp Kuchlak A Hanna 13 D

93 46 22 101 21 46 116 67 20 13 42 37 7 20 10 3 3 29 52 16 27 34 8 8 9 1 7 4 1

29706 84341 43265 60706 33147 65418 66041 58324 42659 95935 45776 77694 42224 40400 51412 52106 71059 43666 83535 34488 39694 34965 29024 14494 56906 12594 66041 18071 46265

Attack Rate/ 10000 population 31.31 5.45 5.08 16.64 6.34 7.03 17.56 11.49 4.69 1.36 9.18 4.76 1.66 4.95 1.95 0.58 0.42 6.64 6.22 4.64 6.80 9.72 2.76 5.52 1.58 0.79 1.06 2.21 0.22

Distribution of Confirmed Cases by Date of Reporting 100

92

87

90 80

75

73

70

63 55 48

60 46 41

50 40

49 46

26 16

20

0

57

33

30

10

83

0 0

3

7 0 0 0 0 0 0 1

2 2 1

5

0

1 3

15 9

8 0 1

4 3 6 4 3 4 5

9 9

5

7 1

9 2 2

9 1 0 1

4

700

Distribution of Cases by Date of Lab Results

600 Tests conducted

500

Lab Positive

400 300 200 100 0

Transmission pattern of COVID-19: Type of Transmission

Number of Cases

Percentage

Imported cases (International Travel History

144

13.78%

Local transmission

901

86.22%

Grand Total 1045 Number of Days of positive Cases Remained admitted OR become Negative:

100.00%

Mean Day of Hospitalized

19

Median Day of Hospitalization

16

Minimum number of Days admitted by Positive Case

7

Maximum Number of Days Admitted by positive Case

27

Clinical Pattern of Disease: Clinical Picture Asymptomatic Fever Cough Runny Nose Body ache Head Ache Sore Throat Rigors Shortness of Breath No Information of symptoms

Number of Cases 821 139 106 29 69 43 36 2 31 57

Percentage 78.56% 13.30% 10.14% 2.78% 6.60% 4.11% 3.44% 0.19% 2.97% 5.45%

CONTACT:

DR. SALEEM ABRO Director General Health Services Provincial Health Directorate, Quetta – Balochistan Tel: +92-81-9211356, Email: dghs_balochistan@yahoo.com

Dr. NAQEEBULLAH NIAZI

Dr. SARMAD KHAN

COVID-19 Operational Cell Tel: +92-300-3869070

COVID-19 Operational Cell Tel: +92-321-2729110

Dr. EHSAN LARIK

Dr. DAWOOD RIAZ

PDSRU – Technical Support Officer Mob # 0332-7977162

NPO Public Health Surveillance/ World Health Organization +92 320 7804297 / +92 320 780429 / riazd@who.int / drdawoodriaz@gmail.com

Dr. SAMI TAREEN Rapid Response Team lead, COVID-19 Operational Cell. +92 081- 2822762

Control Room Health Dept Govt. of Balochistan operational 24/7 for any kind of information & coordination regarding COVID-19 activities in Balochistan 081-9202080 / 111-400-400.