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.