COVID26Apr

DAILY SITUATION REPORT COVID-19

BALOCHISTAN PROVINCE

z

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

Graph 02. Provincial wise positive cases of COVID-19, 26 April 2020

Graph 01. COVID-19 cases details till 26 April 2020, Balochsitan 25000

22039

Updates till: 08:00 PM

Date: 26-04-2020

14000

13165

12000

20000

10000 15000 8000

10333 10000

7582 6801

6000

4615

5378 2866

4000

5000

781

370

592

875

13

176

1793 2000

0

781

235

308

272

55

0

Graph 03. Quarantine population Till 25 April 2020 - Balochsitan

1200

962

1000 800 600 400

387 185

200

30

42

16

Dalbandan

PCSIR

Khuzdar

61

141 25

0

2

15

21

12

23

2

Sibi

Barkan

Ziarat

Panjgoor

Gwadar

Kech

0 Taftan

Zhob Div

Kachhi

Killaabdullah

Harnai

Pishin

Total

BALOCHISTAN HIGHLIGHTS •

•

•

•

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.

COVID-19 is spreading very fast in Balochsitan province. Yesterday 66 and today 59 positive cases have been reported which is highest numbers in two consecutive days.

The numbers of COVID-19 confirmed cases in Balochistan has risen to 781 with 59 new cases including overall 13 death (CFR 1.7). The active cases are 592 in province.

Local transmission is also increasing, out of 781, 87% (630) cases

are local transmission from Quetta (526), Chagai (14) Lorlai (06), Jaffarabad (21), Khuzdar (01) , Mastung (13), Kharan (02) Pishin (31), Killabdullah (07), Sibi (06) Ziarat (02) and Harnai (01).

•

02 deaths reported today. The total deaths are 13 in province due to CoMorbidity 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 05 Hypertension/Diabetes 04 ARDS/COPD 01 Carcinoma

As per direction of Chief Minister Balochistan - to get idea about disease pattern and for future strategy random sampling has been started from 04 areas (Kuchlock, Shabaz town Jinnah town, Nosar and Kechi baig Ghous abad) of Quetta with four RRT team. Till today 472 samples have been taken, 19 results came positive, negative 121 and remaining in pending.

Surveillance / Rapid Response Team / PDSRU: • District RRT Quetta screened 678 persons and took 114 samples of suspected persons. Total 24 persons screened at PCSIR Quetta. The RRT attended meeting at CS office Quetta chaired by CS Balochistan regarding Lockdown strategy and COVID-19 logistics. In response to the COVID-19 cases of Panjgoor district investigation team sent for detailed Epidemiological investigation and implementing the COVID-19 SOPs /Protocols.

Districts with Local transmission:

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

Districts with Local transmission Districts % Numbers Quetta 83 526 Chagai 2 14 Lorlai 1 6 Killabdullah 1 7 Pishin 5 31 Mastung 2 13 Sibi 1 6 Jafarabad 3 21 Khuzdar 0 1 Harnai 0 1 Kharan 0 2 Ziarat 0 2

% of Local transmission cases reported from Districts (83% cases are from Quetta)

2

1

1

2 10 5

0

0

0

3

Quetta 83%

Quetta

Chagai

Lorlai

Killabdullah

Pishin

Mastung

Sibi

Jafarabad

Khuzdar

Harnai

Kharan

Ziarat

Epidemiological Analysis: A total of Seven Hundred and twenty two (722) confirmed COVID-19 cases were reported from Balochistan. The case fatality rate was 1.5%. 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 32.50% (n=194) followed by 15-29 years 27.64% (n=165).

The highest attack rate (183/1000000 population) was in age group 45-59 years followed by 60+ Years age group (AR=127/1000000 population). The overall attack rate was 45/1000000 population in Province.

Age Group (Y) Number of Cases <1-14 15-29 30-44 45-59 60+ Unknown Grand Total

66 186 250 135 59 26 722

Percentage 9.14% 25.76% 34.63% 18.70% 8.17% 3.60% 100.00%

Population of that age Group 6715115 2832969 2462510 884338 295446

Attack rate/1000000 population 10 66 102 153 200

13190378

55

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 74% (532) were affected than females 26% (n=191). The male to female ratio was 2.8: 1.

SEX DISTRIBUTION

26%

Female

74%

Male

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

Distribution of Cases by reporting site till 26 April 2020 350 300 250 200 150 100 50 0

328

141 1

1

1

2

2

3

3

4

5

5

6

7

7

7

10

11

12

12

21

61

72

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 2 7 1 1 1 1 17 1 1 2 36 8 5 4 7 22 564

Population 171234 144864 103666 253275 166854 857187 284723 178464 214282 331827 786705 809499 241498 191050 424636 549028 2431666

Attack Rate/1000000 population 12 48 10 4 6 1 60 6 5 6 46 10 21 21 16 40 232

Union Council Wise Distribution of Cases and Attack Rate District Quetta Balochistan Union Council 6&7 Hazara Town 10 B 5, 9 Sheikhan W8 Kharotabad Cantt W 12 Bulelli B 11, A

Number of Cases

Population of UC 90 39 19 71 10 28 63 39 5 2 8

Attack Rate/ 10000 population 29706 84341 43265 60706 33147 65418 66041 58324 42659 39694 95935

30.30 4.62 4.39 11.70 3.02 4.28 9.54 6.69 1.17 0.50 0.83

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 Punjpai Camp Kuchlak A Hanna

33 12 7 20 1 23 2 9 34 10 23 17 7 1 7 1 2 1

45776 77694 42224 40400 51412 52106 71059 43666 83535 34488 39694 34965 29024 14494 56906 12594 66041 18071

7.21 1.54 1.66 4.95 0.19 4.41 0.28 2.06 4.07 2.90 5.79 4.86 2.41 0.69 1.23 0.79 0.30 0.55

Distribution of COVID-19 Confirmed Cases by Date of Reporting 100 90 80 70 60 50 40 30 20 10 0

92

84

73 46

0 0 3 0 0 0 0 0 0 1

7

2 2 1 5 0

1 3

8

16 0 1

9

9 9 5 4 3 6 4 3 4 5

15 1

7

2 2

9

1 0 1

9

47

41

Additive Cases

Cummulative Cases

61

33 15 4

Distribution of Additive and Cummulative Cases by Date of Reporting 800 700 600 500 400 300 200 100 0

54

Distribution of Local transmission Cases by Date of Lab results 100 90 80 70 60 50 40 30 20 10 0

Distribution of Local transmission Cases by Date of Lab results 100 90 80 70 60 50 40 30 20 10 0

Distribution of additive and cummulative Local transmission Cases by Date Lab results 800 700 600 500 400 300 200 100 0

Additive cases

Cummulative Cases

Transmission pattern of COVID-19: Type of Transmission

Number of Cases

Percentage

Imported cases (International Travel History

144

19.94%

Local transmission

578

80.06%

Grand Total

722

100.00%

Number of Days of positive Cases Remained admitted OR become Negative: Mean Day of Hospitalized

17

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 Number of Cases 566 Very mild symptoms 97 Fever 89 Cough 19 Runny Nose 38 Body ache 25 Head Ache 21 Sore Throat 2 Rigors 17 Shortness of Breath 64 No Information of symptoms

PICTORIAL VIEW

Secretary health visit to FJ and BMC Hospital

Percentage 78.39% 13.43% 12.33% 2.63% 5.26% 3.46% 2.91% 0.28% 2.35% 8.86%

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