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: 28-04-2020
Graph 01. COVID-19 cases details till 28 April 2020, Balochsitan 23422
25000 20000
13286
15000
8504
10000
7589
5000 513
62
Total Suspected Test Total Test Negative Screened Cases Conducted Conducted today
Todays Positive
915
725
Total Positive
Active case
14
176
834
Death
Recovered
Result Pending
0
16000
Graph 02. Provincial wise positive cases of COVID-19, 28 April 2020
1200
14566
14000
981
1000
12000 10000
800
8000
5291
6000
5730 600 3233
4000 2000
Graph 03. Quarantine population Till 28 April 2020 Balochsitan
915
0
1984 261
320
65
312
400
284
242 200
61 18 28 19 2
241 0
2 15 21 12 10 26
0
BALOCHISTAN HIGHLIGHTS •
•
•
COVID-19 is spreading very fast in Balochsitan province, particularly in community. Today 62 and yesterday 72 positive cases have been reported which is highest numbers in two consecutive days. The numbers of COVID-19 confirmed cases has risen to 915 with 62 new cases including overall 14 death (CFR 1.5). The active cases are 725 in province. Local transmission is increasing, out of 915, 83% (764) cases are from
Quetta (646), Chagai (14) Lorlai (06), Jaffarabad (21), Khuzdar (01),Mastung (13), Kharan (02) Pishin (42), Killabdullah (07), Sibi (08) Ziarat (03) and Harnai (01).
The total deaths are 14 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 04 ARDS/COPD 01 Carcinoma
•
A meeting held at CM Secretariat regarding COVID-19 reference Lab participated by Secretary Health, Additional Secretary CM and Operational Cell officials to talk about strengthen of lab testing and coordination. 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 511 samples have been taken, 33 results came positive, negative 170 and remaining in pending.
•
Surveillance / Rapid Response Team / PDSRU: •
The District RRTs will do manual lab entry, and more Tablet will be provided for electronic lab request entries. The lab samples results will be declared within 72 hours of lab sample collection. The CMDU cell will facilitate the Reference lab data team and will enter all previous lab data in CMDU dashboard, CMDU provided Laptops and scanner for lab records D.RRT Quetta screened 724 persons and total 118 samples taken. P. RRT facilitated D. RRT Pishin for COVID_19 Positive case contact sampling and took 19 samples of close contacts of Positive case. P.RRT screened 45 persons and took 14 lab samples at Quetta and P. RRT team collected lab samples and trained the D. RRT Panjgoor team.
• • •
Polio Eradication Initiative: Following number of cases were reported by PEI staff through ODK. • • • • •
ILI = 394 SARI = 15 Suspected COVID Cases Reported by PEI Staff = 501 Suspected COVID Cases Investigated by PEI Staff = 532 Suspected COVID Cases became Positive = 60
Districts with Local transmission:
1 2 3 4 5 6 7 8 9 10 11 12
Districts with Local transmission Districts % Numbers Quetta 85 646 Chagai 2 14 Lorlai 1 6 Killabdullah 1 7 Pishin 5 42 Mastung 2 13 Sibi 1 8 Jafarabad 3 21 Khuzdar 0 1 Harnai 0 1 Kharan 0 2 Ziarat 0 3
Local transmission %ge district wise - Balochsitan, 28 April 2020 90
85
80 70 60 50 40 30 20 10
2
1
5
2
1
3
0
0
0
0
PPHI-B Progress • •
1
Awareness sessions (Male & Female) 65. Peoples aware on COVID-19 in Communities (Male & Female) 678.
MERC 1122 Progress HR Deployment: • •
08 teams (24 staff). 03 ambulances with 06 staff for transfer of patients to isolation facilities.
0
•
• • • • •
IEC Material (Banners, Pamphlets, Brochures, Posters and Standees) Distributed at all districts. People Scanned 2597. Screening Activities through PPHI-B 29. HR of PPHI involved in screening 149. No of Suspect cases identified/ referred 10. Logistic Support at all BHU’s and Quarantines Disinfectants Masks Gloves. Hand sanitizers
Progress: • •
Collected 74 samples of Corona suspects. Helpline 1122 received 19 calls (screening request). Consultation given by Medical Officers and responded by MERC team.
EPIDEMIOLOGICAL ANALYSIS OF 853 CAES TILL 27 APRIL 2020 A total of Seven Hundred and twenty two (853) 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
35.3 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 33.65% (n=287) followed by 15-29 years 26.14% (n=223). The highest attack rate (244/1000000 population) was in age group 60+ years followed by 45-59 Years age group (AR=181/1000000 population). The overall attack rate was 65/1000000 population in Province.
Age Group (Y) Number of Cases <1-14 15-29 30-44 45-59 60+ Unknown Grand Total
78 223 287 160 72 33 853
Percentage 9.14% 26.14% 33.65% 18.76% 8.44% 3.87% 100.00%
Population of that age Group 6715115 2832969 2462510 884338 295446
Attack rate/1000000 population 12 79 117 181 244
13190378
65
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 77% (654) were affected than females 23% (n=199). The male to female ratio was 3.2: 1.
SEX DISTRIBUTION 23%
Female
77%
Male
The graph below shows the distribution of COVID-19 Confirmed cases by reporting sites in Balochistan
Distribution of Cases by reporting site 450 400 350 300 250 200 150 100 50 0
424
171
1
1
1
1
2
2
3
3
4
5
5
7
13
7
7
10
11
12
13
21
61
72
Majority of Cases 78% (n=448) belongs from District Quetta
District Wise Distribution of Cases (Imported & Local) Balochistan 679
45 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 3 3 3 5 5 5 7 7 7 10 17 22
Chiltral DG Khan Harnai Kachhi Khair Pur Kharan Khuzdar Khyber Agency Bara Kohat Lahore Lakimarwat Mianwali Multan Musakhaiil Muzafarabad Nil Noshera Rawalpindi Sarghoda Sohbatpur Sukkar Ziarat Afghanistan Gilgat Jhang Parachanar Sakardo Zhob Ziarat Chaghi Charsada (blank) Nushki Chagai Peshawar Dadu Loralai Sibi Killa Abdullah Mastung Jafferabad Pishin Quetta
800 700 600 500 400 300 200 100 0
District wise Attack rate per 1000000 per population Balochistan District Ziarat Sibi Harnai Kachhi Kharan Khuzdar Mastung Musakhaiil Sohbatpur Zhob Pishin Killa Abdullah Chaghi
Number of Cases 3 7 1 1 1 1 17 1 1 2 45 10 7
Population 171234 144864 103666 253275 166854 857187 284723 178464 214282 331827 786705 809499 241498
Attack Rate/1000000 population 18 48 10 4 6 1 60 6 5 6 57 12 29
Nushki Loralai Jaffarabad Quetta
4 7 22 679
191050 424636 549028 2431666
21 16 40 279
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 1 Cantt W 12 Bulelli B 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
Number of Cases 91 41 21 83 19 33 82 55 8 2 13 39 21 7 20 9 23 2 18 44 11 26 17 6 3 9 1 3 1
Population of UC 29706 84341 43265 60706 33147 65418 66041 58324 42659 39694 95935 45776 77694 42224 40400 51412 52106 71059 43666 83535 34488 39694 34965 29024 14494 56906 12594 66041 18071
Attack Rate/ 10000 population 30.63 4.86 4.85 13.67 5.73 5.04 12.42 9.43 1.88 0.50 1.36 8.52 2.70 1.66 4.95 1.75 4.41 0.28 4.12 5.27 3.19 6.55 4.86 2.07 2.07 1.58 0.79 0.45 0.55
Distribution of Cases by Date of Reporting 100 90 80 70 60 50 40 30 20 10 0
92
87 80
73 63
57
55 46
48 41 33
16 0 0 3 0 0 0 0 0 0 1
7
2 2 1
5
0
1 3
9
8 0 1
9 9 5 4 3 6 4 3 4 5
15 1
7
9 2 2
9
4
1 0 1
Distribution of Cases by Date of lab Results Number of Cases
120 90
100 77
80
66
60
40 26 20
40 20
99
0 0 0 0 0 0 0 0 0 1 2 1 5 1 1 5 0
2 4 3
11 8
7 6 0 5 2 5
14
1 5
13 10 4 4 6 1 1 8 2 3
45 30 29 18
46 30 10
0
Date of Lab Results
Transmission pattern of COVID-19: Type of Transmission Number of Cases 144 Imported cases (International Travel History 709 Local transmission 853 Grand Total
Percentage 16.88% 83.12% 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
42 38
Clinical Pattern of Disease:
Clinical Picture Very Mild symptoms Fever Cough Runny Nose Body ache Head Ache Sore Throat Rigors Shortness of Breath No Information of symptoms
Number of Cases
Percentage
674 108 97 21 46 29 27 2 23 57
79.02% 12.66% 11.37% 2.46% 5.39% 3.40% 3.17% 0.23% 2.70% 6.68%
PICTORIAL VIEW
A meeting held at CM Secretariat regarding COVID-19 reference Lab participated by Secretary Health, Additional Secetreay CM and Operational Cell
Secretary health chaired to review COVID-19 progress in province
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.