DailySatuationReport28Apr

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.