DailySituation2May

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: 02-05-2020

Graph 01. COVID-19 cases details till 02 May 2020, Balochsitan 27915

30000 25000 20000

15835

15000 10045 10000

8873

5000

1172

224

36

Test Conducted today

Todays Positive

183

970

19

2123

0 Total Total Total Test Total Screened Suspected Conducted Negative Cases

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

1200

18806

Total Positive

Recovered Active case

Death

Result Pending

Graph 03. Quarantine population Till 02 May 2020 - Balochsitan

1091

1000 800 7102 1172

6854 4715

2907 365

340

66

432

600

429

400 200

274 174 18 11 19 16 2

0

60 28 12 15 21 12

0

BALOCHISTAN HIGHLIGHTS •

•

• • • •

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

of confirmed cases has risen to 1172 with 36 new cases including overall 19 deaths (CFR 3.0). The active cases are 970 in province.

Local transmission is increasing, out of 1172, 87% (1,019) cases are from local community, Quetta (882), Chagai (15) Lorlai (07), Jaffarabad (21), Khuzdar (01),Mastung (14), Kharan, (03) Nushki (02), Pishin (45), Killabdullah (09), Sibi (08) Ziarat (06), Panjgoor (04) and Harnai (02).

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

Special Secretary Health chaired the ICU management committee meeting to strengthen ICU in hospitals.

Malaria/VBD program lead with Chief Epidemiologist visit district Lasbela related to COVID-19.

The COVID-19 positivity rate is 11.76%, 78% of cases are male, the mean age of cases were 35 years with age range of 2 months -94 years.

The total deaths are 19 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 09 ARDS/COPD 01 Carcinoma The recovered rate of positive cases is 16 %. The total recovered are 183.

•

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

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.

Districts with Local transmission Districts % Numbers Quetta 86.6 882 Chagai 1.5 15 Lorlai 0.7 7 Killabdullah 0.9 9 Pishin 4.4 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 0.6 6 Nushki 0.2 2 Panjgoor 0.4 4

Surveillance / Rapid Response Team / PDSRU/PEI • • • • •

ILI = 415 SARI = 15 Suspected COVID Cases Reported by PEI Staff = 549 Suspected COVID Cases Investigated by PEI Staff = 599 Suspected COVID Cases became Positive = 70

•

The RRTs screened total 1575 and took 211 samples of suspected persons todays.

P.RRT and Operational Cell Incharge attended meeting regarding Home isolation persons repeat test and shifting of Positive cases to isolation centre's, DC(R) Quetta chaired the meeting with participation of DHO Quetta, DSM PPHI Quetta and SDPO police. .P.RRT attended a meeting regarding Home isolation persons protocols at Secretary Health office chaired by Special Secretary Health.

P.RRT analysed the home isolated, Cases at SKBZ hospital and FJ Hospital COVID-19 of total 1128 cases data with following details: 840 (74%) home isolated 185 (16%) Recovered 82 (7%) at SKBZ Hospital Quetta

•

•

3(0.3%) at FJ Hospital Quetta

Local transmission %ge district wise - Balochsitan, 02 May 2020 100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0

86.6

1.5

0.7

0.9

4.4

1.4

0.8

2.1

0.1

0.2

0.3

0.6

0.2

0.4

EPIDEMIOLOGICAL ANALYSIS OF 1136 CAES TILL 1st MAY 2020 A total of one thousand and eleven hundred thirty six (1136) confirmed COVID-19 cases were reported from Balochistan. The case fatality rate was 1.4%. The mean age of cases were 35 years, median age was 33 years, and with age range of 2 months -94 years.

Mean Age 34.9 Years Median Age

33.0 Years

Min age

2 Months

Max Age

94 Years

Age Group: The most affected age group was 30-44 years 32.92% (n=374) followed by 15-29 years 27.11% (n=308).The highest attack rate (298/1000000 population) was in age group 60+ years followed by 45-59 Years age group (AR=240/1000000 population). The overall attack rate was 86/1000000 population in Province.

Age group (Y) Number of Cases Percentage Population of that age Attack rate/1000000 Group population <1-14 105 9.24% 6715115 16 15-29 308 27.11% 2832969 109

30-44 45-59 60 + Unknown Grand Total

374 212 88 49 1136

32.92% 18.66% 7.75% 4.31% 100.00%

2462510 884338 295446

152 240 298

13190378

86

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 79% (897) were affected than females 21% (n=239).The male to female ratio was 3.7: 1.

DISTRIBUTION OF CASES BY SEX 21%

Female

Male

79%

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

Distribution of Cases by Reporting Site

600

555

500 400

288

300 200 100 0

1

1

1

1

1

2

2

3

3

3

4

4

5

5

7

7

9

15

11

12

14

27

22

67

73

District wise Attack rate per 1000000 per population Balochistan District

Number of Cases

Ziarat Panjgoor Sibi Harnai Kachhi Kharan Khuzdar Mastung Musakhaiil Sohbatpur Zhob Pishin Killa Abdullah Chaghi Nushki Loralai Jaffarabad Quetta Grand Total

Percentage

5 4 9 2 1 2 1 18 1 1 2 52 12 6 6 8 22 936 1088

Population

0.46 0.37 0.83 0.18 0.09 0.18 0.09 1.65 0.09 0.09 0.18 4.78 1.10 0.55 0.55 0.74 2.02 86.03 100.00

171234 338079 144864 103666 253275 166854 857187 284723 178464 214282 331827 786705 809499 241498 191050 424636 549028 2431666 8478537

Attack Rate/1000000 population 29 12 62 19 4 12 1 63 6 5 6 66 15 25 31 19 40 385 128

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 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

Percentage

Population of UC

93 49 22 109 21 60 123 73 23 16 43 44 7 20 10 3 3 31 58 22 29 40 8 9 10 1 8 4

9.89 5.21 2.34 11.60 2.23 6.38 13.09 7.77 2.45 1.70 4.57 4.68 0.74 2.13 1.06 0.32 0.32 3.30 6.17 2.34 3.09 4.26 0.85 0.96 1.06 0.11 0.01 0.43

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

Attack Rate/ 10000 population 31.31 5.81 5.08 17.96 6.34 9.17 18.62 12.52 5.39 1.67 9.39 5.66 1.66 4.95 1.95 0.58 0.42 7.10 6.94 6.38 7.31 11.44 2.76 6.21 1.76 0.79 1.21 2.21

13 D Grand Total

1 940

0.11 99.16

46265 1439956

0.22 6.527977

2500

Distribution of Cases by Date of Reporting 2000

1930 Reported suspect

Reported confirmed

1500 1039 952 936 901 708 640 619 598

1000 671 500

0

426 102 72 0 0 100 2 3 0 0 0 4 6 12140 1940 0

800

572

535 460 395 308 300 179 230 163 141 120 119 100 58 112 6869 3137 9572 252 301839 542161

71

Distribution of Cases by Date of Lab Results

700

115

600

Tests conducted

3

Lab Positive 105

500

47

400 300 200 100 0

30 46

77

42

9920

34 615 90 3 513 10 470 3 13 10 18 385 409 1 374 370 30 26 316 45 273 321 329 290 289 14 264 262 6 8 236 230 228 3 29199 5 220 221 4 189 2 165 15240 5 4 3 2 137 1189410688 128 97 93125 68 69 70 53 58 5 20 2 0 0 0 12 11 5 8 1 4 2 2 5 17 1 3 0 0 0 1 3 3 2 0 2 0 0 10 0 21 0 0 0 596

7

4

66

1

Transmission pattern of COVID-19 Type of Transmission Imported cases (International Travel History Local transmission Grand Total

Number of Cases 144 992 1136

Number of Days of positive Cases Remained admitted OR become Negative 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

Percentage 12.68% 87.32% 100.00%

Clinical Pattern of Disease Clinical Picture Very mild symptom Fever Cough Runny Nose Body ache HeadAche Sore Throat Rigors Shortness of Breath No Information of symptoms

Number of Cases 897 147 117 33 73 51 38 2 32 57

Percentage

PICTORIAL VIEW

Special Secretary Health chaired the ICU management committee meeting to strengthen ICU in hospitals

Malaria/VBD program lead with Chief Epidemiologist visit district Lasbela related to COVID-19

78.96% 12.94% 10.30% 2.90% 6.43% 4.49% 3.35% 0.18% 2.82% 5.02%

Fatima Jinnah Chest & General Hospital COVID-19 staff

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.