COVID 30

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: 30-04-2020

Graph 01. COVID-19 cases details till 30 April 2020, Balochsitan 30000

26220

25000 20000

15335

15000 9435

8386

10000 5000

1049

852

615

71

14

183

925

Death

Recovered

Result Pending

0 Total Total Negative Screened Suspected Cases

18000 16000 14000 12000 10000 8000 6000 4000 2000 0

Graph 02. Provincial wise positive cases of COVID-19, 30 April 2020

Total Positive

1000

16347

Todays Positive

Test Total Test Active case Conducted Conducted today

Graph 03. Quarantine population Till 30 April 2020 Balochsitan

800 6053

600

6220 4105

1049

2313 313

333

66

361

400 200

284

274

180 18 11 19

61

2

0

12 15 21 12 1 26

0

BALOCHISTAN HIGHLIGHTS •

•

•

•

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

confirmed cases has risen to 1049 with 71 new cases including overall 14 death (CFR 1.4). The active cases are 852 in province.

Local transmission is increasing, out of 1049, 85% (897) cases are from local community, Quetta (770), Chagai (14) Lorlai (06), Jaffarabad (21), Khuzdar (01),Mastung (14), Kharan, (03) Nushki (02), Pishin (43), Killabdullah (09), Sibi (08) Ziarat (05) and Harnai (01).

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, 38 results came positive, negative 241 and remaining in pending.

The COVID-19 positivity rate is 11%, 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 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 03 positive cases came negative from home-based isolation. The total recovered are 183.

936

•

The most affected age group was 30-44 years 33.84% (n=331) followed by 15-29 years 26.07% (n=255). The highest attack rate (278/1000000 population) was in age group 60+ years followed by 45-59 Years age group (AR=205/1000000 population). The overall attack rate was 74/1000000 population in Province.

Surveillance / Rapid Response Team / PDSRU Polio Eradication Initiative Following number of cases • P.RRT was part of meeting at PPHI Office Quetta were reported by PEI staff through ODK. regarding the D. RRTs workload distribution, • ILI = 413 availability of teams for day and night shifts, Chief • SARI = 15 Executive officer PPHI, DC Quetta, DHO Quetta, DSM • Suspected COVID Cases Reported by PEI Staff = PPHI Quetta and MERK official were also present 528 • P. RRT screened 56 persons for COVID-19 and took • Suspected COVID Cases Investigated by PEI 28 Lab samples of suspected cases from Health Staff = 581 department and Sariab Riad Quetta • Suspected COVID Cases became Positive = 65 • 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

Districts with Local transmission:

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

Districts with Local transmission Districts % Numbers Quetta 93.2 770 Chagai 1.7 14 Lorlai 0.7 6 Killabdullah 1.1 9 Pishin 5.2 43 Mastung 1.7 14 Sibi 1.0 8 Jafarabad 2.5 21 Khuzdar 0.1 1 Harnai 0.0 1 Kharan 0.4 3 Ziarat 0.6 5 Nushki 0.0 2

PPHI-B Progress •

• •

Local transmission %ge district wise - Balochsitan, 29 April 2020 100.0

93.2

90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0

1.7 0.7 1.1 5.2 1.7 1.0 2.5 0.1 0.0 0.4 0.6

0.0

• • • •

Disinfectants Masks Gloves.

Hand sanitizers Personal Protective Equipment’s Surgical Caps essential drugs Disinfectants spry for BHU/labor rooms

Awareness sessions (Male & Female) 60. Peoples aware on COVID-19 in Communities (Male & Female) 605. IEC Material (Banners, Pamphlets, Brochures, Posters and Standees) Distributed at all MERC 1122 Progress districts.

HR Deployment: People Scanned 2540. Screening Activities through • 08 teams (24 staff).

PPHI-B 16. HR of PPHI involved in screening 153.

• 03 ambulances with 06 staff for transfer of patients to isolation facilities.

No of Suspect cases identified/ referred 0. Logistic Progress: Support at all BHU’s and Quarantines • Collected 50 samples of Corona suspects.

EPIDEMIOLOGICAL ANALYSIS OF 915 CAES TILL 28 APRIL 2020 A total of Nine Hundred and seventy-eight (978) 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 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 33.84% (n=331) followed by 15-29 years 26.07% (n=255). The highest attack rate (278/1000000 population) was in age group 60+ years followed by 45-59 Years age group (AR=205/1000000 population). The overall attack rate was 74/1000000 population in Province.

Age group (Y) Number of Cases Percentage Population of that age Attack rate/1000000 Group population <1-14 89 9.10% 6715115 13 15-29 255 26.07% 2832969 90 31-44 331 33.84% 2462510 134 46-59 181 18.51% 884338 205 60 + 82 8.38% 295446 278 Unknown 40 4.09% Grand Total 978 100.00% 13190378 74 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% (761) were affected than females 22% (n=217). The male to female ratio was 3.5: 1.

DISTRIBUTION OF CASES BY SEX 22%

Female

Male

78%

Distribution of Cases by Reporting Site 600

477

500 400 300

221

200 100 0

1

1

1

1

2

2

3

3

3

4

4

5

5

7

7

9

10

11

12

13

25

22

61

72

District wise Attack rate per 1000000 per population Balochistan District Number of Cases Ziarat 3 Sibi 9 Harnai 1 Kachhi 1 Kharan 1 Khuzdar 1 Mastung 17 Musakhaiil 1 Sohbatpur 1 Zhob 2 Pishin 49 Killa Abdullah 11 Chaghi 8 Nushki 4 Loralai 7 Jaffarabad 22 Quetta 795

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

Attack Rate/1000000 population 18 62 10 4 6 1 60 6 5 6 62 14 33 21 16 40 327

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 93 45 22 93 21 39 97 63 18 13 39 34 7 20 10 3 3 25 48 15 27 33 6 6 9 1 6 4

Population of UC 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 5.34 5.08 15.32 6.34 5.96 14.69 10.80 4.22 1.36 8.52 4.38 1.66 4.95 1.95 0.58 0.42 5.73 5.75 4.35 6.80 9.44 2.07 4.14 1.58 0.79 0.91 2.21

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

92

87

73

83 75

63 57 55 48

46 41

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 1 0 1

4

9

Distribution of Cases by Date of Lab Results 700 600 500 400 300 200 100 0

Tests conducted

Lab Positive

Distribution of Cases by Date of Lab Results 700 600

3

500 400 300 200 100 0

3 26 40 5 2 0 0 0 0 0 0 0 0 0 1 2 2 5 1 0 20

2 3 54 12 2 5

Tests conducted

101 38 30 42 9920 77 46 66 7 1 90 4 10 3 13 10 18 1 30 45 14 6 8 5 4 2 329 1

Lab Positive

Transmission pattern of COVID-19: Type of Transmission

Number of Cases

Percentage

Imported cases (International Travel History

144

14.72%

Local transmission

834

85.28%

Grand Total

978

100.00%

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

18

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 Mild symptom Fever Cough Runny Nose Body ache Head Ache Sore Throat Rigors Shortness of Breath No Information of symptoms

Number of Cases 782 132 104 26 61 39 33 2 28 57

Percentage 79.96% 13.50% 10.63% 2.66% 6.24% 3.99% 3.37% 0.20% 2.86% 5.83%

PICTORIAL VIEW

IPC training for HCPs at Lasbela by DHMT

Provinical RRT, BHU, DC-Quetta, DHO-Quetta meeting at MERC

PPHI team visited COVID-19 Operation cell

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.