DAILY SITUATION REPORT COVID-19
BALOCHISTAN PROVINCE
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Updates from Operations Cell, Health Department, Govt. of Balochistan
Date: 09-05-2020
Updates till: 11:00 PM
Graph 01. COVID-19 cases details till 09 May 2020, Balochsitan
40000 35493 35000 30000 25000 16944 20000 14374 12439 15000 10000 1935 302 5000 0
59
242 1669
Graph 02. Provincial wise positive cases of COVID-19, 09 May 2020
Graph 03. Quarantine population Till 09 May 2020 - Balochsitan
35000
421
450 28613
30000
400
25000
350
20000
300
15000
250
10771 10471
10000 5000
84
24
1935
0
7576 4327 609
421
79
623
231
200
150
150 100 50
18
0
10 16
35
16
15 23
0
0 11
0
BALOCHISTAN HIGHLIGHTS •
The number of confirmed cases has risen to 1935 with 59 new cases including overall 24 deaths (CFR 1.2). The active cases are 1669.
•
20 patients recovered from home isolation after two consecutive COVID-19 negative lab test. The total recovered are 242.
•
Local transmission is increasing, out of 1935, 91% (1,779) cases are from local community, Quetta (1,563), Chagai (17) Lorlai (07), Jaffarabad (27), Khuzdar (01), Mastung (16), Kharan, (03) Nushki (03), Pishin (62), Killabdullah (33), Sibi (13) Ziarat (08), Killasaifullah (03), Kohlu (01) Lasbela (09), Panjgoor (04) and Harnai (02). The Secretary health Mr Dostain Khan Jamaldini inaugurated PCR Laboratory at Bolan Medical Complex Hospital where the health care providers lab tests have been done on priority basis. Secretary Health chaired a meeting at BMCH for establishment of VENT ICU units to decrease mortality due to COVID-19.
•
• •
Total deaths are 24 in province due to Co-Morbidity associated with COVID19. Highest numbers of deaths from Quetta (18) followed by Pishin (04) and (1) each from Lasbela and Sibi. Death 03 06 14 01
Category with positive COVID-19 Renal Failure Hypertension/Diabetes ARDS/COPD Carcinoma
Secretary Health chaired a meeting, the participants were Commissioner Quetta Division, Special Secretary heath, DC Quetta, WHO and Operational Cell officials. The main agenda to talk about TTQ and Surveillance strengthen.
42
• • • •
The WHO (Operation) team briefed Secretary health and his team about WHO role and responsibilities, and what WHO did in response of COVID-19 in early days, in addition future support to DoH. Provincial and district Rapid Response team screened 1811 persons for COVID-19 and took 145 lab samples of suspected cases for further lab diagnosis. The most affected age group was 30-44 years 32.46% (n=560) followed by 15-29 years 28.23% (n=487). The highest attack rate (43/100000 population) was in age group 60+ years followed by 45-59 Years age group (AR=35/100000 population). The overall attack rate was 13/100000 population in Province. The male 79% (1362) were affected than females 21% (n=363). The male to female ratio was 3.8: 1.
Districts with Local transmission Districts % Numbers 1 Quetta 87.9 1563 2 Chagai 1.0 17 3 Lorlai 0.4 7 4 Killabdullah 2.1 37 5 Pishin 3.5 62 6 Mastung 0.9 16 7 Sibi 0.7 13 8 Jafarabad 1.5 27 9 Khuzdar 0.1 1 10 Harnai 0.1 2 11 Kharan 0.2 3 12 Ziarat 0.4 8 13 Nushki 0.2 4 14 Panjgoor 0.2 4 15 Lasbela 0.5 9 16 Killasiafullah 0.2 3 17 Kohlu 0.1 1
Local transmission %ge district wise - Balochsitan, 08 May 2020 100.0 90.0
88.2
80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0
1.0 0.4 1.9 3.4 0.9 0.7 1.4 0.1 0.1 0.2 0.5 0.2 0.2 0.5 0.2 0.1
0.0
Provincial Rapid Response team RRT screened 1375 persons for COVID-19 and took 122 samples of suspected cases. RRT Lasbella took 07 samples of the family of deceased COVID_19 positive case. According to DHO COVID_19 cases are increasing and local transmissions also being reported. P.RRT developed SOPs for BMCH lab COVID_19 testing facility for health staff. The repeat test strategy revised and Teams will be provided Repeat tests on daily basis and daily review meeting will be held chaired by DC/ADC Quetta. P.RRT facilitated the Lab samples collection at Muslim Bagh District Killa Saifullah
PPHI-B/MERC Progress Awareness sessions (Male & Female) 54. Peoples aware on COVID-19 in Communities (Male & Female) 603. People Scanned 2020 Screening Activities through PPHI-B 21. No of Suspect cases identified/ referred 01. MERC Collected 40 samples of Corona suspects.
Surveillance / Rapid Response Team / PDSRU/PEI As of today, following number of cases were reported by PEI staff through ODK. 1. ILI = 538 2. SARI = 15 3. Suspected COVID Cases Reported by PEI Staff = 681 4. Suspected COVID Cases Investigated by PEI Staff = 664 5. Suspected COVID Cases became Positive = 78
EPIDEMIOLOGICAL ANALYSIS BY PDSRU OF 1935 CASES TILL 9th MAY 2020 PDSRU_FELTP is assisting Health Department in analysis of COVID-19 Cases. A total of one thousand and nine hundred thirty five (1935) confirmed COVID-19 cases were reported from Balochistan. The case fatality rate was 1.3%. The mean age of cases were 35 years, median age was 33 years, and with age range of 2 months -94 years.
Mean Age
34.7 Years
Median Age
33 Years
Min age
2 Months
Max Age
94 Years
Age Group: The most affected age group was 30-44 years 32.61% (n=631) followed by 15-29 years 28.17% (n=545). The highest attack rate (50/100000 population) was in age group 60+ years followed by 45-59 Years age group (AR=38/100000 population). The overall attack rate was 15/100000 population in Province. Age group (Y) Number of Cases Percentage Population of that age Attack rate/100000 Group population <1-14 172 8.89% 6715115 3 15-29 545 28.17% 2832969 19 30-44 631 32.61% 2462510 26 45-59 337 17.42% 884338 38 60 + 149 7.70% 295446 50 Unknown 101 5.22% Grand Total 1935 100.00% 13190378 15 Note: population of Districts & UCS was taken from 2017 Censes and population for year 2020 was calculated with growth rate of 2.4.
Gender Distribution: The male 79% (1527) were more affected than females 21% (n=408). 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 900 800 700 600 500 400 300 200 100 0
852 567
1
1
1
1
1
2
2
3
3
3
3
4
4
4
5
7
9
72 73 73 78 11 11 13 14 15 18 21 32 52
District wise Attack rate per 100000 per population Balochistan District
Number of Cases
Kohlu Killa Saif Ullah Lasbela Ziarat Lasbela Panjgoor Gwadar Sibi Harnai Kachhi Kharan Khuzdar Mastung Musakhaiil Sohbatpur Zhob Pishin Killa Abdullah Chaghi Nushki Loralai Jaffarabad Quetta Grand Total
Percentage
1 3 14 7 18 4 1 17 2 1 3 1 20 1 1 2 69 43 11 6 8 28 1648 1891
Population
0.05 0.16 0.74 0.37 0.95 0.21 0.05 0.90 0.11 0.05 0.16 0.05 1.06 0.05 0.05 0.11 3.65 2.27 0.58 0.32 0.42 1.48 87.15 100.00
Attack Rate/100000 population 0.44 0.82 2.28 4.09 2.93 1.18 0.58 11.74 1.93 0.39 1.80 0.12 7.02 0.56 0.47 0.60 8.77 5.31 4.55 3.14 1.88 5.10 67.77 20.41
229041 366309 613651 171234 613651 338079 171234 144864 103666 253275 166854 857187 284723 178464 214282 331827 786705 809499 241498 191050 424636 549028 2431666 9263422
Distribution of Confirmed Cases by Date of Reporting 171
200 150 50
001722150
110 105 102 95101 75 7884815968 68 67 55 42 3348 32 26 17
92
73
100
1 3 8 0 1 16 9 4 3 6 4 3 4 5 9 9 5 15 1 7 2 2 9 1 0 1 9
4641 4
0
2500
Distribution of Cases by Date of Report 2000 Reported suspect
1500
Reported confirmed
1000 500
8/5/2020
6/5/2020
4/5/2020
2/5/2020
30/4/2020
28/4/2020
26/4/2020
24/4/2020
22/4/2020
20/4/2020
18/4/2020
16/4/2020
14/4/2020
12/4/2020
10/4/2020
8/4/2020
6/4/2020
4/4/2020
2/4/2020
31/3/2020
29/3/2020
27/3/2020
25/3/2020
23/3/2020
21/3/2020
19/3/2020
17/3/2020
15/3/2020
13/3/2020
11/3/2020
9/3/2020
7/3/2020
5/3/2020
3/3/2020
1/3/2020
0
-500
09-May-20
08-May-20
1500
07-May-20
06-May-20
05-May-20
04-May-20
03-May-20
Positive
02-May-20
01-May-20
30-Apr-20
29-Apr-20
28-Apr-20
27-Apr-20
26-Apr-20
2000 Lab Positive
Status of Cases by Date
Deaths R² = 0.9225
1000
500
0
8/5/2020
6/5/2020
8/5/2020
6/5/2020
4/5/2020
30/4/2020 30/4/2020 4/5/2020
28/4/2020 28/4/2020
2/5/2020
26/4/2020
26/4/2020
2/5/2020
24/4/2020
20/4/2020
18/4/2020
16/4/2020
14/4/2020
12/4/2020
10/4/2020
8/4/2020
6/4/2020
4/4/2020
2/4/2020
31/3/2020
29/3/2020
27/3/2020
25/3/2020
23/3/2020
21/3/2020
19/3/2020
17/3/2020
15/3/2020
13/3/2020
11/3/2020
9/3/2020
7/3/2020
5/3/2020
3/3/2020
1/3/2020
24/4/2020
1000 900 800 700 600 500 400 300 200 100 0
22/4/2020
Distribution of Cases by Date of Lab Results
22/4/2020
20/4/2020
18/4/2020
16/4/2020
14/4/2020
12/4/2020
10/4/2020
8/4/2020
6/4/2020
4/4/2020
2/4/2020
31/3/2020
29/3/2020
27/3/2020
25/3/2020
23/3/2020
21/3/2020
19/3/2020
17/3/2020
15/3/2020
13/3/2020
11/3/2020
9/3/2020
7/3/2020
5/3/2020
3/3/2020
Reported suspect
25-Apr-20
Tests conducted
24-Apr-20
23-Apr-20
22-Apr-20
21-Apr-20
20-Apr-20
19-Apr-20
2500
18-Apr-20
17-Apr-20
16-Apr-20
15-Apr-20
14-Apr-20
13-Apr-20
12-Apr-20
11-Apr-20
10-Apr-20
09-Apr-20
08-Apr-20
1/3/2020
2500
2000
Distribution of Cases by Date of Reporting
1500 Reported confirmed
1000
500
0
Transmission pattern of COVID-19: Type of Transmission Imported cases (International Travel History Local transmission Grand Total
Number of Cases 144 1791 1935
Percentage 7.44% 92.56% 100.00%
Number of Days of positive Cases Remained admitted OR become Negative: Mean Day of to become negative/ Hospitalized/Home Quarantine
20
Median Day of to become negative/Hospitalization/Home Quarantine
19
Minimum number of Days admitted by Positive Case
7
Maximum Number of Days Admitted by positive Case
27
Recovery Rate
13%
Clinical Picture
Number of Cases
Percentage
Mild
1523
78.71%
Fever
239
12.35%
Cough
189
9.77%
Runny Nose
81
4.19%
Body ache
177
9.15%
Head Ache
109
5.63%
Sore Throat
93
4.81%
Rigors
2
0.10%
Shortness of Breath
49
2.53%
No Information of symptoms
77
3.98%
Clinical Pattern of Disease:
PICTORIAL VIEW
Secretary Health chaired a meeting at BMCH for establishment of VENT ICU units
WHO Head of Office â&#x20AC;&#x201C; Balochistan briefed secretary health the role and activities have been done by WHO in response of COVID-19
Secretary Health charring meeting with BRSP Balochistan officials regarding COVID_19 activities
TTQ refresher training and evaluation conducted by FELTP Team at MERC PPHI office
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.