COVID24APR

DAILY SITUATION REPORT COVID-19

BALOCHISTAN PROVINCE

z

Updates from Operations Cell, Health Department, Govt. of Balochistan

20000

Date: 24-04-2020

Updates till: 08:00 PM

Graph 02. Provincial wise positive cases of COVID-19, 24 April 2020

Graph 01. COVID-19 cases details till 24 April 2020, Balochsitan 18883

14000

18000 16000

12000

14000

10000

11562

12000 10000

8794

8000

6742 6086

8000

6000

3945

6000

4851

4000

4000

656

236

2000

470

422

10

176

0

2000

2527

1541

656

214

300

242

55

0

Graph 03. Quarantine population Till 24 April 2020 - Balochsitan

1000

800 800 600 400

290

200

0

42

16

PCSIR

Khuzdar

77

176

141 25

0

8

23

2

Sibi

Gwadar

Kech

0 Taftan

Dalbandan

Zhob Div

Kachhi

Killaabdullah

Harnai

Pishin

Total

BALOCHISTAN HIGHLIGHTS •

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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.

Two RT-PCR will be functionating from today onward at FJ Lab, previous test capacity was 500, now would double to 1200/Day. COVID-19 is spreading very fast in Balochsitan province. Yesterday 55 and today 49 positive cases have been reported which is highest numbers in two days.

02 more deaths reported today. 50 years old female and 60 years male in Quetta died due to Co-Morbidity with positive COVID-19.

The numbers of COVID-19 confirmed cases in Balochistan has risen to 656 with 49 new cases including overall 10 death (CFR 1.5). The active cases are 470 in province.

Local transmission is also increasing, out of 656, 77% (508) cases

02 more deaths reported today. The total deaths are 10 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 03 Hypertension/Diabetes 03 ARDS/COPD 01 Carcinoma 02 positive patient recovered from home quarantine. Total recovered are 176 out of 656.

The recovery rate of the globe is 27%, country (Pakistan 21%) and the highest rate is from Balochistan province which is 26% in country.

The overall mortality and recovery rate of Balochistan province is better if compare to Country and other provinces which shows good response to disease.

are local transmission from Quetta (411), Chagai (11) Lorlai (06), Jaffarabad (21), Khuzdar (01) , Mastung (13), Kharan (02) Pishin (29), Killabdullah (05), Sibi (06) Ziarat (02) and Harnai (01).

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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 363 samples have been taken, 09 results came positive, negative 22 and remaining in pending.

There are total 336 positive cases are home isolated, 19 recovered till date.

Surveillance / Rapid Response Team / PDSRU: P.RRT screened 24 persons and took 14 lab samples of Suspected from Operational cell, WHO and repeat tests of COVID_19 cases. The team visited reference lab FJ Quetta, monitor the Lab data reporting and result sharing Protocols in response to the concern on lab results sharing and its authenticity .Facilitated D. RRT regarding implementation of safe and dignified burial of COVID-19 Positive cases .Complied and shared the Home isolated, Cases at Hospitals, COVID-19 deaths and Quarantine data with NEOC. DSO-Sibi division screened 10 laborers having travelling History of Punjab and

Districts with Local transmission:

quarantined at quarantine Centre Sibi.

Districts with Local transmission Districts

%

Numbers

1

Quetta

81

411

2

Chagai

2

11

3

Lorlai

1

6

4

Killabdullah

1

5

5

Pishin

6

29

6

Mastung

3

13

7

Sibi

1

6

8

Jafarabad

4

21

9

Khuzdar

0

1

10

Harnai

0

1

11

Kharan

0

2

12

Ziarat

0

2 508

% of Local transmission cases reported from Districts (80% cases are from Quetta)

31 0 2

11

0

0

0

4

6

Quetta 81%

Quetta

Chagai

Lorlai

Killabdullah

Pishin

Mastung

Sibi

Jafarabad

Khuzdar

Harnai

Kharan

Ziarat

Age Group (597 cases):

The most affected age group was 30-44 years 32.50% (n=194) followed by 15-29 years 27.64% (n=165).

The highest attack rate (183/1000000 population) was in age group 45-59 years followed by 60+ Years age group (AR=127/1000000 population). The overall attack rate was 45/1000000 population in Province.

Age Group (Y) Number of Cases <1-14 15-29 30-44 45-59 60+ Unknown Grand Total

Percentage

55 165 194 112 54 17 597

9.21% 27.64% 32.50% 18.76% 9.05% 2.85% 100.00%

Population of that Attack rate/1000000 age Group population 6715115 8 2832969 58 2462510 79 884338 127 295446 183 13190378

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 (597 cases): The male 70% (417) were affected than females 30% (n=180). The male to female ratio was 2.3: 1.

SEX DISTRIBUTION

30% Female

Male

70%

District wise Attack rate per 1000000 per population Balochistan (597 cases): District Number of Cases Ziarat Sibi Harnai Kachhi Kharan Khuzdar Mastung Musakhaiil Sohbatpur Zhob Pishin Killa Abdullah

Population 2 7 1 1 1 1 13 1 1 2 32 8

171234 144864 103666 253275 166854 857187 284723 178464 214282 331827 786705 809499

Attack Rate/1000000 population 12 48 10 4 6 1 46 6 5 6 41 10

45

Chaghi Nushki Loralai Jaffarabad

5 4 17 22

241498 191050 424636 549028

21 21 40 40

Transmission pattern of COVID-19 (597 cases):

Type of Transmission Number of Cases Percentage 143 23.95% Imported cases (International Travel History 454 76.05% Local transmission 597 100.00% Grand Total Number of Days of positive Cases Remained admitted OR become Negative (597 cases): 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

Clinical Pattern of Disease:

Clinical Picture Number of Cases Asymptomatic Fever Cough Runny Nose Body ache Head Ache Sore Throat Rigors Shortness of Breath No Information of symptoms

Percentage 271 67 49 13 22 9 17 2 13 55

80.90% 20.00% 14.63% 3.88% 6.57% 2.69% 5.07% 0.60% 3.88% 16.42%

PICTORIAL VIEW

Media briefing by DG health regarding status of COVID-19 in Balochistan

Sample has been taken from Suspect at Kech district

Sample has been taking from group of doctors

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