Daily Situation 29APR

DAILY SITUATION REPORT COVID-19

BALOCHISTAN PROVINCE

z

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

Updates till: 08:00 PM

Date: 29-04-2020

Graph 01. COVID-19 cases details till 29 April 2020, Balochsitan 30000 24145

25000 20000

14187

15000

8820

7842

10000 5000

978

63

784

316

14

180

725

Death

Recovered

Result Pending

0 Total Total Negative Screened Suspected Cases

Total Positive

Todays Positive

Test Total Test Active case Conducted Conducted today

BALOCHISTAN 18000

Graph 02. Provincial wise positive cases of COVID-19, 29 April 2020

16000

1200

Graph 03. Quarantine population Till 29 April 2020 Balochsitan 1015

15352 1000

14000 12000

800

10000 8000

5695

6000 4000 2000

978

0

5827

600 3427

2160 297

330

65

335

400

284

242 200

61 18 28 19 2

274

0

12 15 21 12 1 26

0

HIGHLIGHTS •

•

• •

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

of confirmed cases has risen to 978 with 63 new cases including overall 14 death (CFR 1.4). The active cases are 784 in province.

Local transmission is increasing, out of 978, 84% (826) cases are from local community, Quetta (704), Chagai (14) Lorlai (06), Jaffarabad (21), Khuzdar (01),Mastung (13), Kharan, (03) Nushki (02), Pishin (42), Killabdullah (08), Sibi (08) Ziarat (03) and Harnai (01).

04 positive cases came negative from SKBZ and discharged. The total recovered are 180.

The COVID-19 positivity rate is 11%, 77% 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

•

The most affected age group was 30-44 years 33.66% (n=308) followed by 15-29 years 26.45% (n=242). The highest attack rate (257/1000000 population) was in age group 60+ years followed by 45-59 Years age group (AR=192/1000000 population). The overall attack rate was 69/1000000 population in Province.

Surveillance / Rapid Response Team / PDSRU: •

P.RRT attended meeting at DC Office Quetta regarding safe and dignified burial and shifting of COVID-19 cases to Hospitals. DC Quetta notified the Burial committee; the members will be trained by RRT. P. RRT screened 62 persons for COVID-19 and took 47 Lab samples of suspected cases from Kuchlak and airport Road Quetta. On 29th April 2020 total 4 COVID-19 Positive cases (2 each from SKBZ and home isolated) recovered and released after negative Repeat tests results.

The RRTs on 29th April 2020 totally screened 2162 persons with following details, P. RRT 62,Quetta 723,Pishin 12, KillaAbdullah 20, Lasbella 723 and Harnai 142 persons for COVID-19.

RRTs took 235 lab samples of Suspected COVID-19 cases with following details, P. RRT 47, Quetta 176, Pishin 12 samples.

• • •

Polio Eradication Initiative: Following number of cases were reported by PEI staff through ODK. • • • • •

ILI = 413 SARI = 15 Suspected COVID Cases Reported by PEI Staff = 528 Suspected COVID Cases Investigated by PEI Staff = 581 Suspected COVID Cases became Positive = 65

Districts with Local transmission:

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

Districts with Local transmission Districts % Numbers Quetta 85.2 704 Chagai 1.7 14 Lorlai 0.7 6 Killabdullah 1.0 8 Pishin 5.1 42 Mastung 1.6 13 Sibi 1.0 8 Jafarabad 2.5 21 Khuzdar 0.1 1 Harnai 0.0 1 Kharan 0.4 3 Ziarat 0.4 3 Nushki 0.0 2

PPHI-B Progress •

•

Local transmission %ge district wise - Balochsitan, 29 April 2020 90.0

85.2

80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0

1.7 0.7 1.0 5.1 1.6 1.0 2.5 0.1 0.0 0.4 0.4

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 fifteen (915) 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

35.1 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 33.66% (n=308) followed by 15-29 years 26.45% (n=242). The highest attack rate (257/1000000 population) was in age group 60+ years followed by 45-59 Years age group (AR=192/1000000 population). The overall attack rate was 69/1000000 population in Province.

Age group (Y) <1-14 15-29 31-44 46-59 60 + Unknown Grand Total

Number of Cases

Percentage

Population of age Group

84 242 308 170 76 35 915

9.18% 26.45% 33.66% 18.58% 8.31% 3.83% 100.00%

6715115 2832969 2462510 884338 295446

Attack rate/1000000 population 13 85 125 192 257

13190378

69

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.

DISTRIBUTION OF CASES BY SEX 23%

Female

Male

77%

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

Distribution of Cases by Reporting Site 500 450 400 350 300 250 200 150 100 50 0

446

190 61 1

1

1

1

2

2

3

3

3

4

5

4

5

7

7

9

10

11

12

13

21

72

21

District wise Attack rate per 1000000 per population Balochistan District Ziarat Sibi Harnai Kachhi Kharan Khuzdar Mastung Musakhaiil Sohbatpur Zhob Pishin Killa Abdullah Chaghi Nushki Loralai Jaffarabad Quetta

Number of Cases 3 9 1 1 1 1 17 1 1 2 49 10 8 4 7 22 735

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 12 33 21 16 40 302

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

Number of Cases 91 41 21 90 19 34 86 55 8 2 13

Population of UC 29706 84341 43265 60706 33147 65418 66041 58324 42659 39694 95935

Attack Rate/ 10000 population 30.63 4.86 4.85 14.83 5.73 5.20 13.02 9.43 1.88 0.50 1.36

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

39 33 7 20 10 3 3 25 47 15 27 25 6 4 9 1 5 1

45776 77694 42224 40400 51412 52106 71059 43666 83535 34488 39694 34965 29024 14494 56906 12594 66041 18071

8.52 4.25 1.66 4.95 1.95 0.58 0.42 5.73 5.63 4.35 6.80 7.15 2.07 2.76 1.58 0.79 0.76 0.55

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

1200

92

63 55 46

400 200 0

57

48 41

40 33 25

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

Dustribution of Suspected and Confirmed Cases by Date of Reporting Reported suspect

600

83

73

1000 800

87

Reported confirmed

Transmission pattern of COVID-19: Type of Transmission

Number of Cases

Imported cases (International Travel History Local transmission Grand Total

Percentage

144 771 915

15.74% 84.26% 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

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

PICTORIAL VIEW

Percentage 729 122 97 24 55 37 31 2 26 59

79.67% 13.33% 10.60% 2.62% 6.01% 4.04% 3.39% 0.22% 2.84% 6.45%

Commissioner Rakhshan Division, Mr. Ayaz Mandokhel visited NIH mobile lab for COVID-19 testing at Taftan.

Operation cell officials visit CMDU cell Cell for data compilation and Lab reporting.

Meeting at DC office to talk about surveillance

Provicnial rapid response team taking samples at Panjgoor from suspect

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.