COVID-19 – DAILY SITUATION REPORT

DIRECTORATE GENERAL HEALTH SERVICES, PUNJAB April 16, 2020 12:00 AM

Highlights:
Global Disease Burden: Updated Situation*
Global confirmed cases of COVID-19 have reached 2,029,974 with 129,264 deaths
recorded. Global recoveries count up to 501,758. Comparisons among deaths rates and National Statistics (updated)
CFR in most affected countries are given below: Province/Regio +ve Cases Deaths
No. of No. of Death Rate Case Fatality n
Country ICT 140 1
Cases Deaths per 1 Million Rate (CFR %)
USA 616,458 26,213 79 4.3% Punjab 3219 34
Italy 162,488 21,067 348 13.0% Sindh 1668 41
Spain 177,633 18,579 397 10.5% KPK 912 42
France 143,303 15,729 241 11.0% Baluchistan 280 3
UK 98,476 12,868 190 13.1% AJK 46 0
76,389 4,777 57 6.3% GB 234 3
Iran
33,573 4,440 383 13.2% Total 6499 124
Belgium
¹covid-19.pk
Germany 132,718 3,592 43 2.7%
China 82,295 3,342 2 4.1% Time Distribution of Punjab Cases²
Netherlands 28,153 3,134 183 11.1%
Brazil 25,758 1,557 7 6.0%
Turkey 65,111 1,403 17 2.2%
Switzerland 26,336 1,226 142 4.7%
Sweden 11,927 1,203 119 10.1%
Canada 27,557 954 25 3.5%
Portugal 18,091 599 59 3.3%
Indonesia 5,136 469 2 9.1%
Ireland 11,479 406 82 3.5%
Pakistan 6,499 124 0.5 1.9% (Each blue bar in the above histogram indicates daily new
cases from left to right)
²www.covid.gov.pk

COMPARATIVE DISEASE BURDEN AND RECOVERIES IN PAKSITAN Message for the Public:
1. Optimum Personal Hygiene is key
measure against most infectious
National Situation COVID-19-Pakistan diseases including COVID-19.
2. Frequent hand washing with soap for 20
3500 3219 seconds reduces risk of contact
3000 transmission.
3. Practice cough and sneezing etiquettes
2500
at all places. Avoid gatherings.
2000 1668
4. Practice social distancing at home as
1500 well as work stations. It really works.
912
1000 537 560 Analysis of Case Fatality (Global) :
500 191 280140 234175 140 17 46 4 Co-Morbid Condition Case Fatality Rate
0 13.20%
Cardiovascular disease
9.20%
Diabetes
Chronic respiratory 8.00%
disease
8.40%
Hypertension
Total Cases Recovered
7.60%
Cancer
Total Cases per 1 29 Active Cases 4826
Million
 DETAILS OF ADMITTED CASES AND OUTCOME
Suspected Cases in Confirmed Cases till Deaths among
District
Hospitals Date Confirmed Cases
Attock 9 1
Bahawalnagar 150 5
Bahawalpur 30 6 1
Bhakkar 84
Chakwal 7 4
Chiniot 10 8
D G Khan 32 18
Faisalabad 163 35 1
Gujranwala 99 39
Gujrat 64 138 2
Hafizabad 15 12
Jhang 32 1
Jhelum 293 33 2
Kasur 10 9
Khanewal 14 2
Khushab 34 4
Lahore 881 475 15
Layyah 74 1
Lodhran 27 3
M.B Din 43 9
Mianwali 16 11
Multan 228 23
Muzafargarh 84 1
Nankana Sahib 2 17
Narowal 8 8
Okara 3 1
Pakpattan 1
Rajanpur 9
Rawalpindi 88 102 8
Rahim Yar Khan 169 42 3
Sahiwal 3
Sargodha 67 14
Sheikhupura 22 10
Sialkot 49 31
T.T Singh 13 2 1
Vehari 70 35
DGK Q 221 (3 retest)
Multan Q 457 (366 retest)
Faisalabad Q 23 (13 retest)
Camp Jail 59
Camp Jail Gujranwala 7
Camp Jail Sialkot 14
District Jail DG Khan 9
Raiwind Q 472
Quarantine in Other
Districts 855
Total 2902 3217 34
STATUS OF QUARANTINE FACILITIES
Total No. # of Results
Total # Results
Quarantine Facility of Samples Remarks
Screened Received +ve -ve Awaited
Zaireen Collected
DG Khan 812 812 812 810 218 594 0
36 results were
DG Khan (Retest) 812 812 246 39 3 positive in first
testing
Multan 1247 1247 1247 1247 91 1156 0

Multa (Retest) 1162 1162 1162 1162 366 796 0

Faisalabad 158 158 158 158 5 153 0

Faisalabad
142 142 142 99 18 81 0
(Restest)

Raiwind Lahore &

2516 2516 1474 1484 472 1012 0
KSK

Camp Jail
551 551 551 551 89 462 0
Lahore/GRW/SKT

Other Quarantines 7747 7747 1115 855 855

Total 13031 13031 6907 6133 2117 4254 0

10263 people with the history of attending religious mass gathering are quarantined at 34 different locations across the
province and are being tested for COVID-19.

UPDATES / ACTIVITIES
1. PDSRU is in coordination with Point of Entries, High Dependency Units (HDUs) and focal persons nominated by SHC&ME
department.
2. PDSRU is in 24/7 Coordination with NIH Islamabad and PACP Laboratory in IPH Premises.
3. PDSRU medical officer facilitated the evaluation visit by NIH for services hospital on 5-2-20
4. Secretary P&SHD visited the PDSRU O/o DGHS to assess the capacity and preparedness of the disease surveillance system
in response to COVID-19 outbreak situation.
5. SOPs for Clinical management, surveillance and response finalized by technical working groups
6. Training of HCPs of Teaching hospitals, Rapid response teams of Multan and nearby districts and private hospitals on
clinical management, infection prevention & control and Surveillance & response regarding COVID-19 situation held at
Nishter Medical University.
7. Director General Health Services Punjab Visited Nishter Hospital Multan High Dependency Unit on 21.02.2020 to assess
the level of preparedness and arrangements for management of COVID-19 cases and Infection Prevention & Control (IPC)
protocols being followed by the staff based at HDUs and on 22.02.2020 visited Multan Airport to assess the level of
preparedness regarding screening and sorting of the International Travelers.
8. Training on Doffing & Donning for HDU Staff completed at Allama Iqbal Hospital Sialkot on 26th Feb, 2020.
9. Provincial reference lab of Punjab AIDS Control Program (PACP) is functional and equipped to carry out COVID-19 RT PCR
testing in case required.
10. Data of travelers from China received from airport health officer is being consolidated and shared with concerned DHAs
for tracking of the passengers at their locations and screen them for any symptoms of COVID-19 infection. The process of
tracking of passengers and response has been initiated by DHAs and is in process.
11. The worthy Chief Minister Punjab chaired a situational review and preparedness meeting on 27.02.2020
12. The DGHS Chaired review meeting with PDSRU Team regarding updated situation of COVID-19 Preparedness and
Response.
13. Provincial Working Group on Strategy to combat Corona Virus threat in Punjab under the Convener-ship of Worthy
Minister Health Punjab including departmental heads, infectious disease experts and academia as members has been
notified by Chief Minister Office Punjab Dated 04.02.2020
14. Master training on risk communication held under Director General Healthcare Services Punjab.
15. Hand washing and cough etiquettes promotion campaign initiated in schools of Punjab through SHNS.
16. Video Link Meeting chaired by Special Secretary and DGHS conducted on 09-3-2020 with all CEOs of Punjab to review
the current situation, preparedness & response and all CEOs directed to enhance the efforts for COVID-19 surveillance and
case facilitation.
17. Establishment of Quarantine facility in DG Khan, Ghazi University Campus 8 th March, 2020.
18. Director General Health Services Punjab visiting DG Khan on 11th March 11, 2020, to assess the facilities at Quarantine
facility established in Ghazi University DG Khan.
19. Training session is being conducted today March 11, 2020 for Health Care Providers working at HDUs of District DG.
Khan regarding infection prevention and safe sample collection & transportation of COVID-19.
20. Training of Police Line Staff Lahore on Infection Prevention & Control by PDSRU staff conducted on 12th March, 2020.
21. Training and on the spot implementation of the SOPs at quarantine established at Ghazi University D.G Khan by the
Provincial team on 14-03-2020.
22. 13005 Zaireen and Tableeghi Ijtema attendees were quarantined at 34 places in the province.
23. The worthy Chief Minister Punjab has announced a lockdown of province on 23-3-2020 to control COVID-19 spread.
24. Provincial Cabinet is daily reviewing the emerging situation of COVID-19 in Punjab.
25. District level trainings of HDU/Isolation/Quarantine staff were initiated on 27th March and is in process.
26.Android based reporting and surveillance system is fully functional at health facility level.
___________________________________________________________________________________________________

WHO Surveillance Case Definitions

Suspect case
A. A patient with acute respiratory illness (fever and at least one sign/symptom of respiratory disease, e.g., cough, shortness
of breath), AND a history of travel to or residence in a location reporting community transmission of COVID-19
disease during the 14 days prior to symptom onset.
OR
B. A patient with any acute respiratory illness AND having been in contact with a confirmed or probable COVID-19 case (see
definition of contact) in the last 14 days prior to symptom onset;
OR
C. A patient with severe acute respiratory illness (fever and at least one sign/symptom of respiratory disease, e.g., cough,
shortness of breath; AND requiring hospitalization) AND in the absence of an alternative diagnosis that fully explains
the clinical presentation.
Probable case
A suspect case for whom testing for COVID-19 is inconclusive.
• Inconclusive being the result of the test reported by the laboratory
OR
• A suspect case for whom testing could not be performed for any reason
Confirmed case
A person with laboratory confirmation of COVID-19 infection, irrespective of clinical signs and symptoms.
Definition of Contact
A contact is a person who experienced any one of the following exposures during the 2 days before and the 14 days after the
onset of symptoms of a probable or confirmed case:
1. Face-to-face contact with a probable or confirmed case within 1 meter and for more than 15 minutes;
2. Direct physical contact with a probable or confirmed case;
3. Direct care for a patient with probable or confirmed COVID-19 disease without using proper personal protective
equipment
OR
4. Other situations as indicated by local risk assessments.

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