DAILY SITUATION REPORT BALOCHISTAN

PROVINCE
z

COVID-19
Updates from Operations Cell, Health Department, Govt. of Balochistan Date: 04-06-2020 Updates till: 8:00 PM

Graph 01. Provincial positive cases of COVID-19, 4th June 2020

90000 85622
80000
70000
60000
50000
40000 32910 31104 30144
30000
20000 11373
5582 3544 1823
10000 824 285
0

Graph 02. COVID-19 cases details till 4th June 2020, Balochistan
80000
68691
70000

60000

50000

40000
25802 28099
30000 23495
20000

10000 5582 3492

798 228 2037 53 48 600
0
Total Total Total Test Total Total Test Todays Recovered Active case Confirm Probable Result
Screened Suspected Conducted Negative Positive Conducted Positive Death Death Pending
Cases today

Graph 03. Quarantine population Till 4th June 2020 - Balochistan

400 370
350

300
243
250
196
200

150
107 102
100

50 15 21 16 31
0 0 8 9 11 7
0
BALOCHISTAN HIGHLIGHTS COVID-19
COVID-19 is now lurking dilemma and effected the most vulnerable especially with co-morbidities. Due to social norms
people avoid to declare patient dying with COVID-19 and hesitant to inform the local and health authorities who reflect bias
especially in death list of Balochistan considering these facts, the death policy must be revised to find and detect the
underreported death. The following protocol is using to minimize any bias death reporting.
Deaths declared by the clinician of the hospital and lab-verified as of coronavirus are taken into the official line list of the
Operation Cell, Health Department, GoB whereas no mechanism is in place to consider those who died in the hospital in
Probable of coronavirus OR whose lab-investigation was underway and not followed-up after the death. Such prior deaths
will be verified by the respective clinicians of the hospital after considering all sign & symptoms and may declare it as COVID-
19-based death or non COVID-19 to be further incorporated in official line list of coronavirus disease accordingly. By
following above mention criteria, the last two weeks’ Probable deaths (Please check last page for probable death case
definition) have been taken from community (homebased) and hospitals. Due to increasing local transmission and less
following disease prevention protocols the mortality (Deaths) are increasing. The deaths are confirmed (53) & Probable (46).

COVID-19 DEATHS Death Category with positive COVID-19

05 Renal Failure
CONFIRMED PROBABLE 07 Hypertension/Diabetes
40 ARDS/COPD
53 48
01 Carcinoma

Districts with Local transmission

S.No Districts % Numbers Local transmission %age district wise - Balochsitan, 3rd June 2020
1 Quetta 83.8 4618
2 Chagai 0.6 33 Quetta
3 Lorlai 0.5 30 Chagai
4 Killabdullah 2.6 143 Lorlai
5 Pishin 2.5 136 Killabdullah
6 Mastung 1.3 72 Pishin
7 Sibi 0.5 27 Mastung
8 Jafarabad 2.1 115 Sibi
9 Khuzdar 0.7 40 Jafarabad
10 Harnai 0.3 16 Khuzdar
11 Kharan 0.1 5 Harnai
12 Ziarat 0.2 9 Kharan
13 Nushki 0.2 11 Ziarat
14 Panjgur 0.5 29 Nushki
15 Lasbela 1.2 64 Panjgur
16 Killasaifullah 1.4 79 Lasbela
17 Zhob 0.1 5 Killasiafullah
18 Dera Bugti 0.3 16 Zhob
19 Gwadar 0.2 13 Dera Bugti
20 Kachi 0.1 3 Gwadar
21 Musakhail 0.1 3 Kachi
22 Kohlu 0.0 1 Musakhail
23 Kalat 0.5 29 Kohlu
24 Nasirabad 0.0 2 Kalat
25 Jhal Magsi 0.1 7 Nasirabad
26 Washuk 0.0 1 Washuk
27 Kech / Turbat 0.0 1

 In last 24 hours 228 confirmed COVID-19 cases have been reported from 16 districts (Quetta, Chaghi, KillaSaifullah, Pishin,
Mastung, Jafferabad, Kalat, Sibi & Killa Abdullah) and total has risen to 5582 including 130 cases from last batch of yesterday
including2 confirmed deaths and 05 probable deaths. The active cases are 3492 and overall COVID-19 deaths 53 (CFR 0.95%).
 Out of 5582, 98.7 % (5508) cases are from local community, Quetta (4,618) followed by Killabdullah (143), Pishin (136),
Jaffarabad (115), and Killasaifullah (79).
 In last 24 hours 288 asymptomatic home isolated COVID-19 Positive persons recovered/released after completion of 28 days’
isolation with clear guidelines to follow all SOPs. The totals recovered are 2,037 which are 36.5 % of total cases.
 COVID-19 LABORATORY STATUS OF BALOCHISTAN PROVINCE

Presently, (04) lab facilities are existing in the whole province at Fatima Jinnah General & Chest Hospital and Sheikh Khalifa Bin Zaid
Hospital while one specific lab arrangements done in BMC Hospital solely for the tests of Doctors and medical related staff. The graph 04
shows the daily basis lab capacity improvement. The data is only from PHL-Quetta. BMCH and SKBZ not included.

Daily Lab Test Conducted at Fatima Jinnah Lab from 9 april - 4th June 2020 - Quetta (n=24311)
1200 1083
1000 863 831 843
793 753 783 798
800 636 585 565 604 583 615
559 542 495
600 476 428 457 441
386 417 414
358 343
400 317 271 302 313 311 296 334
224 196
200
0
10-May-20
11-May-20
12-May-20
13-May-20
14-May-20
15-May-20
16-May-20
17-May-20
18-May-20
19-May-20
20-May-20
21-May-20
22-May-20
23-May-20
24-May-20
25-May-20
26-May-20
27-May-20
28-May-20
29-May-20
30-May-20
31-May-20
1-Jun-20
2-Jun-20
3-Jun-20
4-Jun-20
1-May-20
2-May-20
3-May-20
4-May-20
5-May-20
6-May-20
7-May-20
8-May-20
9-May-20

SURVEILANCE
th
RRT 4 June 2020 Updates

 Total 16(1%) of total home isolated COVID-19 positive cases released on completion of their 28 days home isolation
 Till date total 1727 Covid-19 Positive home isolated cases has been released after 28 Days isolation protocols, the other
recovered after negative Repeat tests.
rd nd
 The maximum number of COVID-19 Positive cases released was 288 (17%) ON 3 June 2020 followed by 168(10%) on 2 June
th
2020 and minimum 15(1%) released on 24 May 2020 based on the Lab declared daily positive cases.
 RRTs screened 1803 persons for COVID-19 and took 658 samples from suspected cases
 The District Quetta RRT screened 1601 and took 614 Lab samples which is the highest number done by a D.RRT.

Balochistan COVID-19 Positive Home Isolated Cases Released After

Completion of 28 Days Isolation Protocol

350 17% 18%

300 16%
% from total released

14%
No of cases Released

250 9% 10%
12%
200 7%
8% 10%
150 5% 6%
288 8%
5%
4% 4% 6%
100 3% 3%
3% 163 3% 168 4%
2% 2% 2% 2% 2% 133 2%
50 1%
82 88 98 1% 118 1% 2%
47 34 46 34 37 32 65 46 73 36 58 16
22 28
0 15 0%
6/1/2020
6/2/2020
6/3/2020
6/4/2020
5/13/2020
5/14/2020
5/15/2020
5/16/2020
5/17/2020
5/18/2020
5/19/2020
5/20/2020
5/21/2020
5/22/2020
5/23/2020
5/24/2020
5/25/2020
5/26/2020
5/27/2020
5/28/2020
5/29/2020
5/30/2020
5/31/2020

Date of Release
No. of Cases Released % from total released
 Balochistan COVID-19 Positive Cases
Monthly Trend Feb -May 2020
3500 80%
No of COVID-19 cases

72.8%

% of COVID-19 cases
3000 70%
2500 60%
50%
2000
40%
1500 23.5% 3199
30%
1000 0% 3.7% 20%
500 0 161 1033 10%
0 0%
February March April May
Months

Cases %

PPHI-B Progress

 10 teams will be used for 2 shifts for sample collection.

 3 ambulance for patient transfer
 152 samples were collected in today scanning.
 21 samples of R1 were collected.

LIMITED EPIDEMIOLOGICAL ANALYSIS OF 4393 CASES TILL 1st June 2020

Graph 07: DOUBLING OF CASES TO 500: The graph shows a smooth pattern of reporting of 500 cases within first 42 days evident to the
newly entry of virus and strict lockdown, restricting people inside home, however a clear picture of rise in coronavirus cases can be seen
through first 500 cases reported over completion of early 42 days which turned twice to 1000 cases within a week. This pattern
continued rising to next 500 cases in the next 7 days cumulating 1500 cases within 2 weeks and this pattern clearly explain increasing of
cases due to very fast local transmission. The recent addition of 500 cases the total cases crossed 5500 within 24 hours alone taking this
number to ultimate hype. The hype in reporting of the sudden cases was in result of relaxation in the lockdown during EID days, letting
masses to move out, extrovertly visiting shopping places and un-necessary outdoor visit most probably.

Doubling of casess within days used 500, Balochistan Province till 4th June 2020
6000

5000 5500
5000
4000 4500
4000
3000 3500
3000
2000 2500
2000
1000 1500
500 1000
0
42 7 7 5 5 6 6 4 3 2 1
Number of Days
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 COVID-19 Operational Cell
TEL: +92-300-3869070 Tel: +92-321-2729110
DR. EHSAN LARIK Dr. DAWOOD RIAZ
PDSRU – TECHNICAL SUPPORT OFFICER NPO Public Health Surveillance/ World Health Organization
MOB # 0332-7977162 +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.

What is a COVID-19 probable case?

A probable case or death is defined by

 Meeting clinical criteria AND epidemiologic evidence with no confirmatory laboratory testing performed for
COVID-19; or
 close contact of a confirmed case that has a high exposure history, meets the clinical criteria and for whom testing
cannot be performed,
 Meeting presumptive laboratory evidence AND either clinical criteria OR epidemiologic evidence; or
 Meeting vital records criteria with no confirmatory laboratory testing performed for COVID-19.
Reference:

https://www.cdc.gov/coronavirus/2019-ncov/covid-data/faq-surveillance.html

https://www.health.govt.nz/system/files/documents/pages/case-definitions-22may20.pdf