COVID-19 Update 2077 Falgun 6 / 18 February 2021/ Thursday
Government of Nepal Ministry of Health and Population
1 Topline Summary 2077 Falgun 6, Thursday . Out of 2,131,330 RT-PCR tests done 273,166 cases are positive. Cumulative positivity rate: 12.9%; Positivity rate of the new cases: 2.5%. . 98.7% of the total cases have recovered; 0.59% (1,603) of the cases are active; and 34.4% of the active cases (551) are in home isolation. . Of the total 2058 COVID-19 deaths, 97% of the deaths occurred in hospital. The most common comorbidity identified in fatal cases was hypertension (39.9%). Death reported in last 24 hours: 3 . Districts with no active cases: 6; Districts with more than 200 active cases: 1; Districts with more than 500 active cases: 1 (Kathmandu); New cases reported from 25 districts. . 5.3% of ICU beds and 2.8% of Ventilators designated for COVID are occupied. . 35% of the total cases and 43.8 % of the new cases are female. . Of the total 83 RT-PCR testing laboratories, 48 (57.8%) are Public. 64% of the new tests are covered by private labs. . 340,874 people have received COVID-19 Vaccine; No severe AEFI cases reported so far. Second phase of the national vaccination campaign started from Falgun 2. A total of 152,710 people have received vaccine in the second phase till today. 2 HIGHLIGHTS 2077 Falgun 6, Thursday RT-PCR Total Positivity Active Recovere People People in Death Tests Cases Rate (%) Cases d Cases Vaccinated Quarantine
2,131,330 273,166 12.9 269,505 2,058 340,874 1603 (98.7%) (0.75%) 71 (0.59%) [3,541] [96] [2.5] [111] [3] [40,819] Total [new cases in the last 24 hours]
Management of Active Cases 2077 Falgun 6, Thursday Hospital / ICU Ventilator ICU + Ventilator Home Isolation Institutional Isolation 1052 61 13 74 551 65.6% 3.8% 0.8% 4.6% 34.4% 3 COVID-19 Vaccination: Status as of 2077 Falgun 6
[First Phase of the National Campaign has been completed and Second Phase Started from Falgun 2 ]
360000
350000 New and Cumulative cases of COVID vaccination
340000 340874 330000
320000
310000 300055 300000 290000 280000 270000 263124 260000
250000
231681
240000
230000
220000 203540
210000
188983
200000 187509
186490
186081
185740 185506
190000 184893 176926
180000 160454
170000
160000 150473
150000 134359 140000 130000
120000 116731
110000 98296
100000 90000
80000 71927 70000 60000 52943 50000
40000 29695 40819 30000
20000 11066 10000 0 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 2 3 4 5 6 Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Falgun Falgun Falgun Falgun Falgun
Cumulative New
As of 2077 Falgun 6, 7:15pm Source: DoHS, COVID-19 Vaccination Reports 4 Province wise daily coverage of COVID 19 Vaccine 43000 42000 41000 40000 39000 38000 37000 36000 35000 34000 33000 32000 31000 30000 29000 28000 27000 26000 25000 24000 23000 22000 21000 20000 19000 18000 No of People People of No 17000 16000 15000 14000 13000 12000 11000 10000 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 2 3 4 5 6 Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Falgun Falgun Falgun Falgun Falgun Day Province 1 Province 2 Bagmati Gandaki Lumbini Karnali Sudurpaschim
Source: DoHS, COVID-19 Vaccination Reports 5 COVID-19 Vaccination Campaign Second Phase of First Priority
Source: DoHS, COVID-19 Vaccination Report, 2077 Falgun 6 6 COVID-19 Vaccination Campaign Second Phase of First Priority
Source: DoHS, COVID-19 Vaccination Report, 2077 Falgun 6 7 COVID-19 Active Cases 2077 Falgun 6/ 18 February 2021
Legend No case 1 - 50 51 - 200 201 +
COVID-19 No. of Districts with Cases Cases No case 1-50 51-200 201+ Cumulative 0 4 7 66 Active 6 68 2 1 https://heoc.mohp.gov.np 8 10 15 20 25 30 35 0 5
Province 1 (4)
Sarlahi 3
1 Saptari New COVID
Kathmandu 30
Lalitpur 9
Nuwakot 4 Bagmati (54) -
Bhaktapur 3 19 Cases Reported on 2077
Chitawan 3
Dhading 2
Makwanpur 2 Kathmandu Valley Kathmandu District
Ramechhap 1
Kaski 19 [N =
Lamjung 2 96] Gandaki Gandaki (25) Gorkha 1
Nawalparasi East 1
42 30 Falgun 1
Parbat
Syangja 1 43.8% 31.3%
Palpa 4 6,
Arghakhanchi 1 by District ( Lumbini Lumbini (8) 56.2% Banke 1 Male,
Gulmi 1
Nawalparasi West 1 25)
1 Female, Rupandehi 43.8%
Karnali (2)
Dailekh 1 9 Sudurpaschim Sudurpaschim (2)
Surkhet 1
Kailali 2 COVID-19 Cases by Age Group and Sex 16.0 15.0 [20-59 Years: 80.3%] 14.1 14.0
12.0 12.0 11.7 Female, 38.4% Male, 10.0 9.3
61.6% [0-19 Years: 8.9%] 8.0 7.3
Percentage 6.4 Female Male 6.0 4.5 4.5 [60 plus Years: 10.2%] 4.0 3.3 2.5 2.0 1.9 2.0 1.4 1.0 1.2 0.8 0.5
0.0 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ Years
10 25000 30000 10000 15000 20000 5000 0
upto 20 Baishak 59 21-27 Baishak 50
28 Baishak-3 Jestha 172 1000 2000 3000 4000 5000 6000 7000 0
4-10 Jestha 303 1 Shrawan 11-17 Jestha 817 8 Shrawan 15 Shrawan 18-24 Jestha 1834 22 Shrawan COVID 25-31 Jestha 2100 29 Shrawan 4 Bhadra
3270 - 32 Jestha-6 Asar 11 Bhadra 19 New Cases: Daily andWeekly Moving Average 18 Bhadra 7-13 Asar 3704 New Cases 25 Bhadra 14-20 Asar 3182 1 Ashoj COVID 8 Ashoj 21-27 Asar 1228 15 Ashoj 28 Asar-3 Shrawan 783 22 Ashoj 29 Ashoj
4-10 Shrawan 981 Average Weekly Moving 6 Kartik 13 Kartik 11-17 Shrawan 1603
20 Kartik -
18-24 Shrawan 2506 27 Kartik 19 New by Cases Weeks 4 Mangshir 25-31 Shrawan 3427 11 Mangshir 32 Shrawan - 6 Bhadra 5098 18 Mangshir 25 Mangshir
7-13 Bhadra 6223 2 Poush 9 Poush 14-20 Bhadra 7937 16 Poush
21-27 Bhadra 7843 23 Poush Magh 1 28 Bhadra-3 Ashoj 9677 Magh 8 Magh 15 4-10 Ashoj 9024 Magh 22 11-17 Ashoj 12749Magh 29 Falgun 6 18-24 Ashoj 21114 25 Ashoj-1 Kartik 23620 2-8 Kartik 25929 9-15 Kartik 15510 16-22 Kartik 20893 23-29 Kartik 16663 30-Kartik-6 Mangshir 10340 7-13 Mangsir 12084 14-20 Mangsir 9162
21-27 Mangsir 7708 28 Mangsir- 4 Poush 4761 5-11 Poush 4516 12-18 Poush 3738 19-25 Poush 3083 -17.52% 26 Poush-Magh 3 2897 -6.03% 4-10 Magh 1858 -35.86% 11-17 Magh 1674 -9.90%
11 18-24 Magh 952 -43.13% 25 Magh-1 Falgun 751 2-8 Falgun 552 Management of Active Cases by Province Cases in Total Home Isolation ICU Ventilator Hospital/ Province Active Occupancy Occupancy Isolation Cases N % Capacity Capacity Center N % N % Province 1 28 4 24 85.7 110 0 0.0 40 0 0.0 Province 2 34 0 34 100.0 48 0 0.0 21 0 0.0 Bagmati 1149 856 293 25.5 553 27 4.9 255 7 2.7 Gandaki 188 24 164 87.2 232 8 3.4 68 2 2.9 Lumbini 128 113 15 11.7 114 24 21.1 27 3 11.1 Karnali 22 3 19 86.4 62 2 3.2 27.00 0 0.0 Sudurpaschim 54 52 2 3.7 27 0 0.0 23 1 4.3 Total 1603 1052 551 34.4 1146 61 5.3 461 13 2.8 As per reports received at HEOC on 2077 Falgun 6 by 02:00 pm 12 COVID-19 Active Cases in Home Isolation Number of COVID-19 Patients in ICU and Ventilator 35000 ICU Ventilator
600
30000
500 25000
400
20000
300
15000 Number
19 Active Cases in Home Isolation Isolation Home in Cases Active 19 - 200 10000
No. of of COVID No. 100 5000
0
0
Magh 4 Magh 9 Magh
Kartik 5 Kartik
Falgun 4 Falgun
Ashoj 05 Ashoj 10 Ashoj 15 Ashoj 20 Ashoj 25 Ashoj 30 Ashoj
Magh 14 Magh 19 Magh 24 Magh 29 Magh
Kartik 10 Kartik 15 Kartik 20 Kartik 25 Kartik
Poush 03 Poush 08 Poush 13 Poush 18 Poush 23 Poush 28 Poush
Bhadra 01 Bhadra 06 Bhadra 11 Bhadra 16 Bhadra 21 Bhadra 26 Bhadra 31 Bhadra
Mangsir 03 Mangsir 08 Mangsir 13 Mangsir 18 Mangsir 23 Mangsir 28 Mangsir
Magh 2 Magh 9 Magh
Kartik 4 Kartik
Push 01 Push 07 Push 13 Push 19 Push 25 Push
Falgun 3 Falgun
Ashoj 04 Ashoj 10 Ashoj 16 Ashoj 22 Ashoj 28 Ashoj
Magh 15 Magh 21 Magh 27 Magh
Kartik 10 Kartik 16 Kartik 22 Kartik 28 Kartik
Bhadra 05 Bhadra 11 Bhadra 17 Bhadra 23 Bhadra 29 Bhadra
Mangsir 07 Mangsir 13 Mangsir 19 Mangsir 25 Mangsir Shrawan 31 Shrawan Shrawan 25 Shrawan Date Date
13 Estimated and Reported New Cases by Month (as of 2077 Magh 30) Estimated and Reported New Cases Estimated and Reported New Cases 2077 Asar-Ashoj 2077 Kartik -Magh
Estimated New Cases
Reported New Cases Estimated New Cases Reported New Cases 160,000
2,500,000 148,107
146,420
140,000 2,000,000
120,000
100,000
1,500,000 88,251
83,639
80,000
1,000,000
60,000
46,698
1,969,159
40,404
1,628,859
40,000
500,000
15,963
20,000 10,590
6,414
2,568 - - 2077 Asar-Ashoj 2077 Kartik 2077 Mangsir 2077 Poush 2077 Magh Total of the quarter (Kartik - Magh 2077)
14 Severe Acute Respiratory Illness (SARI) Cases reported in 2018, 2019, 2020 and 2021
2021 2018 2019 2020 Epi Week 5 EWARS sentinel sites are 500 Year SARI Cases expanded from 82 in 2018 15000 12553 SARI Cases 10594 450 to 118 in 2020. 2021 102 10000 7483 2020 255 400 5000 443 2019 243 0 350 2018 2018 2019 2020 2021 226
300
250
200
150
100
50
0
W1 W2 W3 W4 W5 W6 W7 W8 W9
W10 W11 W12 W13 W14 W15 W16 W17 W18 W19 W20 W21 W22 W23 W24 W25 W26 W27 W28 W29 W30 W31 W32 W33 W34 W35 W36 W37 W38 W39 W40 W41 W42 W43 W44 W45 W46 W47 W48 W49 W50 W51 W52 W53
Source: EWARS Bulletins, EDCD COVID-19 Deaths [N=2058] 2500 560 506 509 Highest No. of COVID-19 deaths (30) was reported on 19 Kartik
520 480 2054 2058 Female, 440 1994 2027 2038 618, 30% 400 1954 2000 336 1870 1912 360 1819 19 DEATHS 19 320 275
- 1777 280 1689 240 207 200 1577 160 117 1454 1500 120 65 80 20 19 1305 40 4 0 1215 NUMBER OF COVID OF NUMBER 1087
1000 MONTHS 937
19 Deaths 19 Male, 842 - 1440, 727 70% 614 528 467 500 401 336 280 207 102 146 56 73 1 4 8 13 20 22 27 34 38 40 45 113 115 150 128 149 123 112 61 73 56 65 66 61 86 95 90 88 51
0 1 3 4 5 7 2 5 7 4 2 5 11 17 29 44 42 42 42 40 33 11 16 4 Number of COVID of Number
Weekly (cumulative) Weekly (new)
Definition of COVID-19 death: A COVID-19 death is defined for surveillance purposes as a death resulting from a clinically compatible illness in a probable or confirmed COVID-19 case, unless there is a clear alternative cause of death that cannot be related to COVID-19 disease (e.g., trauma). There should be no period of complete recovery between the illness and death [Source: WHO] 16 Positive Age specific case 2077 Falgun 6 Age group Deaths Place of Death N % cases fatality rate (%)# Province CFR Home 32 1.55 0-4 2,727 8 0.29 Province 1 0.75 5-9 3,701 3 0.08 Province 2 1.06 Hospital 2003 97.33 10-14 5,353 1 0.02 Bagmati 0.67 Institutional Isolation 2 0.10 15-19 12,255 18 0.15 1.14 Gandaki On the way to Hospital 16 0.78 20-24 32,001 29 0.09 Lumbini 0.95 Institutional Quarantine 4 0.19 25-29 40,936 36 0.09 Karnali 0.42 30-34 38,546 58 0.15 Sudurpaschim 0.44 Street 1 0.05 35-39 32,799 79 0.24 Nepal 0.76 Total 2058 100.00 40-44 25,278 94 0.37
45-49 19,916 125 0.63 45.00 39.90 Comorbidities of COVID 19 (N=2058) 50-54 17,585 142 0.81 40.00 36.00 55-59 12,235 195 1.59 35.00 33.20 60-64 9,049 193 2.13 30.00 25.70 25.00 65-69 6,756 240 3.55 20.00 70-74 5,064 295 5.83 15.00 9.30 10.00 75-79 3,373 215 6.37 5.20 4.40 80-84 2,081 179 8.60 5.00 2.10 1.00 0.80 0.00 85+ 1,467 144 9.82 NA 2,044 4 0.20 Total 273,166 2058 0.75 *NA=Age is not reported for 2044 cases * Case Number of deaths from COVID-19 Note: Comorbidity not mentioned in 583 deaths X 100 fatality ratio Source: Provisional data reported at EDCD (%) Number of confirmed cases of COIVD-19 17 Source: https://www.who.int/publications/i/item/WHO-2019-nCoV-Sci-Brief-Mortality-2020.1 Milestones on RT-PCR Tests Highest positivity rate (%) 34.8 10 Kartik 5,006 tests with 1741 positive cases 2nd Highest positivity rate (%) 28.6 21 Kartik 10,153 test with 2909 positive cases 3rd Highest positivity rate (%) 28.5 5 Kartik 20,118 tests with 5743 positive cases Highest number of RT-PCR tests 20,118 5 Kartik 5,743 positive cases with 28.5% positivity rate 2nd Highest number of RT-PCR tests 19,320 24 Ashoj 5008 positive cases with 25.9% positivity rate Highest number of positive cases 5743 5 Kartik 20,118 tests with 28.5% positivity rate 2nd Highest number of positive cases 5008 24 Ashoj 19,320 tests with 25.9% positivity rate Highest number of districts reporting 30 Ashoj and 17 71 92.2% districts new cases Kartik
New RT-PCR tests 3541 6 Falgun 96 positive cases with 2.7% positivity rate
Total RT-PCR tests 2131330 As of 6 Falgun 273166 positive cases; Positivity rate: 12.8%
Cumulative - Positivity Rate (%) 12.8 As of 6 Falgun 2131330 tests with 273166 positive cases RT-PCR Tests per million population 72272 As of 6 Falgun Total RT-PCR testing laboratories 83 As of 6 Falgun 48 Public (57.9%); 35 Private (42.1%) Weekly New Test, New Positive Cases and Positivity Rate
New RT-PCR Test New COVID-19 Positive Positivity Rate 120000 30.00
100000 25.00
25.21
24.75
23.46
80000 20.00
22.48
22.27
20.91
20.52
17.83
60000 15.00
15.77
15.74
15.24
13.82
40000 13.19 10.00
12.28
11.34
10.69
10.14
8.98
8.98
8.88
8.53
8.42
8.06
7.81
20000 5.00
7.13
7.10
6.03
5.88
5.82
4.87
4.74
4.06
3.88
3.71
3.69
3.61
3.59
3.10
2.43
0 0.00
1.68
1.62
1.59
1.22
1.05
0.51
0.26
0.21
0.15
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 RT-PCR Testing Laboratories for COVID-19
Public Private RT-PCR Testing Laboratories 100% Province Public Private 90% 33 Total 80% 42 N N % % % 70% 64 60% Province 1 4 50.0 4 50.0 8 9.6 50% 5 83.3 1 16.7 6 7.2 40% Province 2 67 30% 58 Bagmati 21 46.7 24 53.3 45 54.2 20% 36 10% Gandaki 2 66.7 1 33.3 3 3.6 0% Laboratories Tests - Cumulative Tests - New Lumbini 6 54.5 5 45.5 11 13.3 Public Private Total Karnali 4 100.0 0 0.0 4 4.8 Laboratories 48 35 83 Sudurpaschim 6 100.0 0 0.0 6 7.2 Tests - Cumulative 1427277 704053 2131330 Total 48 57.8 35 42.2 83 100.0 Tests - New 1266 2275 3541
20 Stock Status of COVID-19 Key Commodities (2077 Falgun 6) Available Stock / Province SN Particulars Central Province Province Sudurpash Bagmati * Gandaki Lumbini Karnali Total Store * 1 2 chim Laboratory and Vaccine A commodities 1 COVISHIELD Vaccine 10 Dose 26398 2915 2492 7285 4755 4239 192 4031 52307 2 RT-PCR Kits 290096 3660 51956 13400 56732 5464 3488 27136 451932 3 Viral Transport Medium (VTM) 217942 22103 27732 44981 47733 46998 11100 47229 465818 4 RNA extraction Kit 148548 1174 28556 19064 80192 15250 7756 30517 331057 B Personal protective equipment 4 PPE Set 0 3567 6930 6160 2798 9732 555 4316 34058 5 Mask-N95 93446 22268 25229 30427 31636 22171 5068 27117 257362 6 Surgical Mask 1446093 558645 528566 1100563 527048 764825 174647 725904 5826291 7 Gown 65248 61714 93264 78828 49490 71609 19378 52714 492245 8 Face Shield 26542 9524 4942 77981 17379 38247 952 3471 179038 9 Shoe Cover 933 21142 32415 40480 22489 28169 7046 21495 174169 10 Surgical Gloves 45502 29351 35192 34967 29203 138048 14285 64770 391318 11 Head Cap 0 50637 2170 13860 8154 11420 943 9209 96393 12 Goggles Polycarbonate 120 2998 4416 6053 2774 2907 896 2607 22771 13 Safety Goggles 40103 11759 10009 18797 15092 12892 2679 4416 115747 Note: N95 includes N95 Mask and KN95 Mask; Surgical Mask includes Mask and Surgical Mask; Gown include Disposable Gown and Gown for reusable and Head cap includes Head Cap and Surgical Cap * Central store includes NPHL and Bagmati province excludes Central store. Source: eLMIS; data extracted on 17 February 2021 at 8:00 PM 22