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COVID-19 Weekly Situation Report

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COVID-19 Weekly Situation Report Week #30 (26 July – 01 August 2021) 06 August 2021 COVID-19 Weekly Situation Report # of Countries New Cases Reported New Deaths Reported Total Cases Total Deaths Reporting in the Week in the Week Reported Reported 11 out of 11 841 753 22 010 38 378 277 570 286 as of 1 August 2021 # of Countries Total number of # of persons who # of persons First dose per 100 introduced COVID- doses administered received the first dose fully vaccinated population 19 vaccine (of countries vaccinating) 10 out of 11 603 459 591 461 547 044 141 912 547 22.6 as of 3 August 2021 Highlights • South East Asia Region (SEAR) remains the third most affected WHO Region with 38.4 million cases, after the Americas (77.2 million cases) and European Regions (60.1 million cases). For the sixth consecutive week, there has been an increase in new cases globally and in the week 30 (26 July – 1 August 2021), there has been a 3.3% increase compared to the previous week. During this period, Americas, European and Africa region have reported decreases in new cases. • In the week 30 in the SEAR, there has been an 8.5% increase in new cases (n=841 753) compared to the previous week. This increase is mainly due to the increase in new cases in Bangladesh, India, Nepal and Thailand. There has been 3% increase in new deaths compared to the previous week and is mainly due to increase in new deaths in Thailand (30%), Indonesia (28%), Sri Lanka (28%), Myanmar (24%) and Bangladesh (19%). • The Delta variant of SARS CoV-2 has been reported in 135 countries across the world and has been reported in 10 countries in SEAR; Delta variant is one of the major factors for the current surge of new cases in Thailand, Bangladesh, Indonesia, Sri Lanka and Nepal. • More than 603 million doses of COVID-19 vaccines have been administered by ten countries in the SEAR with more than 478 million doses (79%) in India alone. Overview of situation (epidemiological week #30 for the period between 26 July to 01 August 2021) • Indonesia reported a decline in new cases for two consecutive weeks after reporting an increasing trend for nine consecutive weeks. In week 30, there has been a 5.2% decrease in new cases (n=273 891) compared to the previous week. Out of 34 provinces, 24 have reported an increase in new cases compared to the previous week; 5 provinces reported more than 50% increase in new cases compared to the previous week. During the week 30, eight provinces reported high case incidence of more than 150 cases per week per 100 000 population, namely, DKI Jakarta (439.7), DI Yogyakarta (369.2), North Kalimantan (314.7), East Kalimantan (288.9), Bangka Belitung Islands (220.1), Riau Islands (209.9), Bali (174.2) and West Papua (162.1). Test positivity rate (TPR) has decreased from the previous week but still remains high at 25.7% at the national level and ranges between 16% in DKI Jakarta and 78% in North Kalimantan. • Bangladesh reported a 64.4% increase in new cases (n=99 693) during the week 30, compared to the previous week. All divisions in the country have reported an increase in new cases ranging between 19.7% increase in Khulna to 84.1% increase in Sylhet. Over 69% of new cases in week 30, were reported only from Dhaka (47%) and Chattogram (22%) divisions. Daily testing numbers have increased across all divisions. The TPR has increased and is at 29.6%, at the national level; all divisions are reporting TPR of more than 20%. • India reported a 6.8% increase in new cases (n=283 923) in week 30, compared to the previous week. All major states in India have reported decline in new cases, except for Kerala (26.5% increase), Karnataka (17.3% increase), and Mizoram (38.8% increase). North eastern states which reported high weekly growth of cases in the past few weeks, have reported a smaller number of cases in week 30 compared to the previous week. Case incidence (per 100 000 population per week) remains high in Mizoram (447.1), Kerala (403.1), COVID-19 Weekly Situation Report 1 Sikkim (218.6), Manipur (187.7), Arunachal Pradesh (132.7) and Meghalaya (119.4). The TPR is 2.5% at the national level; high TPR of >10% is reported in Mizoram, Sikkim, Kerala, Manipur and Meghalaya. • In Myanmar, there has been a 17.2% decrease in new cases (n=33 140) in week 30, compared to the previous week. In week 30, all states/regions have reported decreases in new cases, except for Kayah, Mandalay, Shan, Shan East and Tanintharyi. The top 5 states/regions reporting increased new cases in week 30 are Bago, Yangon, Mandalay, Magway and Ayeyarwady. The average daily tests in week 30 has been reduced to 13,207 compared to 14,998 daily tests in the previous week, however the TPR remains at 37.6%. • Thailand continues to report an increase in new cases for the seventh consecutive week and during the week 30, and there has been a 25.7% rise in new cases (n=118 012) compared to the previous week. Nearly 75% of the new cases are reported outside Bangkok. Top 5 provinces reporting the highest COVID-19 transmission are Bangkok, Chonburi, Samut Sakhon, Samut Prakhan and Nonthaburi. The TPR has increased and is at 25.3% at the national level. • Nepal continues to report an increase in new cases and in week 30 there has been a 25% increase in new cases (n=16 814) compared to the previous week. Majority of the new cases (52%) are reported in Bagmati province. The TPR has increased and is at 22% at the national level and ranges from 7.6% in Province 2 to 37.9% in Karnali province. • Sri Lanka continues to report increase in number of new cases for the third consecutive week and in the week 30, there has been a 28% increase in new cases (n=14 833) compared to the previous week. All provinces except for Sabaragamuwa, Southern province, and North Central province are showing increases of new cases. The genomic sequencing reports and epidemiology of the cases detected in the Western province show a wave of COVID-19 due to the Delta variants of the SARS-CoV 2 in the province. TPR increased from the last week and is at 15.8% at the national level. • Maldives reported an 8.5% decrease in new cases (n=797) in the week 30, compared to the previous week. Cases continue to decline in Greater Male region (GMR) and outside of the GMR in the atolls, there are currently 848 active cases across 38 inhabited islands. The TPR is maintained at 2.1%. • Bhutan has reported a 50.8% decrease in new cases (n=32) in the week 30 compared to the previous week. Cases continue to be detected in the two active clusters namely Phuntsholing and Samtse which are bordering India. Majority of the new cases in week 30 are detected among contacts. The TPR at the national level is at 0.9%. • Timor-Leste reported a 180.9% increase in new cases (n=618) in week 30 compared to the previous week. The increased number of new cases is due to increased detection of cases in Ermera municipality which contributed to 65% of new cases. The TPR showed an increased upto 6.5% at the national level. Figure 1: Reported number of cumulative COVID-19 cases and deaths in countries in SEAR from 1 January 2020 to 1 August 2021 500 000 Country Cases (% of total) Deaths (% of total) CFR (%) 450 000 India 31655824 (82%) 424351 (74%) 1.3 Indonesia 3440396 (9%) 95723 (17%) 2.8 400 000 Bangladesh 1264328 (3%) 20916 (4%) 1.7 Nepal 697370 (2%) 9875 (2%) 1.4 350 000 Sri Lanka 311349 (0.8%) 4451 (1%) 1.4 Thailand 615314 (1.6%) 4990 (0.87%) 0.8 300 000 Myanmar 302665 (0.8%) 9731 (1.71%) 3.2 250 000 Maldives 77547 (0.2%) 221 (0.04%) 0.3 Timor-Leste 10966 (0.03%) 26 (0.005%) 0.2 200 000 Bhutan 2518 (0.007%) 2 (0.0004%) 0 Number of cases Number DPR Korea 0 0 150 000 100 000 50 000 0 1-Jul 1-Jul 1-Apr 1-Apr 1-Oct 1-Jan 1-Jan 1-Jun 1-Jun 1-Feb 1-Feb 1-Aug 1-Aug 1-Sep 1-Nov 1-Dec 1-Mar 1-Mar 1-May 1-May Date COVID-19 Weekly Situation Report 2 Table 1: Regional COVID-19 situation, as of 1 Aug 2021 WHO SEARO, in collaboration with WHO Country offices, continues to monitor the detection and reporting of SARS-CoV-2 variants of concerns (VOCs) in the SEA region (Table 2). Table 2: SARS-CoV-2 variants of concern (VOC) in SEAR, as of 3 August 2021 Country Alpha Beta Gamma Delta Bangladesh ● ● - ● Bhutan ● ● ● India ● ● ●** ● Indonesia ● ● - ● Maldives ● - - ● Nepal ● - - ● Sri Lanka ● ● - ● Thailand ● ● ●** ● Timor-Leste ●** - - ●** Myanmar ● - - ● ** detection of VOCs only in incoming travelers under quarantine Summary of published Seroprevalence Studies in SEAR: To date five countries in SEAR have published results of seroprevalence studies including India (76 studies), Thailand (3 studies), Nepal (2 studies), Bangladesh (1 study), Indonesia (1 study) and Sri Lanka (1 study). As per available information at WHO SEARO, studies across the region started in as early as April 2020 and were conducted until June 2021 (as per published studies). Targeted populations of these studies ranged from those in hospital settings, slums, cities, districts, and states to nationwide populations with sample sizes ranging from 164 people living with HIV/AIDS (PLHIV), 244 health care workers to around 29 000 households at the community level.
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