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Situation Update #64- Coronavirus Disease 2019 (COVID

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Situation Update #64- Coronavirus Disease 2019 (COVID Situation Update #64- Coronavirus Disease 2019 (COVID-19) WHO Country Office for Nepal Reporting Date: 29 June – 5 July 2021 SITUATION OVERVIEW HIGHLIGHTS *Data as of HEOC of MoHP Situation Report, 5 July NEPAL 2021 (Data as of 6 July 2021, 07:00:00 hours) ● Of the total COVID-19 positive cases, 94.6% (611429) 646,367 (RT-PCR) and of cases have recovered and 3.9% (25,690) of cases 38,994 (Antigen RDT) are active. confirmed cases ● Of the total active cases, 89.5% (22,998) cases are in 9,248 deaths home isolation; 10.5% (2,692) of cases are 3,376,041 RT-PCR tests and undergoing hospital/institutional isolation. While 208,276 Antigen RDT 2.2% (571) patients require ICU admission, 31.5% (180) of the ICU admitted patients require ventilator SOUTH-EAST ASIA REGION support. (Data as of 4 July 2021) ● Eight districts have reported more than 500 active 35,219,144 confirmed cases cases. 495,939 deaths ● Among the total new cases (11179) reported this week, 20.9% (2336) are from Kathmandu district. GLOBAL Most of the new cases about 29.3% (3276) have (Data as of 4 July 2021) been reported from Kathmandu valley (Kathmandu, 183,198,019 confirmed cases Lalitpur and Bhaktapur districts), Bagmati Province. 3,971,687 deaths ● COVID-19 vaccination coverage status (Source: IHIMS/IMU as of 5 July 2021): COVISHIELD Vaccine SARS-CoV-2 Vaccine (Vero Cell) First dose : 1,828,484 First dose : 783,323 Second dose : 460,734 Second dose : 299,220 NEPAL EPIDEMIOLOGICAL SITUATION • As of 6 July 2021, T0 7:00:00 (week no. 27), a total of 646,367 (19.4%) COVID-19 cases were confirmed through polymerase chain reaction (RT-PCR); 3,376,041 RT-PCR tests have been performed nationwide by 96 designated functional COVID-19 laboratories of which 58 are public laboratories. A total of 38,994 (18.7%) cases were confirmed through Antigen RDT; 208,276 Antigen RDT have been performed nationwide. • As of 9 May 2021, all 7 provinces in the country are now experiencing community transmission. • Province-wise RT-PCR test positivity rate in past week (week 26) ranged from 12.9% (Province 2) to 39.1% (Karnali Province), with national positivity rate averaging 27.1%. • Overall, the sex-distribution remains skewed towards males, who constitute 61% (391,870/646,367) of the RT-PCR confirmed cases. Amongst the males, 79% (308,132/391,870) are in the economically productive age group (15-54 years). 1 Situation Update #64 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Friday 9 July 2021 • National Public Health Laboratory (NPHL) received and reported 14 diagnostic and surveillance influenza samples on EPID-week 26 (28 June- 4 July 2021). None of the samples tested positive for influenza or SARS-CoV-2. • Of the total SARS-CoV-2 negative samples, 179 negative samples were tested for Influenza on EPID-week 26 (28 June- 4 July 2021). None of the samples tested positive for influenza. • Since 4 January (EPID-week 1) until 4 July 2021 (EPID-week 26), a total of 52 samples have tested positive for influenza (All were Influenza A/H3 ) from 2150 samples (sentinel and non-sentinel samples including SARS-CoV-2 negative SARI and ILI cases). Similarly, 273 samples have tested positive for SARS-CoV-2 from 1123 samples (Sentinel/non-sentinel ILI/SARI samples).1 Figure 1: WHO SEAR countries: Number of COVID-19 confirmed cases (Data as of 5 July 2021; Global Weekly Epidemiological Update 47) and cumulative incidence rate (per 100,000) 1 These positive cases are included in the COVID-19 database. 2 Situation Update #64 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Friday 9 July 2021 Figure 2A: Laboratory confirmed COVID-19 cases and average number of COVID-19 cases over the last seven days, by date of onset/sample/confirmation (N = 646367)(Data reported on 9 July 2021 T0 7:00:00) At a national level, the second wave of cases between July 2020 and February 2021 was followed by the third wave from the middle of March 2021. The total PCR tests done in Nepal on 5 July 2021 was 7499 which is 63% less than the number tested during the peak in the beginning of May 2021. Figure 2B: Cumulative case count of laboratory-confirmed COVID-19 by province (N = 646367)(Data reported on 9 July 2021 T0 7:00:00) The cumulative case incidence has been increasing in Nepal since the first case which was confirmed on 23 January 2020. Cases have been largely reported from Bagmati Province followed by Lumbini Province and Province 1. 3 Situation Update #64 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Friday 9 July 2021 Figure 2C: Lab confirmed COVID-19 cases: Trend of cases, 7-days rolling average, weekly cases and deaths and Test Positivity Rate (N = 646367)(Data reported on 9 July 2021 T0 7:00:00) Note for all the Provinces (Figure 2C): Y-axis scale varies between Provinces There were 2905 new cases reported in the past week in Province 1. Since week 10, new cases are continuously increasing. However, the cases had increased by 14% in the past week compared to the previous week. There were 59 deaths reported in the past week, 5% more than that of the previous week. The test positivity rate in Province 1 increased to 37.2% in the past week. A total of 7701 tests were performed in the past week, 1% less than that of the previous week. 4 Situation Update #64 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Friday 9 July 2021 There were 372 new cases reported in the past week in Province 2. Since week 11, new cases are steadily increasing. However, the cases have decreased by 10% in the past week compared to the previous week. There were 9 deaths reported in the past week, 10% less than that of the previous week. The test positivity rate in Province 2 increased to 12.9% in the past week. A total of 2023 tests were performed in the past week, 31% less than that of the previous week. In Bagmati, 4729 new cases were reported in the past week. Since week 11, new cases are continuously increasing. However, the cases had upswing by 1% in the past week compared to the previous week. There were 72 deaths reported in the past week, 42% less than that of the previous week. The test positivity rate in Bagmati decreased to 18.5% in the past week. A total of 26785 tests were performed in the past week, 1% less than that of the previous week. 5 Situation Update #64 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Friday 9 July 2021 In Gandaki, 1636 new cases were reported in the past week. Since week 11, new cases are continuously increasing. However, the cases have decreased by 57% in the past week compared to the previous week. There were 18 deaths reported in the past week, 58% less than that of the previous week. The test positivity rate in Gandaki increased to 38.1% in the past week. A total of 3454 tests were performed in the past week, 64% less than that of the previous week. Lumbini reported 822 new cases in the past week. Since week 12, new cases are considerably increasing. However, the cases had increased by 18% in the past week compared to the previous week. There were 27 reported in the past week, 21% less than that of the previous week. The test positivity rate in Lumbini increased to 19.8% in the past week. A total of 4064 tests were performed in the past week, 12% less than that of the previous week. 6 Situation Update #64 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Friday 9 July 2021 In Karnali, 218 new cases were reported in the past week. Since week 12, new cases are continuously increasing. However, the cases have decreased by 18% in the past week compared to the previous week. There were 24 deaths reported in the past week, 100% more than that of the previous week. The test positivity rate in Karnali decreased to 39.1% in the past week. A total of 512 tests were performed in the past week, 14% less than that of the previous week. In Sudurpashchim, 261 new cases were reported in the past week. Since week 12, new cases are increasing significantly. However, the cases had upswing by 50% in the past week compared to the previous week. There were 7 deaths reported in the past week, 75% more than that of the previous week. The test positivity rate in Sudurpashchim increased to 24.3% in the past week. A total of 964 tests were performed in the past week, 27% less than that in the previous week. 7 Situation Update #64 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Friday 9 July 2021 Figure 3: National -Municipalities (By domicile) with reported laboratory-confirmed COVID-19 cases and deaths (N = 646367)(Data reported on 9 July 2021 T0 7:00:00) Cases and deaths have been reported in high numbers from Bagmati Province, mostly from Kathmandu valley area. The overall case fatality ratio (CFR) of Nepal is 1.43%. However, the CFR is relatively high in Karnali Province with 2.1% and Lumbini Province with 1.77%. Situation Update #64 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Friday 9 July 2021 8 Table 1: Summary of laboratory-confirmed COVID-19 cases, deaths and transmission by provinces.
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