As of 2077 Magh 21 [8Th Day of First Phase of the National Campaign]

COVID-19 Update 2077 Magh 21 / 3 February 2021/ Wednesday

Government of Nepal Ministry of Health and Population

1 Topline Summary 2077 Magh 21, Wednesday . Out of 2,081,695 RT-PCR tests done 271,731 cases are positive. Cumulative positivity rate: 13.0%; Positivity rate of the new cases: 3.9%. . 98.4% of the total cases have recovered; 0.86% (2,335) of the cases are active; and 62.3% of the active cases (1,454) are in home isolation. . Of the total 2031 COVID-19 deaths, 97% of the deaths occurred in hospital. The most common comorbidity identified in fatal cases was hypertension (39.9%). Death in last 24 hours: 1 . Districts with no active cases: 4; Districts with more than 200 active cases: 1; Districts with more than 500 active cases: 1 (Kathmandu); New cases reported from 28 districts. . 5.3% of ICU beds and 3.7% of Ventilators designated for COVID are occupied. . 35% of the total cases and 36.6 % of the new cases are female. . Of the total 82 RT-PCR testing laboratories, 47 (57.3%) are Public. 54% of the new tests are covered by private labs. . 146,244 people have received COVID-19 Vaccine, no severe AEFI cases reported so farm Institute of India, to the Government of Nepal.

2 HIGHLIGHTS 2077 Magh 21, Wednesday RT-PCR Total Positivity Active Recovere People People in Death Tests Cases Rate (%) Cases d Cases Vaccinated Quarantine

2,081,695 271,431 13.0 267,065 2,031 146,244 2335 (98.4%) (0.75%) 95 (0.86%) [3,597] [142] [3.9] [206] [1] [11,231] Total [new cases in the last 24 hours]

Management of Active Cases 2077 Magh 21, Wednesday Hospital / ICU Ventilator ICU + Ventilator Home Isolation Institutional Isolation 881 61 17 78 1454 37.7% 2.6% 0.7% 3.3% 62.3% 3 COVID-19 Vaccination: Status as of 2077 Magh 21 [8th Day of First Phase of the National Campaign]

500000 28000 26412 430000 26000 450000 23226 400000 24000 22000 350000 18998 19087 20000 18240 300000 18082 18000 250000 16000 200000 146244 14000 11231 150000 12000 10968 100000 10000 50000 8000 0 6000 Target (First Phase) Achivement 4000 2000 0 14 Magh 15 Magh 16 Magh 17 Magh 18 Magh 19 Magh 20 Magh 21 Magh COVID-19 Vaccine Province 1 1396 2551 3813 2010 3510 2610 1939 2326 Coverage Province 2 732 1529 2526 3007 4268 3366 3494 741 Bagmati 4431 7247 7871 5911 9351 6609 5542 3788 Provinces 7 Gandaki 1859 2868 3165 2363 2847 1231 2145 417 Districts 77 Lumbini 714 1773 2867 3005 3536 3629 3374 2556 Karnali 754 934 1443 1288 1137 575 723 472 Immunization 201 Sudurpaschim 1082 1338 1541 1414 1763 1067 865 931 Centers Nepal 10968 18240 23226 18998 26412 19087 18082 11231 Province 1 Province 2 Bagmati Gandaki Lumbini Karnali Sudurpaschim Nepal

As of 2077 Magh 21, 4:00pm No severe adverse effect following immunization (AEFI) reported so far 4 COVID-19 Active Cases 2077 Magh 21/ 3 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 4 68 4 1 https://heoc.mohp.gov.np 5 10 15 20 25 30 35 40 45 50 0 5

Jhapa 4 Province

Khotang 2 New COVID 1

( Okhaldhunga 1 8 )

Panchthar 1

Province 2 (3) Bara 1

Dhanusa 1

Sarlahi 1 - 19 Cases Reported on 2077 Kathmandu 44 No cases reported from reportedNo cases Lalitpur 8

Chitawan 6

Bagmati ( Bhaktapur 3

Nuwakot 1 Kathmandu Valley Kathmandu District 66 ) Ramechhap 1

Rasuwa 1 [N = 142] Karnali

Sindhuli 1

Sindhupalchok 1 21 on Province

Kaski 13

Gandaki (22) Lamjung 4 55 44 Baglung 3 Magh

Magh Nawalparasi East 1 38.7% 31.0%

Syangja 1

2077 21, by District (32)

Rupandehi 20

Dang 6

Arghakhanchi 3 Male, 63.4

Lumbini (40) Banke 3

Kapilbastu 3

Bardiya 2

Gulmi 1 Female, 36.6

Pyuthan 1

Sudurpaschim (3) Rolpa 1 6

Kailali 2

Kanchanpur 1 COVID-19 Cases by Age Group and Sex 16.0 15.0 [20-59 Years: 80.2%] 14.1 14.0

11.7 12.0 12.0 Female, 35.0

Male, 10.0 9.2

65.0 [0-19 Years: 8.9%] 8.0 7.3

Percentage 6.4 Female Male 6.0 4.5 4.5 [60 plus Years: 10.1%] 4.0 3.3 2.5 2.0 1.8 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

7 25000 30000 10000 15000 20000 5000 0

50 1000 2000 3000 4000 5000 6000 7000

172 0

303 1 Shrawan 7 Shrawan 817 13 Shrawan 19 Shrawan 1834 25 Shrawan COVID 31 Shrawan 2100 5 Bhadra - 11 Bhadra 19 New Cases: Daily andWeekly Moving Average 3270

New New Cases 17 Bhadra 23 Bhadra 3704 COVID 29 Bhadra 3182 4 Ashoj

10 Ashoj 1228 16 Ashoj 22 Ashoj 783 28 Ashoj Weekly Moving Average Weekly Moving 4 Kartik 981 10 Kartik 16 Kartik - 1603 22 Kartik 19 2506 28 Kartik 4 Mangshir 10 Mangshir 3427 New by Cases Weeks 16 Mangshir

5098 22 Mangshir 28 Mangshir 6223 4 Poush

10 Poush 7937 16 Poush 22 Poush 7843 28 Poush Magh 5 9677 Magh 11 9024 Magh 17

12749 65.6% 21114 11.9% 23620 9.8% 25929 40.2% 15510 34.7% 20893 34.7% 16663 20.2% 10340

16.9% 12084 24.2% 9162 15.8% 7708 38.2% 4761 5.1% 4516 17.2% 3738 17.5% 3083 6.0% 2897 35.8% 8

1858 9.9% 1674

577 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 47 3 44 93.6 110 2 1.8 40 0 0.0

Province 2 53 0 53 100.0 48 0 0.0 21 0 0.0

Bagmati 1649 629 1020 61.9 553 26 4.7 255 13 5.1

Gandaki 214 29 185 86.4 232 4 1.7 68 1 1.5

Lumbini 256 121 135 52.7 114 27 23.7 27 2 7.4

Karnali 21 6 15 71.4 62 1 1.6 27.00 1 3.7

Sudurpaschim 95 93 2 2.1 27 1 3.7 23 0 0.0

Total 2335 881 1454 62.3 1146 61 5.3 461 17 3.7 As per reports received at HEOC on 2077 Magh 21 by 02:00 pm 9 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

Active Cases in Home Isolation Isolation Home in Cases Active

19 19 - 200 10000

No. of of COVID No. 100 5000

26 31 20

13 23

0 18

10 16 13

Magh 4 Magh 9 Magh

Kartik 5 Kartik

Ashoj 05 Ashoj 10 Ashoj 15 Ashoj Ashoj 25 Ashoj 30 Ashoj

Magh 14 Magh 19 Magh

Kartik 10 Kartik 15 Kartik 20 Kartik 25 Kartik

Poush 03 Poush 08 Poush Poush 18 Poush 23 Poush 28 Poush

Bhadra 01 Bhadra 06 Bhadra 11 Bhadra 16 Bhadra 21 Bhadra Bhadra Bhadra

Mangsir 03 Mangsir 08 Mangsir 13 Mangsir Mangsir Mangsir 28 Mangsir

Magh 2 Magh 9 Magh

Kartik 4 Kartik

Push 01 Push 07 Push 13 Push 19 Push 25 Push

Ashoj 04 Ashoj 10 Ashoj 16 Ashoj 22 Ashoj 28 Ashoj

Magh 15 Magh Magh

Kartik Kartik Kartik 22 Kartik 28 Kartik

Bhadra Bhadra 11 Bhadra 17 Bhadra 23 Bhadra 29 Bhadra

Mangsir 07 Mangsir Mangsir 19 Mangsir 25 Mangsir Shrawan 31 Shrawan Shrawan 25 Shrawan Date Date

10 Estimated and Reported New Cases by Month (as of 2077 Magh 21) Estimated and Reported New Cases Estimated and Reported New Cases 2077 Asar-Ashoj 2077 Kartik -Magh

Estimated New Cases

Estimated New Cases Reported New Cases

Reported New Cases 107 , 160,000

2,500,000 148

145,294

140,000 2,000,000

120,000

100,000 88,251

1,500,000

83,639

80,000

159 159 1,000,000 ,

60,000

969

46,698

40,404

1,628,859

40,000

500,000

15,963

20,000 10,590

568 568

5,288

- - 2077 Asar-Ashoj 2077 Kartik 2077 Mangsir 2077 Poush 2077 Magh Total of the quarter (Kartik - Magh 2077)

11 COVID-19 Deaths [N=2031]

2500

560 506 509 Highest No. of COVID-19 deaths (30) was reported on 19 Kartik

520

Female, 480 4.5% 2027 2031

1994 612, 30% 440 1954 2000 1870 1912 400 49.4% 18.5% 1819

360 336 1777

59.3% 19 DEATHS 19 - 320 275 1689 280 1577 240 207 1454 1500 200 160 94 1305 120 65 1215 80 20 19 40 1087 NUMBER OF COVID OF NUMBER 0 1000 937

19 Deaths 19 Male, 842 - 1419, MONTHS 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 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] 12 Positive Age specific case Age group Deaths 2077 Magh 21 Place of Death N % cases fatality rate (%)# Province CFR Home 32 1.6 0-4 2,718 8 0.29 Province 1 0.74 5-9 3,683 3 0.08 Province 2 1.06 Hospital 1976 97.3 10-14 5,322 1 0.02 Bagmati 0.68 Institutional Isolation 2 0.1 15-19 12,190 18 0.15 Gandaki 1.14 20-24 31,873 29 0.09 On the way to Hospital 16 0.8 Lumbini 0.94 25-29 40,724 36 0.09 Institutional Quarantine 4 0.2 30-34 38,352 57 0.15 Karnali 0.42 Street 35-39 32,613 79 0.24 Sudurpaschim 0.44 1 0.0 40-44 25,105 94 0.37 Nepal 0.76 Total 2031 100.0 45-49 19,753 125 0.63 (N=2031) 50-54 17,448 140 0.80 45.00 39.90 55-59 12,126 194 1.60 40.00 36.00 33.20 60-64 8,956 190 2.12 35.00 30.00 25.70 65-69 6,699 239 3.57 25.00 70-74 5,004 288 5.76 20.00 15.00 75-79 3,324 208 6.26 9.30 10.00 5.20 4.40 80-84 2,045 175 8.56 5.00 2.10 1.00 0.80 0.00 85+ 1,452 143 9.85 NA 2,044 4 0.20 Total 271,431 2031 0.75 *NA=Age is not reported for 2044 cases

* Case Number of deaths from COVID-19 fatality ratio X 100 Note: Comorbidity not mentioned in 576 deaths (%) Number of confirmed cases of COIVD-19 Source: Provisional data reported at EDCD 13 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 3597 21 Magh 142 positive cases with 3.9% positivity rate

Total RT-PCR tests 2081695 As of 21 Magh 271431 positive cases; Positivity rate: 13.0%

Cumulative - Positivity Rate (%) 13.0 As of 21 Magh 2081695 tests with 271431 positive cases RT-PCR Tests per million population 70705 As of 21 Magh Total RT-PCR testing laboratories 82 As of 21 Magh 47 Public (57.3%); 35 Private (42.7%) 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

22.27

20.91

60000 15.00

17.83

15.77

15.24

13.82

40000 13.19 10.00

12.28

11.34

10.69

10.14

8.98 8.98

8.53

8.42

8.06

20000 7 5.00

7.13

7.10

6.03

5.88

4.74

3.88

3.71

3.69

3.59

2.43

0 0.00

1.68

1.62

1.59

1.22

00 00

. .

0.51

0.26

0.21

0.15

0.00 0.00 0.00 0.00 0 0 0.00 0.00

Ashoj

Magh Magh

Kartik

Poush Poush

6 Asar 6

Jestha

Bhadra

Chaitra

3 3

20 Asar 20 Asar 27

13 Asar 13

3 Magh 3

8 Kartik 8

1 Kartik 1

Poush 4 Poush

3 Jestha 3

- -

3 Falgun 3

17 Ashoj 17 Ashoj 24

10 Ashoj 10

Shrawan

18 18 25 Magh 17 Magh 24

10 Magh 10

22 22 Kartik 29

- Kartik 15

6 Bhadra 6

1 Chaitra 1

8 Chaitra 8

18 18 25

11 Poush 11

17 17 Jestha 24 Jestha 31

10 10

- -

6 Baishak 6

- - - -

- -

17 Falgun 17 Falgun 24

10 Falgun 10

- -

- - -

20 Bhadra 20 27

13 Bhadra 13

22 Chaitra 22 Chaitra 29

15 15

- -

6 Mangsir 6

3 3

20 Baishak 20 Baishak 27

13 Baishak 13

14 21

- -

20 Mangsir 20 Mangsir 27

- -

13 Mangsir 13

17 Shrawan 17 Shrawan 24 Shrawan 31

10 Shrawan 10

11 18

- -

14 19 11 18

16 23

12 19

- - -

11 18 25

11 18

14 21

16 23

14 21

11 18 25

Bhadra

25Asoj

Asar

32 Jestha 32

26 Magh 26

26 Poush 26

28 28

25 Falgun 25

28 Baishak 28

30 Kartik 30

30 Chaitra 30

32 Shrawan 32 28 Mangshir 28 RT-PCR Testing Laboratories for COVID-19

Public Private RT-PCR Testing Laboratories 100% Province Public Private 90% 32 Total 80% 43 N N 54 % % % 70% Province 1 4 50.0 4 50.0 8 9.8 60% 50%

40% Province 2 5 83.3 1 16.7 6 7.3 68 30% 57 46 Bagmati 20 45.5 24 54.5 44 53.7 20% 10% Gandaki 2 66.7 1 33.3 3 3.7 0% Laboratories Tests - Cumulative Tests - New Lumbini 6 54.5 5 45.5 11 13.4

Karnali 4 100.0 0 0.0 4 4.9 Public Private Total

Sudurpaschim 6 100.0 0 0.0 6 7.3 Laboratories 47 35 82 Total 47 57.3 35 42.7 82 100.0 Tests - Cumulative 1410972 670723 2081695 Tests - New 1661 1936 3597

16 Stock Status of COVID-19 Key Commodities (2077 Magh 21) Available Stock / Province SN Particulars Central Province Province Sudurpash Bagmati * Gandaki Lumbini Karnali Total Store * 1 2 chim Laboratory and Vaccine A commodities COVISHIELD Vaccine 10 Dose 1 Vial 51300 3198 2353 10398 2713 3394 192 2776 76324 2 RT-PCR Kits 9596 3660 51956 18400 56732 5464 3488 28936 178232 3 Viral Transport Medium (VTM) 225442 22563 27732 48031 47668 46223 11100 46229 474988 2 RNA Extraction Kit 53444 1174 28556 21864 80192 15250 7756 30281 238517 B Personal protective equipment 4 PPE Set 0 3632 8077 6166 2993 9941 555 3914 35278 5 Mask-N95 95271 19639 25499 30914 33103 22888 5075 26576 258965 6 Surgical Mask 1490318 527718 607613 1107306 563936 765555 181267 708389 5952102 7 Gown 66748 60721 96419 87650 53262 71759 19280 48816 504655 8 Face Shield 26768 9038 4918 77671 17906 41166 952 3370 181789 9 Shoe Cover 1003 20957 32572 44382 23689 28217 7058 19029 176907 10 Surgical Gloves 46852 32937 37142 36408 29353 139414 14405 70120 406631 11 Head Cap 15 50745 2335 13860 8189 10527 943 9049 95663 12 Goggles Polycarbonate 120 3042 4435 6757 3041 3013 896 2541 23845 13 Safety Goggles 40103 12070 10024 18618 15326 12955 2679 4330 116105

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 3 February 2021 at 8:00 PM 17 कोभिड-१९ खोप 녍यवथापनको अवथा . नेपाल सरकार मन्त्रिपररषदबाट ममति २०७७/०७/२४ र . प्लस २ देखख ८ डडग्री सेन्त्쥍सयसमा िडडारर् गनु ण पने

२०७७/०९/२० मा कोमिड-१९ वि셁饍ध प्रयोग हुने खोप ककमसमका खोप एक पटकमा १ करोड ७० लाख मािा अमियान स祍चालनका लागग नीतिगि तनर्णय । िडडारर् गनण सक्ने क्षमिा। . आकन्त्ममक अिमथामा औषगध िथा खोपको प्रयोग गनण जारी . कोमिड-को쥍ड चेन सहहि वििरर् गनण ८ िटा रेकिजेरेटर औषगध ऐन, २०३५ लाई संशोधन गनण बनेको अध्यादेश भ्यान रहेका । बमोन्त्जम औषधी व्यिमथा वििागले अक्सफोडण . केररमा िथा प्रदेशमा रेहका रेकिजेनेरेटर भ्यानह셂ले २ विश्िवि饍यालय र एमराजेनेकाले संयक्ु ि 셂पमा विकास हदन मिि सम्बन्त्रधि सबै न्त्ज쥍लाह셂मा खोप पुयाणउन गरेको र िारि न्त्मथि मसरम इरम्तय्यटु अफ इन्त्डडयाले सक्ने अिमथा । ( उत्पादन गरेको कोमिसी쥍ड भ्याक्सीन प्लस २ देखख ८ डडग्री . ) खोप लगाउने कायणमा खहटनसक्ने ५ हजार कमणचारी से쥍सीयस िापक्रममा िडडारर् गनण मम쥍ने लाई एिम यस कायणमा सहयोग गनण ५२ हजार महहला आपिकालीन प्रयोगको लागग मिीकृ िी प्रदान । मिाम्य मियं सेिक ियारी अिमथामा रहेका । . कोभ्याक्स सुविधाको लागग प्रमिाि पेश िइसकेको । . खोप लगाउने प्राथममकिा प्राप्ि लक्षक्षि समूहह셂को . कम्िीमा २० प्रतिशि जनसंख्याका लागग आिश्यक खोप व्यन्त्क्िगि वििरर् संकलन िई सकेको।

समिो म쥍ू यमा खरीद गनण िारि सरकारसँग थप पहल . िारि सरकारबाट २०७७ माघ ८ गिे अनुदान मि셂प प्राप्ि िईरहेको । १० लाख मािा खोपले कररब 4 लाख ५० हजारलाई दईु

. खोप अमियान संचालन गनण खोप स祍चार रर्नीति, मािा खोप लगाउन पुग्ने । तनदेमशका, डडप्लोयमेरट प्लान, सूचना िथा स祍चार सामग्री र . २०७७ माघ १४ गिे प्रथम चरर्को खोप लगाउने कायण शू셂 फाराम लगायिका आिश्यक मागणदशणन िथा सामग्रीह셂 िई सािै प्रदेश िथा सित्तरै न्त्ज쥍लामा खोप अमियान ियार िई सकेका । सञचालन िईरहेको। 18 19