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Situation Update #70- Coronavirus Disease 2019 (COVID

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Situation Update #70- Coronavirus Disease 2019 (COVID Situation Update #70- Coronavirus Disease 2019 (COVID-19) WHO Country Office for Nepal Reporting Date: 10 - 16 August 2021 SITUATION OVERVIEW HIGHLIGHTS *Data as of HEOC of MoHP Situation Report, 16 NEPAL August 2021 (Data as of 17 August 2021, 07:00:00 hours) • Of the total COVID-19 positive cases, 93.2% (685140) 734,838 (RT-PCR) and of cases have recovered and 5.3% (39,371) of cases 76,015 (Antigen RDT) are active. confirmed cases • Of the total active cases, 91.5% (36,036) cases are in 10,327 deaths home isolation; 8.4% (3,335) of cases are undergoing 3,767,665 RT-PCR tests and 401,371 Antigen RDT hospital/institutional isolation. While 2% (795) of active cases require ICU admission, 24.7% (197) of SOUTH-EAST ASIA REGION the ICU admitted patients require ventilator support. (Data as of 15 August 2021) • Twenty one districts have reported more than 500 39,908,781 confirmed cases active cases. 610,389 deaths • Among the total new cases (17,352) reported this GLOBAL week, 27.7% (4802) are from Kathmandu district. (Data as of 15 August 2021) Most of the new cases about 39.6% (6867) have 206,714,291 confirmed cases been reported from Kathmandu valley (Kathmandu, 4,353,434 deaths Lalitpur and Bhaktapur districts), Bagmati Province. • COVID-19 vaccination coverage status (as of 16 August 2021) ChAdOx1-S* SARS-CoV-2 Vaccine (Vero Cell) Johnson and Johnson Vaccine First dose : 1875476 First dose : 2841460 Single Dose : 1287365 Second dose : 866375 Second dose : 1336325 * COVISHIELD (manufactured by Serum Institute of India), Japanese-made COVID-19 AstraZeneca vaccine, Swedish AstraZeneca vaccine NEPAL EPIDEMIOLOGICAL SITUATION • As of 17 August 2021, T07:00:00 hours (week no. 33), a total of 734,838 (19.5%) COVID-19 cases were confirmed through polymerase chain reaction (RT-PCR); 3,767,665 RT-PCR tests have been performed nationwide by designated functional COVID-19 laboratories. A total of 76,015 (18.9%) cases were confirmed through Antigen RDT; 401,371 Antigen RDT have been performed nationwide. • As of 9 May 2021, all 7 provinces in the country are experiencing community transmission. • Province-wise RT-PCR test positivity rate in past week (Week 32) ranged from 5.1% (Province 2) to 46.2% (Karnali Province), with national positivity rate averaging 25.5%. • Overall, the sex-distribution remains skewed towards males, who constitute 60% (439,814/734,838) of the RT-PCR confirmed cases. Amongst the males, 78% (344,141/439,814) are in the economically productive age group (15-54 years). 1 Situation Update #70– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 22 August 2021 • NPHL reported 90 diagnostic and surveillance samples [(40 tested at National Influenza Center (NIC) including 29 outbreak sample and 50 samples tested at Walter Reed/AFRIMS Research Unit Nepal (WARUN)] on EPID-week 32 (9 -15 August 2021). o 35 samples tested positive for Influenza A/H3 and 26 samples tested positive for Influenza B. o None of the samples tested positive for SARS-CoV-2 on the samples tested at NIC (this is exclusive of SARS-CoV-2 reporting of the Influenza samples from WARUN) o Out of the total SARS-CoV-2 samples that tested negative at NPHL on EPID- week 32 (9-15 August 2021), 186 SARS-CoV-2 negative samples were tested for Influenza for the same week. 51 samples tested positive for Influenza A/H3, and 10 samples tested positive for Influenza B Victoria. • From 4 January until 15 August 2021: o A total of 444 samples have tested positive for Influenza (388 Influenza A/H3 , 49 Influenza B Victoria, 1 Co-Infection of Influenza A/H3 and Influenza B Victoria, 5 Influenza B Un-subtyped) from 3663 samples (sentinel and non-sentinel samples including SARS-CoV-2 negative SARI and ILI cases). o Similarly, 273 samples have tested positive for SARS-CoV-2 from1163 samples (sentinel/non-sentinel ILI/SARI samples). All these positive cases are included in the COVID-19 database.1 Figure 1: WHO SEAR countries: Number of COVID-19 confirmed cases and cumulative incidence rate (per 100,000) (Data as of 16 August 2021; WHO COVID-19 Dashboard) 1 These positive cases are included in the COVID-19 database. 2 Situation Update #70– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 22 August 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 = 734838) (Data reported on 17 August 2021 up to 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 16 August 2021 was 15611 which is 22% 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 = 734838) (Data reported on 17 August 2021 up to 7:00:00) 3 Situation Update #70– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 22 August 2021 The cumulative case incidence has been increasing in Nepal since the first case confirmed in 23 January 2020. Cases have been largely reported from Bagmati Province followed by Lumbini Province and Province 1. Figure 2C: Lab confirmed COVID-19 cases: Trend of cases, 7-days rolling average, weekly cases and deaths and Test Positivity Rate (N = 734838) (Data reported on 17 August 2021 up to 7:00:00) Note for all the Provinces (Figure 2C): Y-axis scale varies between Provinces There were 3078 new cases reported in the past week in Province 1. Since a peak in week 20, new cases were continuously declining. The cases have decreased by 4% in the past week compared to the previous week. There were 30 deaths reported in the past week, 47% less than that of the previous week. The test positivity rate in Province 1 remained stable with 29.3% in the past week. A total of 9899 tests were performed in the past week, 4% less than that of the previous week. 4 Situation Update #70– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 22 August 2021 There were 217 new cases reported in the past week in Province 2. Since a peak in week 20, new cases were continuously declining. The cases have decreased by 7% in the past week compared to the previous week. There were 6 deaths reported in the past week, 100% more than that of the previous week. The test positivity rate in Province 2 decreased to 5.1% in the past week. A total of 1049 tests were performed in the past week, 23% less than that of the previous week. 5 Situation Update #70– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 22 August 2021 In Bagmati, 9328 new cases were reported in the past week. Since a peak in week 19, new cases were continuously declining. The cases have decreased by 2% in the past week compared to the previous week. There were 102 deaths reported in the past week, 16% more than that of the previous week. The test positivity rate in Bagmati decreased to 21.3% in the past week. A total of 50220 tests were performed in the past week, 5% more than that of the previous week. In Gandaki, 3071 new cases were reported in the past week. Since a peak in week 21, new cases were continuously declining. However, the cases have increased by 5% in the past week compared to the previous week. There were 41 deaths reported in the past week, 11% more than that of the previous week. The test positivity rate in Gandaki decreased to 35.3% in the past week. A total of 6550 tests were performed in the past week, 10% more than that of the previous week. 6 Situation Update #70– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 22 August 2021 Lumbini reported 1068 new cases in the past week. Since a peak in week 19, new cases were continuously declining. However, the cases have increased by 4% in the past week compared to the previous week. There were 12 deaths reported in the past week, 40% less than that of the previous week. The test positivity rate in Lumbini increased to 22.2% in the past week. A total of 4323 tests were performed in the past week, similar to that of the previous week. 7 Situation Update #70– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 22 August 2021 In Karnali, 321 new cases were reported in the past week. Since a peak in week 20, new cases were continuously declining. The cases have decreased by 12% in the past week compared to the previous week. There were 4 deaths reported in the past week, 56% more than that of the previous week. The test positivity rate in Karnali decreased to 46.2% in the past week. A total of 554 tests were performed in the past week, 6% less than that of the previous week. In Sudurpashchim, 312 new cases were reported in the past week. Since a peak in week 20, new cases were continuously declining. However, the cases have increased by 12% in the past week compared to the previous week. There were 4 deaths reported in the past week, same as that in the previous week.
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