COVID-19 Update 2077 3 / 15 February 2021/ Monday

Government of Ministry of Health and Population

1 Topline Summary 2077 Falgun 3, Monday . Out of 2,120,591 RT-PCR tests done 272,840 cases are positive. Cumulative positivity rate: 12.9%; Positivity rate of the new cases: 3.4%. . 98.7% of the total cases have recovered; 0.58% (1,581) of the cases are active; and 39.28% of the active cases (621) are in home isolation. . Of the total 2055 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: 1 . 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 20 districts. . 5.1% of ICU beds and 3.7% of Ventilators designated for COVID are occupied. . 35% of the total cases and 34.4 % of the new cases are female. . Of the total 83 RT-PCR testing laboratories, 48 (57.8%) are Public. 70% of the new tests are covered by private labs. . Second phase of the COVID-19 vaccination campaign started from 2077 Falgun 2. 36,749 (13%) people have received vaccine as of 2nd day of the second phase. 22,549 people received vaccine from 138 vaccination centers on the Day-II.

2 HIGHLIGHTS 2077 Falgun 3, Monday People RT-PCR Total Positivity Active Recovered Vaccinated People in Death Tests Cases Rate (%) Cases Cases under 2nd Quarantine phase

2,120,591 272,840 12.9 269,204 2,055 36,749 1581 (98.7%) (0.75%) 79 (0.58%) [3,541] [122] [3.4] [144] [1] [22,549] Total [new cases in the last 24 hours] Management of Active Cases 2077 Falgun 3, Monday Hospital / ICU Ventilator ICU + Ventilator Home Isolation Institutional Isolation 960 59 17 76 621 60.72% 3.73% 1.08% 4.81% 39.28%3 (पहिलो प्राथमिकताको दोस्रो चरणः २०७७ फा쥍गुण ३ स륍ििा)

Source: DoHS, COVID-19 Vaccination Daily Report, 2077 Falgun 3 4 (पहिलो प्राथमिकताको दोस्रो चरणः २०७७ फा쥍गुण ३ स륍ििा)

Source: DoHS, COVID-19 Vaccination Daily Report, 2077 Falgun 3 5 (पहिलो प्राथमिकताको दोस्रो चरणः २०७७ फा쥍गुण ३)

Source: DoHS, COVID-19 Vaccination Daily Report, 2077 Falgun 3 6 COVID-19 Vaccination Second Phase Status

Total Target Achievement Achievement (%) in Achievement (%) AEFI Total Vaccination Day 2 Province (7 days Day 2 against daily in Day 2 against Centre Target^ target) Day 1 Day 2* target total target Minor Serious

Province1 31 43,122 6,160 2,236 2,236 36 10.37 - - -

Province2 21 39,898 5,700 860 1,927 34 6.99 - - -

Bagmati 80,904 11,558 2,372 5,487 47 9.71 - - -

Gandaki 24 29,516 4,217 2,571 2,557 61 17.37 - - -

Lumbini 23 44,688 6,384 3,307 5,853 92 20.50 5 5 5

Karnali 19 22,689 3,241 1,104 1,605 50 11.94 - - - Sudur 20 25,070 3,581 1,750 2,884 81 18.48 11 11 11 Paschim Total 138 285,887 40,841 14,200 22,549 55 12.85 16 16 16

Note: *Day 2 target is total target divided by 7 days

Source: DoHS, COVID-19 Vaccination Daily Report, 2077 Falgun 3 7 COVID-19 Active Cases 2077 Falgun 3/ 15 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 69 1 1 https://heoc.mohp.gov.np 8 10 20 30 40 50 60 70 0

Province 1 (2) Jhapa 1 New COVID Sunsari 1

Province 2 (1)

Dhanusha 1

Kathmandu 60 - Chitawan 13 19 Cases Reported on 2077 Falgun 3, by District (20)

Lalitpur 10 Bagmati ( Bhaktapur 3 Kathmandu Valley Kathmandu District 92 )

Makwanpur 3 [N = 122] Dhading 1

Ramechhap 1

Rasuwa 1

76 60 Kaski 13

Gorkha 4 62.3% 49.2% Gandaki (22)

Parbat 3

Lamjung 1 65.6% Male,

Nawalparasi East 1

Bardiya 2 Lumbini (4) Female, 34

Dang 1 . 4

%

9 Palpa 1 Sudurpaschim (

Kailali 1 COVID-19 Cases by Age Group and Sex 16.0 15.0 [20-59 Years: 80.3%] 14.1 14.0

11.7 12.0 12.0 Female, 35.1 Male, 64.9

10.0 9.3

[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-3 172 1000 2000 3000 4000 5000 6000 7000 0

4-10 Jestha 303 1 Shrawan 11-17 Jestha 817 8 Shrawan 15 Shrawan 1834 18-24 Jestha 22 Shrawan COVID 25-31 Jestha 2100 29 Shrawan 4

3270 - 32 Jestha-6 Asar 11 Bhadra 19 New Cases: Daily andWeekly Moving Average 18 Bhadra 7-13 Asar 3704 New Cases 25 Bhadra COVID 14-20 Asar 3182 1 Ashoj 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 11-17 Shrawan 1603 13 Kartik 20 Kartik -

18-24 Shrawan 2506 27 Kartik 19 4 Mangshir 3427 25-31 Shrawan 11 Mangshir 18 Mangshir 32 Shrawan - 6 … 5098 New by Cases Weeks 25 Mangshir

7-13 Bhadra 6223 2 14-20 Bhadra 7937 9 Poush 16 Poush 21-27 Bhadra 7843 23 Poush 1 28 Bhadra-3 Ashoj 9677 Magh 8 4-10 Ashoj 9024 Magh 15 Magh 22 11-17 Ashoj 12749Magh 29 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 … 10340 7-13 12084 14-20 Mangsir 9162

21-27 Mangsir 7708 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 226 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 33 5 28 84.8 110 1 0.9 40 0 0.0

Province 2 35 0 35 100.0 48 0 0.0 21 0 0.0

Bagmati 1149 788 361 31.4 553 29 5.2 255 11 4.3

Gandaki 175 9 166 94.9 232 5 2.2 68 2 2.9

Lumbini 116 101 15 12.9 114 22 19.3 27 4 14.8

Karnali 14 3 11 78.6 62 2 3.2 27.00 0 0.0

Sudurpaschim 59 54 5 8.5 27 0 0.0 23 0 0.0

Total 1581 960 621 39.3 1146 59 5.1 461 17 3.7 As per reports received at HEOC on 2077 Falgun 3 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

9

11 20 30

13 23

24 03

0 15

4

17 29 16

07 25 15

25

Magh 4 Magh Magh

Kartik 5 Kartik

Ashoj 05 Ashoj 10 Ashoj 15 Ashoj Ashoj 25 Ashoj Ashoj

Magh 14 Magh 19 Magh Magh 29 Magh

Kartik 10 Kartik Kartik 20 Kartik 25 Kartik

Poush 03 Poush 08 Poush Poush 18 Poush Poush 28 Poush

Bhadra 01 Bhadra 06 Bhadra Bhadra 16 Bhadra 21 Bhadra 26 Bhadra 31 Bhadra

Mangsir Mangsir 08 Mangsir 13 Mangsir 18 Mangsir 23 Mangsir 28 Mangsir

Magh 2 Magh 9 Magh

Kartik Kartik

Push 01 Push Push 13 Push 19 Push Push

Falgun 3 Falgun

Ashoj 04 Ashoj 10 Ashoj Ashoj 22 Ashoj 28 Ashoj

Magh Magh 21 Magh 27 Magh

Kartik 10 Kartik 16 Kartik 22 Kartik 28 Kartik

Bhadra 05 Bhadra 11 Bhadra Bhadra 23 Bhadra Bhadra

Mangsir 07 Mangsir 13 Mangsir 19 Mangsir Mangsir Shrawan 31 Shrawan Shrawan 25 Shrawan Date Date

13 Estimated and Reported New Cases by (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

251 251

, 639 639

100,000 ,

1,500,000 88

83

80,000

1,000,000 859 859

, 60,000

46,698

1,969,159

40,404

628

,

1

40,000

500,000

15,963

20,000 10,590

568 568

,

6,414

2 - - 2077 Asar-Ashoj 2077 Kartik 2077 Mangsir 2077 Poush 2077 Magh Total of the quarter (Kartik - Magh 2077)

14 Severe Acute Respiratory Illness () 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

2 5 7 8

18 21 23 24 34 37 39 40 50 53

W1 W W3 W4 W W6 W W W9

W10 W11 W12 W13 W14 W15 W16 W17 W W19 W20 W W22 W W W25 W26 W27 W28 W29 W30 W31 W32 W33 W W35 W36 W W38 W W W41 W42 W43 W44 W45 W46 W47 W48 W49 W W51 W52 W

Source: EWARS Bulletins, EDCD COVID-19 Deaths [N=2055] 2500 560 506 509 Highest No. of COVID-19 deaths (30) was reported on 19 Kartik

520 480 2054 2055 Female, 440 1994 2027 2038 617, 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 1 0 1215 NUMBER OF COVID OF NUMBER 1087

1000 937

19 Deaths 19 Male, 842 - 1438, 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 1 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 3 Age group Deaths Place of Death N % cases fatality rate (%)# Province CFR Home 32 1.56 0-4 2,726 8 0.29 Province 1 0.75 5-9 3,699 3 0.08 Province 2 1.06 Hospital 2000 97.32 10-14 5,350 1 0.02 Bagmati 0.67 Institutional Isolation 2 0.10 15-19 12,244 18 0.15 1.14 Gandaki On the way to Hospital 16 0.78 20-24 31,973 29 0.09 Lumbini 0.95 Institutional Quarantine 4 0.19 25-29 40,900 36 0.09 Karnali 0.42 30-34 38,517 58 0.15 Sudurpaschim 0.44 Street 1 0.05 35-39 32,757 79 0.24 Nepal 0.76 Total 2055 100.00 40-44 25,238 94 0.37

45-49 19,886 125 0.63 45.00 39.90 Comorbidities of COVID 19 (N=2055) 50-54 17,557 142 0.81 40.00 36.00 55-59 12,216 195 1.60 35.00 33.20 60-64 9,031 193 2.14 30.00 25.70 25.00 65-69 6,742 240 3.56 20.00 70-74 5,056 293 5.80 15.00 9.30 10.00 75-79 3,366 214 6.36 5.20 4.40 80-84 2,074 179 8.63 5.00 2.10 1.00 0.80 85+ 1,464 144 9.84 0.00 NA 2,044 4 0.20 Total 272,840 2055 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 3 Falgun 122 positive cases with 3.4% positivity rate

Total RT-PCR tests 2120591 As of 3 Falgun 272840 positive cases; Positivity rate: 12.9%

Cumulative - Positivity Rate (%) 12.9 As of 3 Falgun 2120591 tests with 272840 positive cases RT-PCR Tests per million population 72024 As of 3 Falgun Total RT-PCR testing laboratories 83 As of 3 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

21

.

75

.

25

46

24

.

23

80000 20.00

22.48

22.27

20.91

20.52

17.83

60000 15.00

15.77

15.74

15.24

13.82

28

.

40000 13.19 10.00

12

11.34

10.69

98

10.14

.

42

8.98

8 .

8.88

8.53

8

8.06

13

7.81

20000 . 5.00

7

7.10

6.03

5.88

5.82

4.87

4.74

69

61

.

.

4.06

21

3.88

.

3.71

3

3

3.59

43

3

.

2

0 0.00

22

.

1.68

1.62

1.59

1

1.05

00 00 00

. . .

0.51

0.26

0.21

0.15

0.00 0.00 0 0.00 0.00 0.00 0 0 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% 70 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% 30 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

Karnali 4 100.0 0 0.0 4 4.8 Public Private Total

Sudurpaschim 6 100.0 0 0.0 6 7.2 Laboratories 48 35 83

Total 48 57.8 35 42.2 83 100.0 Tests - Cumulative 1423438 697153 2120591 Tests - New 1053 2488 3541

20 Stock Status of COVID-19 Key Commodities (2077 Falgun 3) 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 38198 2925 1180 6802 5308 5116 192 1590 61311 2 RT-PCR Kits 291096 3660 51956 13400 56732 5464 3488 27136 452932 3 Viral Transport Medium (VTM) 217942 22103 27732 45631 48043 46523 11100 47863 466937 4 RNA extraction Kit 49220 1174 28556 19064 80192 15250 7756 30517 231729 B Personal protective equipment 4 PPE Set 0 3567 7825 6163 2878 9872 555 4316 35176 5 Mask-N95 93496 22038 25479 30760 32108 23008 5068 27479 259436 6 Surgical Mask 1462093 549170 568936 1109373 536428 775193 176237 739454 5916884 7 Gown 65298 60969 93724 83218 51780 71814 19378 53363 499544 8 Face Shield 26552 9524 4942 78314 17683 41307 952 3459 182733 9 Shoe Cover 933 21142 32565 39187 23089 28169 7046 21395 173526 10 Surgical Gloves 45702 28751 36492 35217 29203 139348 14285 65925 394923 11 Head Cap 0 50637 2320 13860 8154 11626 943 9189 96729 12 Goggles Polycarbonate 120 2998 4446 5857 2824 2913 896 2611 22665 13 Safety Goggles 40103 11719 10009 18818 15309 12993 2679 4396 116026 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 14 February 2021 at 8:00 PM 22