COVID-19 Update 32 Shrawan 2077 / 16Th August 2020 / Sunday

Home , Bhadra (Hindu calendar), Falgun, Poush

COVID-19 Update 2077 Falgun 8 / 20 February 2021 / Saturday

Government of Nepal Ministry of Health and Population Topline Summary 2077 Falgun 8, Saturday . Out of 2,136,309 RT-PCR tests done 273,351 cases are positive. Cumulative positivity rate: 12.9%; Positivity rate of the new cases: 4.3%. . 98.7% of the total cases have recovered; 0.56% (1,535) of the cases are active; and 32.8% of the active cases (518) are in home isolation. . Total COVID-19 deaths: 2061; 97% of the deaths occurred in hospital; most common comorbidity: Hypertension (39.9%). Death in last 24 hours: 0 . Districts with no active cases: 7; Districts with more than 200 active cases: 1 (Kathmandu); New cases reported from 16 districts. . 4.7% of ICU beds and 2.2% of Ventilators designated for COVID are occupied. . 35% of the total cases and 35.2 % of the new cases are female. . Of the total 83 RT-PCR testing laboratories, 48 (58%) are Public. 79% of the new tests are covered by private labs. . 402,264 people have received COVID-19 Vaccine so far. 212,919 (74.5%) achieved in 2nd phase of the 1st priority of the national campaign. . One million doses of COVISHIELD, first lot of the two million doses, arriving from India on

Falgun 9. 2 1 HIGHLIGHTS 2077 Falgun 8, Saturday RT-PCR Total Positivity Active Recovere People People in Death Tests Cases Rate (%) Cases d Cases Vaccinated Quarantine

2,136,309 273,351 12.9 269,755 2,061 402,264 1535 (98.7%) (0.75%) 71 (0.56%) [2,048] [88] [4.3] [136] [0] [18,684] Total [new cases in the last 24 hours]

Management of Active Cases 2077 Falgun 8, Saturday Hospital / ICU Ventilator ICU + Ventilator Home Isolation Institutional Isolation 1017 54 10 64 518 64.2% 3.4% 0.6% 4.0% 32.8% 3

COVID-19 Vaccination: Status as of 2077 Falgun 8

430000 420000 New and Cumulative Cases of COVID Vaccination

410000 402264 400000 390000 383580 380000 370000

360000 350000 341402 340000 330000 320000 310000 300219 300000 290000 280000 270000 263288

260000

250000

231009

240000 230000

220000 203885

210000

189345

187871

186852

186443

186102 185868

200000 185255

190000 177288

180000 170000 160816 160000 150473

150000 140000 134359

130000 116731 120000

110000 98296 100000

90000 71927 80000

70000 52943 60000 50000 40000 29695 30000 18684 20000 11066 10000 0 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 2 3 4 5 6 7 8 Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Magh Falgun Falgun Falgun Falgun Falgun Falgun Falgun

Cumulative New

As of 2077 Falgun 8, 7:15pm Source: DoHS,1 COVID-19 Vaccination Reports 4 COVID-19 Vaccination Campaign Second Phase of First Priority

Source: DoHS, COVID-19 Vaccination Report, 2077 Falgun 8 5 20 February 2021

1 6 COVID-19 Active Cases 2077 Falgun 8/ 20 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 7 67 2 1 https://heoc.mohp.gov.np 7 10 15 20 25 30 35 40 45 50 0 5

Morang

Province 1 (3) 2

Sunsari New COVID

Province 2 Saptari (1)

Kathmandu

47 - 19 Cases Reported on 2077 Falgun 8, by District (16)

Bhaktapur

Chitawan

Bagmati (60) 4

Kathmandu Valley Kathmandu District Lalitpur

[N = 57] Dolakha

Ramechhap

54 47 Kaski

Gandaki (19) 61.4% 53.4% Gorkha

Baglung

64.8% Male, Banke

Lumbini (3) 2

Rupandehi

Female, 35.2% Kailali Sudurpaschim (2)

8 Kanchanpur

COVID-19 New Cases by Weeks

30000

25929

25000

23620

21114 20893

20000

16663

15510

15000

12749

12084

10340

9677

9162

10000 9024

7937

7843

7708

6223

5098

4761

4516

5000

3738

3704

3427

3270

3182

3083

2897

2506

2100

1858

1834

1674

1603

1228

981

952

817

783

751

737

303

172

59 50

6 Asar 6

3 Ashoj 3

13 Asar 13

20 Asar 20 Asar 27

Magh 3 Magh

1 Kartik 1

8 Kartik 8

3 Jestha 3

- -

4 Poush Poush 4

17 Ashoj 17 Ashoj 24

10 Ashoj 10

10 Magh 10

22 Kartik 22 Kartik 29

15 Kartik 15

8 Falgun Falgun 8

1 Falgun Falgun 1

6 6 Bhadra

11 Poush 11

18 Poush 18

17 Jestha 17 Jestha 24 Jestha 31

10 Jestha 10

17 Magh 17 Magh 24

- -

25 Poush Poush 25

- - -

- -

20 Bhadra 20 Bhadra 27

13 Bhadra 13

3 Shrawan 3

27 Baishak 27

14 21

- -

13 Mangsir 13

- Mangshir 6

10 Shrawan 10

17 Shrawan 17 Shrawan 24 Shrawan 31

20 Mangsir 20 Mangsir 27

11 18

16 23

- - -

- -

11 18 25

11 18

14 21

11 18 25

14 21

32 Jestha 32

upto 20 Baishak Baishak 20 upto

25 Ashoj 25

26 Poush 26

Kartik

28 Bhadra 28

25 Magh 25

28 Asar 28

28 Baishak 28

28 Mangsir 28 30

32 Shrawan Shrawan 32 9 COVID-19 New Cases: Daily and Weekly Moving Average

7000

6000

5000

4000

3000

2000

1000

1 Ashoj 1 Ashoj 4 Ashoj 7

Magh 2 Magh 5 Magh 8 Magh

1 Kartik 1 Kartik 4 Kartik 7

4 Poush 4 Poush 7

Falgun 2 Falgun 5 Falgun 8 Falgun

1 Poush Poush 1

10 Ashoj 10 Ashoj 13 Ashoj 16 Ashoj 19 Ashoj 22 Ashoj 25 Ashoj 28

Magh 11 Magh 14 Magh 17 Magh 20 Magh 23 Magh 26 Magh 29 Magh

10 Kartik 10 Kartik 13 Kartik 16 Kartik 19 Kartik 22 Kartik 25

2 Bhadra 2 Bhadra 5 Bhadra 8

10 Poush 10 Poush 13 Poush 16 Poush 19 Poush 22 Poush 25 Poush 28

28 Kartik Kartik 28

11 Bhadra 11 Bhadra 14 Bhadra 17 Bhadra 20 Bhadra 23 Bhadra 26 Bhadra 29

1 Shrawan 1 Shrawan 4 Shrawan 7

10 Shrawan 10 Shrawan 13 Shrawan 16 Shrawan 19 Shrawan 22 Shrawan 25 Shrawan 28 Shrawan 31

1 Mangshir 1 Mangshir 4 Mangshir 7

10 Mangshir 10 Mangshir 13 Mangshir 16 Mangshir 19 Mangshir 22 Mangshir 25 Mangshir 28

New Cases 1 Weekly Moving Average 10 COVID-19 New Cases by Month till Magh 2077

90000 85000 83,639 80000 75000 70000 67,810 65000 60000

55000 50000 45000

40000 40,404 No of Cases Cases of No 35000 31,667 30000 25000 20000 15000 15,963 11,417 10000 9,483 5000 5,519 6,414 0 1 12 228 upto Magh Chaitra 2076 Baishak 2077 Jestha 2077 Asar 2077 Shrawan 2077 Bhadra 2077 Ashoj 2077 Kartik 2077 Mangsir 2077 Poush 2077 Magh 2077 2076 Months 11 Epi-Curve- Province (Magh 2076 to Magh2077)

Province 1(N=30508) Province 2 (N=20837) Bagmati(N=150039) 11,382 12000 7000 60000 10000 6000 6,095 50000 52528 8000 5000 40000 6000 4000 30000 3000 4000 20000 2000 10000 2000 1000 0 0 0

Lumbini (N=30973) Gandaki(N=18921) Karnali(N=6502) 9000 8,012 7000 5909 2000 8000 1800 1,849 6000 7000 1600 5000 6000 1400 4000 5000 1200 3000 4000 1000 800 2000 3000 2000 600 1000 400 0 1000 200 0 0

Sudurpaschim (N=14957) 3,703 4000 3500 3000 2500 Sudurpach 2000 Province 1 2 Bagmati Gandaki Lumbini Karnali 1500 im 1000 500 0 Month of Highest Peak Kartik 2077 Bhadra 2077 Kartik 2077 Kartik 2077 Kartik 2077 Asoj 2077 Asar 2077

Note: Epi-Curve generated based on provisional data reported at EDCD12 COVID-19 Cases by Province [Active, Recovered and Death] [N=273,351}

160000 155000 1009 150000 145000 140000 135000 130000 125000 120000 115000 110000 105000 100000 95000 90000 85000 80000 75000 148425 70000 65000 60000 55000 50000 45000 40000 35000 230 292 30000 25000 220 216 20000 67 15000 30271 30450 10000 20596 27 18691 14845 5000 6477 0 27 33 1119 170 116 20 50 Province 1 Province 2 Bagmati Gandaki Lumbini Karnali Sudurpaschim

Active Recovered Death

COVID-19 Cases by Province (Per 100,000 population)

2500.0 2356.9

2000.0

1500.0

1000.0 917.2

759.7

620.3

609.0

514.1

500.0

363.1 335.8

0.0 Province 1 Province 2 Bagmati Gandaki Lumbini Karnali Sudurpaschim Nepal

14 Management of Active Cases by Province Total Cases in Home Isolation ICU Ventilator Province Active Hospital/ Occupancy Occupancy N % Capacity Capacity Cases Isolation Center N % N % Province 1 27 4 23 85.2 110 0 0.0 40 0 0.0

Province 2 33 0 33 100.0 48 0 0.0 21 0 0.0

Bagmati 1119 839 280 25.0 553 24 4.3 255 5 2.0

Gandaki 170 24 146 85.9 232 8 3.4 68 2 2.9

Lumbini 116 97 19 16.4 114 20 17.5 27 2 7.4

Karnali 20 3 17 85.0 62 2 3.2 27 0 0.0

Sudurpaschim 50 50 0 0.0 27 0 0.0 23 1 4.3

Total 1535 1017 518 33.7 1146 54 4.7 461 10 2.2

As per reports received at HEOC on 2077 Falgun 8 by 02:00 pm 15 COVID-19 Active Cases in Home Isolation 35000

30000

25000

20000

15000

19 Active Cases in Home Isolation Isolation Home in Cases Active 19 -

No. of of COVID No. 10000

5000

Magh 2 Magh 6 Magh 9 Magh

Kartik 1 Kartik 4 Kartik 7 Kartik

Push 01 Push 04 Push 07 Push 10 Push 13 Push 16 Push 19 Push 22 Push 25 Push 28 Push

Falgun 3 Falgun 6 Falgun

Ashoj 01 Ashoj 04 Ashoj 07 Ashoj 10 Ashoj 13 Ashoj 16 Ashoj 19 Ashoj 22 Ashoj 25 Ashoj 28 Ashoj

Magh 12 Magh 15 Magh 18 Magh 21 Magh 24 Magh 27 Magh 30 Magh

Kartik 10 Kartik 13 Kartik 16 Kartik 19 Kartik 22 Kartik 25 Kartik 28 Kartik

Bhadra 02 Bhadra 05 Bhadra 08 Bhadra 11 Bhadra 14 Bhadra 17 Bhadra 20 Bhadra 23 Bhadra 26 Bhadra 29 Bhadra

Mangsir 04 Mangsir 07 Mangsir 10 Mangsir 13 Mangsir 16 Mangsir 19 Mangsir 22 Mangsir 25 Mangsir 28 Mangsir

Shrawan 25 Shrawan 28 Shrawan 31 Shrawan Date 16 Number of COVID-19 Patients in ICU and Ventilator Number of COVID-19 Patients in ICU and Ventilator ICU Ventilator

600

500

400

300 Number

200

100

Magh 1 Magh 4 Magh 7 Magh

Kartik 3 Kartik 6 Kartik 9 Kartik

Falgun 1 Falgun 4 Falgun 7 Falgun

Ashoj 03 Ashoj 06 Ashoj 09 Ashoj 12 Ashoj 15 Ashoj 18 Ashoj 21 Ashoj 24 Ashoj 27 Ashoj 30 Ashoj

Magh 10 Magh 13 Magh 16 Magh 19 Magh 22 Magh 25 Magh 28 Magh

Kartik 12 Kartik 15 Kartik 18 Kartik 21 Kartik 24 Kartik 27 Kartik

Poush 03 Poush 06 Poush 09 Poush 12 Poush 15 Poush 18 Poush 21 Poush 24 Poush 27 Poush

Bhadra 01 Bhadra 04 Bhadra 07 Bhadra 10 Bhadra 13 Bhadra 16 Bhadra 19 Bhadra 22 Bhadra 25 Bhadra 28 Bhadra 31 Bhadra

Mangsir 03 Mangsir 06 Mangsir 09 Mangsir 12 Mangsir 15 Mangsir 18 Mangsir 21 Mangsir 24 Mangsir 27 Mangsir 30 Mangsir Date 17 COVID-19 Nepal Status Compared with World and India*

Recovered Active Death

100% 1.42 0.75 2.21 1.34 0.56

90% 20.32

80%

70% Recovered Active Death Total Cases 60% World 86,254,812 22,629,247 2,465,712 111,349,771 50% 97.24 98.68 India 10,685,569 147,127 156,309 10,989,005 40% 77.46 Nepal 269,755 1,535 2,061 273,351 30%

20%

10%

0% World India Nepal

Note: *Source for World and India https://www.worldometers.info/coronavirus/ 20 Feb 2021, 8:58 pm) 18 Estimated and Reported New Cases by Month (as of 2077 Magh 30 ) 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 160,000

2,500,000 148,107

146,420

140,000 2,000,000

120,000

100,000 88,251

1,500,000

83,639

80,000

1,000,000

60,000

46,698

1,969,159

40,404

1,628,859

40,000

500,000

15,963

20,000 10,590

6,414

2,568

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

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

12.0 11.7 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: 9.9%] 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

20 COVID-19 Cases by Sex and Province [N=273,351] 160,000

140,000

120,000

90,995 100,000

80,000

60,000

40,000

59,550 20,000 19,378 21,225 17,165 12,831 11,058 11,150 6,261 9,629 4,867 0 3,682 1,646 3,914 Province 1 Province 2 Bagmati Gandaki Lumbini Karnali Sudurpaschim Female Male 21 Age-Sex Composition of COVID-19 Cases

Population Pyramid: COVID-19 Cases

4,042 2,885 75 + 45,000 2,995 2,077 70 - 74

40,000 4,090 2,670 65 - 69

5,502 3,556 60 - 64

35,000 7,875 4,371 55 - 59

11,552 6,045 50 - 54

30,000

13,399 6,531 45 - 49

25,959 17,206 8,094 40 - 44

25,000

26,048

22,414 10,401 35 - 39

26,048 12,524 30 - 34 19,934 20,000 22,414

25,959 15,007 25 - 29

17,206 19,934 12,081 20 - 24

15,000

8,225 4,036 15 - 19

13,399

11,552

10,000 3,112 2,245 10 - 14

15,007 7,875

8,225 2,202 1,502 05 - 09

5,502

12,081 12,524 4,042

5,000 10,401 4,090 00 - 04 1,588 1,139

8,094 2,995 6,531

3,112 6,045 4,036 4,371 2,202 3,556 2,670 2,885 30,000 25,000 20,000 15,000 10,000 5,000 0 5,000 10,000 15,000 20,000 1,588 1,502 2,245 2,077 0 1,139 Female Male 00 - 05 - 10 - 15 - 20 - 25 - Female30 - 35 -Male 40 - 45 - 50 - 55 - 60 - 65 - 70 - 75 + 04 09 14 19 24 29 34 39 44 49 54 59 64 69 74 22 Severe Acute Respiratory Illness (SARI) 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

W1 W2 W3 W4 W5 W6 W7 W8 W9

W10 W11 W12 W13 W14 W15 W16 W17 W18 W19 W20 W21 W22 W23 W24 W25 W26 W27 W28 W29 W30 W31 W32 W33 W34 W35 W36 W37 W38 W39 W40 W41 W42 W43 W44 W45 W46 W47 W48 W49 W50 W51 W52 W53

Source: EWARS Bulletins, EDCD 23 2500 COVID-19 Deaths [N=2061] Female, 620, 30% Highest No. of COVID-19 deaths (30) was reported on 19 Kartik 2027 2038 2054 2061 1954 1994 2000 1870 1912 1777 1819 1689 1577 1454

1500 1305 1215 1087

1000 937

842 19 Deaths 19 - 727 614 Male, 1441, 528 467 500 70% 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 7 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] 24 COVID-19 Deaths [Total Deaths = [2061] 560 506 509 Highest No. of COVID-19 deaths (30) 520 480 440 was reported on 19 Kartik 400 336 360

19 DEATHS 19 320 275 - On an average, 1 Deaths/Day in the last one week 280

240 207 30

200 160 117

30 29 120 65

29 80 20 19 28

28 40 7

NUMBER OF COVID OF NUMBER 26

27 26

26 25

MONTHS 24

25 24

23 23 23

24 23

19 Deaths 19

22 22

23 22

21 21 21

22 21

21 20

19 19

20 19

18 18 18 18 18

19 18

17 17 17 17 17 17 17

18 17

16 16 16 16 16

17 16

15 15 15 15

16 15

14 14 14 14 14 14

15 14

13 13 13 13

14 13

Number of COVID of Number

12 12 12 12 12 12 12 12 12

13 12

11 11 11 11 11 11 11 11 11 11

12 11

10 10 10 10 10 10

11 10

9 9 9 9 9 9 9 9 9

10 9

8 8 8 8 8 8 8 8 8 8 8 8

9 8

7 7 7 7 7 7 7 7 7 7 7 7 7 7

8 7

6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6

7 6

5 5 5 5 5 5 5 5 5 5 5

6 5

4 4 4 4 4 4 4 4

5 4

3 3 3 3 3 3 3 3 3

4 3

2 2 2 2 2 2 2

3 2

1 1

2 1

0 0 0 0 0 0 0 0 1 0

2 Ashoj 2 Ashoj 5 Ashoj 8

2 Kartik 2 Kartik 5 Kartik 8

3 Magh 3 Magh 6 Magh 9

2 Poush 2 Poush 5 Poush 8

11 Ashoj 11 Ashoj 14 Ashoj 17 Ashoj 20 Ashoj 23 Ashoj 26 Ashoj 29

Shrawan Shrawan Shrawan

11 Kartik 11 Kartik 14 Kartik 17 Kartik 20 Kartik 23 Kartik 26 Kartik 29

3 Bhadra 3 Bhadra 6 Bhadra 9

3 Falgun 3 Falgun 6

12 Magh 12 Magh 15 Magh 18 Magh 21 Magh 24 Magh 27 Magh 30

- -

- 25

11 Poush 11 Poush 14 Poush 17 Poush 20 Poush 23 Poush 26 Poush 29

12 Bhadra 12 Bhadra 15 Bhadra 18 Bhadra 21 Bhadra 24 Bhadra 27 Bhadra 30

2 Mangsir Mangsir 2 Mangsir 5 Mangsir 8

11 Mangsir 11 Mangsir 14 Mangsir 17 Mangsir 20 Mangsir 23 Mangsir 26 Mangsir 29

26 29 32 Positive Age specific case Age group Deaths Place of Death N % cases fatality rate (%)# 0-4 2,727 8 0.29 Home 32 1.55 5-9 3,704 3 0.08 Hospital 2006 97.33 10-14 5,357 1 0.02 15-19 12,261 18 0.15 Institutional Isolation 2 0.10 20-24 32,015 29 0.09 On the way to Hospital 16 0.78 25-29 40,966 36 0.09 30-34 38,572 58 0.15 Institutional Quarantine 4 0.19 35-39 32,815 79 0.24 Street 1 0.05 40-44 25,300 94 0.37 45-49 19,930 125 0.63 Total 2061 100.00 50-54 17,597 142 0.81 55-59 12,246 195 1.59 2077 Falgun 8 60-64 9,058 193 2.13 Province CFR 65-69 6,760 241 3.57 Province 1 0.75 70-74 5,072 296 5.84 Province 2 1.06 75-79 3,376 216 6.40 Bagmati 0.67 80-84 2,081 179 8.60 Gandaki 1.14 85+ 1,470 144 9.80 Lumbini 0.95 NA 2,044 4 0.20 Karnali 0.42 Total 273,351 2061 0.75 *NA=Age is not reported for 2044 cases Sudurpaschim 0.44 * Case Number of deaths from COVID-19 Nepal 0.76 fatality ratio X 100 (%) Number of confirmed cases of COIVD-19 26 Source: https://www.who.int/publications/i/item/WHO-2019-nCoV-Sci-Brief-Mortality-2020.1 Comorbidities of COVID-19 Deaths [N=2061]

45.00

39.90 40.00 36.00

35.00 33.20

30.00

25.70 25.00

20.00

15.00

10.00 9.30

5.20 4.40 5.00 2.10 1.00 0.80 0.00 Hypertension Respiratory Endocrine Disorder Renal Disorder Cardiovascular and Gastro-intestional Malignancy Neurological Immunodeficiency Other Problem Cerebrovascular disorder States diseases Note: Comorbidity not mentioned in 583 deaths Source: Provisional data reported at EDCD 27 RT-PCR Testing Laboratories for COVID-19 by Province RT-PCR Testing Laboratories Province Public Private Total N % N % % Province 1 4 50.0 4 50.0 8 9.6

Province 2 5 83.3 1 16.7 6 7.2

Bagmati 21 46.7 24 53.3 45 54.2

Gandaki 2 66.7 1 33.3 3 3.6

Lumbini 6 54.5 5 45.5 11 13.3

Karnali 4 100.0 0 0.0 4 4.8

Sudurpaschim 6 100.0 0 0.0 6 7.2

Total 48 57.8 35 42.2 83 100.0 28 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 2048 8 Falgun 88 positive cases with 4.3% positivity rate

Total RT-PCR tests 2136309 As of 8 Falgun 273351 positive cases; Positivity rate: 12.8%

Cumulative - Positivity Rate (%) 12.8 As of 8 Falgun 2136309 tests with 273351 positive cases RT-PCR Tests per million population 72560 As of 8 Falgun Total RT-PCR testing laboratories 83 As of 8 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

25.21

24.75

23.46

80000 20.00

22.48

22.27

20.91

20.52

17.83

60000 15.00

15.77

15.74

15.24

13.82

40000 13.19 10.00

12.28

11.34

10.69

10.14

8.98

8.88

8.53

8.42

8.06

7.81

20000 5.00

7.13

7.10

6.03

5.88

5.82

4.87

4.74

4.06

3.88

3.71

3.69

3.61

3.59

3.24

2.43

0 0.00

1.68

1.62

1.59

1.22

1.05

0.51

0.26

0.21

0.15

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 100 150 200 250 300 50 0

B. P. Koirala Institute of Health Sciences 1 55 Koshi Hospital, Biratnagar 0 Province 1 Mechi Hospital Jhapa 0 8 Provincial Public Health Laboratory/ Avian Disease Investigation 0 Nobel Medical College 0

Neuro COVID Hospital 35

2 New Test and Positive Case on 8 Birat Medical College 0 B-Sure Path Lab and Diagnostic Center Biratnagar 0 Gajendra Narayan Singh Hospital, Rajbiraj, Saptari 0 0 Province 2 Provincial Public Health Laboratory, Janakpur 0 Narayani Hospital, Birgunj 0 Bardibas COVID 19 Hospital 0 National Medical College Teaching Hospital 0

Gaur Hospital PCR lab 0 Siraha Laboratory 0 National Public Health Laboratory, Teku 5 55 Shukraraj Tropical and Infectious Disease Hospital, Teku 3 81

Bharatpur Hospital COVID-19 Diagnostic Laboratory 0 64 Vector Borne Disease Research and Training Centre, Hetauda 0 Provincial Public Health Lab Dhulikhel 4 13 New New Positive New Test Kathmandu University Teaching Hospital, Dhulikhel 0 Patan Hospital, Lalitpur 2 57 Bir Hospital, Kathmandu 4 51 Tribhuvan University Teaching Hospital (TUTH) 125

3 Nepal Police Hospital Laboratory Kathmandu 0 59 Birendra Hospital Chauni 1 152 Nepal APF Hospital Balambu 1 42 Star Hospital 11 248 Nepal Korea Friendship Hospital 0 Central Diagnostic Laboratory and Research Center 5 90 BIDH Lab Lalitpur 6 123 Suriya Health Care Pvt Ltd Lazimpat 3 84 KMC Hospital 0 HAMS Hospital 0

0 th B & B Hospital 2 54

Falgun (20 February 2021) by Laboratory (83) Bagmati Nepal Medicity Hospital 0 Chitwan Medical College 5 71 Paroparkar Maternity Hospital 0

Decode Genomics and Research Center 0 98 Interpid Diagnostic Center 0 Tribhuwan University , Kirtipur 0 Bp Koirala Cancer Hospital Chitwan 0 Anandaban Hospital Lalitpur 0 NMC Molecular and Genetic Lab Jorpati 0 Dr Ibamura Memorial Hospital Laboratory 0 Trisuli Hospital 0 Alfa Diagnostic Lab, Lalitpur 0 Modern Diagnostic Center Pvt. Ltd 6 81 Manamohan Memorial Teaching Hosptial 6 27 Kantipur Molecular and Genetic COVID lab 0 54 Alka Hospital Lalitpur 0 Bhaktapur Hospital 0 28 Siddhi Poly Path laboratory 0 46 Positivity rate (%) Positive cases Total tests KGDH Teaching Hospital and Research Center 1 62 Sindhuli Hospital 0 Janamaitri Hospital 0 MHA, IOM Lab, Kathmandu 0

Nijamati Staff Hospital 0 Hetauda Hospital, Hetauda 0 Gandaki

Pokhara Academy of Health Science, Pokhara 0 0 Provincial Tuberculosis Control Center, Pokhara/ 0

Life Care Lab Pokhara 13 56 Provincial Public Health Laboratory, Rupandehi 0 Bheri Hospital, Nepalgunj 2 15 Lumbini Provincial Hospital 0 Lumbini National Path Lab and Reseach Center Pvt Ltd 0 30

Rapti Academy of Health Science, Dang 0 Cumulative 2136309 273351 Bageshwori Diagnostic and Policlinic Center Pvt.Ltd 0 12.8 Nepalgunj Medical College 0 21 Gumli COVID 19 0 Universal Medical College Bhairahawa 0 0 0

Lumbini Medical College Teaching Hospital Karnali 0 Palpa Hospital COVIDLab 0 Surkhet Provincial Hospital/ Avian Disease Investigation 0

0 Karnali Academy of Health Science, Jumla 0 COVID-19 Testing Laboratory, Dailekh 0

Sudurpaschim Chaurjahari Municipality PCR Laboratory, Rukum (East) 0 2048 New 4.3 Dadeldhura Hospital Laboratory, Dadeldhura 0 88 0

Doti Hospital

Baitadi Hospital 01 Seti Provincial Hospital/ 2 56

Bajhang Hospital 06 Kamalabazar Municipality PCR Lab 0 RT-PCR Test, COVID-19 Positive Cases and Positivity Rate 25000 50.0

45.0 New RT-PCR test New Positive Cases Positivity Rate (%)

20000 40.0

35.0

15000 30.0

25.0

% Number 10000 20.0

15.0

5000 10.0

5.0

0 0.0

2 Asar 2 Asar 6

4 Ashoj 4 Ashoj 8

10 Asar 10 Asar 14 Asar 18 Asar 22 Asar 26 Asar 30

1 Magh 1 Magh 5 Magh 9

2 Kartik 2 Kartik 6

2 Poush 2 Poush 6

3 Falgun 3 Falgun 7

12 Ashoj 12 Ashoj 16 Ashoj 20 Ashoj 24 Ashoj 28

13 Magh 13 Magh 17 Magh 21 Magh 25 Magh 29

3 Bhadra 3 Bhadra 7 Kartik 10 Kartik 18 Kartik 22 Kartik 26 Kartik 30

10 Poush 10 Poush 14 Poush 18 Poush 22 Poush 26

14 Kartik Kartik 14

11 Bhadra 11 Bhadra 15 Bhadra 19 Bhadra 23 Bhadra 27 Bhadra 31

3 Shrawan 3 Shrawan 7

8 Mangshir 8

11 Shrawan 11 Shrawan 15 Shrawan 19 Shrawan 23 Shrawan 27 Shrawan 31

4 Mangshir 4

12 Mangshir 12 Mangshir 16 Mangshir 20 Mangshir 24 Manghsir 28 Province wise RT-PCR Test, COVID-19 Positive Cases and Positivity Rate on Falgun 8

2000 60.00

1800 1765

50.00

1600

1400 40.00

1200

Number Percentage Percentage

1000 30.00

800 23.21 20.00 600

400

10.00

200

3.85

3.17

3.06

3.03

2 2

0 0 0 0

0 0.00

0.00 0.00 Province 1 Province 2 Bagmati Gandaki Lumbini Karnali Sudurpaschim

New RT-PCR test New Positive Cases Positivity Rate (%) RT-PCR Test by Province (Per 100,000 population)

25000.0

20000.0 19048.1

15000.0

10000.0

7167.9

5151.5 5287.9 5412.8 5000.0 4272.8 4123.0

1602.7

0.0 Province 1 Province 2 Bagmati Gandaki Lumbini Karnali Sudurpaschim Nepal RT-PCR Testing Laboratories by Ownership

Public Private 100%

90% 33 80% 42

70% 58 Public Private Total

60% Laboratories 48 35 83

50% Tests - Cumulative 1429007 707302 2136309

Tests - New 40% 868 1180 2048 67 30% 58

20% 42

10%

0% Laboratories Tests - Cumulative Tests - New People in Quarantine 200000 Highest number of people reported on 180000 Jestha 28 172,266 Jestha 25 160000 170,732

140000 Falgun 8 81

120000

100000

80000 Number ofPeople Number

60000

40000

20000

Ashoj 2 Ashoj 6 Ashoj

Asar 04 Asar 08 Asar 12 Asar 16 Asar 20 Asar 24 Asar 28 Asar

Kartik 4 Kartik 8 Kartik

3 Magh Magh 3 Magh 7

1 Falgun 1 Falgun 5 Falgun 9

4 Poush Poush 4 Poush 8

Ashoj 10 Ashoj 14 Ashoj 18 Ashoj 22 Ashoj 26 Ashoj 30 Ashoj

Kartik 12 Kartik 16 Kartik 20 Kartik 24 Kartik 28 Kartik

12 Poush 12 Poush 16 Poush 20 Poush 24 Poush 28

Jestha 04 Jestha 08 Jestha 12 Jestha 16 Jestha 20 Jestha 24 Jestha 28 Jestha 32 Jestha

11 Magh Magh 11 Magh 15 Magh 19 Magh 23 Magh 27

Mangsir 2 Mangsir 6 Mangsir

Bhadra 01 Bhadra 05 Bhadra 09 Bhadra 13 Bhadra 17 Bhadra 21 Bhadra 25 Bhadra 29 Bhadra

Chaitra 21 Chaitra 25 Chaitra 29 Chaitra

Baisakh 03 Baisakh 07 Baisakh 11 Baisakh 15 Baisakh 19 Baisakh 23 Baisakh 27 Baisakh 31 Baisakh

Mangsir 10 Mangsir 14 Mangsir 18 Mangsir 22 Mangsir 26 Mangsir 30 Mangsir

Shrawan 01 Shrawan 05 Shrawan 09 Shrawan 13 Shrawan 17 Shrawan 21 Shrawan 25 Shrawan 29 Shrawan 2076 Chaitra 17 Chaitra 2076 1 Date 36 People Returned from Abroad through TIA

5000 4753 4500 Total as of 2077 Falgun 7: 290,195

4000

3500

3000 2853

2756

2613

2522

2513

2467

2444

2500

2312

2290

2288

2287

2245

2242

2202

Number

2128

2107

2095

2087

2066

2060

2047

2041

2016

2006

2003

1981

1976

1967

1960

1955

1940

1933

1929

1888

1853 1853

1849

1848

2000 1831

1809

1798 1798

1788

1785

1769

1766

1763

1761

1753

1739

1724

1718

1708

1707

1699

1694

1673

1660

1652

1644

1633

1626

1584

1579 1579

1560

1528

1524

1520

1519

1515

1513

1506

1466

1455

1450

1440

1431 1431

1421

1412

1401

1387

1382

1381

1376

1371

1362

1348

1341

1340

1339

1329

1500 1323

1317

1308

1307

1286

1284 1284

1280

1275

1272

1270

1246

1240

1237

1217

1215

1209

1194

1189

1180

1175

1173

1172

1157

1156

1151

1138

1136

1135

1131

1113

1082

1078

1070

1059

1051

1050

1049 1049

1035

1027

1019

1014

1001

999

990

988

981

974

964

957 957

956

955

943

920

885

871

864

859

853

1000 839

794 794

784 784

779 779

747

745

725

721

717

702

673

657

654

651

612

593

556

548

483

478

416

413

367

500

320 320

299

283

265

264

249

202 202

183

161

81 24

Kartik2

Asar 24 Asar 27 Asar 30 Asar

Magh 2 Magh 5 Magh 8 Magh

Kartik 5 Kartik

Push 01 Push 13 Push 16 Push 19 Push 22 Push 25 Push 28 Push

Falgun 2 Falgun 5 Falgun

Ashoj 01 Ashoj 04 Ashoj 07 Ashoj 10 Ashoj 13 Ashoj 16 Ashoj 19 Ashoj 22 Ashoj 25 Ashoj 29 Ashoj

Magh 11 Magh 14 Magh 17 Magh 20 Magh 23 Magh 26 Magh 29 Magh

Kartik 15 Kartik 19 Kartik 22 Kartik 25 Kartik

Bhadra1 Bhadra7

Poush 04 Poush 07 Poush 10 Poush

Bhadra12 Bhadra15 Bhadra18 Bhadra21 Bhadra25 Bhadra28

Shrawan 5 Shrawan 8 Shrawan

Mangsir 02 Mangsir 05 Mangsir 08 Mangsir 11 Mangsir 15 Mangsir 18 Mangsir 21 Mangsir 24 Mangsir 28 Mangsir

Shrawan 11 Shrawan 14 Shrawan 17 Shrawan 20 Shrawan 25 Shrawan Date

Source: COVID-19 Crisis Management Center (CCMC) https://ccmc.gov.np/ (2077 Falgun 8, 7:00pm) 1 37 People Returned through Ground Crossings (As of 2077 Falgun 7)

4500

3987

4000

3711

3500

3230

3226

3029

2988

2986

2981 2981

2955

2950

2947

2887

2868

2854

3000 2848

2809

2802

2800

2789

2750

2749

2722

2717

2704

2677

2658

2642

2640

2622

2621

2601

2597

2590

2557

2525

2503

2482

2476

2447

2445

2440

2435

2421

2418

2383

2366

2359

2345

2343

2342

2340

2500

2267

2259

2232

2208

2204

2203

2200

2197

2180

2152

2146

2134

2131

2130

2127

2126

2124

2107

2089

2084

2082

2059

2056

2053

2045 2045

2039

2034

2025

2024

1987

1980

1969

1959

1954

1950

1932

1923

1909

1869

1862 1858

2000

1830

1823

1814

1811

1800

1798

1790

1789

1785

1781

1777

1763

1745

1737

1733

1689

1681

1667

1662

1659

1640

1619

1614

1608

1597

1594

1587

1567

1560

1530

Number ofPeople Number

1485

1480

1466

1443

1441

1439

1430

1414

1385

1373

1369

1343 1343

1500

1330

1324

1313

1304

1296

1282

1276 1276

1274

1269

1265

1254

1218

1202

1201

1197

1179

1177

1161 1161

1156

1148

1147

1135

1128

1103

1083

1053

1031

1030

1025

1024

997

965

950

901

885

860

853 845

1000

830

829

828

796

792

774

752

750

724

720

707

683

666

659

651

620

617

537

503

482

468

451

445

431 421

500 419

Asar 25 Asar 28 Asar 31 Asar

Magh 3 Magh 6 Magh 9 Magh

Kartik 1 Kartik

Falgun 3 Falgun 6 Falgun

Ashoj 01 Ashoj 04 Ashoj 07 Ashoj 10 Ashoj 13 Ashoj 16 Ashoj 19 Ashoj 22 Ashoj 25 Ashoj 28 Ashoj

Magh 12 Magh 15 Magh 18 Magh 21 Magh 24 Magh 27 Magh 30 Magh

Kartik 10 Kartik 13 Kartik 16 Kartik 19 Kartik 22 Kartik 25 Kartik

Poush 02 Poush 05 Poush 08 Poush 11 Poush 14 Poush 17 Poush 20 Poush 23 Poush 26 Poush 29 Poush

Bhadra01 Bhadra06 Bhadra10 Bhadra13 Bhadra17 Bhadra20 Bhadra23 Bhadra26 Bhadra29

Shrawan 6 Shrawan 9 Shrawan

Mangsir 02 Mangsir 07 Mangsir 11 Mangsir 16 Mangsir 19 Mangsir 22 Mangsir 25 Mangsir 29 Mangsir

Shrawan12 Shrawan15 Shrawan18 Shrawan21 Shrawan24 Shrawan27 Shrawan30 Date Source: COVID-19 Crisis Management Center (CCMC) 1 38 https://ccmc.gov.np/ (2077 Falgun 8, 9:46 pm) 1 39 Stock Status of COVID-19 Key Commodities (2077 Falgun 8) 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 14398 2915 2492 7135 4812 4033 192 4031 40008 2 RT-PCR Kits 290096 3660 51956 13400 56732 5464 3488 28136 452932 3 Viral Transport Medium (VTM) 217942 22068 27732 43081 45733 46998 11100 47529 462183 4 RNA extraction Kit 148548 1174 28556 18664 80192 15250 7756 32921 333061 B Personal protective equipment 4 PPE Set 0 3567 6930 6160 2798 9731 555 4316 34057 5 Mask-N95 93446 21924 25229 29845 31576 22143 5068 27057 256288 6 Surgical Mask 1446093 557675 519066 1085501 531388 764145 174647 724204 5802719 7 Gown 65248 61508 93264 78458 51270 71589 19378 52968 493683 8 Face Shield 26542 9319 4742 77877 17529 38217 952 3471 178649 9 Shoe Cover 933 20542 32415 40135 23089 28169 7046 21495 173824 10 Surgical Gloves 45502 29251 35192 34117 29203 137898 14285 64770 390218 11 Head Cap 0 50517 2170 13860 8094 11395 943 9209 96188 12 Goggles Polycarbonate 120 2998 4416 6023 2764 2907 896 2607 22731 13 Safety Goggles 40103 11046 10009 18797 15192 12892 2679 4416 115134 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. 1 40 Source: eLMIS; data extracted on 20 February 2021 at 8:00 PM 41