Deaths Between 2 November 2020 8 AM to 3 November 2020 8 AM 06

DAILY SITUATION REPORT 3rd November, 2020 252nd Day – Rabi ul Awal 16, 1442 AH

3 PRONGED STRATEGY OF GOVERNMENT (ISOLATION-TESTING-CRITICAL CARE) 1 TRACE-TEST-TREAT COVID-19 SINDH

SITUATION REPORT 03.11.2020 (8:00 AM)

Total Tests Done till 2nd November 2020 8 AM 1,664,547

Tests reported between 2nd November 2020 8 AM to 3rd November 2020 8 AM 7,880

Total results tests up to 8 AM today (3rd November 2020) 1,672,427 Total Cases on 2nd November 2020 8 AM 146,774

Cases reported between 2nd November 2020 8 AM to 3rd November 2020 8 AM (6.6%) 521

Total Positive up to 8 AM on 3rd November 2020 (9%) 147,295 COVID-19 SINDH Total Cured (Today =302) 139,276 (95%)

nd rd Deaths between 2 November 2020 8 AM to 3 November 2020 8 AM 06

Total Deaths as @ 8 AM 3rd November 2020 2,639 (1.8%)

Patients in Home Isolation 5,092 Patients in Isolation Centers 02

Patients in Hospitals (Critical =164) (on Ventilator =27) = 191(67%) 286

TOTAL PATIENTS CURRENTLY UNDER CARE & TREATMENT 5,380(3%) 4 LAB-WISE TESTING DETAILS Lab Maximum % % for New Region Capacity Tests Done Positive Negative Sum Total New Cases Name / day Positive Cases LUMHS HYD HYDERABAD 5000 3828 66 3761 3828 2 68 2 SASIMS HYDERABAD 100 122 5 117 122 4 5 4 SEHWAN CHUGHTAI KARACHI 650 618 42 576 618 7 42 7 LAB HASHMANIS KARACHI 100 0 0 0 0 0 0 0 ESSA LAB KARACHI 100 0 0 0 0 0 0 0 SOUTH CITY KARACHI 100 137 27 110 137 20 24 18 NIBD KARACHI 100 0 0 0 0 0 0 0 ABBASI SHAHEED KARACHI 50 0 0 0 0 0 0 0 HOSPITAL TABBA KARACHI 50 0 0 0 0 0 0 0 HEART CANCER FOUNDATION KARACHI 50 0 0 0 0 0 0 0 HOSPITAL ALKHIDMAT KARACHI 50 0 0 0 0 0 1 0 BAHRIA KARACHI 20 0 0 0 0 0 0 0 TOWN LAB CHH KARACHI 100 0 0 0 0 0 0 0 LNH KARACHI 100 0 0 0 0 0 0 0 ADVANCED KARACHI 100 0 0 0 0 0 1 0 LAB DUHS OJHA KARACHI 1000 196 41 155 196 21 38 19 CHK KARACHI 200 274 56 218 274 20 37 14 AKUH KARACHI 1000 839 118 721 839 14 100 12 ZIAUDDIN KARACHI 200 58 9 49 58 16 3 5 INDUS KARACHI 4000 1682 228 1454 1682 14 198 11 PNS SHIFA KARACHI 100 0 0 0 0 0 0 0 SIUT KARACHI 150 0 0 0 0 0 0 0 JPMC KARACHI 100 3 3 0 3 100 0 0 PMCD, KU KARACHI 1000 0 0 0 0 0 0 0 ONE HEALTH KARACHI 20 0 0 0 0 0 0 0 LARKANO LARKANA 100 0 0 0 0 0 0 0 GMMMC SUKKUR 100 123 5 118 123 4 4 3 SUKKUR GIMS SUKKUR 300 0 0 0 0 0 0 05 Total -- 14940 7880 600 7279 7880 8 521 6 Last 5 days Positive Ratio Sindh 29-10-20 to 02-11-20

Area Tests Done Positive %

Karachi Division 24707 1551 6.28%

Hyderabad District 2003 132 6.59%

Rest of Sindh 20891 326 1.56%

Total 47601 2009 4.22% 6 7 GLOBAL TRENDS United States United Kingdom # 1 Cases/Deaths(24hr): 101,461 / 988 Deaths / Mn : 632 # 9 Cases/Deaths(24hr): 24,405 / 274 Deaths / Mn : 11.7 (1 month) (1 month) 100000 30000 80000 Cases 60000Cases 20000 989,74 9,323,74 40000 5 4 Deaths / Mn : 91 10000 20000 (1 month) Deaths Deaths / Mn : 4.3 Deaths (1 month) 46,229 0235,254 0

Spain France Cases/Deaths(24hr): 25,595 / 239 Deaths / Mn : 58 # 5 Cases/Deaths(24hr): 49,215 /545 #6 (1 month) Deaths / Mn : 23.2 60000 60000 (1 month)

40000 Cases 40000 Cases 1,264,51 1,331,984 20000 7 20000Deaths Deaths 36,565 0 35,878 Deaths / Mn : 299 0 Deaths / Mn : 283 (1 month) (1 month)

• U.S. reports 100,000 New Daily Cases; Spain, Germany, Italy, Greece, Sweden, Russia and Netherland hit record no of daily cases in last wk • As per EU’s Head, healthcare systems are at risk of being overwhelmed by number of COVID cases unless authorities act quickly

8 Daily New Cases in Regional Countries

9 REGIONAL TRENDS India Sri Lanka

Cases/Deaths(24hr): 48,120 / 550 Deaths / Mn : 24.1 Cases/Deaths(24hr): 335 / Deaths / Mn : 0.04 (1 month) 150000 1000 (1 month) 800 100000 600 Cases Cases 400 10,561 500008,143,20 200 Deaths 1 20 0 Deaths 0 121,726

Banglades Iran h 5000 Cases/Deaths(24hr): 1,604 / 19 Deaths / Mn : 5.7 Cases/Deaths(24hr): 8,011 / 365 Deaths / Mn : 56.7 (1 month) (1 month) 4000 8000 3000 6000 Cases 4000 Cases 2000 407,68 612,77 1000 4 2000 2 0 Deaths 0 Deaths 5,923 34,864

Country Deaths Positivity Tests / Mn Deaths / (30 days) (last 7 (1 month) Mn • days) (1 month) India’s curve gradually dec– however, infections remain higher (Infections: 8,143,201, Deaths: 121,726) India 24468 4.4% 48756 24.1 •Iran’s death toll rose above 34,000 and caseload surpassed 5,000 infections (a new record) Iran 7710 19.9% 45761 56.7 •Sri Lanka, very successful earlier on, banned all public gatherings as new disease clusters expand Banglade 677 11.1% 11362 5.7 sh Sri 6 3.7% 2811 0.04 Lanka 10 Pakistan 301 3.01% 4282 1.02 Daily Deaths in Regional Countries

11 Tests per Million in Regional Countries

12 13 GLOBAL RESTRICTIONS

Country Restrictions Nationwide lockdown till 30 Nov • People to remain restricted in homes except for buying essential goods & exercise for one hour France & • Working from home is mandatory where possible & Requirement of written permission for UK journey • All non-essential shops, restaurants and bars are closed - Social gatherings are banned New Restrictions till 30 Nov • Closures of cinemas, theatres, gyms, pools, saunas, restaurants(only takeaways allowed) and Germany bars • Social gatherings limited to 10 people -Large events are cancelled and no crowds at sports events New Restrictions till 30 Nov • All bars and restaurants to close by 1800 hrs; takeaways later Italy • Gyms, swimming pools, theatres and cinemas closed • Gatherings for weddings and baptisms etc banned • Masks is compulsory (indoors /outdoors except in private homes) across the country • No movement from 2200 hrs onwards and closure of all shops by 2000 • Gyms, pools and other cultural and leisure facilities are closed. Belgium • Restaurants open for takeaways only till 2200 hrs • Working from home is mandatory, where possible Iran • Stringent lockdown in all major cities including Tehran due to high positivity WHY SIGNIFICANT STEPS ARE NECESSITATED

Potential precipice

Pakistan’s disease numeric similar to countries where 2nd wave started after 4 months from 1st peak (Like UK, Italy, Germany)

• Rising disease trend is now well established • Disease prevention measures have to be both reviewed and reinforced to stem this rise, to avoid bigger problems and serious strain on own healthcare resources • Unless we act now with relatively low cost measures; later interventions/ lockdowns/ closures could have a much larger socio-economic bearing; affecting the most vulnerable • It would therefore be most prudent TO ACT EARLY, DECIVELY AND EFFECTIVELY 16 17 DEATHS – CHRONOLOGICAL Dates Number of Deaths 19.3.2020 1 28.3.2020 1 29.3.2020 3 30.3.2020 2 31.3.2020 1 1.4.2020 1 2.4.2020 1 3.4.2020 4 4.4.2020 1 5.4.2020 3 6.4.2020 1 7.4.2020 1 8.4.2020 2 9.4.2020 3 10.4.2020 1 11.4.2020 6 12.4.2020 4 13.4.2020 2 14.4.2020 4 15.4.2020 3 16.4.2020 2 17.4.2020 1 18.4.2020 8 19.4.2020 5 20.4.2020 5 21.4.2020 3 22.4.2020 4 23.4.2020 2 24.4.2020 3 25.4.2020 3 26.4.2020 3 27.4.2020 7 28.4.2020 8 29.4.2020 12 18 30.4.2020 6 DEATHS – CHRONOLOGICAL Dates Number of Deaths 1.5.2020 4 2.5.2020 8 3.5.2020 7 4.5.2020 11 5.5.2020 9 6.5.2020 14 7.5.2020 5 8.5.2020 4 9.5.2020 9 10.5.2020 11 11.5.2020 18 12.5.2020 16 13.5.2020 9 14.5.2020 12 15.5.2020 13 16.5.2020 9 17.5.2020 3 18.5.2020 19 19.5.2020 17 20.5.2020 20 21.5.2020 4 22.5.2020 14 23.5.2020 13 24.5.2020 2 25.5.2020 5 26.5.2020 6 27.5.2020 16 28.5.2020 31 29.5.2020 38 19 30.5.2020 16 31.5.2020 22 DEATHS – CHRONOLOGICAL Dates Number of Deaths 1.6.2020 23 2.6.2020 29 3.6.2020 20 4.6.2020 40 5.6.2020 19 6.6.2020 16 7.6.2020 29 8.6.2020 17 9.6.2020 42 10.6.2020 38 11.6.2020 17 12.6.2020 23 13.6.2020 14 14.6.2020 22 15.6.2020 33 16.6.2020 30 17.6.2020 48 18.6.2020 49 19.6.2020 35 20.6.2020 41 21.6.2020 14 22.6.2020 21 23.6.2020 39 24.6.2020 17 25.6.2020 27 26.6.2020 38 27.6.2020 26 28.6.2020 74 20 29.6.202 34 30.6.202 29 DEATHS – CHRONOLOGICAL Dates Number of Deaths 1.7.2020 31 2.7.2020 22 3.7.2020 42 4.7.2020 25 5.7.2020 46 6.7.2020 42 7.7.2020 23 8.7.2020 40 9.7.2020 36 10.7.2020 34 11.7.2020 48 12.7.2020 31 13.7.2020 37 14.7.2020 25 15.7.2020 34 16.7.2020 30 17.7.2020 22 18.7.2020 19 19.7.2020 26 20.7.2020 22 21.7.2020 19 22.7.2020 36 23.7.2020 14 24.7.2020 25 25.7.2020 16 26.7.2020 11 27.7.2020 10 28.7.2020 17 29.7.2020 20 21 30.7.2020 11 31.7.2020 03 DEATHS – CHRONOLOGICAL Dates Number of Deaths 1.8.2020 1 2.8.2020 2 3.8.2020 5 4.8.2020 14 5.8.2020 5 6.8.2020 9 7.8.2020 3 8.8.2020 10 9.8.2020 10 10.8.2020 8 11.8.2020 7 12.8.2020 10 13.8.2020 6 14.8.2020 4 15.8.2020 5 16.8.2020 9 17.8.2020 5 18.8.2020 7 19.8.2020 7 20.8.2020 7 21.8.2020 1 22.8.2020 9 23.8.2020 6 24.8.2020 11 25.8.2020 4 26.8.2020 6 27.8.2020 1 28.8.2020 3 29.8.2020 3 30.8.2020 2 22 31.8.2020 6 DEATHS – CHRONOLOGICAL Dates Number of Deaths 1.9.2020 6 2.9.2020 5 3.9.2020 2 4.9.2020 0 5.9.2020 1 6.9.2020 2 7.9.2020 5 8.9.2020 6 9.9.2020 3 10.9.2020 1 11.9.2020 3 12.9.2020 2 13.9.2020 0 14.9.2020 3 15.9.2020 3 16.9.2020 4 17.9.2020 4 18.9.2020 0 19.9.2020 1 20.9.2020 3 21.9.2020 6 22.9.2020 2 23.9.2020 6 24.9.2020 4 25.9.2020 5 26.9.2020 6 27.9.2020 3 28.9.2020 2 29.9.2020 2 23 30.9.2020 13 DEATHS – CHRONOLOGICAL Dates Number of Deaths 1.10.2020 5 2.10.2020 3 3.10.2020 1 4.10.2020 2 5.10.2020 8 6.10.2020 4 7.10.2020 6 8.10.2020 2 9.10.2020 6 10.10.2020 6 11.10.2020 1 12.10.2020 6 13.10.2020 4 14.10.2020 2 15.10.2020 6 16.10.2020 5 17.10.2020 2 18.10.2020 2 19.10.2020 4 20.10.2020 3 21.10.2020 1 22.10.2020 3 23.10.2020 4 24.10.2020 0 25.10.2020 1 26.10.2020 5 27.10.2020 7 28.10.2020 9 29.10.2020 5 30.10.2020 2 24 31.10.2020 4 DEATHS – CHRONOLOGICAL Dates Number of Deaths 1.11.2020 2 2.11.2020 6 Total 2,639

25 DISTRICT WISE DISTRIBUTION

Cases Cured Expired Active Cases District Remaining Previous New (24hrs) Total Previous New (24hrs) Total Previous New (24hrs) Total Active Cases Badin 1458 3 1461 1415 0 1415 14 0 14 32 Central 16026 70 16096 15155 20 15175 481 1 482 439 Dadu 1464 0 1464 1349 0 1349 13 0 13 102 East 29143 143 29286 27508 147 27655 739 2 741 890 Ghotki 3682 7 3689 3586 0 3586 13 0 13 90 Hyderabad 5544 28 5572 5131 12 5143 83 0 83 346 Jccobabad 1061 5 1066 1027 0 1027 4 0 4 35 Jamshoro 1738 8 1746 1679 0 1679 14 0 14 53 Kambar 1156 11 1167 1106 0 1106 10 0 10 51 Korangi 8530 23 8553 8061 6 8067 269 0 269 217 Kashmore 1041 0 1041 987 0 987 8 0 8 46 Khairpur 3168 1 3169 3084 0 3084 17 0 17 68 Larkana 2317 1 2318 2242 10 2252 31 0 31 35 Malir 9678 19 9697 9088 7 9095 177 1 178 424 Matiari 734 2 736 707 2 709 4 0 4 23 Mirpurkhas 1384 7 1391 1331 0 1331 12 0 12 48 N. Feroze 1111 2 1113 1076 13 1089 8 0 8 16 Out of 1062 6 1068 913 1 914 34 0 34 120 Province Sanghar 1526 0 1526 1479 2 1481 14 0 14 31 S.B.A 2082 2 2084 2000 0 2000 10 0 10 74 Shikarpur 1898 5 1903 1816 0 1816 13 0 13 74 South 23726 118 23844 22389 37 22426 357 1 358 1060 Sujawal 651 7 658 595 0 595 16 0 16 47 Sukkur 3985 4 3989 3865 0 3865 23 0 23 101 Tando Allahyar 912 4 916 893 0 893 3 0 3 20 T.M Khan 675 0 675 630 14 644 3 0 3 28 Tharparkar 1335 0 1335 1314 1 1315 0 0 0 20 Thatta 1135 2 1137 1067 27 1094 10 0 10 33 Umerkot 839 6 845 803 0 803 3 0 3 39 West 8175 6 8181 7659 0 7659 232 0 232 290 Under 9361 32 9393 8904 3 8907 11 1 12 45426 Investigation Total 146774 521 147295 138861 302 139163 2633 6 2639 5380 ICU, HDU & ISOLATION OF COVID-19 PATIENTS AS ON 03-11-2020 DIVISION WISE TOTAL NO. TOTAL NO.OF TOTAL NO. TOTAL NO. OF TOTAL NO. OF OF TOTAL NO. OF S# NAME OF HOSPITAL ICU BED WITH OF PATIENTS BED VACANT FILLED VACANT ISOLATION FILLED VACANT PATIENTS HDU BEDS VENT ON VENT IN ICU BEDS OFF VENT KARACHI DIVISION 1 CIVIL HOSPITAL KARACHI 36 2 11 23 166 10 156 47 2 45 2 SMBB TRAUMA CENTER KARACHI 26 1 1 24 34 0 34 0 0 0 3 DUHS OJHA CAMPUS KARACHI 28 0 0 28 92 0 92 45 0 45 4 JPMC KARACHI 24 2 10 12 39 0 39 0 0 0 5 LIYARI GENERAL HOSPITAL KARACHI 31 1 5 25 155 0 155 0 0 0 6 INFECTIOUS DISEASE HOSPITAL & RESERCE CENTER 24 10 4 10 42 20 22 0 0 0 7 NICVD KARACHI 4 0 0 4 16 0 16 0 0 0 8 SIUT KARACHI 30 3 1 26 50 10 40 45 0 45 9 SERVICES HOSPITAL KARACHI 0 0 0 0 40 0 40 0 0 0 10 OMI HOSPITAL KARACHI 14 0 0 14 20 9 11 18 0 18 11 LIAQAT NATIONAL HOSPITAL 17 1 2 14 17 6 11 20 0 20 12 PATEL HOSPITAL KARACHI 12 0 0 12 5 0 5 5 0 5 13 ALTMASH HOSPITAL KARACHI 7 0 0 7 43 0 43 2 0 2 14 INDUS HOSPITAL KARACHI 20 2 5 13 62 6 56 13 0 13 15 DR ZIAUDIN HOSPITAL CILIFTON CAMPUS 10 0 7 3 15 5 10 16 0 16 16 DR ZIAUDIN HOSPITAL KEMARI CAMPUS 5 0 3 2 27 0 27 15 0 15 17 DR ZIAUDIN HOSPITAL NORTH CAMPUS 20 0 0 20 30 2 28 39 0 39 18 AKU HOSPITAL KARACHI 20 5 0 15 30 27 3 40 12 27 19 SOCIAL SECURITY KIDNEY CENTRE LANDHI 11 0 0 11 0 0 0 28 0 28 20 EXPO CENTRE KARACHI 10 0 0 10 140 10 130 1200 0 1200 21 KUTIANA MEMON HOSPITAL 2 0 0 2 16 2 14 0 0 0 22 FAUJI HOSPITAL 2 0 0 2 3 0 3 5 0 5 23 HUSSAINI HOSPITAL 10 0 0 10 5 0 5 10 0 10 24 SOUTH CITY HOSPITAL 10 0 0 10 5 0 5 5 0 5 25 BAY VIEW HOSPITAL 3 0 0 3 5 0 5 3 0 3 26 PNS SHIFA 5 0 0 5 10 0 10 10 0 10 27 KULSOOM BAI WALIKA HOSPITAL SITE 12 0 0 12 12 0 12 50 0 50 28 SOCIAL SECURITY HOSPITAL LANDHI 3 0 0 3 15 0 15 20 0 20 29 TABBA KIDNEY INSTITUTE 5 0 0 5 5 0 5 5 0 5 30 OTHERS 16 0 0 16 251 0 251 2409 0 272409 TOTAL 417 27 49 341 1350 107 1243 4050 14 4036 ICU, HDU & ISOLATION OF COVID-19 PATIENTS AS ON 03-11-2020 DIVISION WISE TOTAL NO. TOTAL NO.OF TOTAL NO. TOTAL NO. OF TOTAL NO. OF OF TOTAL NO. OF S# NAME OF HOSPITAL ICU BED WITH OF PATIENTS BED VACANT FILLED VACANT ISOLATION FILLED VACANT PATIENTS HDU BEDS VENT ON VENT IN ICU BEDS OFF VENT HYDERABAD DIVISION 1 LUH HYDERABAD/JAMSHORO 20 0 6 14 158 1 157 37 4 33 2 INSTITUTE OF CHEST DISEASE KOTRI 0 0 0 0 12 0 12 200 0 200 3 INDUS HOSPITAL BADIN 4 0 0 4 5 0 5 120 0 120 4 SASIM SEHWAN 4 0 0 4 12 1 11 12 1 11 5 BBMCH KOTRI 3 0 0 3 0 0 0 20 0 20 6 OTHERS 25 0 0 25 21 0 21 1071 0 1071 TOTAL 56 0 6 51 208 2 206 1460 5 1455 SBA NAWABSHAH DIVISION 1 PMC HOSPTAL SBA NAWABSHAH 14 0 0 14 62 0 62 100 0 100 2 OTHERS 0 0 0 0 40 0 40 717 0 717 TOTAL 14 0 0 14 102 0 102 817 0 817 MIRPURKHAS DIVISION 1 CIVIL HOSPITAL MIRPURKHAS 0 0 0 0 60 0 60 80 0 80 2 OTHERS 0 0 0 0 0 0 0 533 0 533 TOTAL 0 0 0 0 60 0 60 613 0 613 SUKKUR DIVISION 1 KMC HOSPITAL KHAIRPUR 0 0 0 0 20 0 20 80 0 80 2 AQS JELANI INSTITUTE GAMBAT 20 0 0 20 12 0 12 30 0 30 3 GMMMC SUKKUR 4 0 0 4 20 0 20 200 0 200 4 DHQ GHOTKI 15 0 0 15 56 0 56 620 0 620 TOTAL 39 0 0 39 108 0 108 930 0 930 LARKANA DIVISION 1 JIMS JACOBABAD 2 0 0 2 3 0 3 0 0 0 2 CMC HOSPITAL LARKANA 22 0 0 22 64 0 64 80 0 80 3 OTHERS 0 0 0 0 0 0 0 727 0 727 TOTAL 24 0 0 24 67 0 67 817 0 28817 GRAND TOTAL 550 27 55 468 1895 109 1786 8687 19 8668 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 COUNTRY STATISTICS

56 COUNTRY STATISTICS

57 COUNTRY STATISTICS

58 COUNTRY STATISTICS

59 COUNTRY STATISTICS

60 COUNTRY STATISTICS

61 COUNTRY STATISTICS

62 What we seeing being successful are the fundamentals of public health

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