Mongolia Coronavirus Disease 2019 (COVID-19) Situation Report #59 As of 21 June 2021 Situation summary in Mongolia ● 17,455 cases and 436 deaths were newly confirmed in the past week. ● 12,118 new cases were confirmed in UB and 5,337 cases were confirmed in 19 provinces of total 21 in the past seven days. ● Two provinces of the country have haven’t reported new cases within the past seven days ● 11,533 close contacts have been identified and 8,451 (73.3%) family, 358 (3.1%) workplaces, 602 (5.2%) relatives, 139 (12%) from friends, 111 (1.0%) from same apartments and ger districts, 13 (0.1%) from same gatherings, 173 (1.5%) from others. There were also 1,686 unlinked close contacts. ● HCWs infection is 1.74% (1593 cases) of all of the reported confirmed cases. 597 (36.4%) of them is community acquired infections. ● Ulaanbaatar city hospital bed occupancy rate is 86.7% (previous week 98.9%), ICU bed occupancy rate is 90.4% (last week 96.1%). ● 145 soums of 18 aimags (provinces) started movement restrictions and/or entry restrictions by the decisions of the local administrative offices. ● 1947 beds deployed in multiple settings. ● Vaccination of pregnant women and children between 16-18 has started in the past week. ● The Civil Aviation Authority (CAA) scheduled 23 international flights for July. Epidemic curve of local cases of COVID-19, confirmed date 1 Mongolia Coronavirus Disease 2019 (COVID-19) Situation Report #59 As of 21 June 2021 Epi Updates Indicators Total Past week Weekly changes Cases 95,802 17,455 23.0% 553 7 65.0% Imported ⇧ 95,249 17,448 28.7% Local ⇩ ⇧ HCW 4,523 210 73.6% Deaths 436 71 13.4%⇩ Tests 3,143,397 82,326 18.3%⇩ Vaccination 3,605,090 70,595 37.0%⇩ Laboratory positivity rate ⇩ The continued high positivity rates this week 21.2% (16.3% last week). The number of test has increased by 18.7% (82326 in this week; 66902 in previous week). 2 Mongolia Coronavirus Disease 2019 (COVID-19) Situation Report #59 As of 21 June 2021 National weekly transmission stage assessment Date of last Total Cases per In last 7 Total Mongolia WPRO № Provinces case number of 10,000 CFR Transmission stages description days death stage stage confirmed cases population 1 Arkhangai 20 June 332 982 103.37 stage 3 stage 2 Stage 0 – Umnugovi province at 2 Bayan-Ulgii 20 June 80 141 12.99 stage 2 stage 2 stage 0 and no cases reported. Active 3 Bayankhongor 20 June 596 1228 138.49 3 0.2% stage 3 stage 2 surveillance is ongoing. No imported cases. The level of confidence is low- 4 Bulgan 20 June 125 491 79.08 3 0.6% stage 3 stage 2 moderate 5 Govi-Altai 20 June 483 1256 217.50 1 0.1% stage 3 stage 2 Stage 1: Dornogovi province 6 Govisumber 20 June 87 210 117.14 stage 3 stage 2 reported no new cases. 7 Darkhan-Uul 20 June 369 1417 132.41 stage 3 stage 2 Stage 2: 19 provinces are reported 8 Dornogovi 29 May 0 74 10.42 1 1.4% stage 2 stage 1 local clusters. Clusters related to 9 Dornod 20 June 157 308 37.54 stage 3 stage 2 elections, funerals, religious events 10 Dundgovi 12 June 172 401 85.13 1 0.2% stage 3 stage 2 such as mass worshipping of sacred mountains and rivers have been 11 Zavkhan 20 June 213 752 103.26 2 0.3% stage 3 stage 2 reported. ICU bed occupancy 15,2%, 12 Orkhon 20 June 573 1847 171.60 4 0.2% stage 3 stage 2 COVID-19 bed occupancy 86,6%, 13 Uvurkhangai 20 June 356 999 85.58 stage 3 stage 2 intermediate facilities occupancy 14 Umnugovi - 0 0 0.00 stage 1 stage 0 rate is 40,4%. 15 Sukhbaatar 20 June 178 644 101.93 2 0.3% stage 3 stage 2 Stage 3 – 36.4% of HCWs infections 16 Selenge 20 June 260 909 82.55 stage 3 stage 2 are community acquired infection 17 Tuv 20 June 509 2339 248.17 4 0.2% stage 3 stage 2 Insufficient active surveillance 18 Uvs 20 June 157 395 47.46 stage 3 stage 2 Increasing positivity (highest number reported, 20) and number of 19 Khovd 20 June 85 439 48.93 stage 2 stage 2 specimens tested; insufficient 20 Khuvsgul 20 June 279 592 43.82 1 0.2% stage 3 stage 2 number of testing centers for 21 Khentii 20 June 326 676 86.71 1 0.1% stage 3 stage 2 symptomatic/suspected cases 22 Ulaanbaatar 20 June 12118 77,278 501.87 417 0.5% stage 4 stage 3 ICU bed occupancy rate is 85% Immunization 84240 out of 2.35 million doses of Phizer donation from the Government of Japan was received. As of 21 June 2021, 1st dose coverage was 89.2%, and 2nd dose coverage was 79.2%. The 1st dose coverage among the population is 59%, 2nd dose coverage is 52%. Pregnant women- 1031, lactating mothers- 860, children aged 16-17 – 10294 are vaccinated with 1st dose respectively. Health care services ● COVID-19 Hotline expanded with the 2nd line for referral services for severe cases ● 40 buses were mobilized as mobile COVID-19 emergency outpatient centers linked to hotline in Ulaanbaatar ● 1947 additional bed mobilized in UB including intermediate facilities and private hospitals. Planning and information Setting up of multisectoral surveillance teams for contact tracing, cluster investigation and information management is in progress in the 9 districts. NCCD, Intelligence, Police, Red Cross volunteers and newly graduates of Public Health School are in the teams. National surveillance and response guidelines are revised including contact tracing, reporting, screening, triage procedures and indicators for surveillance, contact tracing and health care capacity respectively. Multisectoral WG on IAR is appointed to support responses at subnational level. IAR assessment tools are under development. 3.