Situation Update #71- Coronavirus Disease 2019 (COVID-19) WHO Country Office for Nepal Reporting Date: 17 - 23 August 2021 SITUATION OVERVIEW HIGHLIGHTS *Data as of HEOC of MoHP Situation Report, 23 NEPAL August 2021 (Data as of 24 August 2021, 07:00:00 hours) • Of the total COVID-19 positive cases, 93.5% (700097) 748,981 (RT-PCR) and of cases have recovered and 5.1% (38,351) of cases 80,462 (Antigen RDT) are active. confirmed cases • Of the total active cases, 91.6% (35,132) cases are in 10,533 deaths home isolation; 8.3% (3,219) of cases are undergoing 3,839,395 RT-PCR tests and 435,177 Antigen RDT hospital/institutional isolation. While 1.7% (679) of active cases require ICU admission, 25.9% (176) of SOUTH-EAST ASIA REGION the ICU admitted patients require ventilator support. (Data as of 22 August 2021) • Twenty one districts have reported more than 500 40,522,861 confirmed cases active cases. 627,864 deaths • Among the total new cases (14143) reported this GLOBAL week, 27.9% (3946) are from Kathmandu district (Data as of 22 August 2021) followed by Kaski district 11.2% (1580). Most of the 211,288,358 confirmed cases new cases about 40.5% (5732) have been reported 4,422,666 deaths from Kathmandu valley (Kathmandu, Lalitpur and Bhaktapur districts), Bagmati Province. • COVID-19 vaccination coverage status (as of 23 August 2021) ChAdOx1-S* SARS-CoV-2 Vaccine (Vero Cell) Johnson and Johnson Vaccine First dose : 199,7470 First dose : 2,946,262 Single Dose : 1,335,816 Second dose : 1,031,779 Second dose : 1,490,003 * COVISHIELD (manufactured by Serum Institute of India), Japanese-made COVID-19 AstraZeneca vaccine, Swedish AstraZeneca vaccine NEPAL EPIDEMIOLOGICAL SITUATION • As of 24 August 2021, 07:00:00 hours (week no. 34), a total of 748,981 (19.5%) COVID-19 cases were confirmed through polymerase chain reaction (RT-PCR); 3,839,395 RT-PCR tests have been performed nationwide by designated functional COVID-19 laboratories. A total of 80,462 (18.4%) cases were confirmed through Antigen RDT; 435,177 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 33) ranged from 6.4% (Province 2) to 39.9% (Karnali Province), with national positivity rate averaging 22.6%. • Overall, the sex-distribution remains skewed towards males, who constitute 60% (447,503/748,981) of the RT-PCR confirmed cases. Amongst the males, 78% (349,881/447,503) are in the economically productive age group (15-54 years). 1 Situation Update #71– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 29 August 2021 • NPHL reported of 43 diagnostic and surveillance samples (2 samples were tested at National Influenza center (NIC) and 41 tested at WARUN (Walter Reed/AFRIMS Research Unit- Nepal) on EPID-week 33 (16-22 August 2021). o 21 samples tested positive for Influenza A/H3, and 1 sample tested Positive for Influenza B Victoria and 5 samples tested positive for Influenza B (Un-typed). 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 (16-22 August 2021), 100 SARS-CoV-2 negative were tested for Influenza for the same week. 6 samples tested positive for Influenza A/H3, and 5 samples tested positive for Influenza B Victoria. • From 4 January until 22 August 2021: o A total of 521 samples have tested positive for Influenza (448 Influenza A/H3 , 53 Influenza B Victoria, 1 Co-Infection of Influenza A/H3 and Influenza B Victoria, 2 Co- Infection of Influenza A/H3 and Influenza Victoria, 1 Influenza A(H1N1) pdm09, 16 Influenza B Un-subtyped) from 3868 samples (sentinel and non-sentinel samples including SARS-CoV-2 negative SARI and ILI cases). o Similarly, 273 samples tested positive for SARS-CoV-2 from 1165 samples (sentinel/non-sentinel ILI/SARI samples).1 Figure 1: WHO SEAR countries: Number of COVID-19 confirmed cases and cumulative incidence rate (per 100,000) (Data as of 23 August 2021; WHO COVID-19 Dashboard) 1 These positive cases are included in the COVID-19 database. 2 Situation Update #71– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 29 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 = 748981) (Data reported on 24 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 23 August 2021 was 8704 which is 56% 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 = 748981) (Data reported on 24 August 2021 up to 7:00:00) 3 Situation Update #71– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 29 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 = 748981) (Data reported on 24 August 2021 up to 7:00:00) Note for all the Provinces (Figure 2C): Y-axis scale varies between Provinces There were 2904 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 6% in the past week compared to the previous week. There were 36 deaths reported in the past week, 20% more than that of the previous week. The test positivity rate in Province 1 increased to 29.9% in the past week. A total of 9178 tests were performed in the past week, 7% less than that of the previous week. 4 Situation Update #71– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 29 August 2021 There were 175 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 19% in the past week compared to the previous week. There were 2 deaths reported in the past week, 67% less than that of the previous week. The test positivity rate in Province 2 increased to 6.4% in the past week. A total of 809 tests were performed in the past week, 23% less than that of the previous week. 5 Situation Update #71– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 29 August 2021 In Bagmati, 7952 new cases were reported in the past week. Since a peak in week 19, new cases were continuously declining. The cases have decreased by 15% in the past week compared to the previous week. There were 104 deaths reported in the past week, 2% more than that of the previous week. The test positivity rate in Bagmati decreased to 17.9% in the past week. A total of 50541 tests were performed in the past week, 1% more than that of the previous week. In Gandaki, 2628 new cases were reported in the past week. Since a peak in week 21, new cases were continuously declining. The cases have decreased by 14% in the past week compared to the previous week. There were 48 deaths reported in the past week, 17% more than that of the previous week. The test positivity rate in Gandaki decreased to 31.9% in the past week. A total of 6267 tests were performed in the past week, 4% less than that of the previous week. 6 Situation Update #71– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 29 August 2021 Lumbini reported 976 new cases in the past week. Since a peak in week 19, new cases were continuously declining. The cases have decreased by 9% in the past week compared to the previous week. There were 15 deaths reported in the past week, 25% more than that of the previous week. The test positivity rate in Lumbini decreased to 20.2% in the past week. A total of 4286 tests were performed in the past week, 1% less than that of the previous week. In Karnali, 324 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 1% in the past week compared to the previous week. There were 9 deaths reported in the past week, 125% more than that of the previous week. The test positivity rate in Karnali decreased to 39.9% in the past week. A total of 689 tests were performed in the past week, 24% more than that of the previous week. 7 Situation Update #71– Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 29 August 2021 In Sudurpashchim, 202 new cases were reported in the past week. Since a peak in Week 20, new cases were continuously declining.