Situation Update #59- Coronavirus Disease 2019 (COVID-19) WHO Country Office for Nepal Reporting Date: 25 - 31 May 2021 HIGHLIGHTS* SITUATION OVERVIEW ● Of the total COVID-19 positive cases, 79.7% (447,446) of cases have recovered and 18.9% (106470) of cases NEPAL are active. ● Of the total active cases, 93.1% (99,132) of the active (Data as of 01 June 2021, 07:00:00 hours) cases are in home isolation; 6.9% (7,338) cases are 561,302 confirmed cases undergoing hospital/institutional isolation. While 7,386 deaths 1,492 (1.4%) patients require ICU admission, 424 3,057,424 RT-PCR tests (0.3%) of the ICU admitted patients require ventilator support. SOUTH-EAST ASIA REGION ● Forty eight districts have reported more than 500 (Data as of 30 May 2021) active cases. 31,605,221 confirmed cases ● Among the total new cases (40841) reported this 401,754 deaths week, 22.3% (9092) of the new cases are from Kathmandu district and 30.2% (12323) from GLOBAL Kathmandu valley (Kathmandu, Lalitpur and (Data as of 30 May 2021) Bhaktapur districts). 169,604,858 confirmed cases ● RT–PCR tests have been performed from 91 3,530,837 deaths designated COVID-19 laboratories across the country of which 55 are public and 36 are private laboratories. ● There have been 2,113,080 people who have received the 1st dose of COVID-19 Vaccine and 714,163 people have received 2nd dose of COVID-19 vaccine. *Data as of COVID-19 Update, MoHP, 31 May 2021 NEPAL EPIDEMIOLOGICAL SITUATION • As of 1 June 2021, T07:00:00 hours (week no. 22), a total 561,302 COVID-19 cases were confirmed in the country through polymerase chain reaction (RT-PCR); 3,057,424 RT-PCR tests have been performed nationwide by designated functional COVID-19 laboratories. • All 7 provinces in the country are now experiencing community transmission. • Province-wise test positivity rate in the past week (week 21) ranged from 26.0% (Province 2) to 43.8% (Karnali Province), with national positivity rate averaging 34.4%. • Overall, the sex-distribution remains skewed towards males, who constitute 61% (344,378/561,302) of the confirmed cases. Amongst the males, 79% (273,378/344,378) are in the economically productive age group (15-54 years). • A total of 39 samples have been tested for influenza on EPID-week 21 (24 May - 30 May 2021). None of the samples tested positive for influenza. From 4 January until 30 May 2021, a total of 1429 samples have been tested for influenza and SARS-CoV-2 of which only 160 samples tested positive for SARS-CoV-2 1 till date. 1 These positive cases are included in the COVID-19 database. 1 Situation Update #59 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 06 June 2021 Figure 1: WHO SEAR countries: Number of COVID-19 confirmed cases (data as of 30 May 2021; Global Weekly Epidemiological Update 42) and cumulative incidence rate (per 100,000) 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 = 561302)(Data updated on 1 June 2021 T0 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 31 May 2021 was 15055 which is 25% less than the number tested during the peak in the end of October 2020. 2 Situation Update #59 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 06 June 2021 Figure 2B: Cumulative case count of laboratory-confirmed COVID-19 by province (N = 561302)(Data updated on 1 June 2021 T0 7:00:00) The cumulative case incidence has been increasing in Nepal since the first case which was 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 = 561302)(Data updated on 1 June 2021 T0 7:00:00) Note for all the Provinces (Figure 2C): Y-axis scale varies between Provinces 3 Situation Update #59 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 06 June 2021 There were 6019 new cases reported in the past week in Province 1. Since week 10, new cases are continuously increasing. However, the cases have decreased by 21% in the past week compared to the previous week. There were 118 deaths reported in the past week, 19% more than that of the previous week. The test positivity rate in Province 1 decreased to 36.4% in the past week. A total of 14941 tests were performed in the past week, 5% less than that of the previous week. There were 3078 new cases reported in the past week in Province 2. Since week 11, new cases are steadily increasing. However, the cases have decreased by 25% in the past week compared to the previous week. There were 82 deaths reported in the past week, 22% less than that of the previous week. The test positivity rate in Province 2 decreased to 26.0% in the past week. A total of 10465 tests were performed in the past week, 14% more than that of the previous week. 4 Situation Update #59 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 06 June 2021 In Bagmati, 20999 new cases were reported in the past week. Since week 11, new cases are continuously increasing. However, the cases have decreased by 18% in the past week compared to the previous week. There were 380 deaths reported in the past week, 38% less than that of the previous week. The test positivity rate in Bagmati decreased to 36.4% in the past week. A total of 68486 tests were performed in the past week, 14% less than that of the previous week. In Gandaki, 5314 new cases were reported in the past week. Since week 11, new cases are continuously increasing. The cases have increased by 19% in the past week compared to the previous week. There were 92 deaths reported in the past week, 6% less than that of the 5 Situation Update #59 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 06 June 2021 previous week. The test positivity rate in Gandaki decreased to 37.0% in the past week. A total of 7411 tests were performed in the past week, 22% less than that of the previous week. Lumbini reported 4787 new cases in the past week. Since week 12, new cases are increasing significantly. However, the cases have decreased by 44% in the past week compared to the previous week. There were 157 deaths reported in the past week, 32% less than that of the previous week. The test positivity rate in Lumbini Province decreased to 34.7% in the past week. A total of 13071 tests were performed in the past week, 21% less than that of the previous week. 6 Situation Update #59 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 06 June 2021 In Karnali, 1178 new cases were reported in the past week. Since week 12, new cases are continuously increasing. However, the cases have decreased by 59% in the past week compared to the previous week. There were 53 deaths reported in the past week, 47% less than that of the previous week. The test positivity rate in Karnali decreased to 43.8% in the past week. A total of 2576 tests were performed in the past week, 53% less than that of the previous week. In Sudurpashchim, 2508 new cases were reported in the past week. Since week 12, new cases are continuously increasing. However, the cases have decreased by 49% in the past week compared to the previous week. There were 44 deaths reported in the past week, 55% less than that of the previous week. The test positivity rate in Sudurpashchim decreased to 26.6% in the past week. A total of 8951 tests were performed in the past week, 4% less than that of the previous week. 7 Situation Update #59 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 06 June 2021 Figure 3: National -Municipalities (By domicile) with reported laboratory-confirmed COVID-19 cases and deaths (N = 561302)(Data updated on 1 June 2021 T0 7:00:00) Cases and deaths have been reported in high numbers from Bagmati Province, mostly from Kathmandu valley area. The overall case fatality ratio of Nepal is 1.32%. However, the CFRis relatively high in Karnali Province with 1.72% and Gandaki Province with 1.71%. Situation Update #59 – Corona virus Disease 2019 (COVID-19) WHO Country Office for Nepal Sunday 06 June 2021 8 Table 1: Summary of laboratory-confirmed COVID-19 cases, deaths and transmission by provinces. (N = 561302)(Data updated on 1 June 2021 T0 7:00:00) % of the Total total Total Total Total Reporting confirmed Transmission confirmed cumulative confirmed deaths Province cumulative classification* cumulative deaths cases in last in last cases cases 14 days 14 days Province 1 58474 10.4 857 Community transmission 14393 215 Province 2 38546 6.9 623 Community transmission 7487 177 Bagmati 292730 52.2 3205 Community transmission 48598 924 Gandaki 40978 7.3 701 Community transmission 10097 192 Province 5 81064 14.4 1319 Community transmission 13703 367 Karnali 16586 3.0 285 Community transmission 4153 153 Sudurpashchim 32924 5.9 396 Community transmission 7851 143 National Total 561302 100 7386 Community transmission 106282 2171 # - Date of last case is the date of onset or date of sample collection or date of lab report based on information available.