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Coronavirus in Pakistan

KP reports 608 new coronavirus cases, 16 more deaths

Khyber Pakhtunkhwa health department has reported 608 new cases of the novel coronavirus, taking the provincial tally to 20,790.

Moreover, 16 more people have died from the virus in the last 24 hours, raising the death toll to 789.
 
Covid-19 cases dip in last five straight days

The National Command and Operation Centre (NCOC) on Friday observed that there had been a decline in coronavirus cases being reported detected in the country for the last five consecutive days after a steady rise for three weeks.

According to a statement issued by the NCOC, 103 more ventilators had been added to the national count, taking the total number to 1,503.

To meet the additional requirements of hospitals, the procurement of more ventilators was under way on a fast track basis and would be completed between the mid and the end of July. Over 1,500 ventilators will be added to the existing number.

Efforts are also under way for the provision of 2,150 additional oxygen beds across the country to ease the burden on hospitals in the county’s major cities.

Punjab and Sindh will each be provided with 500 more oxygen beds, Khyber-Pakhtunkhwa 400, Islamabad Capital Territory 450, Balochistan 200, Azad Jammu and Kashmir 60 and Gilgit-Baltistan 40.

The country’s coronavirus testing capacity has went up by 65 times and it will be increased to over 100,000 tests per day by the mid of July.

The NCOC’s coronavirus mortality analysis shows that the case fatality rate (CFR) in Pakistan was 1.93% against 5.37% worldwide.

Gender bifurcation shows that the 73% of people who died of Covid-19 were male with median age of 60 years. Around 74% were over the age of 50.

However, 73% had chronic comorbidities — meaning they were already suffering from other diseases before contracting the virus.

The NCOC added that 91% of the deceased remained hospitalised with an average stay of five 5 days.

A total of 28,824 tests were conducted during the last 24 hours and 61,383 people have recovered from the disease across the country so far. Currently there is no patient on a ventilator in AJK, Balochistan and GB.

Presently, around 546 ventilators are occupied across the country.

The number of active Covid-19 cases in the country stand at 100,450 with 4,944 detected on June 18.

Overall, 165,062 cases have been confirmed so far – 62,269 in Sindh, 61,678 in Punjab, 20,182 in K-P, 8,998 in Balochistan, 9,941 in ICT, 1,225 in G-B and 769 in AJK.

So far, 3,229 deaths have occurred due to COVID-19 in the country — 136 on June 18 – 1,265 in Punjab, 964 in Sindh, 773 in K-P, 95 in ICT, 99 in Balochistan, 18 in G-B and 15 in AJK.

Addressing a news conference after the NCOC meeting, Special Assistant to the PM on Health Dr Zafar Mirza said the government had a launched a helpline for healthcare workers dealing with coronavirus patients to address their problems.

Healthcare workers can use the complaint management system by calling on 1166 or sending a WhatsApp message on 03001111166.

Dr Mirza said after a complaint was received, the staff would determine which province it came from and its category. It will then be sent to the government’s focal point in that province.

The staff will also call back the healthcare work and inform them about the status of their complaint and how it had been addressed.

With input from APP

https://tribune.com.pk/story/2246370/1-covid-19-cases-dip-last-five-straight-days/
 
<blockquote class="twitter-tweet"><p lang="en" dir="ltr">Alhumdulilah with the prayers of my well wishers I have been tested negative from Corona after 24 days of accute illness. It was a painful experience but it is my firm believe that every sickness & illness bring us closer to Allah. May Allah protect all from this Pendamic.</p>— Shehryar Afridi (@ShehryarAfridi1) <a href="https://twitter.com/ShehryarAfridi1/status/1274049845364428801?ref_src=twsrc%5Etfw">June 19, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
 
164 Covid-19 cases, 1 death reported in Balochistan

Balochistan has reported 164 coronavirus cases and one death during the past 24 hours, according to the provincial health department's daily situation report.

The provincial tally has risen to 9,162 while total deaths are 100.
 
Pakistan are also catching up to india in terms off testing per 1m - we are now just 0.78 behind them -good to see

28,824 tests were done in last 24hrs
 
Pakistan are also catching up to india in terms off testing per 1m - we are now just 0.78 behind them -good to see

28,824 tests were done in last 24hrs

Mid July Pakistan is aiming for 100,000 tests per day but we need to go quicker tbh. We took a long time to get to 28,000 tests per day. Ofcourse, we have resource limitations.
 
Mid July Pakistan is aiming for 100,000 tests per day but we need to go quicker tbh. We took a long time to get to 28,000 tests per day. Ofcourse, we have resource limitations.

that wont be the case - remember they stated that they were going to hit ur same number beginning of june,

Mid july expect it to be around 37-45k test per day -50k at the very best
 
By The Associated Press

ISLAMABAD - Pakistan has reported 153 COVID-19 fatalities, a new daily record, as infections continue to spiral, pushing the overall number of confirmed cases to 171,665.

Pakistan recorded 6,604 new infections in the last 24 hours. The total death toll stands at 3,382.

Hospitals are filling up and in many cities across the country, COVID-19 patients are being turned away.

In a country of 220 million people, Pakistan has less than 3,000 ICU beds, among the world’s lowest. Ventilators are being distributed to some of the worst-hit areas and the government has sealed more than 800 residential and business areas where clusters of infections have surfaced.

Yet despite urging from medical professionals, who have recorded more than 3,000 infections from among their ranks, and the World Health Organization, Pakistan has refused to impose strict lockdowns. Prime Minister Imran Khan says easing restrictions is the only way to save the economy.

On Friday, Pakistan signed a $1.5 billion loan agreement with three international lending institutions. The country's poverty rate of 30% has jumped to 40% in just three months.
 
Educate, educate and keep on educating the population as to how to prevent the spread. There is no magic wand except a total lockdown, which is impractical over a long period of time.
 
Now starting to find out friends and family members catching this in Pakistan and passing away. Ya allah khair...
 
KARACHI: The chief of prisons for Sindh province said on Friday that 896, or a quarter, of Karachi Central Jail’s 3,500 prisoners had tested positive for the coronavirus, but a major prisoner rights group put the number at several hundred more than the official count.

COVID-19, the disease caused by a new coronavirus, has spread rapidly behind bars in Pakistan and across the nation, rights groups say. But scant testing and inconsistent reporting from authorities is frustrating efforts to track or contain its spread, particularly in local jails. Figures compiled by police appear to undercount the number of infections dramatically, experts say.

Uneven testing in prisons and erratic reporting of confirmed infections have profound implications for health officials tracking the spread of the disease, because epidemiologists see jails as key pathways of transmission.

On Friday, the rights group Justice Project Pakistan (JPP) said 1,293 prisoners, or about 37 percent, of Karachi Central Jail’s total inmates had the coronavirus. The group uses media reports to track infections in Pakistan.

In an interview with Arab News late on Friday night, Kazi Nazir Ahmed, the inspector general of prisons’ police in Sindh, dismissed JPP’s figures and said “896, which makes 25 percent of total inmates, have tested positive for coronavirus.”

Karachi’s Central Jail has the capacity to hold 2,400 prisoners but around 3,500 inmates were housed there, making it “badly overcrowded,” Ahmed admitted.

However, to create more space and enforce safety rules, he said 320 convicted prisoners had been moved to other prisons in the province and a team from the district health department was regularly testing inmates.

“Thirty cells and nine barracks have been converted into a quarantine center where the affected prisoners have been kept,” Ahmed said, adding that one isolation ward has also been set up for patients in critical condition.

Soap, sanitisers and surgical and washable masks had been distributed among all the prisoners and staff, while infrared thermometers were used regularly to check their temperature, the jail chief said. Doctors were available round the clock, he said, and old and sick prisoners had been segregated from healthy inmates.

The official said no new prisoners were allowed to enter the jail until they had been tested for the coronavirus.
Many of Pakistan’s jails keep inmates for short stays: arrestees awaiting trial or people serving short sentences. The churn of these inmates raises the risk of infections among both the inmates themselves and jail staff, who can carry the virus to and from the community.

Prisons, which hold convicted criminals on longer sentences, are also fertile ground for the virus. While inmates come and go far less frequently, the virus can be carried in from the community by a single contagious staffer, spread quickly in crowded cell blocks, and re-introduced to the community by other, newly infected workers.

The Justice Project Pakistan, which has compiled data from 114 prisons across the country, says only 25,456 of Pakistan’s total 77,275 inmates, a little over 30 percent, housed in 114 prisons have been convicted for crimes, while 48,008 are under trial, with many being held for minor offenses.

At present, JPP says 1,624 inmates in Pakistan have Covid-19, with Sindh province recording the highest number of positive cases at 1,475, of which almost 80 percent are at Karachi’s Central Jail.

Sindh province is followed by Punjab with 118 infected prisoners, Balochistan with 26 and Khyber Pakhtunkhwa with five, according to JPP figures. As of Friday, three inmates with the infection had died, of which two belonged to Sindh, JPP said.

The Sindh government adviser for prisons, Aijaz Jakhrani, said only one inmate, a man in his eighties, had died of the virus, telling Arab News that the government had taken immediate steps to ensure the safety of prisoners when the first case was reported in Karachi’s Central Jail in May.

“As a first step, the population of overcrowded Karachi central jail was brought down by sending inmates to other prisons of the province,” he said, creating space to quarantine infected inmates “whose number has also decreased with the recovery of over 300 prisoners.”

Rights groups are skeptical these efforts are working.

“The emergence of cases in Karachi Central Jail and other prisons of Sindh is alarming but not surprising: how can we expect prisoners to be holed up in tiny cells together and not contract the virus,” JPP spokesman Ali Haider Habib said. “Two thirds of Pakistan’s prison population hasn’t even been convicted. Many among them are sick and elderly. They will die in prison.”

He said overcrowding not only left prisoners more vulnerable but made it harder for prison officials and prisoners to observe safety guidelines.

On May 21, former inspector general of prisons in Sindh, Nusrat Hussain Mangan, wrote a letter to the home department recommending the release of four patients who had tested positive for the coronavirus. The prisoners were not released and one of them, a convict named Bahawal Khan, had died in jail.

According to JPP, of 77,275 total inmates in 114 Pakistani prisons, 1,184 are women and 1,500 are elderly inmates over 60 years of age, while 2,100 prisoners have miscellaneous ailments, 2,400 have contagious diseases like HIV, TB and hepatitis and 600 have been diagnosed with mental illnesses.

In Punjab, 47,007 inmates are being kept in 42 jails with a capacity for 32,477 prisoners. There are 9,642 prisoners in 37 jails in Khyber Pakhtunkhwa while Balochistan has 2,088 prisoners in 11 jails. In Sindh the overcrowding ratio is 32.23 percent, with 17,239 inmates jailed in 24 prisons which have a capacity to hold only 13,038 inmates.

There are 223 elderly inmates aged 60 and above in Sindh prisons, 208 diagnosed with hepatitis, 39 are HIV positive, 27 have tuberculosis, 235 have mental illnesses and 662 have miscellaneous ailments.

https://www.arabnews.pk/node/1692696/pakistan#.Xu4TmwEI-Rs.twitter
 
KARACHI: The chief of prisons for Sindh province said on Friday that 896, or a quarter, of Karachi Central Jail’s 3,500 prisoners had tested positive for the coronavirus, but a major prisoner rights group put the number at several hundred more than the official count.

COVID-19, the disease caused by a new coronavirus, has spread rapidly behind bars in Pakistan and across the nation, rights groups say. But scant testing and inconsistent reporting from authorities is frustrating efforts to track or contain its spread, particularly in local jails. Figures compiled by police appear to undercount the number of infections dramatically, experts say.

Uneven testing in prisons and erratic reporting of confirmed infections have profound implications for health officials tracking the spread of the disease, because epidemiologists see jails as key pathways of transmission.

On Friday, the rights group Justice Project Pakistan (JPP) said 1,293 prisoners, or about 37 percent, of Karachi Central Jail’s total inmates had the coronavirus. The group uses media reports to track infections in Pakistan.

In an interview with Arab News late on Friday night, Kazi Nazir Ahmed, the inspector general of prisons’ police in Sindh, dismissed JPP’s figures and said “896, which makes 25 percent of total inmates, have tested positive for coronavirus.”

Karachi’s Central Jail has the capacity to hold 2,400 prisoners but around 3,500 inmates were housed there, making it “badly overcrowded,” Ahmed admitted.

However, to create more space and enforce safety rules, he said 320 convicted prisoners had been moved to other prisons in the province and a team from the district health department was regularly testing inmates.

“Thirty cells and nine barracks have been converted into a quarantine center where the affected prisoners have been kept,” Ahmed said, adding that one isolation ward has also been set up for patients in critical condition.

Soap, sanitisers and surgical and washable masks had been distributed among all the prisoners and staff, while infrared thermometers were used regularly to check their temperature, the jail chief said. Doctors were available round the clock, he said, and old and sick prisoners had been segregated from healthy inmates.

The official said no new prisoners were allowed to enter the jail until they had been tested for the coronavirus.
Many of Pakistan’s jails keep inmates for short stays: arrestees awaiting trial or people serving short sentences. The churn of these inmates raises the risk of infections among both the inmates themselves and jail staff, who can carry the virus to and from the community.

Prisons, which hold convicted criminals on longer sentences, are also fertile ground for the virus. While inmates come and go far less frequently, the virus can be carried in from the community by a single contagious staffer, spread quickly in crowded cell blocks, and re-introduced to the community by other, newly infected workers.

The Justice Project Pakistan, which has compiled data from 114 prisons across the country, says only 25,456 of Pakistan’s total 77,275 inmates, a little over 30 percent, housed in 114 prisons have been convicted for crimes, while 48,008 are under trial, with many being held for minor offenses.

At present, JPP says 1,624 inmates in Pakistan have Covid-19, with Sindh province recording the highest number of positive cases at 1,475, of which almost 80 percent are at Karachi’s Central Jail.

Sindh province is followed by Punjab with 118 infected prisoners, Balochistan with 26 and Khyber Pakhtunkhwa with five, according to JPP figures. As of Friday, three inmates with the infection had died, of which two belonged to Sindh, JPP said.

The Sindh government adviser for prisons, Aijaz Jakhrani, said only one inmate, a man in his eighties, had died of the virus, telling Arab News that the government had taken immediate steps to ensure the safety of prisoners when the first case was reported in Karachi’s Central Jail in May.

“As a first step, the population of overcrowded Karachi central jail was brought down by sending inmates to other prisons of the province,” he said, creating space to quarantine infected inmates “whose number has also decreased with the recovery of over 300 prisoners.”

Rights groups are skeptical these efforts are working.

“The emergence of cases in Karachi Central Jail and other prisons of Sindh is alarming but not surprising: how can we expect prisoners to be holed up in tiny cells together and not contract the virus,” JPP spokesman Ali Haider Habib said. “Two thirds of Pakistan’s prison population hasn’t even been convicted. Many among them are sick and elderly. They will die in prison.”

He said overcrowding not only left prisoners more vulnerable but made it harder for prison officials and prisoners to observe safety guidelines.

On May 21, former inspector general of prisons in Sindh, Nusrat Hussain Mangan, wrote a letter to the home department recommending the release of four patients who had tested positive for the coronavirus. The prisoners were not released and one of them, a convict named Bahawal Khan, had died in jail.

According to JPP, of 77,275 total inmates in 114 Pakistani prisons, 1,184 are women and 1,500 are elderly inmates over 60 years of age, while 2,100 prisoners have miscellaneous ailments, 2,400 have contagious diseases like HIV, TB and hepatitis and 600 have been diagnosed with mental illnesses.

In Punjab, 47,007 inmates are being kept in 42 jails with a capacity for 32,477 prisoners. There are 9,642 prisoners in 37 jails in Khyber Pakhtunkhwa while Balochistan has 2,088 prisoners in 11 jails. In Sindh the overcrowding ratio is 32.23 percent, with 17,239 inmates jailed in 24 prisons which have a capacity to hold only 13,038 inmates.

There are 223 elderly inmates aged 60 and above in Sindh prisons, 208 diagnosed with hepatitis, 39 are HIV positive, 27 have tuberculosis, 235 have mental illnesses and 662 have miscellaneous ailments.

https://www.arabnews.pk/node/1692696/pakistan#.Xu4TmwEI-Rs.twitter

And then the PPP has the audacity to sprout rubbish?!?! They are just incompetent and corrupt.
 
Ea-BT-_XYAMqc_Y


Ea-BT-7XQAIxAJo
 
<blockquote class="twitter-tweet"><p lang="en" dir="ltr">Food for thought:<br>"COVID19 means that the Corona Virus has 19 points that can be applied on any country based on their level of immunity" says Federal Minister for Climate Change. <a href="https://t.co/r0D2Jz2z8b">pic.twitter.com/r0D2Jz2z8b</a></p>— Ahsan Hamid Durrani (@Ahsan_H_Durrani) <a href="https://twitter.com/Ahsan_H_Durrani/status/1274398048848838660?ref_src=twsrc%5Etfw">June 20, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

Oh dear :facepalm:
 
Death rate too high

In which sense?

Has there been a higher death ratio this year in Pak compared to previous years?

The total deat toll due to covid 19 in Pak is still way lower compared to the daily overall death figure in Pak; 8.000 deaths per day.
 
<blockquote class="twitter-tweet"><p lang="en" dir="ltr">Food for thought:<br>"COVID19 means that the Corona Virus has 19 points that can be applied on any country based on their level of immunity" says Federal Minister for Climate Change. <a href="https://t.co/r0D2Jz2z8b">pic.twitter.com/r0D2Jz2z8b</a></p>— Ahsan Hamid Durrani (@Ahsan_H_Durrani) <a href="https://twitter.com/Ahsan_H_Durrani/status/1274398048848838660?ref_src=twsrc%5Etfw">June 20, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

Oh dear :facepalm:

Akheer jahalat hai yaar. This is a federal minister.
 
ISLAMABAD: While coronavirus cases have increased by more than 100,000 in the past three weeks with many patients being “denied” of treatment due to lack of facilities, the Centre’s sudden change of mind after a year to take over three major hospitals of Sindh has stirred a controversy over their control and funding, which may further affect the fight against the pandemic.

Over the past 24 hours, the novel coronavirus claimed at least 141 lives and affected 5,948 more people, taking the death toll to 3,436 and the national tally of cases to 174,676.

In response to the last week’s letter of the Ministry of National Health Services (NHS) asking the Sindh government to hand over the possession/control of the three major hospitals, Sindh Health Minister Dr Azra Fazal Pechuho has requested the federal government to withdraw its letter and work with the provincial government to focus on Covid-19.

She informed Special Assistant to the Prime Minister on Health Dr Zafar Mirza that the provincial government had allocated Rs16.2 billion in the budget for the three hospitals, which was far more than the federal government’s allocation of Rs9.9 billion for the hospitals, while the Centre’s allocation was even less than the total allocation for these hospitals in the last financial year.

However, Dr Mirza said, the federal government had to take over the hospitals on the Supreme Court orders of last year. He said over Rs14bn was allocated for the hospitals, which would be controlled and run by the federal government.

Sindh requests Centre to focus on Covid-19 instead of taking over state-of-the-art hospitals

The Jinnah Postgraduate Medical Centre (JPMC), National Institute of Cardiovascular Diseases (NICVD) and National Institute of Child Health (NICH) in Karachi and Sheikh Zayed Postgraduate Medical Institute in Lahore were devolved to the provinces under the 18th Constitutional Amendment.

In January 2019, the Supreme Court ordered the federal government to take control of the hospitals. However, the federal cabinet in July 2019 decided not to take over the hospitals from provincial government.

Dr Pechuho in her reply to Dr Mirza reminded him that according to the Supreme Court order, the federal government had to reimburse the amount spent by the provincial government from 2011 till date. Yet she urged the federal government to withdraw its letter and direct its efforts towards the fight against coronavirus to provide relief to the people.

“It is most pertinent to mention here that the Government of Sindh has invested billions of rupees in the development and improvement of these hospitals, which now provide quality state-of-the-art treatment, free of cost to patients coming from all over the country. It is our solemn belief that health-related issues are of paramount importance and we are continuing our endeavours to further improve and expand our health facilities,” her letter stated, adding that the federal government’s attempt regarding these hospitals would work as impediment in fight against Covid-19.

While talking to Dawn, Dr Mirza said that after the apex court order, the federal government had to take over the hospitals. “Hospitals were built by the federal government in the 1960s and 1970s but handed over to the provinces after 18th Constitutional Amendment. In fact employees had contacted the court demanding that the hospitals should be given to the federal government and the court gave decision in their favour. Moreover, we have allocated Rs14 billion for the hospitals which will be taken over by the federal government,” he said.

Meanwhile, Prime Minister Imran Khan appreciated the role of overseas philanthropists for the support of patients suffering with Covid-19.

“I appreciate the philanthropic role played by the Overseas Pakistani community in helping their brothers and sisters abroad during Covid-19. There are many examples where the Pakistani community has been a source of inspiration, helping those around in need,” he tweeted.

Dr Mirza told Dawn that positive results of smart lockdown were visible, as number of cases had already dropped in the federal capital. “Moreover, we have started working on build-up of the health sector. Though the projection of cases is so far unchanged but we have been hoping that soon we will be in a position to reduce the number of projected cases,” he said.

However, federal Minister for Planning, Development, Reforms and Special Initiatives Asad Umar while chairing the meeting of the National Command and Operation Center (NCOC) on Covid-19 expressed the hope that the efforts and measures [smart lockdowns] taken to contain the pandemic outbreak would show results after 15 days.



https://dawn.com/news/3000780/row-over-hospitals-control-as-cases-spike
 
Reinfection of COVID-19 after 3 months discovered in Pakistan, claims doctor

A case of reinfection from COVID-19 has emerged in Pakistan giving rise to the speculation that there is more than one strains of novel coronavirus in Pakistan, claims Dr Salman Kazmi

Salman Kazmi, who is general secretary of Young Doctors Association (YDA), took to the Facebook to issue the warning. In a post he wrote:

“Just seen a case of reinfection from COVID-19 with more severe symptoms. This shows we have more than one strains around as we don’t have the capacity to test strains. So please be careful and always take precautions. This is the first case I have seen with proper symptoms of reinfection.”

While speaking to the Business Recorder Dr Kazmi shared that a doctor at Mayo hospital had contracted COVID-19 three months ago with mild symptoms. He had tested positive for COVID-19 at the time, and then tested negative after he recovered. The same doctor has now tested positive again, having tested twice from both govt and private hospital. This time the said doctor’s symptoms are more severe.

Even though presence of single strain doesn’t assure that a patient wouldn't get re-infected since antibodies produced by our bodies as a reaction to the COVID-19 can only protect us from getting re-infected for three months, presence of multiple strains increase the chances of re-infection. Some reports tell us that China reported 5%-10% such people who had recovered from COVID and then tested positive again. In South Korea, more than 160 people tested positive again after they had recovered from COVID-19.

What is a viral strain?
A strain is a genetic variant or a sub-type of a microorganism caused by genetic mutation when cell replicates itself. They are significant in tackling disease or a pandemic in case of corona-virus, because these variations of mutations lead to changes in how a virus behaves. Different strains of virus attack their host differently; some can be more lethal than others, according to the Medical News Today.

For instance, a low fatality rate 2% in Pakistan as compared to the rest of the world 5% indicates that virus strain in Pakistan is less deadly. However, readmission of a COVID-19 patient with more severe symptoms is a something to be worried about, especially since the country doesn’t have the capacity to test different types of strains.

Why are strains significant?
Different strains of virus are significant, even if the mutations are minute. These changes in the genetic sequence not only determine how virus would effect it’s host but also impacts the effectiveness of the vaccine. For instance, every years scientists prepare a new vaccine for the influenza virus because mutations occurred in the virus render the existing vaccine useless.

In case of COVID-19, emergence of these different strains is worrisome since we haven’t been able to prepare even a single vaccine to tackle the pandemic that has affected more than 213 countries and territories and put the life at halt.

How many strains of cornoavirus are there?
The exact numbers of coronavairus strains isn’t available, however, according to the Journal of Translation Medicine, the virus has picked up specific mutation patterns in distinct geographical regions.

Another joint team of researchers from the University of Maryland and Ulisse Biomed, an Italian biotech company, anaylyzed eight recurrent mutations in 220 samples of COVID-19 patients.
https://www.brecorder.com/news/1006...3-months-discovered-in-pakistan-claims-doctor
 
Reinfection of COVID-19 after 3 months discovered in Pakistan, claims doctor

A case of reinfection from COVID-19 has emerged in Pakistan giving rise to the speculation that there is more than one strains of novel coronavirus in Pakistan, claims Dr Salman Kazmi

Salman Kazmi, who is general secretary of Young Doctors Association (YDA), took to the Facebook to issue the warning. In a post he wrote:

“Just seen a case of reinfection from COVID-19 with more severe symptoms. This shows we have more than one strains around as we don’t have the capacity to test strains. So please be careful and always take precautions. This is the first case I have seen with proper symptoms of reinfection.”

While speaking to the Business Recorder Dr Kazmi shared that a doctor at Mayo hospital had contracted COVID-19 three months ago with mild symptoms. He had tested positive for COVID-19 at the time, and then tested negative after he recovered. The same doctor has now tested positive again, having tested twice from both govt and private hospital. This time the said doctor’s symptoms are more severe.

Even though presence of single strain doesn’t assure that a patient wouldn't get re-infected since antibodies produced by our bodies as a reaction to the COVID-19 can only protect us from getting re-infected for three months, presence of multiple strains increase the chances of re-infection. Some reports tell us that China reported 5%-10% such people who had recovered from COVID and then tested positive again. In South Korea, more than 160 people tested positive again after they had recovered from COVID-19.

What is a viral strain?
A strain is a genetic variant or a sub-type of a microorganism caused by genetic mutation when cell replicates itself. They are significant in tackling disease or a pandemic in case of corona-virus, because these variations of mutations lead to changes in how a virus behaves. Different strains of virus attack their host differently; some can be more lethal than others, according to the Medical News Today.

For instance, a low fatality rate 2% in Pakistan as compared to the rest of the world 5% indicates that virus strain in Pakistan is less deadly. However, readmission of a COVID-19 patient with more severe symptoms is a something to be worried about, especially since the country doesn’t have the capacity to test different types of strains.

Why are strains significant?
Different strains of virus are significant, even if the mutations are minute. These changes in the genetic sequence not only determine how virus would effect it’s host but also impacts the effectiveness of the vaccine. For instance, every years scientists prepare a new vaccine for the influenza virus because mutations occurred in the virus render the existing vaccine useless.

In case of COVID-19, emergence of these different strains is worrisome since we haven’t been able to prepare even a single vaccine to tackle the pandemic that has affected more than 213 countries and territories and put the life at halt.

How many strains of cornoavirus are there?
The exact numbers of coronavairus strains isn’t available, however, according to the Journal of Translation Medicine, the virus has picked up specific mutation patterns in distinct geographical regions.

Another joint team of researchers from the University of Maryland and Ulisse Biomed, an Italian biotech company, anaylyzed eight recurrent mutations in 220 samples of COVID-19 patients.
https://www.brecorder.com/news/1006...3-months-discovered-in-pakistan-claims-doctor

This is a very very bad news. Needs to be investigated more.
 
The coronavirus is spreading in Pakistan at one of the fastest rates in the world, and overwhelmed hospitals are turning away patients, the Associated Press reports. But the government is pushing ahead with opening up the country, trying to salvage a near-collapsed economy where millions have already slid into poverty from pandemic restrictions.

Further complicating the dilemma, as the government pins its main hope for stemming the virus rampage on social distancing and masks, many in the public ignore calls to use them.

Millions crowd markets and mosques. Hardline clerics tell followers to trust that faith will protect them. Many call the virus a hoax. Even some government officials dismiss warnings, saying traffic accidents kill more people.

“I am nervous when I go out because I see our people are still not taking it seriously,” said Diya Rahman, a broadcaster at Radio Pakistan in the capital, Islamabad. Two of her colleagues have died of the virus and more than 20 others have tested positive.
 
Deaths down to 89 from the high of 150 odd a couple of days ago. I think today's testing was also second highest in history but new cases were about 2000 less then highest ever. Promising trends.
 
The active cases graph in the blue seems to be plateauing meaning everyday around same number of people are recovering as are getting infected.


Capture.jpg
 
The coronavirus is spreading in Pakistan at one of the fastest rates in the world, and overwhelmed hospitals are turning away patients, the Associated Press reports. But the government is pushing ahead with opening up the country, trying to salvage a near-collapsed economy where millions have already slid into poverty from pandemic restrictions.

Further complicating the dilemma, as the government pins its main hope for stemming the virus rampage on social distancing and masks, many in the public ignore calls to use them.

Millions crowd markets and mosques. Hardline clerics tell followers to trust that faith will protect them. Many call the virus a hoax. Even some government officials dismiss warnings, saying traffic accidents kill more people.

“I am nervous when I go out because I see our people are still not taking it seriously,” said Diya Rahman, a broadcaster at Radio Pakistan in the capital, Islamabad. Two of her colleagues have died of the virus and more than 20 others have tested positive.

its not great but this level of reporting really needs to be ignored. The loaded sentences are just unprofessional. Pakistan never gets a fair hearing in the media.
 
So now , the country is exporting the virus? So many imported cases for those foreign residents returning from Pakistan.

Its obviously, that the local situation is incredibly bad. Both India & Pakistan with foreign residence are going back, and yet Pakistanis is showing alarming high percentage.
 
So now , the country is exporting the virus? So many imported cases for those foreign residents returning from Pakistan.

Its obviously, that the local situation is incredibly bad. Both India & Pakistan with foreign residence are going back, and yet Pakistanis is showing alarming high percentage.

lack of testing is the reason. Other countries are doing 100k testing per day and we hardly cross 25k. One doctor on tv said these daily tests should not be taken seriously with this amount of testing because if we double the no. of testing then positive cases will also get doubled.
 
lack of testing is the reason. Other countries are doing 100k testing per day and we hardly cross 25k. One doctor on tv said these daily tests should not be taken seriously with this amount of testing because if we double the no. of testing then positive cases will also get doubled.

It's not even lack of testing but the lack of will. Just ignore the problem to solve a problem, that's the story of Covid in Pakistan. Don't ask, don't tell, don't test
 
So now , the country is exporting the virus? So many imported cases for those foreign residents returning from Pakistan.

Its obviously, that the local situation is incredibly bad. Both India & Pakistan with foreign residence are going back, and yet Pakistanis is showing alarming high percentage.

It happens.No country can avoid it. Many countries were exporting in Pakistan and India 3 months ago.
 
lack of testing is the reason. Other countries are doing 100k testing per day and we hardly cross 25k. One doctor on tv said these daily tests should not be taken seriously with this amount of testing because if we double the no. of testing then positive cases will also get doubled.

Testing is dependent on the facilities and capacity is obviously increasing (red line), albeit not quickly enough.

GGXzI3o.png


Most countries with a large population are in the same boat. Here's the rate (tests/mil) for countries with populations of >100 million.

Russia 118,477
USA 86,834
Brazil 11,436
Philippines 5,533
India 5,038
Pakistan 4,993
Bangladesh 3,831
Mexico 3,720
Japan 3,263
Indonesia 2,378
Ethiopia 1,912
Egypt 1,320
Nigeria 551

Besides the first world countries with good facilities, most of them are about par, there's not much in it. There is no magical solution for a third world country, it will take time for the testing capacity to increase especially considering the health facilities on offer in most parts of the country.
 
Health department seeks ‘curfew’ in Karachi

Dissatisfied with the ‘smart lockdown’ imposed as the coronavirus continues to spread in the metropolis, the Sindh health department recommended that the government enforce a stricter lockdown in 182 union councils (UC) across the provincial capital on Monday.

According to the official figures released by the Sindh government, a staggering 56,775 coronavirus cases have been reported in Karachi to date – nearly a third of all virus cases that have been detected in the country so far.

Sharing a list that pointed out virus hotspots in all six districts of Karachi division, the department highlighted the socio-economic status, level of population congestion, frequency of Covid-19 cases and virus-related deaths in each UC of the port city. A copy of the list is available with The Express Tribune.

“All these areas [that have been identified] need to be shut down completely,” insisted a health department official, talking to The Express Tribune on the condition of anonymity. He quoted senior health officials as calling for a curfew for an indefinite period in these localities.

Expressing unhappiness with the current smart lockdown in different parts of the city, the official claimed that such a lockdown would not bring about the necessary results in slowing down the spread of the contagious disease. “This is not a lockdown. Everything is open. Commuters are moving about freely, there is no check on citizens and their travel,” he noted.

According to the health department, at least 42 UCs are sensitive for the virus in West district, including 13 in Orangi Town, nine in SITE Town, eight each in Keamari Town and Baldia Town and four in the parts of Gadap Town falling in this district.

Similarly, 42 UCs in the city’s Central district have been identified as virus hotspots, with 13 in North Karachi, 11 in Liaquatabad, 10 in North Nazimabad and eight in Gulberg.

Meanwhile, at least 30 UCs were declared hotspots in Korangi district, including 10 UCs in Korangi Town, nine in Shah Faisal Town, seven in Landhi Town and four in the parts of Malir that fall in Korangi district.

In East district, a total of 27 UCs in two towns were declared hotspots in the health department’s list, including 14 in Gulshan town and 13 in Jamshed Town.

Interestingly, despite the high number of infections detected in South district earlier on, only 23 UCs in two towns – including 11 UCs in Lyari Town and 12 UCs in Saddar Town – were shown as coronavirus hotspots by the health department.

Separately, at least 19 UCs in Malir district, including seven in Bin Qasim town, five in Landhi Town, four in this district’s parts of Malir Town and three in its parts of Gadap Town, were highlighted for caution by health officials.

The provincial capital has a total of 247 UCs, of which 209 are located in its urban areas while 38 are located in rural areas.

Eateries sealed, movement restricted

Meanwhile, as the Sindh government tried to tighten the smart lockdown, several eateries in different parts of the port city were warned to abide by the law or else face being sealed for violating government orders.

A number of restaurants in Sindhi Muslim Cooperative Housing Society (SMCHS) were sealed for an indefinite duration, while others were warned to follow the standard operating procedures (SOPs) devised by the government.

Struggling to limit the movement of citizens in sealed localities, meanwhile, officials placed barriers on main roads and streets in an attempt to discourage them from going outside the area.

“It is difficult to check the identity of every single individual. A few police officials can’t easily do this,” explained a constable deployed at Tariq Road. “This is why we place barricades – it hinders the free movement of people.”

Riazuddin, a commuter, complained that he had been trying to navigate the maze of barriers for half an hour as he tried to make his way to Boat Basin.

Law enforcers were seen deployed across several sealed localities, while district administration officials checked shops not under lockdown for SOP compliance.
https://tribune.com.pk/story/2248199/1-health-department-seeks-curfew-karachi/
 
It happens.No country can avoid it. Many countries were exporting in Pakistan and India 3 months ago.

Pakistan today has an extremely high rate of Covid cases which are being exported. Those export cases are getting caught by foreign countries, so that makes all the local number of cases with Pakistan undoubtedly criminally under-reported.

It's not the same case with India or other countries.
 
Three cricketers test positive - and other updates from Pakistan

Three Pakistani cricketers have tested positive for Covid-19 ahead of their of England tour. All national players were to be tested before boarding a chartered flight to the UK later this week. The Test series against England is slated to begin in July

PM Imran Khan has said that lockdown is not the solution to the coronavirus crisis in Pakistan. On Monday, Khan said that there was no need for a "strict" lockdown. "The lockdown has created an unprecedented situation. If provinces had consulted me, I would have not allowed a lockdown," he said

Cases have been rising in Pakistan. It has confirmed more than 180,000 infections and 3,695 deaths, according to Johns Hopkins University data.
 
Can Pakistan and the likes ever test enough?

Pakistan is testing less than 5 people per 1000. This is slightly better than Sub-Sahara Africa, at par with South Asia and Latin America, and significantly lower than Europe, North America, Oceana and Far East.

Want to know, which are the countries and regions with the highest speed of spread, measured by tests conducted per confirmed case, or alternatively, by share of positive cases as total tests? With a few exceptions, most countries that have not tested enough, find themselves in this unwanted territory. Pakistan’s favorite time pass, comparison with India, does it no good on most testing measures either.

Consider this. Only Mexico and Brazil have a worse ratio than Pakistan’s 5.1 (on last 7-day rolling average basis), for countries with more cases than Pakistan. Bangladesh is fast catching up. India’s share of positive cases is still double that of Pakistan’s – but it is fast worsening. Not less than a couple of weeks ago, India was having a confirmed positive case for 25 tests – that number has reduced to half. Pakistan’s spread has by and large remained the same post Eid.

The speed of spread in India coincides with the timing of lockdown uplifting. India had a longer lockdown and lifted it up much later than Pakistan. Two weeks post lockdown uplift, the virus is spreading faster by the day. Just as it happened with Pakistan right before and around Eid. There is ample research and evidence available now, that a lockdown is only good if it coincides with adequate testing (unless of course you are a country that can afford to shut the economy perpetually).

How much is adequate when it comes to testing. That definition has kept evolving as well. The WHO now puts it around 30-40 people per thousand, for it to be termed adequate. And then it will have to be followed with contract tracing, to limit the spread. Pakistan’s testing policy so far has stayed around symptomatic cases, with very limited capacity to contract trace.

Yes, the capacity to test has been ramped up significantly. But still keeps Pakistan in unwanted company. Size matters. For all 14 countries with a population of over 100 million, only USA and Russia have tested adequately. Others have fallen miserably short – with a combined average of 3 tests per 1000 population – versus 100 tests per 1000 population for USA and Russia.

In a select few cases, countries had reacted very proactively and did not need to test aggressively to curb the spread, such as Japan. But for every other emerging country with over 100 million population, testing and then following it up with contact tracing has been a huge problem.

Whether it is the negligence, incompetence, financial muscle, lack of public cooperation – or a combination of all of these factors – all the countries that now are the global or regional epicenters, have by and large similar economic muscle. Most of them fall in the emerging markets category.

Plot the testing per 1000 number against the GDP per capita – and you could simply replace one map for another. Countries with lesser to spend, where people have much more to worry about, have fared poorly at adequate testing. These are big countries – representing half the world’s population. Should there be an effort by the developed world to (financially) help the emerging market countries in testing? Remember, the pandemic won’t be over until the spread is stopped across the globe. There is no such thing as a Covid-free region, when the other half of the world has cases rising like wildfire.
https://www.brecorder.com/news/40000072/can-pakistan-and-the-likes-ever-test-enough
 
Pakistan today has an extremely high rate of Covid cases which are being exported. Those export cases are getting caught by foreign countries, so that makes all the local number of cases with Pakistan undoubtedly criminally under-reported.

It's not the same case with India or other countries.

under-reporting : NO
under-testing : A BIG FAT YES

Officials can only report the cases that have tested positive. Problem is with people refusing to go for test despite having obvious symptoms. What I see everyday is 10-12 patients consulting me for treatment of Typhoid Fever :facepalm:

Most people in Pakistan can't afford Covid-PCR. And some among affording group don't want to admit they have Covid. So they are associating their symptoms to Typhoid, Fatigue, Allergies.

At the end of day Govt can only report positive cases from the people who decided to get tested.
 
As coronavirus chaos has enveloped Pakistan, with hospitals overflowing, doctors dying and infections escalating at an unmanageable rate, a dangerous black market in blood plasma has emerged.

The blood plasma of recovered coronavirus patients is now being sold for upwards of £3,000 to those who are desperately looking for a cure, at a time when doctors say Pakistan’s healthcare system is on the brink of collapse.

Convalescent plasma is being trialled around the world as a possible treatment for the disease. It contains antibodies generated by the immune systems of people who have fought off the virus.

Doctors in government hospitals in Islamabad said they had witnessed transactions between patients and intermediaries. The Guardian has also seen multiple text messages between people across Pakistan who are buying and selling the plasma of recovered patients.

“The hospitals are not involved but I have seen deals happen in front of me,” said a doctor at a government hospital in Islamabad, who asked not to be named. “Usually a patient’s attendants or family will approach someone who has recovered, asking them to donate blood. When a certain amount is agreed as payment, usually between 200,000 and 800,000 rupees (£950-£3,800), they go to a private lab and extract the plasma, which is then ‘donated’ to the patients.”

He added: “I know a family of five who became Covid-19 positive and spent 3.5m rupees on blood plasma on the black market. They believe it’s a miracle cure.”

Sources at the federal investigation agency confirmed they were aware of the unregulated black market sales of blood plasma but that it was up to the police to investigate individual cases.

Doctors said that hospitals in Islamabad had also run out of vital drugs, such as dexamethasone which was recently proven to help in Covid-19 recovery, as well oxygen cylinders, because they had been stolen and were now being sold for 25 times the market price on the black market.

Pakistan now has one of the fastest infection rates in the world, with 185,000 confirmed cases and upwards of 5,000 new infections a day. The planning minister, Asad Umar, has said cases could multiply eightfold by the end of July and hit 1.2 million.

Lockdown restrictions were lifted in Pakistan on 18 May by the supreme court when it said the virus was “not a pandemic in Pakistan” and questioned why the fight to contain it was “swallowing so much money”.

The situation in Pakistan got so bad that the World Health Organization took the unusual step of writing to the government, instructing it to reimpose lockdown as the country had met none of the conditions for safely lifting it. Temporary lockdowns have since been imposed in the capital, Islamabad, as well as Lahore and Peshawar but only for a few days, owing to fears about the possible the impact on the already near-collapsed economy.

The despair among doctors is palpable. A doctor at the Pakistan Institute of Medical Sciences (PIMS), the largest government hospital in Islamabad, said not only had he not been paid for four months, but rife misinformation meant doctors were being accused of being part of a conspiracy to allow patients to die, so more money would be given to the Pakistan government by international health organisations like the WHO. Many doctors had been physically assaulted as a result.

“We have run out of beds, resources, manpower, energy and above all our efficiency has been greatly marred by our disappointment in our system,” he said.

“People blame us when a patient dies, claiming that we killed them for dollars from the WHO. A woman spat on me in the emergency room when I couldn’t revive her 16-year-old boy who died of respiratory failure due to covid. She shouted, ‘You sold your soul and killed my boy.’ You cannot imagine the pain it caused.”

Dr Fazal Rabbi, registrar at the Covid-19 ICU in PIMS said the hospital had run out of beds in both the intensive care and isolation wards, meaning critical patients were being turned away.

“This is a very alarming and frustrating situation for us, we are depressed due to the excessive stress and because so many of us are falling ill from the virus,” said Rabbi, who is also president of the Young Doctors Association (YDA) in Islamabad. More than 170 doctors and nurses in PIMS have been infected with the virus and the YDA has threatened to strike if conditions are not improved.

“So far, there are more than 7,000 doctors and paramedics from all around Pakistan who are diagnosed with Covid-19. We are all concerned that if we get infected with the virus there might not even be a bed or ventilator for us in our own hospital. I know a doctor in Lahore who died because no bed could be found for him.”

Dr Faisal Zeeshan Ranjha, who runs Razia Shafi hospital in the Punjab city of Gujranwala, said: “Covid-19 was mishandled and underestimated by the authorities in Pakistan. There are 185,000 positive cases but the actual figure must be in the millions. Every third patient is having symptoms.” He said there was “no testing, no data and no plan. We don’t even know when the peak will hit.”

Ranjha confirmed that hospitals were running out of oxygen cylinders, oxygen refill equipment and monitors to measure oxygen levels in the blood because they were being stolen and sold on the black market. “The health system has collapsed, the economy has collapsed as well,” he said. “It will be worse for us than polio.”

https://www.theguardian.com/world/2...rs-witness-black-market-deals-in-blood-plasma
 

Don't really understand these numbers, acc to official figures by Indian govt. they are having an average of 15k cases/day for last week or so. Same with Brazil & USA who are reporting far higher cases daily (20k+) so how's Pak and others placed above them in new cases ranking?
 
Don't really understand these numbers, acc to official figures by Indian govt. they are having an average of 15k cases/day for last week or so. Same with Brazil & USA who are reporting far higher cases daily (20k+) so how's Pak and others placed above them in new cases ranking?

Some Countries (including Pakistan) are announcing numbers 12-Hourly and some (including India) 24-Hourly.
 
<a href="https://ibb.co/FWyv8TN"><img src="https://i.ibb.co/9v1Xy5z/Eb-Nl-48-Xk-AEDOTN.jpg" alt="Eb-Nl-48-Xk-AEDOTN" border="0"></a>
<a href="https://ibb.co/5YyYt6g"><img src="https://i.ibb.co/tZtZk4T/Eb-Nl-4y-Ws-AU4-Efy.jpg" alt="Eb-Nl-4y-Ws-AU4-Efy" border="0"></a>
 
KP hospitals directed to allocate 20pc beds for Covid-19 patients

The health department has directed all the medical teaching institutions to allocate 20 per cent beds for Covid-19 patients, start coronavirus tests round the clock, feed data to the health system on daily basis and make available additional staff to ensure best possible care of the pandemic-hit people.

A letter issued to all the MTIs entitled “policy direction”, under sub-clause 2 (A) of section-7 of Khyber Pakhtunkhwa Medical Teaching Institutions Reforms Act, 2015 states that health minister shall issue such policy and other directives to MTIs from time to time which shall be binding upon them.

The MTIs have been directed to share data with health department on daily basis, ensure availability of well trained clinical and non-clinical staff and contact the latter in case of staff deficiency.
 
ISLAMABAD: While cases of the novel coronavirus have been increasing and smart lockdowns are being enforced to control the deadly virus, more than 9,532 violations of health guidelines/instructions were observed across the country over the past 24 hours.

Meanwhile, 4,100 more people were infected with Covid-19 and 102 lost their lives in a single day, taking the national tally of cases to 187,400 and casualties to 3,730.

According to data released by the National Coordination and Operation Centre, more than 874 markets/shops and one industrial unit were sealed and 1,409 transporters were fined and vehicles sealed.

Overall, 4,479 violations were reported in Khyber Pakhtunkhwa, 2,445 in Punjab, 1,000 in Sindh, 818 in Balochistan, 585 in Azad Jammu and Kashmir, 156 in Gilgit-Baltistan and 49 in Islamabad.

Over 874 markets sealed, 1,409 transporters fined; 4,100 more people contract coronavirus, 102 die in 24 hours

A total of 24,599 tests were conducted across the country during the last 24 hours and 565 patients were on ventilators. No patient was on vent in AJK and GB.

Re-infection controversy
A controversy cropped up on Tuesday about the emergence of first case of Covid-19 re-infection in Pakistan.

It was claimed on social media that a doctor of Mayo Hospital in Lahore had first contracted the disease three months ago while treating coronavirus patients. The doctor made a complete recovery and was discharged from an isolation centre after having tested negative. However, the doctor was again infected with the virus and is exhibiting more severe symptoms than he had at the time of first diagnosis, suggesting the existence of more than one strain of SARS-COV-2 — the coronavirus which causes Covid-19 disease.

However, the claim was rejected by medical experts not only in Pakistan, but also abroad.

An expert of infectious diseases in the United States, Dr Faheem Younus, disagreed with the claim. “Will I get COVID twice in the same year? EXTREMELY unlikely. Despite 8 million+ cases, reinfection hasn’t been reported. Patients who fully recover are likely immune. Duration of immunity unclear. Every recovered person is a barrier to future chains of community transmission,” he tweeted.

Dr Rana Safdar, Chief Disease Surveillance at the National Institute of Health and National Coordinator for Polio Eradication, while talking to Dawn, said that around 50,000 whole genome sequencings had been done across the globe to see if Covid-19 could infect a person again. “However, not a single study proved that the virus can infect a person who is already infected and recovered from the disease,” he added.

In reply to a question, Dr Safdar said that no test, including that of polymerase chain reaction (PCR), could be considered 100 per cent perfect. “There is a possibility that the first test of the doctor [of Mayo Hospital] would be false positive or second one would be false positive. There can be false positive and false negative tests in every patient; the false positive means that a person is found negative, but test shows he/she is infected with virus and vice versa,” he said.

Dr Safdar said the virus could re-infect a person only if it mutated and became another virus. “So far there is no evidence that the virus has mutated, so if once a person is infected, he/she cannot be infected again,” he added.

https://www.dawn.com/news/1564809/9532-violations-of-health-guidelines-in-single-day
 
so new cases +3,892 - recoveries 4,283 which is 41.2% -death rate was low today at 60.

However why on earth past 2 days pakistan testing per day has increased to 23,380 - it was between 28k-32k a day -we were catching up to india -per 1m testing.

Also why are we so behind countries like peru 47,379 -chile 52,720 - iran 17,894, columbia 12,475, Ecuador 7,900, iraq 11,327 - bolivia 5,417 - armenia 33,883 - kazakhstan 74,671 - Ghana 8,937 - morroco 16,036- nepal 16,375 - uzbekistan 31,041- north macedonia 26,138 - El savaldor 22,785 - gabon 13,531, djbouti 46,129, venezuala 40,217 - costa rica 7,219 - Mayotte 32,279- albania 7,449 - Equatorial Guinea 11,417 - Lebanon 17,626 - Palestine 15,228 -jordan 34,181- Uraguay 16,941 - Andorra48,536 - Rwanda 9,390 - Jamaica 7,315 - mongolia 6,401-cuba 13,895 - botswana 14,431 - moldova 15,698 - panama 25,906 -bhutan 30,786 - belarus 95,446
 
ISLAMABAD: With all trends of the novel coronavirus changing downwards for the last five days, health experts hope it can be the start of declining of the graph.

They anticipate that the number of cases may further decrease but the number of deaths may increase as a large number of patients are still on ventilators and around 90 per cent of them may not survive.

The country reported 3,622 Covid-19 cases and 78 deaths over the past 24 hours, taking the national tally of cases to 191,022 and casualties to 3,808.

According to data released by the National Command and Operation Centre (NCOC), 4,000 to 5,000 cases were being reported daily for the past few days, but the number has been declining with every passing day. However, the worrisome thing is that the number of tests, which had reached over 32,000, has reduced to around 25,000 during the past few days.

Testing has been reduced over the past few days

An official of the National Institute of Health said on condition of anonymity that it was true that the number of tests had reduced over the past few days, but it was also a fact that the number of suspected patients declined across the country. “It can be the outcome of smart lockdowns or maybe we are moving towards herd immunity due to which now less number of cases is being reported,” he added.

The herd immunity is a terminology in which if a large number of people are infected, the pace of infection reduces.

The official claimed that there was no policy to reduce the number of tests for Covid-19. “However, tests have been reduced because we have been getting fewer numbers of suspects in hospitals. Let me prove it with another example i.e. almost a week back the case positivity was around 20 per cent which means that 20 out of 100 tests were being found positive. However, on Tuesday (June 23) the case positivity was 16.7pc. It shows that more suspects were tested as compared to last week,” he explained.

“Though the number of deaths also reduced, it may increase in coming days, as around 550 patients are on ventilators and almost 90pc of them may not survive. The trend has changed and graph has started declining so we will hold a meeting on Saturday (June 27) to discuss the projected number of cases in coming days,” the official said.

When contacted, Special Assistant to the Prime Minister (SAPM) on Health Dr Zafar Mirza said data spoke for itself but it would be too early to talk about it.

“As far as trends are concerned let us hope that the trajectory is in the right direction, but we should wait rather than giving a verdict,” he added.

Profiling of patients
Minister for Information and Broadcasting Senator Shibli Faraz presided over an in-camera meeting of the subcommittee of Parliamentary Committee on Coronavirus Disease at the Parliament House.

The meeting was attended by MNAs Khawaja Asif and Shahida Akhtar Ali, Minister of State for Parliamentary Affairs Ali Mohammad Khan, Parliamentary Secretary of National Health Services Dr Nausheen Hamid and others.

According to a statement, Mr Faraz directed the Ministry of National Health Services (NHS) to prepare profile of patients on the basis of age group and arrange different break-ups of data to better understand the spread of Covid-19.

The subcommittee was of the opinion that the pricing of Covid-19 tests needed to be brought down so that the maximum number of patients could fall in the affordability bracket. It suggested that the areas declared hotspots must be cordoned off as per standard operation procedures (SOPs) and all stakeholders should play their role strictly as no complacency could be afforded in this regard.

The NHS ministry was directed to address the complaints of the general public regarding different fee structures and devise a mechanism for lowering the exorbitant rates charged by private hospitals.

The subcommittee decided to hold next meeting within 15 days and advised the ministries and divisions concerned to come up with detailed response to the recommendations communicated earlier.

549 patients on ventilators

According to the NCOC data, out of 1,539 ventilators allocated for Covid-19 patients, 549 have been occupied across the country. Moreover, 1,895 additional ventilators are in the pipeline and will be added to critical healthcare capacity by the end of July. “Provincial governments, Azad Kashmir, Gilgit-Baltistan and Islamabad have been making all-out efforts to enforce health guidelines/instructions compliance for public safety and well-being and to contain the spread of coronavirus,” it states.

https://www.dawn.com/news/1565092/glimmer-of-hope-as-number-of-cases-goes-down-slightly
 
Over 5,000 doctors, nurses and other healthcare workers have been infected by the deadly coronavirus to date, reveals official data.

According to the daily tally of the ministry of national health services, regulation and coordination, in Islamabad, a total of 5,164 healthcare providers have been sickened by the virus across Pakistan, as of June 24.

Majority of the infected medics have been reported from Pakistan’s northern Khyber Pakhtunkhwa province, totaling 1,694.

The second highest tally is from Sindh, 1,392, followed by Punjab, 1,099, Islamabad, 419, Balochistan, 391, Gilgit Baltistan, 95, and Azad Jammu and Kashmir, 74.

Of the 5,164 professionals who have tested positive, over 3,000 are doctors.

To date, 56 healthcare workers have also died after being infected, majority, 21 in Sindh, 13 in Punjab, 10 in Khyber Pakhtunkhwa, 5 in Balochistan, 4 in Islamabad and 3 Gilgit Baltistan.
 
Outgoing passengers to undergo extensive screening at airports: Yusuf

As global travel has started to open up, SAPM Moeed Yusuf has said that the government will start extensive screening of outgoing passengers.

He advised citizens who were planning to fly abroad, to study the policy of the country they were headed to and make sure they fulfilled all conditions. Several countries have made it compulsory for all passengers to quarantine themselves for 14 days.

"Don't travel unless you are sure that you are completely fine," he said, adding that if a Pakistani citizen tests positive in a foreign country that made it compulsory for passengers to get tested before travelling, it would become a "diplomatic issue" for the government.

The government has also allowed all airlines to fly into Pakistan.
 
Sindh reports 1,098 cases, 17 deaths

Sindh has reported 1,098 Covid-19 cases and 17 deaths during the past 24 hours, according to Chief Minister Murad Ali Shah.

Giving his daily briefing on the province's coronavirus situation, he said 6,458 tests were conducted during the past 24 hours. "The results of 1,098 came back positive, taking the provincial total to 75,168."

The provincial death toll has also risen to 1178.
 
so were 14th on the list- but by tomorrow we will jump 2 places overtaking turkey and germany.


yet testing was even lower today at 21,835-last 24 hrs. What are they playing at? its meant to be increasing by every few days and not decreasing -like it has this week -the whole week has been really poor
 
Anyone in pak can confirm the above

It was under consideration a few days ago, not sure if they've started using it yet or not.

https://www.arabnews.pk/node/1691251/pakistan

Testing has been very disappointing in the last few days, not sure what the reason is. Doesn't make much sense. For a couple of days it was just Punjab with the lowered testing numbers but now Sindh has also joined in.
 
Pakistan:

Total tests in last 24 hours: 21,041
Total new cases in last 24 hours: 2,775

Infection rate: 13.2%
 
Pakistan's coronavirus testing continue to fall

Testing has continued to fall in Pakistan, one of the country's with the fastest rates of growth of the coronavirus.

On Thursday, Pakistan tested 21,041 patients, of whom 2,775 tested positive, a test-positive rate of 13 percent. Pakistan's countrywide tally of cases rose to 195,745 cases on Thursday, with 59 deaths taking the death toll to 4,037.

Sindh and Punjab provinces, the country's two most populous regions, appear to be the main areas where testing has dropped, according to government data.

Testing in Sindh has roughly halved over the course of this week to 6,458 tests, while in Punjab testing remains at a level more than 2,000 tests below its peak.
 
Pakistan reports 3,138 new Coronavirus cases in the past 24 hours - total cases are now 198,883

39db4881-835a-49d5-86d0-5e3f16f8e812.jpg
 
NCOC observes decline in Covid-19 testing due to 'dip in demand'

The National Command and Control Center (NCOC) has observed a decline in the number of Covid-19 testing across the country particularly in Sindh and Punjab.

This was revealed in a meeting of NCOC on Saturday headed by Planing Minster Asad Umar to review the overall Covid-19 situation including the implementation of smart lockdown in the virus hotspots, according to an official statement.

The meeting was attended by chief secretaries and health secretaries of the provinces through video link.

The Sindh health secretary told the forum that there has been a decrease in testing capacity due to some administrative issues “which will be resolved in the next two to three days and there will be a significant increase in testing numbers.”

The other provinces informed the NCOC that the demand for testing has decreased and people are preferring home isolation.

The forum observed there has been a slight decline in the number of symptomatic and suspected Covid-19 patients. “Since June 14, 542 lockdowns in 20 cities across the country are enforced due to which movement is restricted in these areas,” according to the official statement.

The provinces also informed the forum that the positive behaviour has been noted among the masses in the smart lockdown areas with regards to compliance of the standard operating procedures against the contagious disease.

The provinces briefed the NCOC on the implementation of enforcement measures for industries, markets, transport, government offices, mosques and public gatherings.

With regard to the implementation of health guidelines, courts followed guidelines the most, said the statement adding that more was needed to be done to implement safety measures in markets and shopping malls.

Similarly, in hospitals and isolation centers, implementation of safety measures was the highest, while in the transport sector response was more wanting.

The provinces appreciated the NCOC’s TTQ [testing tracing quaratine] strategy and health guidelines which helped to slow the spread of virus in the smart lockdown areas.

Asad, who is also a head of NCOC, appreciated the provinces, especially the hardwork of field staff who work day and night risking their own lives to ensure the safety of the people.

“We need to take precautionary measures, especially face masks and social distances, to control the pandemic,” he said, adding that the Center will extend all-out assistance to provinces to fight the coronavirus outbreak.

https://tribune.com.pk/story/2251659/1-ncoc-observes-decline-covid-19-testing-due-dip-demand/
 
Consul General Ahmed Amjad Ali, of the Pakistan consulate in Dubai, on Saturday said routine flights from United Arab Emirates to Pakistan would resume in two days.

Ali said that nearly 561 Pakistanis had been provided free air tickets, adding that 408 homeless citizens were provided shelter and food.

He also said that 30,229 Pakistanis had been repatriated from Dubai, which constitutes 90% of those who were stranded.

“A total of 141 flights have flown from Dubai to Pakistan, out of which 138 were operated by the Pakistan International Airlines,” said the consul general.

He said that the bodies of 408 Pakistanis who had died from the coronavirus were also sent on the flights, whereas 52 had been buried in Dubai.

Ali said that 17,000 ration bags have been distributed by the consulate, in Dubai and surrounding emirate states.
 
It was interesting that @Dr Sohail talked about the majority of his village having the virus but it doing little obvious damage. Either the virus has weakened as suggested by some, or the PK's have strong immunity.
 
Either the virus has weakened as suggested by some, or the PK's have strong immunity.

None of them.
Official numbers don't include Mortalities During Home-Isolation. In Pakistan, Covid is social taboo now. No matter how critical their clinical condition is, many many patients don't want to go to hospitals and are opting to die at home if that be it.

Situation is much worse than what numbers are indicating.
 
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None of them.
Official numbers don't include Mortalities During Home-Isolation. In Pakistan, Covid is social taboo now. No matter how critical their clinical condition is, many many patients don't want to go to hospitals and are opting to die at home if that be it.

Situation is much worse than what numbers are indicating.

That will be true, the numbers will be higher but how much is debatable. The virus weakening is a theory from Italian scientists, and Dr Sohail gave anecdotal evidence as to its effects on his village.
 
None of them.
Official numbers don't include Mortalities During Home-Isolation. In Pakistan, Covid is social taboo now. No matter how critical their clinical condition is, many many patients don't want to go to hospitals and are opting to die at home if that be it.

Situation is much worse than what numbers are indicating.

You are over estimating the deaths. It's not that much of a taboo that people in physical agony won't go to hospitals. It's not easy to watch anyone let alone your parents or children die in pain, fully knowing you can make it better. So no, it's not happening in any significant way.

Even if it is, it should be visible with all cause mortality going up, funeral business collapsing and just general news getting around. None of those things is happening.
 
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