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Coronavirus in Pakistan

What I meant by that is out of a squad of 30, almost 1/3 guys tested positive. And out of those 1/3 there were debates on the validity of the testing. That’s a pretty big error rate don’t you think especially one would imagine an organization like PCB to have the best possible access to labs, doctors and equipment.

Similarly significant number of cabinet members seem to have contracted this too.

The ratio is way high compared to the common public. That’s what I was getting at.

Look this is not a cricket match to say you got 300 and my team has only 150 type debates. Human lives are human lives. So, my concern was on the validity of tests and testing capabilities. Pakistan May not be as populated as India but it is a hugely populated country as well and if things are not transparent or well managed it will not be good news for the entire world.

This is incorrect comparison.
Out of 1/3rd positive Players , how many of them had symptoms ? NONE

What are chances of "Asymptomatic People" going to hospital for Covid Testing; NONE (unless if demanded for Job Requirements)

Now if 33% of Pakistan Population is "Asymptomatic Carriers" thats even better for us.
 
Punjab positive rate has fallen to 8% because of measures like this

<blockquote class="twitter-tweet"><p lang="en" dir="ltr">My parents' cook tested positive 3 days ago. Today a govt team turned up at their place and tested everyone at home in <a href="https://twitter.com/hashtag/Lahore?src=hash&ref_src=twsrc%5Etfw">#Lahore</a>. Ma said she was the most proud of voting for <a href="https://twitter.com/ImranKhanPTI?ref_src=twsrc%5Etfw">@ImranKhanPTI</a> today 👏. This exact thing had already happened at my in laws house some weeks ago. <a href="https://twitter.com/hashtag/Covid19?src=hash&ref_src=twsrc%5Etfw">#Covid19</a></p>— Ravale Mohydin (@Ravale_Mohydin) <a href="https://twitter.com/Ravale_Mohydin/status/1280193354454704128?ref_src=twsrc%5Etfw">July 6, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>

I can confirm it. My Covid + colleagues expereinced the same. They were contacted by Govt. and everyone in their homes was tested.
 
I can confirm it. My Covid + colleagues expereinced the same. They were contacted by Govt. and everyone in their homes was tested.

Buzdar was an uninspiring selection and I was willing to give him a chance. In the beginning he was flopping like no tomorrow, but there has been a marked improvement in performance in year 2. I hope the trend continues and he continues to improve, then he can truly become Wasim Akram Plus.

Btw local government elections in Punjab in December.... although it will be on non party basis in 440 odd village/town councils. The 9 big cities with party-based mayor elections will be later on. If the LG system is up and running (and performing) it will truly turn the tide in PTI's favour when it comes to 2023 elections. May even lands them 2/3 if they make inroads in interior Sindh.
 
What I meant by that is out of a squad of 30, almost 1/3 guys tested positive. And out of those 1/3 there were debates on the validity of the testing. That’s a pretty big error rate don’t you think especially one would imagine an organization like PCB to have the best possible access to labs, doctors and equipment.

9 of the 10 who tested positive also had antibodies. I think you're misunderstanding the process. If someone tests positive once then negative 3 days later, that doesn't mean there are necessarily errors with any of the tests.
 
9 of the 10 who tested positive also had antibodies. I think you're misunderstanding the process. If someone tests positive once then negative 3 days later, that doesn't mean there are necessarily errors with any of the tests.

There is another factor ! PCR result may show Positive RNA even after recovery.

When Antibodies are produced, they break down Viral RNA in multiple small fragments.
PCR can detect Viral Genome from these non-virulent fragments of RNA and it will read it as Positive (which actually is false positive result even after recovery).
 
There is another factor ! PCR result may show Positive RNA even after recovery.

When Antibodies are produced, they break down Viral RNA in multiple small fragments.
PCR can detect Viral Genome from these non-virulent fragments of RNA and it will read it as Positive (which actually is false positive result even after recovery).

Interesting, I wasn't aware of that. Thanks.
 
This is incorrect comparison.
Out of 1/3rd positive Players , how many of them had symptoms ? NONE

What are chances of "Asymptomatic People" going to hospital for Covid Testing; NONE (unless if demanded for Job Requirements)

Now if 33% of Pakistan Population is "Asymptomatic Carriers" thats even better for us.

I take it that you are a doctor so I will take your word for it. Thanks
 
ISLAMABAD: The Drug Regulatory Authority of Pakistan (Drap) said on Monday that remdesivir, a drug which has proved effective against coronavirus, will be available in the country within three weeks.

Chief Executive Officer (CEO) Asim Rauf told Dawn that Drap, after registration of the medicine, had allowed two pharmaceutical companies to import this critical drug. The regulator has given licences to 14 manufacturers for producing the medicine at home.

Remdesivir injection is an antiviral which stops the virus from reproducing itself or slows down its ability to do so.

The drug has been approved for use in the United States, Japan, South Korea and the European Union after its clinical trials turned out to be encouraging.

Drap official says 14 firms allowed to produce remdesivir in Pakistan

This is the same medicine which federal Railways Minister Sheikh Rashid Ahmed had mentioned at a press conference after he recovered from Covid-19.

Describing coronavirus as a horrible disease, Sheikh Rashid had regretted that the injection necessary for treatment of critical patients was not available even for Rs500,000 to a minister who had held 14 ministries in his political career.

“I thank the chairman of the National Disaster Management Authority for arranging this injection,” the minister had stated. “I pray that no one, not even my enemy, suffers from this disease.”

The Drap chairman conceded that the medicine was not easily available a week ago, but the situation had now improved and after three weeks sufficient stocks would land in the market.

However, he clarified, remdesivir would not be sold over the counter at pharmacies. “Instead, it will be provided to critical patients by hospitals concerned or directly by selected pharmaceutical companies.”

He said Pakistan was the sixth country in the world which had pounced upon the opportunity to make this medicine accessible to patients.

Remdesivir was approved by the US Food and Drug Administration (FDA) on May 1. A shortage then confronted the FDA, but with the passage of time the situation improved.

At a hearing on June 25, a five-judge Supreme Court bench, headed by Chief Justice Gulzar Ahmed, was informed that the National Disaster Management Authority (NDMA) had sought approval from Drap for the import of 7,000 vials of remdesivir injection, which was then unregistered.

The regulator, through its letter of June 9, had given an NOC to the NDMA with the condition that the latter must submit details of patients, including their CNIC numbers and prescriptions.

The regulator had also stated that it would not be responsible for the quality, safety and efficacy of the drug as the medicine was not registered with the authority.

The approval was issued under Rule 13 of Drugs Import and Export Rules of 1976, which required prior approval for the import of a medicine.

Unscrupulous elements

The Supreme Court ordered Drap to fast-track registration of the drugs which had already been registered in the West and were being used for the treatment of Covid-19. The court said the import of those drugs should be facilitated which were not manufactured in the country and later local production under licence be encouraged.

The apex court had also taken note of unscrupulous elements out to hoard the anti-virus chemicals, life-saving drugs and equipment used to detect, monitor and treat patients affected by Covid-19.

The court had regretted that basic instruments like dosimeters and oxygen cylinders had disappeared from the market and were being sold at exorbitant prices.

The court had ordered the regulatory authorities, law enforcement agencies and health ministries of the federal as well as provincial governments to take action against hoarders of these essential commodities.

https://www.dawn.com/news/1567496/anti-covid-drug-to-be-available-in-three-weeks
 
3,308 more people recover from coronavirus in Pakistan

The government's database on Covid-19 shows that 3,308 more people recovered from the coronavirus during the last 24 hours.

This has taken the total number of recovered people to 134,957. According to the portal, the number of critical patients stands at 2,306.

==

Punjab records 706 cases, 15 deaths

Punjab has recorded 706 new coronavirus cases during the last 24 hours, according to the government's Covid-19 portal, taking the provincial tally to 82,669.

The province also recorded 15 additional fatalities, taking the death toll to 1,889. According to the portal, 47,054 patients have recovered from the virus in the province so far.

==

Islamabad, federal territories report 130 new Covid-19 cases collectively

Islamabad, Gilgit Baltistan and Azad Jammu and Kashmir have collectively reported 130 new Covid-19 cases and five deaths.

The breakdown is as follows:

Islamabad: 63 cases, 3 deaths
GB: 26 cases, 2 deaths
AJK: 41 cases
 
It is true that testing has been decreased, but more importantly, there is a marked decrease in the number of critical patients.
 
Sindh reports 1,388 new cases, 42 more deaths

The Sindh chief minister said on Tuesday that 1,388 more people had tested positive for the novel coronavirus, raising the provincial tally to 97,626.

In a statement issued from the CM House, the chief minister also said that 42 more people had died from the virus in the last 24 hours. The death toll in the province now stands at 1,614.
 
Encouraging trend continues. Imperial also says "Pakistan on course to fade out".



Give a thousand abuses to IK but atleast acknowledge when he does well.
 
Encouraging trend continues. Imperial also says "Pakistan on course to fade out".



Give a thousand abuses to IK but atleast acknowledge when he does well.

I hope it continues through Eid. Hopefully we don't see another spike after eid so Pakistan can put this behind it.
 
I hope it continues through Eid. Hopefully we don't see another spike after eid so Pakistan can put this behind it.

Yes Eid is big worry. Even before I feel things were under control and then Eid came and people went crazy. The 2-3 weeks after Eid was the worst for us since the pandemic started.
 
Yes Eid is big worry. Even before I feel things were under control and then Eid came and people went crazy. The 2-3 weeks after Eid was the worst for us since the pandemic started.

The Sindh govt continues its trend of incompetence as most of the deaths have occurred there. But lets ask for a resignation from IK. and replace him with an overweight 30 year old.
 
Pakistan's Covid-19 recoveries cross 140,000

Pakistan's Covid-19 recoveries have crossed 140,000 after 6,008 people recovered from the coronavirus in the last 24 hours.

According to the government's Covid-19 people, the number of recovered people has risen to 140,965.

==

Punjab reports 930 cases, 30 deaths

Punjab has reported 930 new Covid-19 cases, taking the provincial tally to 83,599, according to the government's database on coronavirus.

It has also reported 30 additional fatalities from the virus, taking the death toll to 1,929. The number of recovered patients in the province has risen to 50,916.

==

93 new cases reported in Islamabad, 36 in AJK, 8 in GB

Islamabad has reported 93 new coronavirus cases, according to the government's Covid-19 portal, taking the capital's total to 13,650.

Azad Jammu and Kashmir has reported 36 new cases, while Gilgit Baltistan has confirmed eight, taking their tallies to 1,419 and 1,595 respectively.

Islamabad and GB have not recorded any additional fatalities while AJK has reported four deaths.
 
For the 18th consecutive day, testing in Pakistan has registered a reduction after hitting a record-high on June 19, according to the data of the ministry of national health services regulation and coordination.

The ministry, which provides daily statistics of the outbreak, noted that on July 7 Pakistan carried out 21,951 tests across the country, which is only 30% of its total testing capacity.

As per the National Command Operation Center (NCOC), Pakistan has a testing output of 71,780 tests per day for the virus at its 133 laboratories.

A further breakdown of the testing numbers highlights that Pakistan tested its highest coronavirus samples to date on June 19, of over 31,000.

Since then, the test numbers have dropped daily, tumbling to its lowest on June 29, of only 20,930 tests. While on other days, Pakistan utilized between 29 to 42% of its testing capacity across the country.

The largest drop in diagnosing samples was witnessed in Punjab, where only 7,659 tests were carried out on Tuesday, 44% of the province’s capacity.

Testing in Sindh also slid, falling to 9,317 tests per day, compared to the previous day when it tested over 12,000 specimens. The province's testing capacity has continued to fluctuate between over 13,000 in late June to more than 9,000 tests per day on Tuesday.
 
Another day of encouraging trend. Active cases down to 90,000. Even though deaths are below the peak of 150 odd they have stagnated around the 50-80 mark for the last few days. I wish this also steadily goes down.


Just wish we had people here who could think beyond party lines, as Pakistanis, and celebrate Pakistan doing well when majority of the world and specially in our neighbourhood are still experiencing the worst of it.
 
Sindh reports 1,736 new cases, 23 more deaths

Sindh has reported 1,736 more cases of the novel coronavirus, taking the provincial tally to 99,362.

Moreover, a statement issued by the CM House confirmed the deaths of 22 more persons due to the virus. The death toll in the province stands at 1,637.
 
Encouraging trend continues. Imperial also says "Pakistan on course to fade out".



Give a thousand abuses to IK but atleast acknowledge when he does well.

Let’s not do premature celebration and declare victory coz people will start being irresponsible again.

Also eid yet to come. And I think mullah community will make dramas and point to saazish if not allowed to do Qurbani and eid prayers dhoom dhaam se.
 
They're just testing less.

Nahi bhai nahi.... Imperial College, NCOC, government doctors, doctors on PP, every single metric such as hospitalizations, deaths, calls for testings all down, test positivity, but no all of them are wrong. Only expert angrypathan is right because he said "They're just testing less".


:bow:
 
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Let’s not do premature celebration and declare victory coz people will start being irresponsible again.

Also eid yet to come. And I think mullah community will make dramas and point to saazish if not allowed to do Qurbani and eid prayers dhoom dhaam se.

Yes unfortunately I think we will get a second wave post Eid
 
Nahi bhai nahi.... Imperial College, NCOC, government doctors, doctors on PP, every single metric such as hospitalizations, deaths, calls for testings all down, test positivity, but no all of them are wrong. Only expert angrypathan is right because he said "They're just testing less".


:bow:

syed hey are testing less, just was just 21k today -thats just pathetic, remember what the expectation was - end of may we will be testing around 100k a day,

here in the UK the objective is to test everyone, with the test which tests your blood, the current test for nose/back of throat - throbb test isnt as accurate as the blood test
 
syed hey are testing less, just was just 21k today -thats just pathetic, remember what the expectation was - end of may we will be testing around 100k a day,

here in the UK the objective is to test everyone, with the test which tests your blood, the current test for nose/back of throat - throbb test isnt as accurate as the blood test

Less testing means less positive cases. But another important matrix is what is the positivity rate? If thats constant then its a problem.
 
Less testing means less positive cases. But another important matrix is what is the positivity rate? If thats constant then its a problem.

From what i have personally observed, positivity rate in Pakistan has gone down from 25% in mid June to 12-15% currently. It's dropping everywhere, though it's still on the higher side in Sindh(17-18%), dropped to less than 5% in Islamabad and hovering around 10% in Punjab.
 
cricketjoshila;10808886[B said:
]Less testing means less positive cases.[/B] But another important matrix is what is the positivity rate? If thats constant then its a problem.

i know, around 2 weeks ago they were testing between 28-32k a day for 2weeks, but last 2weeks testing has gone down to 20-25k
 
759 news Coronavirus cases in Karachi in last 24 hours taking total to 75,204 cases
 
syed hey are testing less, just was just 21k today -thats just pathetic, remember what the expectation was - end of may we will be testing around 100k a day,

here in the UK the objective is to test everyone, with the test which tests your blood, the current test for nose/back of throat - throbb test isnt as accurate as the blood test

While yes testing is an issue and it should be increased but it is not the only factor. The daily deaths rate is also down and almost half of what it was at the peak. Testing or no testing this fact won't change.


Also hospitals across the country are reporting reduced load and less number of new patients. Again this has no relation to testing.


So I'm really angered at people who have zero knowledge of the metrics but just issue sweeping statements that testing is low so this is not correct picture. Heck tomorrow if we test 1 million people we might get 100,000 new cases that is inevitable, what is more important is how is the death rate changing week on week.
 
From what i have personally observed, positivity rate in Pakistan has gone down from 25% in mid June to 12-15% currently. It's dropping everywhere, though it's still on the higher side in Sindh(17-18%), dropped to less than 5% in Islamabad and hovering around 10% in Punjab.

Then thats a positive sign. So even with more testing overall cases would be lesser as the positivity rate is down.
 
According to NCOC data, the testing capacity is more than 70k/day atm. But yeah the number of tests appears to be static around the 20-25k region in recent times.

https://www.geo.tv/latest/296898-pa...-covid-19-testing-capacity-reveals-nhsrc-data

But @trent devil said that positivity rate is down. Thats the big plus.

In a country with a population of 220mn, it should be focussed testing.

Also, is any pakistani company producing the kits? How much is the testing cost?
 
Number of Patients with Severe Symptoms, and Critical patients in our hospital has reduced to 1/3rd of what it was 20-25 days ago.
 
Number of Patients with Severe Symptoms, and Critical patients in our hospital has reduced to 1/3rd of what it was 20-25 days ago.

Death rate is decreasing world over. Likely the virus is losing its virulence.

South Asia has a death rate of below 4 per cent. I believe Pakistan is near to 3 percent.
 
While yes testing is an issue and it should be increased but it is not the only factor. The daily deaths rate is also down and almost half of what it was at the peak. Testing or no testing this fact won't change.


Also hospitals across the country are reporting reduced load and less number of new patients. Again this has no relation to testing.


So I'm really angered at people who have zero knowledge of the metrics but just issue sweeping statements that testing is low so this is not correct picture. Heck tomorrow if we test 1 million people we might get 100,000 new cases that is inevitable, what is more important is how is the death rate changing week on week.

syed, cmon your being silly here, yes reduce rates have occured and critical patients, but you still have to test - to find out who has it.

Also every country and under reported deaths - do you believe Pakistan haven't under reported deaths ???.

We need to test more, im not the person who believes its 50/50 to be sent to a hospital, i know that around 85% of people who catch it have barely any symptoms.

But for any virus it is crucial to test - and like i stated here in the UK they are aiming to test every one with the anti-body test.

Are they even doing this test in Pakistan :

https://www.nhs.uk/conditions/coron...ntigen-test-to-check-if-you-have-coronavirus/
 
syed, cmon your being silly here, yes reduce rates have occured and critical patients, but you still have to test - to find out who has it.

Also every country and under reported deaths - do you believe Pakistan haven't under reported deaths ???.

We need to test more, im not the person who believes its 50/50 to be sent to a hospital, i know that around 85% of people who catch it have barely any symptoms.

But for any virus it is crucial to test - and like i stated here in the UK they are aiming to test every one with the anti-body test.

Are they even doing this test in Pakistan :

https://www.nhs.uk/conditions/coron...ntigen-test-to-check-if-you-have-coronavirus/

Yes countries have under reported deaths.

But death rates are falling world over.
 
Yes countries have under reported deaths.

But death rates are falling world over
.

no india is reporting roughly the same amount of deaths 430-490 a day, mexico is increasing , brazil is covering up new case and deaths, iran increased with its second cases, iraq is increasing and its increasing rapidly in south africa.

remember i live in the UK, and we know the deaths are higher than reported- by around 15k-20k - remember thr are many trust worthy pakistani journalists stating that people are burying thr dead knowing they have died with corona symptoms -but didn't want to go to hospital due to fear of community back lash / patient refused to go
 
syed, cmon your being silly here, yes reduce rates have occured and critical patients, but you still have to test - to find out who has it.

Also every country and under reported deaths - do you believe Pakistan haven't under reported deaths ???.

We need to test more, im not the person who believes its 50/50 to be sent to a hospital, i know that around 85% of people who catch it have barely any symptoms.

But for any virus it is crucial to test - and like i stated here in the UK they are aiming to test every one with the anti-body test.

Are they even doing this test in Pakistan :

https://www.nhs.uk/conditions/coron...ntigen-test-to-check-if-you-have-coronavirus/

Yes we have underreported deaths. That is clear from the all cause mortality figure for June. It wasn't the case in April/May though.

But it's not that big of an amount. Let's say for argument sake we double the current deaths, even the CFR is at 4 percent. The IFR should be much lower as the number if undetected cases are orders of magnitudes more than undetected deaths.

Critical patients will go to the hospital. I think it's overstated that so may people with die in homes without any aid whatsoever. The west is different with care homes and stuff.

The Antibody test will test for the percentage of the population that already had the virus. While its a good metric, the focus right now for us should be increasing the PCR tests nationwide. Then we can look into antibody testing.

New research now is indicating that about the double the people show T cells than those who detect positive for antibodies. Which if true, points to an even wider spread than previously realized. In such a case not even antibody tests will give a true picture of the no. of people infected.
 
no india is reporting roughly the same amount of deaths 430-490 a day, mexico is increasing , brazil is covering up new case and deaths, iran increased with its second cases, iraq is increasing and its increasing rapidly in south africa.

remember i live in the UK, and we know the deaths are higher than reported- by around 15k-20k - remember thr are many trust worthy pakistani journalists stating that people are burying thr dead knowing they have died with corona symptoms -but didn't want to go to hospital due to fear of community back lash / patient refused to go

India's death rate has fallen to less than 3 percent of the cases. As you yourself said that the number of deaths in India are in the same range, the number of cases though have increased, hence death rate has fallen.
 
Let’s not do premature celebration and declare victory coz people will start being irresponsible again.

Also eid yet to come. And I think mullah community will make dramas and point to saazish if not allowed to do Qurbani and eid prayers dhoom dhaam se.

the spike may not be as bad as Ramadhan but lets pray people listen to the govt. One area i feel they havent done a great job is in the communications. We need to have an ad campaign that says saadgi say eid manain etc..
 
Another 75 Pakistanis stranded in India return home via Wagah

Another 75 Pakistanis who were stranded in India due to the coronavirus lockdown have been repatriated home through the Attari-Wagah border, according to a statement issued by the Pakistan High Commission in New Delhi.

They were stranded in different Indian cities after the Attari-Wagah border was closed for regular movement and due to the lockdown imposed by the government.

Since March 20, nearly 500 Pakistanis who were stranded in India have returned home, the press release said.
 
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Active cases falling since around a week.
 
India's death rate has fallen to less than 3 percent of the cases. As you yourself said that the number of deaths in India are in the same range, the number of cases though have increased, hence death rate has fallen.

ive re checked india death rate for past 3 weeks - its been between 420-490 every day, 479 deaths today
 
so pakistan will overtake italy by tomorrow for new cases - -but south africa will jump both countries - so we will still be 12th on the list

only 24,333 test were done by us - another low testing day
 
Pakistan’s curve is going down but a largely due to low testing rates. This may come back to bite us.

An argument I’m seeing is that “at least most people with symptoms are getting tested” and they are more affected than the asymptomatic ones anyway. However what people are failing to realize that even if you are now showing symptoms you can still spread the virus to others and they can actually then have severe symptoms. So the spread won’t stop because these people would’ve made no effort to isolate themselves.

We need to increase testing and identify every one who is positive regardless of whether they have symptoms or not. At this point we have absolutely stopped contract tracing which seems recipe for disaster
 
What's important to look at is hospitalization rate and hospital utilization. I dont know if Pakistan has those numbers.
 
so pakistan will overtake italy by tomorrow for new cases - -but south africa will jump both countries - so we will still be 12th on the list

only 24,333 test were done by us - another low testing day

Is Pakistan manufacturing its kits or are they being imported?
 
Is Pakistan manufacturing its kits or are they being imported?

Pakistan's Drug Regulatory Authority approved made in Pakistan kits last month and Fawad Chaudhary had said at that time they have started manufacturing them, not sure whether they are being used or not, maybe [MENTION=128087]last_knight[/MENTION] or [MENTION=140234]DRsohail[/MENTION] can provide some insight into this.
 
23255 Tests carried out in last 24 hours and 2751 new cases, that gives a positivity rate of ~12%

Remember positivity rate was ~26% in mid june when Pak was recording more than 6k tests on average daily
 
Pakistan has overtaken Italy when it comes to the number of COVID-19 cases reported in the country, becoming the 11th worst-affected country by the pandemic, data from the John Hopkins University revealed on Friday.

According to the NCOC, the number of positive cases in the country jumped to 243,599 after 2,751 cases were reported on Thursday. On the other hand, Italy’s positive cases stand at 242,363 as per data from the university's resource center.

Pakistan reported 75 deaths over the past 24 hours, taking the nation’s COVID-19 death toll past the 5,000 mark. According to the NCOC, currently, the total number of people who have succumbed to the virus stand at 5,058.

The rising death toll has also resulted in Pakistan overtaking China — the epicentre of the virus — in the number of deaths. Pakistan has also become the 18th worst-hit country by the coronavirus in terms of fatality.

The NCOC's report shared that the total number of active COVID-19 cases in Pakistan stand at 89,449, with 149,092 people recovering so far.

The breakdown, as per the reports, stated that AJK currently has 1485 cases, Balochistan 11,099 cases, Gilgit Baltistan reported 1,619, Islamabad 13,829 cases, Khyber Pakhtunkhwa 29,406 cases, Punjab 85,261 cases and Sindh is the worst affected province with 100,900 cases of the virus.

https://www.geo.tv/latest/297271-pa...ome-11th-worst-affected-country-from-covid-19
 
Pakistan's Drug Regulatory Authority approved made in Pakistan kits last month and Fawad Chaudhary had said at that time they have started manufacturing them, not sure whether they are being used or not, maybe [MENTION=128087]last_knight[/MENTION] or [MENTION=140234]DRsohail[/MENTION] can provide some insight into this.
In oir hospital we have mot demanded yet as we have out own old ones but have come to know us that these ventilators have been launched without nonhuman trails.
 
HMC takes lead in handling coronavirus pandemic professionally
Peshawar
Mushtaq Yusufzai July 10, 2020

PESHAWAR: In Khyber Pakhtunkhwa, the Hayatabad Medical Complex (HMC) is stated to be the first public sector hospital that didn’t wait for the government and initiated efforts to professionally handle the Covid-19 pandemic and now become the first tertiary care hospital to make a post-covid plan and resume elective services.

Also, keeping in view the official data of covid patients, there is a decline noted in the number of patients being reported and taken to the hospitals in KP for health complications related to covid. It seems the HMC administration had already predicted the situation and that’s why prepared itself for the challenge and collected adequate stuff required in combating the covid pandemic. Before the pandemic, nobody had even heard about the personal protection equipment (PPE) but the HMC administration led by its dynamic medical director, Prof Shehzad Akbar, had arranged a large quantity of cloth and hired tailors in addition to HMC’s own tailors to prepare PPEs and better equip its staff. It was stated to be a timely decision as HMC had enough PPE and face masks when doctors in the other public sector hospitals were refusing to handle the covid patients for lack of protective measures to them. In KP, the first covid patient was reported on March 16 and by March 19, HMC had received the covid patients. And it emerged the first public sector hospital in KP that established its own laboratory and initiated corona investigations and is still conducting tests of all its patients.

In KP, the Khyber Medical University (KMU) had first started corona testing when Chief Secretary Kazim Niaz first visited the university and arranged them a huge amount to procure the machine and kits. The hospital administration formed a number of committees, including steering of covid crisis (command and control) in which the medical director took the leading role in planning, organising and coordinating all efforts made to handle the pandemic. Then there were covid surveillance committee, led by Prof Dr Usman Khattak of Medicine Department, clinical guidelines committee, chaired by Prof Dr Mohammad Noor Wazir, and corona combat team, and all the committees and the members were assigned different tasks. The doctors in HMC worked as a team to professionally deal with patients brought to them with covid complications, though initially, some people there were reluctant to handle the covid patients, saying it was not their speciality.

Right from Prof Dr Shehzad Akbar to each and every member of the hospital showed a commitment to serve patients. Some people including Prof Dr Noor Wazir, who handled the intensive care unit (ICU), where covid patients were taken care of their serious complications, Dean KGMC, Prof Dr Zahid Aman, Hospital Director Dr Shehzad Faisal, Pathology Department head Prof Shahtaj Khan, Prof Dr Sheraz Jamal, Dr Ahmad Shah, secretary to the Board of Governors, Aqeel Khan and many other unsung heroes played a pivotal role in the corona pandemic. HMC is the only place where everybody is giving the credit to their fellow colleagues for their good work. For example, the faculty is praising Prof Dr Shehzad Akbar for his commitment and working with his colleagues as team. And Prof Dr Shehzad is giving the credit to his colleagues and the BoG, particularly its chairman Sahibzada Mohammad Saeed. It was due to the teamwork and standard operating procedures (SOPs) that helped prevent the faculty members and other staff from contracting the viral infection. Only patients with strong corona symptoms were admitted, handled by specialised staff, and had established different zones in the triage area to better screen the covid patients. The hospital had dedicated its maximum space to the covid patients, including all private rooms, Medical A and C ward, Orthopaedic A and B ward, Surgical C ward and Maxillofacial ward and 18-bed ICU with ventilators. It was apparently due to these better services, that most of covid patients, particularly politicians, government officials as well as members of the medical community preferred HMC for their treatment. All dignitaries including Prime Minister Imran Khan, Chief Minister Mahmood Khan, Governor Shah Farman and National Disaster Management Authority chief Lt-Gen Muhammad Afzal visited the HMC whenever they wanted to see the preparations of KP government for dealing with the covid patients.

During the pandemic, HMC received 111,000 patients, 37,000 were handled at the red zone area, and 7000 of them were tested. Of 7000 patients, 3500 were tested positive for covid in which 1154 patients came to the hospital and admitted for having serious complications. Of them, 985 patients recovered and returned home, 160 died of the infectious disease while 120 patients are still under treatment. A decline has been noted in covid patients for the past few days in KP.

On May 15, which was the spike period after the rise in patients was noted soon after Eidul Fitr, HMC had 60 indoor patients, LRH 40, KTH 20. During the spike period, as per the statistics, KTH had overtaken LRH, KP’s largest and oldest public sector hospital. According to July 7 data, HMC was having 110 indoor patients, KTH 52, LRH 46, and MMC 18 and Ayub Medical Complex in Abbottabad 37 patients. Also, there is a considerable amount of decline in the number of patients on a ventilator. As per of July 7 data, KTH was having 17 patients on a ventilator, LRH 12, which has the largest ICU in KP, HMC 22, MMC 6, and there was no patient on a ventilator in the Ayub Medical Complex Abbottabad.

The HMC also emerged in the first public sector hospital in KP that initiated convalescent plasma therapy on its premises on trial basis, even before Punjab.

The first plasma donors were the HMC employees, including a faculty member and a class-IV worker. Up to 150 patients have donated their plasmas so far of whom 60 per cent had recovered
 
Pakistan's Drug Regulatory Authority approved made in Pakistan kits last month and Fawad Chaudhary had said at that time they have started manufacturing them, not sure whether they are being used or not, maybe [MENTION=128087]last_knight[/MENTION] or [MENTION=140234]DRsohail[/MENTION] can provide some insight into this.

No local kits. Only imported kits are used. Roche, Abbott, and Qiagen only. I’ve seen some other European kits too but they are not authentic hence are unpopular.
 
May be it's incidental and I am at wrong place at wrong time but I have encountered a surge of cases in last 48 hours. Not to the extent of Mid-June levels though but more than what I was observing From 1 to 7 July.
 
So the most likely cause of low tests may be the use of imported kits. 25k tests per day is not enough by any means. The positivity rate is 12-13 percent.
 
<blockquote class="twitter-tweet" data-conversation="none"><p lang="en" dir="ltr">Pakistan: Doing a good job of getting new infections down.<br><br>Deaths in decline too. <a href="https://t.co/tbzsrAuoII">pic.twitter.com/tbzsrAuoII</a></p>— Jim Edwards (@Jim_Edwards) <a href="https://twitter.com/Jim_Edwards/status/1281537312560746496?ref_src=twsrc%5Etfw">July 10, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>
 
So the most likely cause of low tests may be the use of imported kits. 25k tests per day is not enough by any means. The positivity rate is 12-13 percent.
Low testing does not prevent serious patients being admitted which are decreasing as well proving that cases are declining, no ome knows exact number of cases though but definitely decline in new patients admissions in my hospital.
 
<blockquote class="twitter-tweet"><p lang="ur" dir="rtl">20 جون کو پاکستان بھر میں کرونا کے 2969 مریض آکسیجن پر اور 546 وینٹی لیٹر پر تھے. کل الحمد اللہ یہ تعداد کم ہو کر آکسیجن پر 1762 اور وینٹی لیٹر پر 394 تھی. یعنی 28 فیصد کمی. سمارٹ لوک ڈاؤن اور sop کی انتظامی کاروائی کا اور سب سے اہم عوام کے بہتر طرز عمل کی کامیابی نمایاں ہے</p>— Asad Umar (@Asad_Umar) <a href="https://twitter.com/Asad_Umar/status/1281827739872497665?ref_src=twsrc%5Etfw">July 11, 2020</a></blockquote> <script async src="https://platform.twitter.com/widgets.js" charset="utf-8"></script>


'nahi bhai nahi meine nahi maan na jub tak testing do lakh yaumiya nahi pohanch jati mein nahi maanoga koi bhi baat' - PP expert
 
Low testing does not prevent serious patients being admitted which are decreasing as well proving that cases are declining, no ome knows exact number of cases though but definitely decline in new patients admissions in my hospital.


Low testing means many with moderate and mild infection wont be detected. So even people with moderate symptoms who may otherwise seek admission will not anymore. So the admissions will drop. Right now more than 80 percent of covid positive in my hospital have mild to moderate symptoms.
 
Low testing does not prevent serious patients being admitted which are decreasing as well proving that cases are declining, no ome knows exact number of cases though but definitely decline in new patients admissions in my hospital.

Is the drop due to the slower spread or is the virus getting weaker.
 
Low testing means many with moderate and mild infection wont be detected. So even people with moderate symptoms who may otherwise seek admission will not anymore. So the admissions will drop. Right now more than 80 percent of covid positive in my hospital have mild to moderate symptoms.
we are not admitting people with moderate symptoms. What is your criteria for admission. Iam just repeating again we have been out of the peak which was in mid June.
 
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Low testing means many with moderate and mild infection wont be detected. So even people with moderate symptoms who may otherwise seek admission will not anymore. So the admissions will drop. Right now more than 80 percent of covid positive in my hospital have mild to moderate symptoms.
we have not changes our admission criterion so how can admison rate decline? Anyone suffering will eventually come to hospital.
 
can you please share any research regarding that?

Covid Data is still not sufficient enough. Based upon previous studies for Respiratory Viruses, many believe the pattern of Covid is not different.

OBESE PEOLE :
>Viral clearence is delayed.
>Show more symptoms and for longer.
>Shed more Virus and for longer.
>Adipose Tissues become Virus Reservoir.
>If +ve, Should Quarantine for longer.
 
Covid Data is still not sufficient enough. Based upon previous studies for Respiratory Viruses, many believe the pattern of Covid is not different.

OBESE PEOLE :
>Viral clearence is delayed.
>Show more symptoms and for longer.
>Shed more Virus and for longer.
>Adipose Tissues become Virus Reservoir.
>If +ve, Should Quarantine for longer.

A bit confused here.

On one hand, you wrote that obesity is responsible for aggressive strains of viruses (mutation?)

On the other hand, it seems like obesity just makes it hard to recovery (for the same strain as others. No mutation but the physical state of the patient delaying the recovery).
 
[MENTION=128087]last_knight[/MENTION] [MENTION=140234]DRsohail[/MENTION] Docs, just curious about what's the protocol for declaring a patient who tested +ve as recovered, are they tested once or twice before declaring them as recovered or just 14 days home quarantine with no testing?
 
On one hand, you wrote that obesity is responsible for aggressive strains of viruses (mutation?)

Covid Data is insufficient.
In addition to points mentioned in previous post, researchers have found that microenvironment of obesity promotes emergence of more aggressive strains of another Respiratory Virus, i.e. Influenza Virus and we better not overlook this wrt Covid.

What Covid Data reveals is that after Age Factor, Obesity is most Significant and Independent predictor of Covid severity (More than any underlying illness).
 
[MENTION=128087]last_knight[/MENTION] [MENTION=140234]DRsohail[/MENTION] Docs, just curious about what's the protocol for declaring a patient who tested +ve as recovered, are they tested once or twice before declaring them as recovered or just 14 days home quarantine with no testing?

Home isolation or Hospitalized, Patient should fulfill 2 requirements for Recovery

1= Symptoms have resolved
2= 2 Negative PCR, at least 48 hours apart.
 
just noticed Bangladesh has more active cases than pakistan - they have 87,829 and we have 86,975
 
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