1

Provincial Technical Officers and fellows of FELTP assigned at the Disease Surveillance, Response Units

(DSRU’s) are working with provincial, and district health authorities on event based disease surveillance and

outbreak response. DSRUs are sharing the disease surveillance data, outbreak reports and activities of FELTP

fellows to the Federal Disease Surveillance and Response Unit (FDSRU) at the Field Epidemiology and

Disease Surveillance Division (FEDSD) National Institute of Health (NIH) Islamabad on weekly basis.

COVID-19 Surveillance

PDSRUs in Provinces are working with the

provincial department of health on COVID-19

surveillance, response and contact tracing since

February, 2020 in Pakistan. FELTP fellows Alumni

are actively involved in COVID-19 Surveillance

throughout Pakistan. Data is being shared with

FDSRU on daily basis and a SITRIP is being issued

by FEDSD National Institute of Health Islamabad

FDSRU has developed a mechanism for tracking of

travelers from other countries to Pakistan since 02

February 2020. Daily flights data from international

airports in Pakistan is being shared by the Central

Health establishment (CHE) Islamabad with FDSRU

teams who conduct daily calls on given contact

numbers of the travelers to ask about their health

status, advise them for immediate contact at the

nearest designated hospital in case of COVID-19

symptoms. Total 58,883 travelers have been traced

and contacted by Aug 08, 2020.

Table-1: Weekly Surveillance data COVID-19 by Aug 08, 2020

Province/

Region

Suspected cases

reported at

hospitals

Lab Update Hospital Update

Cumulative tests performed

(Cumulative)

Tested positive

cases

(Cumulative)

Still

admitted

Discharged/Recovered Expired

AJK 28,470 28,686 2,134 16 1,883 58

Baluchistan 51,877 63,959 11,884 04 10,326 137

GB 14,644 16,715 2,321 90 1,902 55

Islamabad 200,193 203,124 15,241 64 12,914 171

KP 171,409 220,666 34,635 138 31,542 1,230

Punjab 790,830 775,969 94,360 642 86,266 2,169

Sindh 807,969 817,970 123,546 380 115,415 2,262

Total 2,065,392 2,127,089 284,121 1,334 260,248 6,082

PDASRU SINDH

No report received for week-32

PDSRU Punjab

PDSRU Punjab has reported total 803,316 suspected

cases of COVID-19 and out of these 94,477 were lab

confirmed COVID-19 cases up to Aug 08, 2020

while 86273 cases have recovered from COVID-19.

District Lahore has the highest number of confirmed

cases (n=47928) followed by District Rawalpindi

(n=7572), District Multan (n=5897), District

Faisalabad (n=5846) and Gujranwala (n=3470)

respectively. Age group 31-45 years has the highest

number of cases (n=27292) followed by age group

Federal Disease Surveillance and Response Unit

Field Epidemiology & Disease Surveillance Division

National Institute of Health (NIH) Islamabad

WEEKLY FIELD EPIDEMIOLOGY REPORT

Volume 2-- Issue 30 Aug 02- 08, 2020 Date: August 10, 2020

Volume02 -- Issue 30 Aug 01-08, 2020 Date: Aug 10, 2020

2

16-30 (n=25120) and age group 46-60 years

(n=18733).

Figure-3: Geographical Distribution of COVID-19 Cases in Punjab Province (Cumulative up to week 32)

Figure-4: Age wise distribution of COVID-19 cases in Punjab up to Aug 08, 2020

PDSRU - Baluchistan province

The department of Health Baluchistan has reported

11,906 positive cases of COVID-19 and 138 deaths

till Aug 08, 2020. 10,372 cases have recovered.

District Quetta has the highest number of confirmed

cases (n=8763) followed by District Khuzdar

(n=335), District Kech (n=332) and District

Jaffarabad (n=328). Age group 30-44 has the highest

attack rate per 100000 Population (AR=3983)

followed by 15-29 age group (AR=4031) and 15-29

age group (AR=3236).

4180

2512027292

18733

9164

1640

0

5000

10000

15000

20000

25000

30000

1-15y 16-30 31-45 46-60 61-75 >75

No

. o

f C

as

es

Age Groups

Volume 2-- Issue 30 Aug 01-08, 2020 Date: Aug 10, 2020

Figure-5: Geographical Distribution of COVID-19 Cases in Baluchistan Province (Cumulative up to Week 32)

Figure-6: Baluchistan –Attack rates /100,000 population in different age groups (up to Aug 08,2020)

PDSRU- Gilgit-Baltistan (GB)

PDSRU GB has reported total 14,814 suspected

cases of COVID-19 and out of these 363 were lab

confirmed COVID-19 cases during last week, while

results of 53 suspected cases are still awaited. 14,483

samples were processed and 12,149 suspects were

declared negative for COVID-19. 1914 cases have

recovered from COVID-19 while 57 cases expired.

District Skardu has the highest number of cases

(n=83) followed by District Ghizer (n=64) and

District Astore (n=62).

1231

3236

4031

2136

1000

0

900

1800

2700

3600

4500

<1-14 15-29 30-44 45-59 60+

Att

ack R

ate

/100000

Age Groups in Years

Volume02 -- Issue 30 Aug 01-08, 2020 Date: Aug 10, 2020

4

Table -2 Detail of number of samples, confirmed Covid-19 cases & Deaths in GB up to Aug 08, 2020

District

Number of

Samples

Negative Total Samples

Processed

Positive

Awaited

Recovered

Expired

Samples

Discarded

Astore 2889 2543 2881 62 01 271 05 07

Diamer 719 632 718 05 00 77 04 01

Ghanche 1026 882 940 07 00 50 01 86

Ghizer 932 807 930 64 01 58 01 01

Gilgit 3684 2847 3600 55 18 672 26 66

Hunza 1362 983 1345 56 14 303 03 03

Kharmang 283 234 259 08 00 17 00 24

Nagar 957 779 955 07 00 166 03 02

Shigar 449 374 424 16 01 31 03 24

Skardu 2513 2068 2431 83 04 269 11 78

Grand

Total

14814 12149 14483 363 39 191

4

57 292

Figure-7: GB-District-Wise distribution of confirmed COVID-19 cases up to Aug 08, 2020

PDSRU-AJK

PDSRU AJK has reported total 28,683 suspected

cases of COVID-19 and out of these 2141 were lab

confirmed COVID-19 up to Aug 08, 2020 while no

lab- results of suspected cases are awaited. 1883

cases have recovered from COVID-19 and 58 cases

expired due to COVID-19. District Muzaffarabad

has the highest number of cases (n=664) followed by

District Mirpur (n=451), District Bhimber (n=265)

and District Kotli (n=249).

Table -3: Distribution of suspected and confirmed Covid-19 cases in AJK up to Aug 08,2020

Figure-8: AJK-District-Wise distribution of confirmed COVID-19 cases up to Aug 08, 2020

62

5 7

64

55 56

83

7

16

0

15

30

45

60

75

90

Astore Diamer Ghanche Ghizer Gilgit Hunza Skardu Nagar Shigar

No

. of

Cas

es

Districts

679

37

250

184134

1868

463

266

0

100

200

300

400

500

600

700

800

Muzaffarabad Hattian Bala Kotli Poonch Bagh Havaili Pallandri Mirpur Bhimber

No

. o

f C

ases

Districts

Total Suspected Cases Lab Tests Conducted Lab Confirmed Cases Active Cases Recovered Total Deaths

28,683 28,901 2141 16 1883 58

Volume02 -- Issue 30 Aug 01-08, 2020 Date: Aug 10, 2020

5

PDSRU-KPK

PDSRU KPK has reported total 152,895 suspected

cases of COVID-19 and out of these 33,946 were lab

confirmed COVID-19 up to Aug 08, 2020 while

1203 patients expired. District Peshawar has the

highest number of cases (n=11821) followed by

District Swat (n=2762), District Malakand (n=1480)

and District Mardan (n=1193). Age group >80 years

has the highest attack rate/100,000 (AR=486)

followed by 70-79 years age group (AR=251) and

50-59 years age group (AR=191).

Figure-9: Geographical Distribution of COVID-19 Cases in KPK Province (Cumulative up to Week 32)

Figure 10: KPK –Attack rates /100,000 population in different age groups (up to Aug 08, 2020)

14 25

101

180 180 191163

251

486

0

100

200

300

400

500

600

0 – 9 10 – 19 20 – 29 30 – 39 40 – 49 50 – 59 60 – 69 70 – 79 >80

Att

ac

k r

ate

/10

0,0

00

Age Groups

Volume02 -- Issue 30 Aug 01-08, 2020 Date: Aug 10, 2020

6

PDSRU Merged Areas KPK

PDSRU Merged Areas KPK has reported total

19,983 suspected cases of COVID-19 and out of

these 2190 were lab confirmed cases up to Aug 08,

2020 while no lab results of suspected cases are

awaited. District Khyber has the highest number of

confirmed COVID-19 cases (n=1053) followed by

District Bajour (n=491) and District Kurram

(n=404). In all the districts cases declined from week

24 onwards. Age group 26-50 years has the highest

number of cases (n=1226) followed by 0-25 years

age group (n=531).

Figure-11: Week-wise comparison of COVID-19 Cases - Districts of Merged Area KPK (up to Week 32)

Figure-12: Age wise distribution of Covid-19 cases in Merged Areas, KP (Aug 08, 2020)

Communicable Disease Surveillance

Influenza Suspected/Confirmed:

In 2018, total 3221 and in 2019 total 100

Suspected/confirmed Influenza cases reported from

PDSRUs/RDSRUs. In week 32, no suspected cases

were reported.

Diphtheria Surveillance:

During 2018 total 464 and during 2019 total 614-

suspected cases of Diphtheria were reported. In week

32, 02 case reported from Punjab. No cases reported

from all other provinces & regions.

Dengue Surveillance:

In 2018, total 3204 Dengue cases reported from

Sindh Total 24,610 cases reported which includes 48

new case reported from Baluchistan. In week 32, 04

cases reported from Punjab. No case reported from

ICT, Sindh, KP, AJK, Merged Areas & Baluchistan.

CCHF Surveillance: In 2018, total 63 CCHF

(suspected and confirmed) cases were reported from

DSRUs and 75 cases have been reported in 2019. 04

new case reported in this week from Punjab,

Baluchistan & KPK.

31 33 40 4663

10 19 170 8 4 2 3

8455 45 39

24

815

8

08 10 6 1

1

5 20

5730

35 90

178

00 5

31

97

0

0

62

211

9

0 1 1

1

0

6

11

22

37

1 15 6

177

0

1

0

4

7

0

0 6

00 0

00

0

week 20 week 21 week 22 week 23 week 24 week 25 week 26 week 27 week 28 week 29 week 30 week 31 week 32

No

. of

Cas

es

BAJOUR KHYBER MOHMAND ORAKZAI KURRAM NORTH WAZIRISTAN SOUTH WAZIRISTAN

531

1226

421

0

300

600

900

1200

1500

0 to 25 years 26 to 50 years 51 years & above

No

. of

Cas

es

Age Groups

Volume 2-- Issue 30 Aug 01-08, 2020 Date: Aug 10, 2020

Table-4: Weekly and Cumulative Diseases Updates Aug 08, 2020

Table 5: Dengue cases reported in 2017, 2018, month-wise distribution in 2019 & current week (All provinces and regions)

Month KPK Sindh AJK ICT TDs - KP Baluch Punjab Total

Jan–Dec 2017

18,857 2,884 6 120 406 86 579 22,938

Jan-Dec 2018 332 2088 1 0 175 69 539 3204 Jan-Dec 2019 5214 2937 506 2847 1484 2841 8826 24547

Total 24403 7909 513 2967 2065 3057 9944 50750

08-08-2020 0 0 0 0 0 0 4 4 Total (2020) 03 0 0 0 02 185 21 211

XDR Typhoid Surveillance Data Sindh-Province (Excluding Karachi)

Total 6568 Salmonella Typhoid cases reported from

the November 2016 to Aug 08, 2020 from different

districts of Sindh province (excluding Karachi).

Among these cases 5035 were Extensive Drug

Resistant cases. Out of these cases n=3506 (69.8%)

reported from District Hyderabad. The most affected

age group was 0 to 4 years (n=1355) with attack rate

45.9 per/10000 population followed by 5-9 years of

age group (n= 1005) with attack rate 34.3/10000

population. Over all attack rate is 16.1/10000

population (n=3515).

Table 7: Extensive drug Resistant (XDR) Typhoid Fever Surveillance Hyderabad and other districts

Figure 14: XDR Typhoid Cases District Hyderabad Nov-2016 to Aug 08, 2020

Disease Total Cases in 2019 Aug 01-08, 2020 Total Cases in 2020

1 CCHF 75 4 10 2 Varicella 1,264 3 213 3 Dengue 24,547 4 211 4 Chikungunya 0 0 0 5 Measles 6,781 61 1464

6 Diphtheria 614 2 116 7 Suspected / confirmed Seasonal

Influenza 100 0 9

Year Hyderabad Other District Total

2016 12 0 12

2017 485 4 489

2018 891 207 1098

2019 1645 998 2643

January 01 – 31, 2020 473 305 778

Current week (Aug 01-08, 2020) 9 6 15

Total 3515 1520 5035

0

50

100

150

200

250

N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A

Year-16

Year-17 Year -18 Year-19 Year-20

No

of

ca

se

s

Month wise cases