situation report no. #17 - who

15
Situation Report No. #17 22 June 2020 https://www.who.int/bangladesh/emergencies/coronavirus-disease-(covid-19)-update/coronavirus-disease-(covid-2019)-bangladesh-situation-reports Confirmed Tested In this issue of COVID-19 Morbidity and Mortality Weekly Update (MMWU) # 17: Detailed epidemiological update on COVID-19 pandemic in Bangladesh, week 15-22 June 2020, including: dashboard with key figures; daily and weekly distribution of COVID-19 cases and related deaths; growth factor of daily COVID-19 cases daily distribution of COVID- 19 cases and rolling three- days average per division; overall attack rate and per division; comparison data with selected countries in South East Asia; death and recovery rates of closed cases; and number of COVID-19 laboratories and total weekly number of samples tested. The banner says, Health Department of Bangladesh has declared Red Zone to contain spread of COVID-19 in a locality Tested Confirmed Recovered Dead Hotline 630,719 115,786 46,719 1,502 12.6 million Test/1 million New Cases Recovery Rate CFR% AR/1 million 3,703 3,480 40.3% 1.30% 679.8 Laboratories PPE Stock PoE Screening 62 COVID-19 Labs Last days 110,699 Samples 1,254,742 347,536 2,746,999 23,525 63.7% Inside Dhaka Tests 184,391 7,029 18.4% Positive Tests 474,847 347,233

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Situation Report No. #17

22 June 2020

https://www.who.int/bangladesh/emergencies/coronavirus-disease-(covid-19)-update/coronavirus-disease-(covid-2019)-bangladesh-situation-reports

Dead RecoveredConfirmedTested

In this issue of COVID-19

Morbidity and Mortality

Weekly Update (MMWU) #

17:

Detailed epidemiological update

on COVID-19 pandemic in

Bangladesh, week 15-22 June

2020, including:

dashboard with key figures;

daily and weekly

distribution of COVID-19

cases and related deaths;

growth factor of daily

COVID-19 cases

daily distribution of COVID-

19 cases and rolling three-

days average per division;

overall attack rate and per

division;

comparison data with

selected countries in South

East Asia;

death and recovery rates of

closed cases; and

number of COVID-19

laboratories and total

weekly number of samples

tested.

The banner says, Health Department of Bangladesh has declared Red Zone to contain spread of COVID-19 in a locality

Tested Confirmed Recovered Dead Hotline

630,719 115,786 46,719 1,502 12.6 million

Test/1 million New Cases Recovery Rate CFR% AR/1 million

3,703 3,480 40.3% 1.30% 679.8

Laboratories PPE Stock PoE Screening

62 COVID-19 Labs

Last days

110,699 Samples

1,254,742 347,536

2,746,999 23,525

63.7%

Inside Dhaka

Tests 184,391 7,029

18.4%

Positive Tests 474,847 347,233

2 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

1. Highlights

As of 22 June 2020, according to the Institute of Epidemiology, Disease Control and Research (IEDCR), there are

115,786 confirmed COVID-19 cases1 in Bangladesh, including 1,502 related deaths; Case Fatality Rate (CFR) is

1.30%.

On 18 June 2020, the Civil Aviation Authority issued a circular notifying that with effect from 16 June until further

notice, all passenger flights to/from Bahrain, Bhutan, Hongkong, India, Kuwait, Malaysia, Maldives, Nepal, Oman,

KSA, Sri Lanka, Singapore, Thailand, Turkey, shall not be allowed to land at any Airport in Bangladesh. Full document:

www.caab.gov.bd

On 17 June 2020, the Ministry of Foreign Affairs (MoFA) issued a Note Verbal to inform that Diplomatic, Official and

Laissez Passer holders posted in diplomatic missions in Bangladesh and their family members (including holders of

ordinary passports) with valid visas will be exempted from the requirement to submit COVID-19 negative/COVID-

19 symptom free medical certificate upon arrival. The diplomatic missions are requested to ensure self-quarantine

of their diplomats/employees upon travelling to Bangladesh. Full document: https://mofa.gov.bd

2. Coordination

On 21 June 2020, the Ministry of Public Administration issued a notification that in accordance with the 2018 Infectious

Diseases (Prevention, Control and Eradication) Act certain areas in ten (10) districts in the country were declared as ‘Red

Zones’. The Ministry of Public Administration further declared conditional general holidays in the Red Zones for the

period of 21 days, these general holidays will be applicable to all the officials/employees of government, semi-

government, autonomous, private offices/organizations of the specified Red Zone areas, and who live outside the areas.

The emergency services will be excluded from these general holidays. Full document: www.mopa.gov.bd

The technical working group on PPE quality control (TWG on PPE QC) developed a draft guideline for PPE visual

inspection, for consideration by DGDA. The document aims to guide local producers and importers of PPE on the

sampling methods and algorithms for ensuring compliance of PPE batches with the specifications and explains methods

to conduct visual inspection for the most common PPE items. It is also a useful guide to procurement agencies and

buyers to conduct a quality check of PPE upon delivery. The guide was drafted by Japanese inspection firm K2 with

financial support from JICA, with technical inputs from the other technical working group members. The technical

working group is coordinated by WHO and includes members from BUET, icddr,b, USAID, JICA and K2. The guide will be

considered by DGDA. After review, it is expected that the guide will be posted for public comments on the DGDA website

and then finalized after incorporation of stakeholders’ feedback. The TWG also produced draft parameters for testing

cloth masks, for consideration by DGDA.

MoHFW established a technical committee on Investigational New Drugs (IND). Membership of the committee

comprises of 12 participants coordinated by DGDA and chaired by Bangabandhu Shaikh Mujibur Rahman Medical

University (BSMMU). Members include senior academicians and clinicians. The committee aims to advise DGDA on the

evaluation of locally produced or imported medicines, investigational drugs, vaccines and medical devices to treat,

prevent or detect Covid-19, as a public health emergency. On Sunday 21 June, DGDA convened a technical committee

meeting for consultation on the minimum sensitivity and specificity level of serological test for COVID-19. The committee

will be meeting regularly to ensure expedited decisions on access to new products related to COVID-19 management.

1 WHO Bangladesh COVID-19 Situation Reports present official counts of confirmed COVID-19 as announced by the IEDCR and DGHS

on the indicated date. Difference in data between the WHO reports and other sources can result from using different cutoff ti mes for

the aggregation and reporting of the total number of new cases in the country .

3 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

3. Surveillance and Laboratory

Between 9 March and 22 June 2020, according to the Institute of Epidemiology, Disease Control and Research (IEDCR)

there were fifteen-thousand-seven-hundred-eighty-six (115,876) COVID-19 confirmed by rt-PCR, including one-

thousand five-hundred-two (1,502) related death cases (CFR 1.30%).

In the current week (epidemiological week 25), COVID-19 confirmed cases increased by 14%, in comparison to the

previous week (24,786 and 21,751 respectively). In comparison to the previous epidemiological week, while the number

of COVID-19 related deaths increased by 3.2% (292 and 283 respectively), the overall Case Fatality Rate (CFR) decreased

from 1.34% in epidemiological week 24 to 1.30% in the current week.

The figures below are showing the daily and weekly distribution of reported confirmed COVID-19 cases and

deaths, 09 March – 22 June 2020, Bangladesh.

0

50

100

150

200

250

300

350

0

5,000

10,000

15,000

20,000

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30,000

w10 w11 w12 w13 w14 w15 w16 w17 w18 w19 w20 w21 w22 w23 w24 w25

Weekl

y D

eath

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y C

ase

s

# Cases # Deaths

60

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0

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90

-4,000

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09/03 16/03 23/03 30/03 06/04 13/04 20/04 27/04 04/05 11/05 18/05 25/05 01/06 08/06 15/06 22/06

Num

ber

of D

eath

s (n

=1,5

01)

Num

ber

of C

ase

s (N

=115,7

86)

# Cases # Deaths

Poly. ( # Cases ) Poly. (# Deaths)

4 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

In the current week (epidemiological week 25), COVID-19 Attack Rate (AR) increased by 28.3%, in comparison to the

previous week (659 and 514 respectively).

The figure below is showing the weekly attack rate confirmed COVID-19 cases, 08 March – 22 June 2020,

Bangladesh.

Growth factor (every day's new cases / new cases on the previous day) between 0 and 1 indicates a decline; when it is

above 1 it signals an increase, and if is persistently above 1 this could signify exponential growth. On April 3, the Growth

factor (GF) for COVID-19 cases in Bangladesh reached the highest of 2.5, the GF was above 2 on 9 and 12 April. Since

the beginning of June 2020, the GF was within the range of 0.8 – 1.2, and on 22 June 2020, the GF is 1.0.

The figure below is showing the Growth Factor of daily confirmed COVID-19 cases, 08 March – 22 June 2020,

Bangladesh.

0.0

0.5

1.0

1.5

2.0

2.5

3.0

08/0

3

11/0

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Gro

wth

Fact

or

Growth Factor 2

Growth Factor 1

0.0

1

0.0

2

0.1

0.3

1 4 14 32 5

6 86

131

197

277

386

514

659

0.00

100.00

200.00

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400.00

500.00

600.00

700.00

800.00

w10 w11 w12 w13 w14 w15 w16 w17 w18 w19 w20 w21 w22 w23 w24 w25

Weekl

y A

ttack

Rate

per

Millio

n

5 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

As of 22 June 2020, the case doubling time in Bangladesh remains eight (8.0) days (about 1/2 day) more than the

previous update on 15 June 2020). Available data allows us to see how quickly the number of confirmed cases increased

in Bangladesh and some other countries in the WHO South-East Asia region: India, Indonesia, Thailand and Sri Lanka.

The figure below is showing the growth of COVID-19 confirmed cases in selected South East Asian countries

starting from the day they reported 100 confirmed cases, 22 June 2020.

As of 22 June 2020, the death doubling time in Bangladesh remains teen (10.0) days (no change from the previous

update on 15 June 2020). Available data allows us to see how quickly the number of confirmed deaths increased in

Bangladesh and some other countries in the WHO South-East Asia region: India, Indonesia, Thailand and Sri Lanka

The figure below is showing the growth of COVID-19 confirmed deaths in selected South East Asian countries

starting from the day they reported 100 confirmed cases, 22 June 2020.

100

1000

10000

100000

0 10 20 30 40 50 60 70 80 90

Num

ber

of C

ase

s

Days since 100th Confirm Case

India Indonesia

Malaysia Sri Lanka

Thailand Bangladesh

D1 D2 D3 D4 D5 D6 D7

D40

D20

D15

D12

D10

D8

D9

5

50

500

5000

0 10 20 30 40 50 60 70 80 90

Num

ber

of D

eath

s

Days since 5th Confirm Death

India Indonesia

Malaysia Sri Lanka

Thailand Bangladesh

D1 D2 D3 D5D4 D6 D7

D8

D9

D10

D12

D15

D20

D40

6 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

As of 22 June 2020, geographical distribution of confirmed reported COVID-19 cases was available on 97% of cases

(112,306/115,786); of which 13.4% from Chattogram division, 3.2% from Rajshahi division, 2.6% from Sylhet division,

2.1% from Mymensingh division, 2.1% from Khulna division, 2.0% from Rangpur division, and 1.8% from Barisal

division.

The figure below is showing the daily distribution of reported confirmed COVID-19 cases per division (except

Dhaka city), 16 April – 21 June 2020, Bangladesh.

The case doubling time can be used to determine how fast COVID-19 infection has been spreading in the country.

Available data allows us to see how quickly the number of confirmed cases increased in different divisions in Bangladesh.

As of 22 June 2020, the case doubling time is 6 days in Dhaka division and Chattogram; in Khulna, Sylhet and Rajshahi

divisions - 7 days, in Rangpur, Mymensingh and Barisal divisions - 9 days.

The figure below is showing the case-doubling time of COVID-19 confirmed cases in all divisions starting from

the day each reported 10 confirmed cases, 22 June 2020, Bangladesh.

10

100

1,000

10,000

0 10 20 30 40 50 60 70

Num

ber

of C

ase

s

Days since 10th Confirm Case

BSL CTG DHK KLN

MYM RSH RNP SYT

D1 D2 D3 D5

D8

D15

D4 D6

D7

D10

D12

D20

D40

0

200

400

600

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1,000

1,200

1,400

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6

Num

ber

of C

ase

s

Chattogram Mymensingh Ranjpur Sylhet Rajshahi Khulna Barishal

7 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

The case doubling time is 6 days in Dhaka city, Faridpur district – 7 Days, Narayanganj and Gazipur districts - 8 days,

Munshiganj district – 9 days, and slightly more than 10 days for Kishoreganj district.

The figure below is showing the growth of COVID-19 confirmed cases in all districts of Dhaka division starting

from the day each reported 10 confirmed cases, 22 June 2020, Bangladesh.

In Chattogram division till 22 June 2020, the case doubling time was the fastest in Noakhali district - 6 days,

Chattogram, Cox’s Bazar and Feni districts - 7 days, Cumilla district - 8 days, Chandpur district - 10 days and 15 days

for Laxmipur and Chandpur districts.

The figure below is showing the growth of COVID-19 confirmed cases in all districts of Chattogram division

starting from the day each reported 10 confirmed cases, 22 June 2020, Bangladesh.

10

100

1,000

10,000

0 10 20 30 40 50 60 70

Num

ber

of C

ase

s

Days since 10th Confirm Case

DHK_district DHK_city Faridpur

Gazipur Kishoreganj Munshiganj

Narayanganj

D1 D2 D3 D5

D8

D15

D4

D6

D7

D10

D12

D20

D40

10

100

1,000

10,000

0 10 20 30 40 50 60 70

Num

ber

of C

ase

s

Days since 10th Confirm Case

Chandpur Chattogram Cox's Bazar

Cumilla Feni Lakshmipur

Noakhali

D1 D2 D3 D5

D8

D15

D4D6

D7

D10

D12

D20

D40

8 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

0

50

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Sylhet 3 per. Mov. Avg. (Sylhet)

0

500

1,000

1,500

2,000

2,500

3,000

16/0

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Dhaka 3 per. Mov. Avg. (Dhaka)

0

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Rajshahi 3 per. Mov. Avg. (Rajshahi)

0

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900

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Chattogram 3 per. Mov. Avg. (Chattogram)

The figures below are showing the daily distribution of reported confirmed COVID-19 cases and rolling three-

days average per division, 16 April – 21 June 2020, Bangladesh.

9 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

0

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Barishal 3 per. Mov. Avg. (Barishal)

0

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Khulna 3 per. Mov. Avg. (Khulna)

0

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Rangpur 3 per. Mov. Avg. (Rangpur)

0

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Mymensingh 3 per. Mov. Avg. (Mymensingh)

10 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

The overall COVID-19 attack rate (the total number of cases divided by the total population) in Bangladesh [1]

has been

on a steady increase since 4 April 2020. On 22 June, Bangladesh attack rate (AR) is 679.9 per 1 million, and 100%

(64/64) of districts with the total population of 170,306,468 people have confirmed COVID-19 cases.

According to the available data for 112,306 cases, the highest AR continues to be observed in the Dhaka division

(1,893.3/1,000,000). Within the Dhaka division, Dhaka city has the highest AR (7,612.2/1,000,000), followed by

Narayanganj district (1,332.0/1,000,000), Munshiganj (1,039.1/1,000,000), Gazipur (1,039.1/1,000,000), Faridpur

(548.7/1,000000), Dhaka district (466.4/1,000,000), Narshingdi (461.9/1,000,000), Madaripur (397.5/1,000,000),

Kishoreganj (354.4/1000,000), Gopalganj (331.8/1,000,000), Manikganj (286.6/1,000,000), Shariatpur

(276.6/1,000,000), Rajbari (166.0/1,000,000), and the lowest AR 99.7/1,000,000 was reported from Tangail district.

The second highest COVID-19 Attack Rate is reported from Chattogram division of (274.8/1,000,000) having all of the

11 districts AR over 100 per million. Within the division, Cox’s Bazar district reported the highest AR (735.4/1,000,000)

followed by Chattogram (698.6/1,000,000), Noakhali (458.0/1,000,000), Cumilla (408.5/1,000,000), Bandarban

(394.2/1000,000), Feni (384.2/1,000,000), Lakshmipur (281.2/1,000,000), Rangamati (220.0/1,000,000), Chandpur

(193.9/1,000,000), Khagrachhari (172.2/1,000,000), and the lowest reported from Brahmanbaria (158.7/1,000,000)

district.

The third highest AR in the country was reported from Sylhet division (246.2/1000,000) with the highest AR in Sylhet

district (387.4/1000,000) followed by Sunamganj (262.2/1,000,000), Habiganj (129.6/1,000,000) and Maulvibazar

(100.0/1,000,000) district.

Barishal division is the fourth highest in overall AR with 205.3/1,000,000 with the highest AR in Barishal district

(427.6/1,000,000) followed by Jhalakathi (153.6/1,000,000), Barguna (153.5/1,000,000), Patuakhali (131.6/1,000,000),

Pirojpur (101.8/1,000,000) and Bhola (89.0/1,000,000) district.

Mymensingh division reported overall AR (180.6/1,000,000). Within the Mymensingh division, Mymensingh district

has the highest AR (217.6/1,000,000) followed by Jamalpur (168.2/1,000,000), Netrokona (144.5/1,000,000) and

Sherpur (121.4/1,000,000) district.

Rajshahi division has overall AR (164.0/1,000,000) with the highest AR in Bogura (522.8/1,000,000), followed by

Joypurhat (235.1/1,000,000).

The following figure is showing the attack rate per 1,000,000 population of reported confirmed COVID-19 cases

in selected divisions, 13 April - 21 June 2020, Bangladesh.

0

100

200

300

400

500

16/0

4

19/0

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Att

ack R

ate

/1,0

00,0

00

CTG RNP KLN MYM BSL SYT

11 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

Out of the total 115,786 conformed COVID-19 registered as of 22 June 2020, 40.3% (46,719/115,786) of the cases

recovered, 58.4% are active cases and 1.3% - died.

The figure below is showing the outcomes of reported confirmed COVID-19 cases outcome per epidemiological

week, 08 March – 22 June 2020, Bangladesh.

As of 22 June 2020, there were 48,220 (48.2%) COVID-19 cases with known outcome (closed cases), and out of all closed

cases 96.9% (46,719/48,220) were cured and 3.1% (1,502) died. The death rate on closed cases in Bangladesh is lower

than the 8.8% (471,199/5,326,333) global average as of 22 June 2020.

The figure below is showing the death and recovery rates over cumulative closed confirmed COVID-19 cases, 11

March – 22 June 2020, Bangladesh.

2

3

4

25

57

54

32

51

100 152

170 238

283

292

1

10

100

1000

10000

100000

w10 w11 w12 w13 w14 w15 w16 w17 w18 w19 w20 w21 w22 w23 w24 w25

Weekly Recovery Weekly Active

# Deaths Log. (Weekly Recovery)

0%

20%

40%

60%

80%

100%

11/0

3

14/0

3

17/0

3

20/0

3

23/0

3

26/0

3

29/0

3

01/0

4

04/0

4

07/0

4

10/0

4

13/0

4

16/0

4

19/0

4

22/0

4

25/0

4

28/0

4

01/0

5

04/0

5

07/0

5

10/0

5

13/0

5

16/0

5

19/0

5

22/0

5

25/0

5

28/0

5

31/0

5

03/0

6

06/0

6

09/0

6

12/0

6

15/0

6

18/0

6

21/0

6

Num

ber

of C

lose

d C

ase

s (N

=48220)

Death% Recovery%

12 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

As of 22 June 2020, according to IEDCR, a total of 630,719 COVID-19 tests with the overall positivity rate of 18.4% were

conducted in Bangladesh by 62 laboratories (32 laboratories in Dhaka city and 30 laboratories in outside Dhaka). The

latest laboratories, which have started the testing: in Dhaka - Zainul Haque Sikder Women's Medical College and Hospital

Ltd., and AMZ Hospital Ltd. 63.9% of all samples were tested by laboratories in the Dhaka city, and 36.1% - outside

Dhaka. Notably, the number of samples does not represent the number of individuals tested, as some patients may be

tested more than once/several times.

The graph below is showing the weekly and cumulative number of COVID-19 conducted tests, 08 March – 22 June

2020, Bangladesh.

COVID-19 testing coverage has been gradually increasing in Bangladesh, reaching now 3,703/1,000,000 but is still lower

than in Maldives (65,771/1,000,000), Malaysia (21,140/1,000,000), Nepal (15,435/1,000,000), Thailand

(6,708/1,000,000), Sri Lanka (4,441/1,000,000) and India (5,038/1,000,000).

The graph below is showing the daily cumulative number of COVID-19 tests per 1,000,000 population, 08 March

– 22 June 2020, Bangladesh.

0 T

100 T

200 T

300 T

400 T

500 T

600 T

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

Epi Week

Tests N =

Positive N =

08 March 2020

First Bangladesh case reported

630.7 Thousand

As of 22 June 2020

115,786

630,719

234 368 786 1,774 6,577 14,17222,764

34,845

41,123

110,699

52,821

68,175

65,347

89,057

106,478

0

1000

2000

3000

4000

0

5000

10000

15000

20000

08-0

3

11-0

3

14-0

3

17-0

3

20-0

3

23-0

3

26-0

3

29-0

3

01-0

4

04-0

4

07-0

4

10-0

4

13-0

4

16-0

4

19-0

4

22-0

4

25-0

4

28-0

4

01-0

5

04-0

5

07-0

5

10-0

5

13-0

5

16-0

5

19-0

5

22-0

5

25-0

5

28-0

5

31-0

5

03-0

6

06-0

6

09-0

6

12-0

6

15-0

6

18-0

6

21-0

6

Num

ber

of Test

s (N

=630,7

19)

# Test Tests/1,000,000 Population

13 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

4. Contact Tracing, Points of Entry (PoEs) and Quarantine

According to the DGHS, as of 15 June 2020, the current institutional quarantine capacity in the country is represented

by 629 centres across 64 districts, which can receive 31,991 persons. A total of 17,837 individuals were placed in

quarantine facilities and of them 13,708 (76.9%) have been already released. By 22 June 2020, in total 20,432 individuals

were isolated in designated health facilitates all over the country, of them 7,965 (37%) have been released, and 12,467

(61%) are presently in isolation facilities.

The highest number of people (6,547) in quarantine facilities was reported on 24 April 2020 while presently, the figure

reduced to 4,129. Between 17 March to 22 June 2020, total 324,409 individuals were placed under home quarantine all

the over the county and to date 81.6% (364,642/324,409) have been already released. Remaining 18.4% (59,765

individuals) are in home quarantine now.

The figures below are showing the number of individuals in home and facility quarantine and individuals in

isolation, 17 Mach – 22 June 2020, Bangladesh.

1,6

36

1,6

94

1,7

94

1,7

71

1,8

74

2,0

17

2,1

15

2,2

36

2,3

61

2,4

35

2,5

70

2,7

48

3,0

46

3,2

48

3,3

83

3,6

16

3,8

16

3,8

97

4,0

60

4,3

05

4,4

64

4,6

53

4,7

70

4,9

94

4,9

84

5,1

40

5,5

29

5,7

94

6,0

21

6,2

40

6,4

98

6,7

54

6,9

46

7,1

62

7,3

99

7,5

52

7,8

93

8,2

43

8,7

61

9,0

12

9,3

40

9,7

58

10,0

26

10,3

02

10,7

52

11,0

26

11,4

74

11,9

15

12,1

90

12,4

67

0

5,000

10,000

15,000

20,000

25,000

04/0

5

07/0

5

10/0

5

13/0

5

16/0

5

19/0

5

22/0

5

25/0

5

28/0

5

31/0

5

03/0

6

06/0

6

09/0

6

12/0

6

15/0

6

18/0

6

21/0

6

Presently in Isolation Hospital Isolation Released from Isolation

70

92

113

137

138

162

130

84

66

64

98

233

781

1,4

03

2,1

21

3,2

63

4,0

73

4,6

44 6,1

12

6,5

47

6,4

16

6,4

81

5,7

72

5,3

90

5,3

01

5,1

05

4,9

26

4,2

57

4,1

84

4,0

06

4,0

82

4,0

03

4,0

58

3,6

80

3,4

88

3,5

98

3,6

77

3,6

66

3,6

71

3,5

74

3,6

84

3,6

25

3,4

58

3,4

50

3,5

48

3,7

63

3,8

48

3,8

87

3,9

79

0

4,000

8,000

12,000

16,000

20,000

17/0

3

20/0

3

23/0

3

26/0

3

29/0

3

01/0

4

04/0

4

07/0

4

10/0

4

13/0

4

16/0

4

19/0

4

22/0

4

25/0

4

28/0

4

01/0

5

04/0

5

07/0

5

10/0

5

13/0

5

16/0

5

19/0

5

22/0

5

25/0

5

28/0

5

31/0

5

03/0

6

06/0

6

09/0

6

12/0

6

15/0

6

18/0

6

21/0

6

Presently in Facility Quarantine Total Facility Quarantined

14 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

5. Case Management and infection Control

An updated version of the Emergency Global Supply Chain System (COVID -19) Catalogue was released. The catalogue

lists all medical devices, including personal protective equipment, medical equipment, medical consumables, single use

devices, laboratory and test-related devices that may be requested through the COVID-19 Supply Portal. In Bangladesh,

a group of development partners (DPs) and government officials are coordinating procurements related to COVID-19,

in support of the national response. The Pillar is chaired by WFP with participation of relevant partners under the DGHS

leadership. A system has been established to validate procurement requests from partners to ensure alignment with the

overall national needs, for COVID-19 response. Full document: https://www.who.int/publications/i/item/emergency-

global-supply-chain-system-(covid-19)-catalogue.

Two (2) meetings of the WHO global technical advisory group (TAG) on PPE specifications and testing parameters were

conducted during the past week. The group includes members from CDC/NIOSH, EU notifying body laboratories,

International Medical Corps, CHAI, UNICEF, Saudi FDA (WHO collaborating centre for medical devices), WHO and others.

The TAG discussed technical specifications and testing parameters for surgical gowns and surgical and examination

gloves. The decisions of the group are subject to online voting by the experts and will inform WHO’s updated technical

requirements for PPE in the disease commodity package for COVID-19. WHO list of priority medical devices for COVID-

19 prevention, diagnostic and management is available at the following link:

https://www.who.int/medical_devices/priority/COVID-19/en/.

On 16 June 2020, WHO Regional Office for South-East Asia (SEARO) hosted a virtual meeting on Antimicrobial

stewardship during the COVID-19 pandemic: best practice and guidance on prescribing antibiotics. The webinar

provided a brief about key principles & good practices for antimicrobial stewardship during the COVID-19 pandemic

and discussed recent updates from WHO on managing COVID-19 patients. The webinar targeted physicians and other

health care professionals involved in care of COVID-19 patients, policy makers, experts in charge of national antibiotic

policies and clinical guidelines, and WHO and development partner staff. The WHO toolkit on antimicrobial stewardship

programmes in health-care facilities in low- and middle-income countries is available at the following link

https://apps.who.int/iris/rest/bitstreams/1257395/retrieve. An online course on Antimicrobial Stewardship: A

competency-based approach is available at the following link https://openwho.org/courses/AMR-competency.

On 20 June 2020, a consultative meeting was held on Bangladesh’s participation in the WHO Solidarity trials for

candidate medicines for COVID-19 treatment. The IEDCR has been assigned by MoH&FW as a focal point for the trial

and is coordinating efforts of research institutions and health facilities to develop local protocols, based on the WHO

global protocols, and other aspects of the study. It was decided that Chloroquine/Hydroxychloroquine will be excluded

from the study. Sample size, ethical approval and randomization were discussed during the meeting.

6. Risk Communication and Public Awareness

RCCE partners are scaling up communication and information activities towards the use of masks as one of the main

components of protection measures against COVID-19 for the general public, together with maintaining physical

distancing and sustaining hygiene practices. Infographics and audio-video materials have been developed by the DGHS

with support from RCCE partners and are currently being disseminated through RCCE network. Additional materials-

public service announcements (PSA), instructional videos and mass media materials are being produced for wide

dissemination.

Furthermore, intensified RCCE activities have been conducted focusing on domestic violence and child protection as

well as on stigma and discrimination in order to address the increasing incidence of the issues in communities, especially

attitudes towards frontline responders, including health workers.

Ongoing activities are implemented to address disinformation, misinformation and rumors especially in online

environment, with constant efforts to eliminate or reduce the spread of such information in social media, promoting

accurate and reliable information.

15 | P a g e

WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 22 June 2020/Vol.17

Contact: Dr Bardan Jung Rana, WHO Representative to Bangladesh, [email protected]

Dr Hammam El Sakka, Senior Medical Epidemiologist, Team Leader, WHE, COVID-19 IM, WHO-BAN, [email protected]

RCCE partners continue to conduct regular monitoring and rapid assessments to measure the effectiveness of the

interventions and to guide messaging as the outbreak and the response evolves.

7. Useful COVID-19 links:

WHO Bangladesh COVID-19 Situation Reports: https://www.who.int/bangladesh/emergencies/coronavirus-disease-

(covid-19)-update/coronavirus-disease-(covid-2019)-bangladesh-situation-reports

COVID-19 Situation in the WHO South-East Asia Region: https://www.who.int/southeastasia/outbreaks-and-

emergencies/novel-coronavirus-2019

Latest global WHO Situation Report # 154 as of 22 June 2020: https://www.who.int/emergencies/diseases/novel-

coronavirus-2019/situation-reports

WHO Bangladesh awareness and risk communication materials in Bengali:

https://www.who.int/bangladesh/emergencies/coronavirus-disease-(covid-19)-update

EPI-WIN: WHO information network for epidemics: https://www.who.int/teams/risk-communication

COVID-19 updates from the Directorate General of Health Services, Ministry of Health and Family Welfare, Government

of The People’s Republic of Bangladesh: https://dghs.gov.bd/index.php/en/home/5343-covid-19-update

Addressing violence against children, women and older people during the covid-19 pandemic: Key actions:

https://www.who.int/publications/i/item/WHO-2019-nCoV-Violence_actions-2020.1

Emergency Global Supply Chain System (COVID-19) catalogue: https://www.who.int/publications/i/item/emergency-

global-supply-chain-system-(covid-19)-catalogue

Feasibility, potential value and limitations of establishing a closely monitored challenge model of experimental COVID-

19 infection and illness in healthy young adult volunteers: https://www.who.int/publications/m/item/feasibility-potential-

value-and-limitations-of-establishing-a-closely-monitored-challenge-model-of-experimental-covid-19-infection-and-

illness-in-healthy-young-adult-volunteers

Institute of Epidemiology, Disease Control and Research (IEDCR): https://www.iedcr.gov.bd/