morbidity mortality weekly update - who

04 January 2021

Morbidity and Mortality

Weekly Update (MMWU) No45

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

Tested Confirmed Cases Recovered Death Hotline

3,260,327 516,019 460,598 7,626 23.3 million

Test/100,000/Week Case/100,000/Week Recovery Rate CFR% AR/100,000

51.9 4.0 89.3% 1.48 303

Laboratories PPE Stock PoE Screening

RT PCR Lab : 114

GeneXpert Lab : 26

Rapid Antigen : 40

Tested in Last days: 88,417

819,911

944,884

6,786,314

59,506

60.1%

PCR Tests Inside Dhaka

15.8%

Overall Positivity

237,488

7,029

1,700,187

432,554

Date Source: Directorate General of Health Services, MoHFW, Bangladesh

Hazrat Shahjalal International Airport, Dhaka Photo Credit: Social Media Bangladesh



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WHO Bangladesh COVID-19 Morbidity and Mortality Weekly Update (MMWU) 04 January 2021/Vol. No45

1. Global Situation

Globally, as of 12:00 AM, 03 January 2021 there have been 82,579,768 confirmed cases of COVID-19, including 1,818,849

deaths received by WHO from national authorities. USA, the world’s worst hit country, has counted 19,578,217 (231,427)

cases with 339,550 (3,761) deaths as reported to WHO; followed by India with 10,305,788 (19,079) cases; while Brazil

reported the third highest cases of 7,675,973 (56,773) and second highest deaths 194,949 (1,074) followed by India

149218 (224) at the same cut off time.

The figure below is showing trend of the weekly number of reported COVID-19 cases by WHO region, 01 January

2020 – 03 January 2021

The figure below shows top ranked countries for total cases of confirmed COVID-19, deaths and new cases,

01 January 2020 – 03 January 2021

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2. Bangladesh Situation

Between 8 March 2020 and 03 January 2021, according to the DGHS Press Release <https://corona.gov.bd/press-release>

there were five hundred sixteen thousand nineteen (516,019) COVID-19 confirmed by rRT-PCR, GeneXpert and Antigen

tests including seven thousand six hundred twenty-six (7,626) related deaths (CFR 1.48%). Bangladesh is the top 27th

country in the world and accounts for 0.62% of the COVID-19 disease burden in the world.

The figure below is showing the trend of COVID-19 cases and deaths, 08 March 2020 – 03 January 2021,

Bangladesh

The figure below is showing the weekly test status and positivity of COVID-19, 08 March 2020 – 03 January 2021,

Bangladesh

In the epidemiological week 53 (28 DEC 2020 – 03 JAN 2021), number of new cases in Bangladesh is 6,871; case per

100,000 population per week is 4.0. New death is 174; death per 100,000 per week is 0.1; Weekly CFR 2.53. Weekly new

test is 88,417; tests per 100,000 per week is 51.9; weekly test positivity is 7.8%.

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Daily Cases 7 DMA Daily Death 7 DMA

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3. Surveillance & Laboratory

In the reported week (epidemiological week 53), in comparison to the previous epidemiological week, the number of

new weekly COVID-19 cases decreased by 18.5% (6,871 in week 53 and 8,435 in week 52) and the number of COVID-

19 new weekly deaths increased by 1.2% (174 and 172 respectively); overall Case Fatality Ratio (CFR) increase to 1.48

which was 1.46 last week.

As of 03 January 2021, among the reported cases 26.8% cases were confirmed in people between 30 and 39 years old,

19.7% in the age group of 40 to 49, 18.2% in 20 to 29 years and 16.5% in the age group between 50 and 59 years old,

12.5% in the age group 60 and above and 6.3% in the age group below 20 years. The highest death rate (31.5%) was

reported in the age group of 60 to 69 years old, 22.4% in the age group of 70 to 79, 21.2% in 50 to 59 years, 9.4% in

the age group 80 and above, 8.7% in 40 to 40 and remaining 6.8% in the age group below 40 years. Male represents

71% and 76% of the of total reported confirmed COVID-19 cases and deaths respectively.

The figure below is showing Age-Sex distribution of COVID-19 case and death, 08 March 2020 – 03 January 2021,

Bangladesh

The table below is showing distribution of COVID-19 case and death, 08 March 2020 – 03 January 2021,

Bangladesh

Division Cumulative Week 53

Cases Death CFR (%) Cases Death CFR (%)

Dhaka 354,663 4,182 1.18 4,934 111 2.25

Chattogram 63,610 1,424 2.24 1,137 25 2.20

Khulna 24,882 532 2.14 133 9 6.77

Rajshahi 24,513 431 1.76 303 7 2.31

Rangpur 15,491 346 2.23 105 10 9.52

Sylhet 14,871 293 1.97 113 3 2.65

Barishal 10,403 241 2.32 97 2 2.06

Mymensingh 7,586 170 2.24 49 7 14.29

National 516,019 7,619 1.48 6,871 174 2.53

50,000 30,000 10,000 10,000

0 - 4

5 - 9

10 - 14

15 - 19

20 - 29

30 - 39

40 - 49

50 - 59

60 - 64

65 - 69

70 - 74

75 - 79

80 & over

Cases Male

0 1,600 1,200 800 400 400 800

0 - 4

5 - 9

10 - 14

15 - 19

20 - 29

30 - 39

40 - 49

50 - 59

60 - 64

65 - 69

70 - 74

75 - 79

80 & over

DeathsFemale

0

6.1%

2.3%

1.9%

0.3% 0.2% 0.2% 0.6%

12.1%

12.0% 3.5%

2.6% 1.6% 0.8% 0.7%

0.5%

6.7%

5.2%

4.5%

0.9%

0.5%

0.3%

71% 76% 24% 29%

0.2%

0.8% 2.8%

6.4%

16.0%

10.7%

10.7%

7.1%

0.1%

0.8% 1.5%

5.2%

3.6%

2.3%

0.1%

1.7%

0.8%

14.4%

20.1%

0.8% 1.4%

1.3%

0.3% 7.0%

13.8%

10.8%

0.2%

0.0%

3.3%

0.2%

0.0%

2.7%

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As of 03 January 2021, 68.7% of reported cases were from Dhaka division, 12.3% from Chattogram, Khulna and

Rajshahi – 4.8%, Rangpur – 3.0%, Sylhet – 2.9%, Barishal – 2.0% and the lowest 1.5% from Mymensingh division.

While, 54.9% of the reported death were from Dhaka division, 18.7% from Chattogram, Khulna – 7.0%, Rajshahi –

5.7%, Rangpur – 4.5%, Sylhet – 3.8%, Barishal – 3.2% and the lowest 2.2% from Mymensingh division.

The figures below showing the trend of COVID-19 Cases and Deaths, 04 May 2020 – 03 January 2021, Bangladesh

The highest number of weekly cases (25,481) reported in epi–week 26 (22 – 28 JUN 2020) while the highest weekly

death (314) recorded in the following week 27 (29 JUN – 05 JUL 2020). Weekly cases increased in Rajshahi division by

28.9% and Barishal by 1%; while decreased in Mymensingh division by 47.9% followed by Rangpur – 40.3%, Sylhet –

36.9%, Khulna – 28.1%, Dhaka – 20.3% and Chattogram – 10.9% than last week.

As on 03 January 2021, overall attack rate (AR) in Bangladesh is 303 per 100,000 population and 100% (64/64) of

districts with the estimated total population of 170,306,468 have reported confirmed COVID-19 cases. In the reported

week (week 53), COVID-19 weekly average AR increased by 1.3% from the previous week (303 and 299 per 100,000

population respectively).

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Epi-weekDhaka Chattogram Khulna Rajshahi Rangpur Sylhet Barishal Mymensingh

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Dhaka Chattogram Khulna Rajshahi Rangpur Sylhet Barishal Mymensingh

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The table below is showing Attack rate per 100,000 by District, 08 March 2020 – 03 January 2021, Bangladesh

Dhaka Div. 8,230 Chattogram Div. 1,892 Khulna Div. 1,341 Sylhet Div. 1,279

Dhaka City 3,589

Faridpur 365

Rajbari 274

Munshiganj 256

Narayanganj 244

Gopalganj 215

Gazipur 171

Shariatpur 138

Madaripur 120

Manikganj 108

Dhaka (District) 107

Narsingdi 104

Kishoreganj 101

Tangail 88

Chattogram 3,387

Cox's Bazar 2,112

Bandarban 1,923

Rangamati 1,629

Noakhali 1,509

Cumilla 1,418

Feni 1,314

Lakshmipur 1,136

Khagrachhari 1013

Chandpur 933

Brahmanbaria 833

Khulna 2,582

Narail 1,793

Kushtia 1,623

Jashore 1,415

Chuadanga 1,234

Jhenaidah 1,092

Magura 973

Meherpur 963

Bagerhat 577

Satkhira 492

Sylhet 2,151

Sunamganj 847

Maulvibazar 816

Habiganj 781

Rajshahi Div. 1,124 Barishal Div. 1,057 Rangpur Div. 830 Mymensingh Div. 584

Bogura 2,395

Rajshahi 1,899

Joypurhat 1,210

Sirajganj 717

Natore 614

Pabna 541

Naogaon 503

Chapainawabganj 405

Barishal 1,735

Jhalokathi 1021

Barguna 968

Patuakhali 936

Pirojpur 882

Bhola 441

Dinajpur 1,277

Rangpur 1,168

Thakurgaon 927

Lalmonirhat 651

Panchagarh 641

Nilphamari 611

Gaibandha 513

Kurigram 409

Mymensingh 732

Jamalpur 657

Sherpur 342

Netrakona 319

Out of the total 516,019 COVID-19 cases registered as of 03 January 2021, 89.3% (460,598) recovered, 1.48% (7,626)

died and 9.26% (47,795) are active cases. In the epidemiological week 53, weekly average number of COVID-19 active

cases decreased by 7%, in comparison to the previous week (48,555 and 52,229 respectively); during the same time,

weekly recovery has decreased by 40.2% (8,637 and 14,434 respectively).

The figure below is showing trend of COVID-19 cases by Outcome, 15 March 2020 – 03 January 2021, Bangladesh

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19)

Active Cases (n=47,795) Deaths (n=7,626) Recovered (n=460,598)

100 K Cases103 days

200 K Cases+ 30 days




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The map below is showing weekly growth rate of COVID-19 Cases by District and location of COVID-19 test

Laboratories, Bangladesh

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As of 03 January 2021, according to the DGHS Press Release 3,260,327 COVID-19 tests were conducted in Bangladesh

with the overall positivity rate of 15.83% (7.6% in last 24 hours) by 180 laboratories. Two (2) laboratories with GeneXpert

test capacity (Dhaka Medical College Hospital and Manikganj 250 Bed District Hospital) and 11 more districts with Rapid

Antigen test facilities have been added to the network COVID-19 testing facilities.

As of 03 January 2021, test per case is 6.32 which indicates the number of tests required to identify 1 case.

The graph below is showing cumulative number of Samples tested and Positivity rate, 15 March 2020 –

03 January 2021, Bangladesh

The graph below is showing temporal status of number of Laboratories and number of Tests, 12 April 2020 – 03

January 2021, Bangladesh

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Cumulative Tests Cumulative Cases Overall +ve % Daily +ve % Daily Positivity (7DMA)

500 K Tests99 days

1 million Tests+ 33 days

1.5 million Tests+ 41 days


2.5 million Tests+ 38 days


9 | P a g e


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

Hasan Mohiuddin Ahmed, NPO-Surveillance & Public Health Informatics, WHO-BAN, [email protected]

4. Points of Entry & Quarantine

According to DGHS, as of 03 January 2021, the current institutional quarantine capacity in the country is represented by

629 centres across the 64 districts, which can receive 31,991 persons. A total of 45,140 individuals were placed in

quarantine facilities and of them 42,166 (93.4%) have already been released. Over the same period, total of 96,656

individuals were isolated in designated health facilitates and of them 85,249 (88.2%) have been released.

5. Case Management and Infection Prevention & Control

According to DGHS, as of 03 January 2021, there are 10,495 general beds in the country of which 31.1% (3,269) in Dhaka

city and 602 ICU of which 51.5% (310) in Dhaka city dedicated for COVID-19 treatment. Presently 20.6% of the general

beds and 47.0% ICU beds are occupied all over the country.

The table below is showing a temporal comparison of COVID-19 dedicated facilities, week 52 and week 53, 2020,

Bangladesh

National Dhaka

03 JAN 2021 20 DEC 2020 Trend 03 JAN 2021 20 DEC 2020 Trend

General Beds 10,495 10,460 3,269 3,284

Bed Occupancy 20.6% 25.5% 43.7% 55.1%

ICU 602 568 310 286

ICU Occupancy 47.0% 53.2% 59.4% 74.1%

Oxygen cylinder 12,759 13,192

High flow nasal cannula 719 667

Oxygen concentrator 621 614

6. Useful links for more information

• WHO Bangladesh COVID-19 Situation Reports:

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

2019)–bangladesh–situation–reports

• WHO Cox’s Bazar Situation reports:

https://www.who.int/bangladesh/emergencies/Rohingyacrisis/bulletin–and–reports

• COVID-19 Situation in the WHO South–East Asia Region:

https://experience.arcgis.com/experience/56d2642cb379485ebf78371e744b8c6a

• WHO global Weekly Epidemiological Update and Weekly Operational Update:

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

• COVID-19 WHO Online Training modules: https://openwho.org/channels/COVID-19

• 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/component/content/article?id=5393

• Institute of Epidemiology, Disease Control and Research (IEDCR):

https://iedcr.gov.bd/COVID-19/COVID-19–situation–updates

mailto:[email protected]




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




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

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

https://openwho.org/channels/covid-19

https://openwho.org/channels/covid-19

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