Situation Report No. #16...Jun 15, 2020 · Use of chest imaging in COVID-19 ”. This rapid advice...
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Situation Report No. #16 15 June 2020 https://www.who.int/bangladesh/emergencies/coronavirus-disease-(covid-19)-update/coronavirus-disease-(covid-2019)-bangladesh-situation-reports 106,478 Samples Days 179,759 60 COVID-19 Labs 344,067 1,392,601 New Cases Dead 1,209 Recovered 14,560 Confirmed 90,619 Tested 519,503 Hotline 11,310,820 PPE Stock Laboratories Gender PoE Screening 3,099 1.33% 3,050 532.1 20.6% AR/1 million CFR% Test/1 million Recovery Rate 345,218 3,135,420 562,439 30% 70% 22,607 7,029 17.4% Share of Positive Tests Photo: Social Media Bangladesh Last 63.7% Inside Dhaka Tests
Transcript of Situation Report No. #16...Jun 15, 2020 · Use of chest imaging in COVID-19 ”. This rapid advice...
Situation Report No. #16
15 June 2020
https://www.who.int/bangladesh/emergencies/coronavirus-disease-(covid-19)-update/coronavirus-disease-(covid-2019)-bangladesh-situation-reports
106,478 Samples Days
179,759
60 COVID-19 Labs 344,0671,392,601
New Cases
Dead
1,209
Recovered
14,560
Confirmed
90,619
Tested
519,503
Hotline
11,310,820
PPE StockLaboratories Gender PoE Screening
3,099 1.33%3,050 532.1 20.6%
AR/1 millionCFR%Test/1 million Recovery Rate
345,218
3,135,420
562,439
30% 70%
22,607
7,029
17.4% Share of Positive Tests
Photo: Social Media Bangladesh
Last
63.7% Inside Dhaka Tests
2 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
1. Highlights
As of 15 June 2020, according to the Institute of Epidemiology, Disease Control and Research (IEDCR), there are
90,619 confirmed COVID-19 cases in Bangladesh, including1,209 related deaths; Case Fatality Rate (CFR) is
1.33%.
On 12 June 2020, the Ministry of Health and Family Welfare/DGHS introduced “Bangladesh Risk Zone-Based COVID-
19 Containment Implementation Strategy/Guide,” dividing areas in Red, Yellow and Green Zone based on the
prevailing risk of the COVID-19 spread.
On 13 June 2020, the Ministry of Religious Affairs, Coordination Branch issued an Emergency Notification circular with
the instructions for the worshipers in the Red Zone areas to offer prayers at their respective homes instead of public
place of worship.
On 14 June 2020, the Ministry of Foreign Affairs (MoFA) circulated a Note Verbale, which stated that foreign investors
and businessmen will be granted on-arrival visas at the port of entry in Bangladesh if he/she has a PCR-based COVID-
19 negative medical certificate (with English translation) and relevant supporting documents for obtaining
investment/business visa. The COVID-19 negative medical certificate has to be received within 72 hours of his/her travel
to Bangladesh.
On 15 June 2020, the Government issued a Governmental Order extending the period of conditional overall activities
and movement restrictions from 16 June 2020 to 30 June 2020. In addition to the earlier enforced regulations, the
Order specified that: relevant executive authorities of City Corporation, Municipality, District Commission will divide their
“areas of responsibility” into Red, Yellow and Green Zones based on the MOHFW/DGHS guideline on “Bangladesh Risk
Zone-Based COVID-I9 Containment Implementation Strategy/Guide” and impose restrictions on movement and
business. The authorities will prepare SOPs for adequate COVID-19 testing, medical treatment at the hospitals,
quarantine/ isolation and other business operation; public holidays to be declared in the Red and Yellow Zone areas for
all public and private offices; and in Green Zone areas, public and private offices will remain open on a limited scale.
Pregnant women and people who are sick should refrain from attending offices. Urgent and essential meetings should
be arranged through online. Full document: https://iedcr.gov.bd/website/index.php/component/content/article/150-
vacancyannouncemnet
2. Coordination
On 11 June 2020, WHO released a rapid advice guide regarding the “Use of chest imaging in COVID-19”. This rapid
advice guide examines the evidence and makes recommendations for the use of chest imaging in acute care of adult
patients with suspected, probable or confirmed COVID-19. Imaging modalities considered are radiography, computed
tomography and ultrasound. This guide addresses the care pathway from presentation of the patient to a health facility
to patient discharge. It considers different levels of disease severity, from asymptomatic individuals to critically ill
patients. Accounting for variations in the benefits and harms of chest imaging in different situations, remarks are
provided to describe the circumstances under which each recommendation would benefit patients. The guide also
includes implementation considerations for different settings, provides suggestions for impact monitoring and
evaluation and identifies knowledge gaps meriting further research. Full document:
https://www.who.int/publications/i/item/use-of-chest-imaging-in-covid-19.
WHO issued a note “Asks’ to the private sector in the response to COVID-19”, outlining areas where the private sector
has a critical role to play locally, nationally and globally. The private sector is requested to help protect their stakeholders
and business by providing information, protecting jobs and livelihoods, and acting responsibly. Private sector is also
encouraged to engage/participate in COVID-19 response through making essential supplies and services available and
repurposing production facilities for essential supplies, where feasible. The financial support is invited through the WHO
COVID-19 Solidarity Response Fund and support to NGOs and community needs in coordination with local authorities.
Full document: https://www.who.int/publications/m/item/asks-to-the-private-sectorin-the-response-to-covid-19.
3 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
3. Surveillance and Laboratory
Between 9 March and 15 June 2020, according to the Institute of Epidemiology, Disease Control and Research (IEDCR)
there were nighty-thousand-six-hundred-nineteen (90,619) COVID-191 confirmed by rt-PCR, including one-thousand
two-hundred-nine (1,209) related death cases (CFR 1.33%).
The figures below are showing the daily and weekly distribution of reported confirmed COVID-19 cases, deaths
and daily cumulative number of COVID-19 testing, 09 March – 15 June 2020, Bangladesh.
1 WHO Bangladesh COVID-19 Situation Reports present official counts of confirmed COVID-19 as announced by the IEDCR on the
indicated date. Difference in data between the WHO reports and other sources can result from using different cutoff times for the
aggregation and reporting of the total number of new cases in the country.
60
45
30
15
0
15
30
45
60
75
90
-4,000
-3,000
-2,000
-1,000
0
1,000
2,000
3,000
4,000
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
Num
ber
of D
eath
s (n
=1,2
09)
Num
ber
of C
ase
s (N
=90,6
19)
# Cases # Deaths Poly. (# Cases) Poly. (# Deaths)
0
50
100
150
200
250
300
0
5,000
10,000
15,000
20,000
25,000
w10 w11 w12 w13 w14 w15 w16 w17 w18 w19 w20 w21 w22 w23 w24
Weekl
y D
eath
s
Weekl
y C
ase
s
# Cases # Deaths 3 per. Mov. Avg. ( # Cases )
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WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
Age and gender data are currently available for only 24% (21,423/90,619) reported confirmed COVID-19 cases: 26.5%
(5.669/21,423) cases were confirmed in people between 31 and 40 years old, 26.3% (5,641) in the age group of 21 to
30 years, 17.7% (3,787) in the age group of 41 to 50 years and 11.9% (2,544) in the age group between 51 and 60 years
old. As on 08 June 2020, data was available for 58.9% (712/1,209) of COVID-19 related-death.
The highest CFR 31.6% (225/712) was reported in the age group of 61 to 70 years old, 25% (178) in the age group
between 51 and 60 years and 19.1% (136) in the older age group 71 and above.
Male represented 70% and 79% of the of total reported confirmed COVID-19 cases and deaths respectively.
The table below is showing gender and age distribution the reported confirmed COVID-19 cases (N=21,423) and
Deaths (N=712), 15 June 2020, Bangladesh.
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
550,000
0
20,000
40,000
60,000
80,000
100,000
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
To
tal N
um
ner
of
tets
(N
=519,5
03)
Total Cases Total Tests Poly. ( Total Cases )
4,500 3,500 2,500 1,500 500 500 1,500 2,500 3,500 4,500
0 - 10
11 - 20
21 - 30
31 - 40
41 - 50
51 - 60
61 - 70
71 - 80
> 80
CasesMale
200 150 100 50 50 100 150 200
0 - 10
11 - 20
21 - 30
31 - 40
41 - 50
51 - 60
61 - 70
71 - 80
> 80
DeathsFemale
0 0
1.7% 1.3% 0.0% 0.6%
3.4%
16.1%
19.8%
13.5%
10.0%
4.4%
1.4%
0.5%
2.7%
7.8%
7.1%
4.7%
3.3%
1.7%
0.5%
0.2%
70% 79% 21% 30%
0.4%
1.6%
4.9%
11.0%
21.3%
24.5%
10.3%
4.1%
0.6%
0.8%
2.2%
2.2%
5.7%
6.7%
1.8%
1.2%
5 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
As of 08 June 2020, geographical distribution of confirmed reported COVID-19 cases was available on 57% of cases
(51,271/90,619); of which 67% (34,341) were from Dhaka division, 18.0% (9,234) from Chattogram division, 3.3%
(1,686) from Mymensingh division, 2.9% (1,471) from Khulna division, 2.8% (1,413) from Sylhet division, 2.6% (1,335)
from Rangpur division, 2.2% (1,122) from Rajshahi division, and 1.3% (669) from Barisal division.
The figure below is showing the daily distribution of reported confirmed COVID-19 cases (N=51,217) per division,
15 April – 14 June 2020, Bangladesh.
The case doubling time can be used to conclude 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 15 June 2020, the case doubling time is 6 days in Dhaka and Chattogram, Khulna, Sylhet divisions and Rajshahi
division 7 days, Rangpur and Mymensingh divisions 8 days and 10 days for Barisal division.
The figure below is showing the case-doubling time of COVID-19 confirmed cases in all divisions starting from
the day they reported 10 confirmed cases, 15 June 2020, Bangladesh.
10
100
1,000
10,000
0 10 20 30 40 50 60
Num
ber
of C
ase
s
Days since 10th Confirm Case
BSL CTG DHK KLN
MYM RSH RNP SYT
D1 D2 D3 D5
D8
D9
D15
D4 D6
D7
D10
D12
D20
D40
0
500
1,000
1,500
2,000
2,500
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Num
ber
of C
ase
s
Dhaka Chattogram Mymensingh Ranjpur Sylhet Rajshahi Khulna Barishal
6 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
The case doubling time is 6 days in Dhaka, Narayanganj and Dhaka districts 7 days, Munshiganj, Gazipur and
Faridpur districts 8, and 10 days for Gopalganj district.
The figure below is showing the growth of COVID-19 confirmed cases in all districts of Dhaka division starting
from the day they reported 10 confirmed cases, 15 June 2020, Bangladesh.
In Chattogram division till 15 June 2020, the case doubling time is high in Feni and Noakhali districts at 5 days, Cox’s
Bazar district 6 days, Chattogram district 7 days, Cumilla district 8 days, Chandpur district 10 days and 15 days for
Laxmipur district.
The figure below is showing the growth of COVID-19 confirmed cases in all districts of Chattogram division
starting from the day they reported 10 confirmed cases, 15 June 2020, Bangladesh.
10
100
1,000
10,000
0 10 20 30 40 50 60
Num
ber
of C
ase
s
Days since 10th Confirm Case
DHK_district DHK_city Faridpur
Gazipur Gopalganj Munshiganj
Narayanganj
D1 D2 D3 D5
D8
D9
D15
D4 D6
D7
D10
D12
D20
D40
10
100
1,000
10,000
0 10 20 30 40 50 60
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
D9
D15
D4 D6
D7
D10
D12
D20
D40
7 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
The figures below are showing the daily distribution of reported confirmed COVID-19 cases (N=51,217) and
rolling three-days average per division, 13 April – 14 June 2020, Bangladesh.
0
30
60
90
120
150
180
13/0
4
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Rajshahi 3 per. Mov. Avg. (Rajshahi)
0
100
200
300
400
500
600
13/0
4
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Chattogram 3 per. Mov. Avg. (Chattogram)
0
25
50
75
100
125
150
13/0
4
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Barishal 3 per. Mov. Avg. (Barishal)
-
500
1,000
1,500
13/0
4
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Dhaka 3 per. Mov. Avg. (Dhaka)
8 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
0
30
60
90
120
150
180
13/0
4
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Sylhet 3 per. Mov. Avg. (Sylhet)
0
25
50
75
100
13/0
4
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Ranjpur 3 per. Mov. Avg. (Ranjpur)
0
25
50
75
100
13/0
4
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Khulna 3 per. Mov. Avg. (Khulna)
0
30
60
90
120
150
13/0
4
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Mymensingh 3 per. Mov. Avg. (Mymensingh)
9 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
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 15 June, Bangladesh attack rate (AR) is 532.1 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 51,271 cases, the highest AR continues to be observed in the Dhaka division
(797.2/1,000,000). Within the Dhaka division, Dhaka city has the highest AR (2,859.6/1,000,000), followed by
Munshiganj (876.4/1,000,000), Narayanganj district (852.0.4/1,000,000), Dhaka district (341.3/1,000,000), Gazipur
(315.3/1,000,000), Faridpur (307.3/1,000000), Gopalganj (280.8/1,000,000), Madaripur (155.1/1,000,000), Shariatpur
(163.2/1,000,000), Kishoreganj (155.1/1000,000), Rajbari (113.6/1,000,000), Manikganj (102.6/1,000,000), Narshingdi
(83.3/1,000,000) and the lowest AR 12.9/1,000,000 was reported from Tangail district.
The second highest COVID-19 Attack Rate is reported from Chattogram division of (274.8/1,000,000). Within the
division, Cox’s Bazar reported the highest AR (494.9/1,000,000) followed by Chattogram district (408.7/1,000,000),
Feni (293.0/1,000,000), Noakhali district (279.5/1,000,000), Cumilla district (264.5/1,000,000), Bandarban district
(159.0/1000,000), Chandpur district (129.2/1,000,000), Rangamati district (122.0/1,000,000), Khagrachhari district
(115.7/1,000,000), Brahmanbaria district (73.2/1,000,000) and Lakshmipur district (71.4/1,000,000).
The 3rd
highest AR in the country was reported from Mymensingh division (129.7/1,000,000). Within the Mymensingh
division, Mymensingh district has the highest AR (141.5/1,000,000) followed by Jamalpur district (133.5/1,000,000),
Netrokona district (114.6/1,000,000) and Sherpur district (104.0/1,000,000).
Sylhet division reported overall AR (120.6/1000,000) with the highest AR in Sylhet district (166.5/1000,000) followed
by Sunamganj district (151.8/1,000,000), Habiganj district (72.1/1,000,000) and Maulvibazar district (51.1/1,000,000).
Rangpur division reported overall AR of (71.5/1,000,000) with the highest AR in Rangpur district at (187.6/1,000,000)
followed by Nilphamari district (63.6/1,000,000), Dinajpur (52.0/1,000,000), and Thakurgaon district (45.0/1,000,000).
In Khulna division reported overall AR (79.3/1,000,00) but with high AR for Khulna district (148.11,000,000) followed
by Kushtia district (107.7/1,000,000), Chuadanga district (101.9/1,000,000) and Jashore (77.4/1,000,000).
In Barishal division although the overall AR is low at AR 68.0/1,000,000 with the highest AR in by Barguna district
(82.4/1,000,000) followed Barisha (81.5/1,000,000). Rajshahi division has overall AR (51.3/1,000,000) with the highest
AR in Joypurhat district (169.4/1,000,000), Naogaon district (69.3/1,000,000), and Bogura district (66.9/1,000,000).
The following figure is showing the attack rate per 1,000,000 population of reported confirmed COVID-19 cases
in selected divisions, 13 April - 14 June 2020, Bangladesh.
0
50
100
150
200
250
300
13/0
4
15/0
4
17/0
4
19/0
4
21/0
4
23/0
4
25/0
4
27/0
4
29/0
4
01/0
5
03/0
5
05/0
5
07/0
5
09/0
5
11/0
5
13/0
5
15/0
5
17/0
5
19/0
5
21/0
5
23/0
5
25/0
5
27/0
5
29/0
5
31/0
5
02/0
6
04/0
6
06/0
6
08/0
6
10/0
6
12/0
6
14/0
6
Att
ack R
ate
/1,0
00,0
00
CTG RNP KLN MYM BSL SYT
10 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
Out of the total 90,619 conformed COVID-19 registered as of 15 June 2020, 20.6% (18,730/90,619) of the cases
recovered, 78.0% 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 – 15 June 2020, Bangladesh.
As of 08 June 2020, there were 19,939 (22.0%) COVID-19 cases with known outcome (closed cases), and out of all closed
cases 93.9 (18,730/19,939) were cured and 6.1% (1,209) died. The death rate on closed cases in Bangladesh is lower
than the 10.0% (436,218/4,581,165) global average as of 15 June 2020.
The figure below is showing the death and recovery rates over cumulative closed confirmed COVID-19 cases, 11
March – 15 June 2020, Bangladesh.
The highest recovery rate is observed in Barishal division with 61% (369/607) of all recoveries, followed by Rangpur
division with 59% (747/1275), Rajshahi division - 43% (475/1103), Mymensingh division - 42% (680/1633), Dhaka
division - 39% (12,935/32952), Sylhet division - 34% (451/1336) and Khulna division- 31% (385/1261). The lowest
recovery rate of 19 % is found in Chattogram division (1,363/7,202).
2 3
4
25
57
54
32
51 1
00 152
170 238
283
1
10
100
1000
10000
100000
w10 w11 w12 w13 w14 w15 w16 w17 w18 w19 w20 w21 w22 w23 w24
Weekly Recovery Weekly Active # Deaths
Log. (Weekly Recovery) Log. ( Weekly Active ) Log. (# Deaths)
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
Num
ber
of C
lose
d C
ase
s (N
=19,9
39)
Death% Recovery%
11 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
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, on 12 April it was 2.3. Since the beginning of
June 2020, the GF has been within the range of 0.8 – 1.2, and on 15 June 2020, the GF is 0.8.
The figure below is showing the Growth Factor of daily confirmed COVID-19 cases, 08 March – 15 June 2020,
Bangladesh.
As of 15 June 2020, the case doubling time in Bangladesh remains five (7.2) days (3/4 day more than the previous update
on 08 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, 15 June 2020.
0.0
0.5
1.0
1.5
2.0
2.5
3.0
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
Gro
wth
Fact
or
100
1000
10000
100000
0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80
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
D15D12
D10
D8D9
Growth Factor 2
Growth Factor 1
12 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
As of 15 June 2020, according to IEDCR, a total of 519,503 COVID-19 tests with the overall positivity rate of 17.4% were
conducted in Bangladesh by 60 laboratories (30 laboratories in Dhaka and 30 laboratories in other divisions of the
country). The latest laboratories, which have started the testing: in Dhaka - Dr. Lal Path Labs Bangladesh Limited, Aichi
Hospital Ltd., Uttara and Shaheed Tajuddin Ahmad Medical College, Gazipur, Chattogram University, and Imperial
Hospital Limited, Chattogram - outside Dhaka. 63.7% of all tested sample were tested by laboratories in the Dhaka
division, and 36.3% - outside Dhaka.
The graph below is showing the weekly cumulative number of COVID-19 testing and positivity rate, 08 March –
15 June 2020, Bangladesh.
COVID-19 testing coverage has been gradually increasing in Bangladesh, reaching now 3,050/1,000,000 but is still lower
than in Maldives (53,586/1,000,000), Malaysia (20,287/1,000,000), Nepal (12,299/1,000,000), Thailand
(6,708/1,000,000), Sri Lanka (4,015/1,000,000) and India (4,186/1,000,000).
The graph below is showing the daily cumulative number of COVID-19 testing per 1,000,000 population, 08
March – 15 June 2020, Bangladesh.
0 T
100 T
200 T
300 T
400 T
500 T
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24Epi Week
Tests N =
Positive N =
08 March 2020
First Bangladesh case reported
519.5 Thousand
As of 15 June 2020
90,619
519,503
234 368 786 1,774 6,577 14,17222,764
34,845
41,123
106,478
52,821
68,175
65,347
89,057
0
500
1000
1500
2000
2500
3000
3500
0
3000
6000
9000
12000
15000
18000
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
Num
ber
of Test
s (N
=519,5
03)
# Test Tests/1,000,000 Population
13 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
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 16,964 individuals were placed in
quarantine facilities and of them 13,210 (78%) have been already released. By 15 June 2020, in total 15,844 individuals
were isolated in designated health facilitates all over the country, of them 37% (5,818/15,844) have been released, and
10,026 (63%) 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 by half to 3,763. Between 17 March to 15 June 2020, total 323,358 individuals were placed under home
quarantine all the over the county and to date 81% (261,689/323,358) have been already released. Remaining 19%
(60,669 individuals) are in home quarantine now.
The figures below are showing the number of individuals in home and facility quarantine and individuals
released, 17 Mach – 15 June 2020, Bangladesh.
1,3
87
8,7
94
15,4
24
23,5
37
19,5
53
16,6
65
12,2
43
5,7
50
1,5
15
3,7
60
12,6
38
26,2
90
30,1
73
61,6
33
64,0
05
62,1
07
59,9
03
56,7
49
55,6
01
56,2
95
36,6
32
36,0
34
34,2
20
38,1
65
32,1
59
42,0
08
44,0
59
46,0
85
48,8
83
51,2
43
51,6
45
52,3
91
54,6
16
56,6
10
55,4
65
54,2
54
53,6
35
52,0
71
53,1
80
55,5
49
57,2
37
57,9
06
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
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
Presently in Home Quarantine Total Home Quarantined
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
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
6Presently in Facility Quarantine Total Facility Quarantined
14 | P a g e
WHO Bangladesh COVID-19 Situation Report #16 15 June 2020
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]
5. Case Management and infection Control
On 12 June, WHO-HQ convened a global technical advisory group (TAG) meeting on specifications on personal
protective equipment (PPE). The TAG PPE group includes three subgroups providing independent technical advice to
WHO on specifications of PPE, local production and country allocations. For the first subgroup meeting on technical
specifications, the relevant testing parameters were agreed for medical masks and respirators. The TAG is considering
the inclusion of Chinese standards to facilitate market access of compliant products given the global shortages and
delay time in conducting tests at laboratories approved for testing according to European and/or US standards.
On 15 June 2020, a meeting was held in DGHS to review the Bangladesh Preparedness and Response Plan (BPRP)
document submitted to MOHFW. The main recommendations were: revise the POE and Surveillance chapter; and the
new zoning system.
The number of items approved under the WHO Emergency Use Listing (EUL) for SARS-CoV-2 in vitro diagnostic products
remains at 10 items. Four products are listed as “not approved” and 33 are under review. Regarding rapid diagnostic
tests for SARS-CoV-2 virus antibody, WHO received six expressions of interest and thus far none have been approved.
6. Risk Communication and Public Awareness
WHO together with RCCE group are supporting DGHS for designing and implementing communication activities to
further emphasize the importance of masks wearing for increasing community protection against COVID, correct use of
masks and simple steps for producing the items at home or at community level. A taskforce created under Inter-Agency
Coordination Group and consisted of UN partners, NGO’s and Private sectors developed a Standard Operating
Procedure on how to make masks at home in order empower individuals and communities to affordably produce the
protection items.
Working for better communicate on protection measure, RCCE partners are also further developing communication
materials addressed to stigma and discrimination, important factors with potential of changing health seeking habits
among communities by hiding symptoms and not following proper health advices. WHO has been producing risk
communication materials on stigma and discrimination also for addressing increasing incidence of the issues in
communities especially towards frontline responders, including health workers.
Furthermore, RCCE partners have intensified activities for addressing rumors, misinformation and disinformation,
working with fact-checking and social media platforms for containing and eliminating the information that has the
potential of being dangerous to population. In line with this, WHO Bangladesh and WHO South East Asia Regional Office
are also working with BOOM Bangladesh for providing technical accurate health information to address rumors and
misinformation.
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
EPI-WIN: WHO information network for epidemics: https://www.who.int/teams/risk-communication
Latest global WHO Situation Report # 146 as of 14 June 2020: https://www.who.int/docs/default-
source/coronaviruse/situation-reports/20200614-covid-19-sitrep-146.pdf?sfvrsn=5b89bdad_6
COVID-19 Situation in the WHO South-East Asia Region: https://www.who.int/southeastasia/outbreaks-and-
emergencies/novel-coronavirus-2019
WHO Bangladesh awareness and risk communication materials in Bengali:
https://www.who.int/bangladesh/emergencies/coronavirus-disease-(covid-19)-update
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
