COVID19 in Pakistan: Smart Lockdown Brought About Declining Infections

Pakistan has seen a rapid decline in its COVID19 test positivity rates over the last several weeks. The country has seen a fall in positivity rate from over 22% in June to below 10% now, and excluding Sindh, near 5% for the rest of the country. Neighboring India has positivity rate at 12.1% and rising.  There has been significant decline in hospitalizations and fewer patients in critical care.  Pakistanis need to continue to take all precautions during Eid ul Azha holidays, including wearing face masks, to ensure that COVID19 fades out in the country. 

Test Positivity Rate: 

There has been a significant fall in coronavirus test positivity rate from over 22% in June to below 10% now, and excluding Sindh, near 5% for the rest of the country. Neighboring India has positivity rate at 12.1% and rising.

Test Positivity Rates in India and Pakistan. Source: Our World in Data

Biweekly Death Rates: 

Pakistan has seen 38% decline in biweekly deaths while neighboring India has experienced 43% jump in biweekly deaths.

Change in Buweekly CIVID19 Deaths in India and Pakistan

Health Chief Dr. Zafar Mirza's Interview: 

What has brought this about? Is it just Pakistan's good fortune? Why is it so different from the situation in neighboring India where the infections are rising?  Is it the result of a series of deliberate interventions by Pakistan's government led by Prime Minister Imran Khan? What are the key factors contributing to falling coronavirus transmission rate in the country? Here are some  of Pakistan's Health Chief Dr. Zafar Mirza's answers to these questions that came to light in a recent interview with Pakistani journalist Bilal Lakhani:

1. There were 50 different interventions with 2300 smart lockdowns covering 47 million people based on data driven evidence of disease spread.

2.  Significant change in people's behavior with large percentage wearing masks and taking other precautions to prevent transmission.

3. A fall in positivity from over 22% to below 10%, and excluding Sindh, near 5% for the country.

4. Significant decline in hospitalizations and fewer patients in critical care.

5. The government staying the course while ignoring the mass hysteria for total nationwide lockdown like India's stirred up in the media came mainly from the well-fed rich and the upper middle class. The voices of the ordinary people and daily wage earners were not part of public discourse reported by the media.

Summary:

Pakistan has seen a rapid decline its COVID19 test positivity over the last several weeks. The country has seen a fall in positivity rate from over 22% in June to below 10% now, and excluding Sindh, near 5% for the rest of the country. Neighboring India has positivity rate at 12.1% and rising. At just 0.74, the effective coronavirus reproduction rate (Rt) in Pakistan is among the lowest in the world. An Rt of less than 1 indicates each infected person is infecting fewer than one person.  Only Italy (0.63), Netherlands (0.62), Canada (0.50) and Spain (0.02) have lower reproduction rates than Pakistan's. However, this is no time to relax.  Pakistanis need to continue to take all precautions during Eid ul Azha holidays, including wearing face masks, to ensure that COVID19 fades out in the country. 

Here's Bilal Lakhani's video:

https://youtu.be/CEafplkFuUc

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Comment by Inamullah Ansari on July 26, 2020 at 7:56am

TechPreneur Pakistan Accelerators!
(Technology Innovation Management & Entrepreneurship Information Services)!

Time is definitely flying by as the majority of us are working from home and we cannot believe that we are coming to the end of July already!

As we know across the country businesses are re-opening their doors, and everyone will see more of their loved ones, whilst observing social distancing. But remember we are still not out of the woods yet!

As the TechPreneur Pakistan Accelerators has taken a slight pause due to Covid-19, where we have not been able to deliver a variety of new projects to our supporters and members as we normally would have done. However, now that all seems to be falling into place, we will now be ready to work on new exciting projects and initiatives for our supporters and members who are excited to be a part of them again.

We would like to carry on our mission of engaging, uniting, and empowering the community and without the support of our valuable members, it won’t be possible. We are grateful to all our supporters and members who continue to help us grow in our mission.

As we go forward, we would like to understand how to keep you updated and help our community so please help us we always value your comments, feedback, and ideas.

We wish you all the best and hope that you, your family and friends stay safe and healthy.

Best wishes,

TechPreneur Pakistan Accelerators Team

Thank you & Regards!

Inamullah Ansari
(Mentor / Adviser)
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Comment by Riaz Haq on July 28, 2020 at 12:53pm

Ministry’s spokesperson Wang Wenbin told a regular daily briefing in Beijing that the four regional countries would resume the cross-border flow of people in an orderly manner and with certain conditions.

The spokesperson was asked about Monday’s video conference on Covid-19 between foreign ministers of China, Pakistan, Afghanistan and Nepal. This meeting was initiated and chaired by Chinese Foreign Minister Wang Yi.

“Yesterday, Chinese Foreign Minister Wang Yi hosted this foreign ministers meeting … The four parties exchanged views and reached consensus on joint fight against Covid-19 and resuming economic and social development,” spokesperson Wang Wenbin said.

“We believe as partners and neighbours, the four countries have reached fruitful outcomes, including timely sharing of information and joint fight against pandemic,” he said. “We will resume cross-border flow of people in orderly manner when certain conditions are met and we will discuss setting up of fast track and green channel,” he added.

Wang Wenbin emphasised that in the face of tackling pandemic, all parties should strengthen “joint prevention and control, uphold our people’s health, promote resumption of work and production, facilitate trans-border trade, ensure people’s livelihood until the four countries prevail over the virus”.

“We believe in solidarity and the cooperation is the most powerful weapon,” he said. “We should adhere to the multilateralism and community with the shared future for mankind, support World Health Organization’s leading role and upholding regional and global public health security.”

The spokesperson emphasised that the four parties should strengthen information, communication, policy coordination and cooperation in action. “We stand ready to work with other parties in terms of testing diagnose, treatment and research of vaccine and medicine and we will assist the three countries in improving their capacity building of public health,” he added.

Wang Wenbin reiterated that after a vaccine was deployed, it would become a “global public good” and improve the accessibility of these countries. “The four countries appreciate this and said they are ready to strengthen cooperation with China,” he added.

He said, the four countries would also reach standard operation procedure for border control, information sharing, academic prevention and emergency response. “We agreed to strengthen Belt and Road Initiative (BRI) cooperation to boost economic and social recovery besides upholding stability, supply and industrial chain.”

Comment by Riaz Haq on July 28, 2020 at 12:55pm

“Democracies” like US, UK, Brazil and India have by far the worst record in protecting their citizens lives and livelihoods from covid19. “Undemocratic” Pakistan led Imran Khan with the help of the military has done remarkably well in handling this deadly crisis with the latest daily death toll down in low 20s.

Modi’s clumsy handling has resulted in coronavirus epidemic now growing in India at “the fastest rate of anywhere in the world, increasing by 20% over the last week” .. while having one of the lowest testing rates at 11.8 tests per 1,000 people

https://twitter.com/javedhassan/status/1288000039663677441?s=21

https://www.bloomberg.com/news/articles/2020-07-27/india-s-coronavi...

Comment by Riaz Haq on July 28, 2020 at 4:19pm

‘Pakistan's economy may return to positive trajectory this month’
Finance Ministry predicts end to economic downturn, also sees rising inflation

https://tribune.com.pk/story/2257044/pakistans-economy-may-return-t...

The Finance Ministry said that, in the previous fiscal year, there was small but positive growth of about 1% in the first quarter. The economic growth accelerated in the second quarter to 2.58%. But it turned negative in the third quarter of the last fiscal year by 0.19% following the COVID-19 pandemic. In the fourth quarter, the economy contracted 4.9%.

Over the complete FY 2019-20, the MEI showed average growth of a negative 0.4%, which coincides with the provisional Gross Domestic Product (GDP) growth published by PBS, it added.

The Ministry of Finance has also said that it was expected that exports would further recover in July and may find themselves within a broad margin around $2 billion to $2.1 billion. Similarly, it was expected that imports would recover in June and July and may find themselves within a broad margin around $3.5 billion to $4 billion.

For July 2020, due to Eid and revival of economic activities, it is expected that workers’ remittances may remain within the range of $1.8 to $2 billion.

The ministry said that domestic economic activities had also accelerated with many businesses beginning operations in accordance with the SOPs issued by the government, and that restaurants and educational institutions were expected to soon follow suit.

The ministry has also highlighted the impact of locust attacks on crops, saying the peak period of the attacks was not yet behind us.

According to the Q Block, in addition to COVID-19, the desert locust situation has worsened and is likely to be at its peak between July 15 and September 15, which will cause crops to suffer.

For this fiscal year, the agriculture sector’s growth is targeted at 2.8% on the basis of better growth in crops, livestock, fisheries and forestry. A meeting of the Federal Committee on Agriculture (FCA), held on July 8, 2020, reviewed inputs’ availability for the 2020 Kharif Crop. It was informed that weather patterns and the availability of water, seed, fertilizers and machinery would be better as compared to last year.

The Consumer Price Index (CPI) inflation rate was recorded at 8.6 year-on-year in June, 2020. Petroleum prices, which had fallen sharply during the last couple of months, again increased during the last week of June, which will have an impact on next month's CPI, said the Finance Ministry.

The deflationary effect of the decline in oil prices was compensated by a depreciation of the USD/PKR exchange rate. Historically, a combined increase of commodity prices and exchange rate depreciation of 1% increases the CPI level by around 0.9% in the long run, said the Finance Ministry.

However, the money supply was increasing in the economy. In the last fiscal year, the M2 increased by Rs3.1 trillion as compared to Rs 1.8 trillion, showing growth of 11.3%. Net Foreign Assets (NFA) of the banking sector also increased by Rs 992.2 billion against the contraction of Rs1.3 trillion in preceding year. Net Domestic Assets (NDA) increased by Rs2.1 trillion, showing growth of 11%.

The Finance Ministry said that the growth rate of M2 was still above pre-corona levels. This is mainly due to increased pace of government borrowing for budget support, as the government was supporting economic activity to curb deflation due to COVID-19. Also, in June, the growth rate of government borrowing remained above pre-crises levels. Historically, an increase of M2 by 1% tends to increase the CPI level by around 0.35% in the long run.

Comment by Riaz Haq on July 29, 2020 at 7:22am

#Pakistan is "crushing the curve" by deft management of #Covid_19, says #Health Chief @zfrmrza who just quit government. “We had a peak of 153 deaths on June 20 and in last 24 hours we had just 20 deaths. This is 87% reduction in Covid-19 related deaths". https://tribune.com.pk/story/2257258/technology-works-pakistan-effe...


When many countries in the world are reporting thousands of cases a day, Pakistan seems little to worry about this pandemic as on Wednesday the National Command and Operation Centre (NCOC) reported only 1,879 patients admitted to 734 hospitals across the country.

As per latest daily, more than 245,000 patients recovered so far across Pakistan making it a significant count while only 227 ventilators have been occupied across the country out of 1,859 vents allocated for Covid-19.

All this was made possible due to improving testing capacity as 1,909,846 tests have been conducted so far with 21,256 tests in just last 24 hours. Only 936 new cases were reported across the country during last 24 hours while 21,256 tests were conducted in a day.

Pakistan had move away from the past practice of normal manual level of tackling the pandemic to technology evidence based method as this model had worked well in China.

Terming the Pakistan’s early success in controlling Covid-19, as ‘crushing the curve’, Special Assistant to Prime Minister on National Health Services Dr Zafar Mirza, who has resigned from the post earlier today, said: “Alhamdulillah, we have the lowest number of deaths in Pakistan due to Covid-19 in last three months.”

He added: “We had a peak of 153 deaths on June 20 and in last 24 hours we had just 20 deaths. This is 87% reduction in Covid-19 related deaths. Due to the government’s effective strategy the cases of coronavirus are decreasing and the situation is improving in the country.”

Pakistan relied on technology and understanding. Its decision making was based on information and reliable data of NCOC. The practice of data collection, correlation, collation and informed decisions making helped in containment efforts.

“Our strategy was based on speedy testing, contact tracing and isolation, ensuring services to admitted patients and observing shortages and immediately addressing these shortages through use of domestic technology,” an official at the Health Ministry said.

The NCOC moved scientifically and identified top 30 cities as Covid-19 hotspots with max Infected using auto trace and NITB maps. At an average 3-8 million population with 10-30% of infected people remained under 300-500 smart lockdowns (SLDs) on rolling basis since adoption of this policy in entire country.

Comment by Riaz Haq on July 29, 2020 at 6:31pm

India’s #COVID19 Fallout Collides With A Shaky Economy. #Trump & #Modi vying for the title of world's fastest-growing epidemic. #India’s 20% jump in infections over the last week to 1.4 million puts Modi’s nation on top in terms of velocity.
via @forbes https://www.forbes.com/sites/williampesek/2020/07/29/indias-covid-1...

The bromance between Donald Trump and Narendra Modi features the kind of rivalry no world leader wants: the title of fastest-growing Covid-19 epidemic anywhere.

Advantage, Indian Prime Minister Modi. With 4.2 million confirmed cases under his belt, U.S. President Trump’s nation is far ahead in an absolute sense. But India’s 20% jump in infections over the last week to 1.4 million puts Modi’s nation on top in terms of velocity.

And that’s the last thing Asia’s third-biggest economy needs as 2020 unravels before our eyes.

As the year began, India was seen growing at least 5%. Now, it’s seen contracting by roughly that amount–at best. Worse, perhaps, that could turn out to be overly optimistic considering the dire state of global demand and the pre-existing conditions that New Delhi brought into this pandemic.

The biggest is a dysfunctional economy that Modi was slow to address in the 68 months before India confirmed its first Covid-19 case. The most dangerous ailment being a banking system burdened with bad loans and a government looking the other way as symptoms of credit dislocations intensified.

Comment by Riaz Haq on July 30, 2020 at 8:25am

#India’s #IT giants are shedding thousands of jobs as they enter “survival mode”. Top 5 #Indian #technology firms have cut 11,000 jobs amid #COVID19 #pandemic https://qz.com/india/1886157/ via @qzindia

https://twitter.com/haqsmusings/status/1288857159938109451?s=20

Indian IT bigwigs have shed people in thousands in the last three months.

The staff headcount at the largest player in the sector, Tata Consultancy Services (TCS), fell by over 4,700 between March and June, when coronavirus started gripping the country. Rivals Infosys, Wipro, and Tech Mahindra, too, posted a decline in net employee headcount.

Overall, five of the biggest firms in the $200 billion industry lost nearly 11,000 employees.

The ambiguity brought about by the pandemic pushed these big businesses into survival mode, experts say.

“Many of the sectors like manufacturing, where IT companies had sales pitches done, (the) business had to be put on hold for at least a quarter,” said N Shivakumar, managing director at management consulting firm ResourceTree. “Post the initial confusion, many firms realised they have to conserve a lot of energy, money, and infrastructure because if (the) business loss is going to happen, it’s going to be a very big issue for them to survive.”

However, not all hope is lost. TCS hasn’t scrapped its plans to hire 40,000 fresh college graduates this year. Experts say hiring will bounce back in the second half of the year since these firms likely have large cash reserves to tide over the slump. And once the economy picks up, new technologies will find takers across various sectors from banking and financial services to healthcare.

Comment by Riaz Haq on August 4, 2020 at 4:14pm

#India’s daily new cases & deaths world’s highest.India’s death toll, at 814, was way higher than #fatalities reported in the day in #Brazil (572) and the #US ( 568). 49,134 fresh #coronavirus cases on Monday, higher than the US (48,622) http://toi.in/RymdhZ/a24gk via @timesofindia

Comment by Riaz Haq on August 5, 2020 at 8:14am

Critter compost: #Pakistan plans to use #locusts to nourish crops. So far, #insecticide-spraying operations have been carried out in 32 affected districts - both desert and cropping areas - spread over 2.6 million acres. #locustattack https://reliefweb.int/report/pakistan/critter-compost-pakistan-plan... via @reliefweb

First the idea was to feed them to chickens, now the plan is to grind them into fertiliser - as more locust swarms threaten Pakistan's crops, a project aims to test ways of killing and using the voracious pests for the benefit of local communities.

Pakistan's worst locust infestation in about 30 years started in June 2019, when the insects came over from Iran in a surge climate experts link to changing conditions conducive to the spread of the insects.

This summer, the locusts are breeding locally, says the Pakistani government, which is trying to head off another attack by spraying pesticides on newborn locusts - called hoppers because they cannot fly - in desert areas on the Indian border.

But worries that the pesticides could be harmful to plants, animals and people have motivated researchers to seek chemical-free methods of cutting the locust population.

"We wanted to come up with a locust control project that would be environmentally friendly and sustainable," said biotechnologist Johar Ali.

For Ali and his colleague Muhammad Khurshid, who was working for the food ministry at the time, the answer was chicken feed.

In February, the state-run Pakistan Agricultural Research Council (PARC) sent Ali and Khurshid, now with the privatisation ministry, to implement a three-day trial in Punjab province in eastern Pakistan.

During an infestation this spring, villagers in Okara district plucked locusts - which are largely immobile at night - off trees in a nearby forest, gathering about 20 tonnes of the flying insects.

The project team bought the bugs for 20 Pakistani rupees ($0.12) a kilo, then sold them to a nearby processing plant, which dried them and mixed them into chicken feed, Ali said.

The aim was to help control the locust surge in forested and heavily populated areas, where widespread pesticide spraying is not possible, while also generating income for communities hit by the swarms.

"It's an out-of-box solution," Ali said. "It could easily be scaled up in our populated rural areas. Yes, in our desert areas where locusts breed, chemical sprays make sense - but not in areas where we have farms with crops, livestock and people."

In June, the government shifted the focus from chicken feed to compost, after PARC decided fertiliser was a safer and more feasible use for the insects.

Last month, communities living in the desert areas of Cholistan, Tharparkar, Nara and Thal were trained on how to catch locusts as they head there to breed for the season.

The next step is to look at how to turn the pests into organic fertiliser, explained PARC chairman Muhammad Azeem Khan.

By providing a "slow and continuous" release of nutrients, the compost could help farmers increase their yields by 30% and cut their use of chemical fertiliser in half, he said.

PESTICIDE WORRIES

Pakistan's current locust problem started with what Muhammad Tariq Khan, technical director of the food security ministry's plant protection department, called a "climate change-induced international locust crisis" in Yemen and East Africa.

"Two big cyclones in 2018 dumped enough water in a desert area called the Empty Quarter in the Arabian Peninsula for three generations of locusts to grow undetected," he said.

Torn by civil war, Yemen was unable to focus on exterminating the pests, which lay their eggs beneath the soil, and so "they came up like a bomb", Khan said.

July's monsoon rains arrived 10 days earlier than usual in Pakistan, creating moist soil conditions favourable for the locusts to breed in the border desert area, Khan said.

Comment by Riaz Haq on August 5, 2020 at 9:11pm

Twelve months since the #Modi government announced the repeal of #India’s #Article370, communications are still slow, arrests are routine, and the #CoronavirusPandemic rages on. India had largely run out of prison space in the region. #Kashmir #Pakistan https://foreignpolicy.com/2020/08/04/kashmir-article-370-blackout-a...

It has been one year since Indian Prime Minister Narendra Modi made good on a long-standing electoral promise and announced the repeal of Article 370 from the Indian Constitution, doing away with some of the autonomies that had previously been granted to Indian-administered Kashmir. Combined with a near-total blackout of communications and the deployment of tens of thousands of troops to the region, Kashmir seemed primed for chaos.

In the 12 months since, the region has remained on edge. Communications are still slow, arrests are routine, and now the coronavirus pandemic threatens to throw Kashmir, and India, into an even deeper tailspin. To explain how India got here—and what comes next—we gathered our top reads.

In the immediate aftermath of the repeal of Article 370, one of the biggest questions was the extent to which violence would follow. Presumably worried about that same issue, the Modi government sent in scores of troops and rushed to arrest nearly anyone it thought might make trouble. “According to an AFP report,” Kashmir Walla’s Yashraj Sharma wrote in September, “one district magistrate said that at least 4,000 people had recently been arrested and booked under the Public Safety Act, which allows government to detain any person above the age of 16 without a trial for two years.” As a result, he said, India had largely run out of prison space in the region.

Even if the arrests kept violence down in the short run, many experts argued, they would surely create more over time. Speaking to the reporter Soumya Shankar, one young Kashmiri pointed out that “once innocent boys are picked up and tortured on baseless suspicions, they join the militancy in reaction. Then they’re declared terrorists by the state and gunned down.” In a December article, the Kashmiri journalist Fahad Shah offered numbers to confirm that expectation: “In Kashmir, spending time in jail can strengthen a young person’s resolve to get revenge. Many of the jailed, who were never part of any protest, decide to join them when they are released. Others who are taken in for small crimes, such as throwing stones, become radicalized in jail. An internal analysis on militancy from the Indian Army found that 83 percent of local youth who had joined a militant organization had a ‘record of stone-pelting.’” The 2019 crackdown, he argued, “thus points to a further meltdown—be it next year, the one after, or the one after that.”
----------

On the anniversary of the repeal of Article 370, things don’t look much better for India or Kashmir. Internet access in the area is still slow, which, according to Ali, is hampering the battle against the COVID-19 pandemic. “The Indian government will not restore the high-speed internet despite the pressing need for the population to stay informed about the coronavirus pandemic,” he wrote in April. Meanwhile, “the region is also grappling with a shortage of doctors. There is one doctor for every 3,866 people in the region, according to a 2018 report by the Jammu and Kashmir health ministry. That ratio falls short of the WHO norm (one doctor per 1,000 people) and India’s nationwide average (one doctor per 2,000 people).” To date, Jammu and Kashmir have seen over 22,000 confirmed cases.

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