COVID-19 Cases in Central Visayas
Report No. 59
Morbidity Week 44 (October 25-31, 2020)
A. Epidemiologic Curve
The first case of COVID-19 in Central Visayas was reported on Morbidity Week (MW) 5. Since then, the region has 22,427 reported cases. Cebu City comprises 45.7% (10,266) of the total cases while Cebu province comprises 28% (6,274) of the total cases. For MW 44, there were 949 (4%) active cases (Figure 1).
B. Distribution of cases by Age Group and Sex
Majority (12,127 54%) of the cases were males. Age ranged from less than 1 year old to 101 year old, (Median=36 years old) and the most (5978, 27%) affected age group is 21-30 year old (Figure 2).
C. Week-to-Week Comparison of Confirmed COVID-19 Cases by Province
The province of Cebu, Bohol, and Negros Oriental displayed a growth change in the number of cases of 0.8%, 166.7%, and 1656.6% from MW 43 to MW 44 (Figure 3). Siquijor province has reported five cases of Locally Stranded Individual (LSI) three were from Cebu province, one from Pampanga, and one from Rizal.
D. Week-to-Week Comparison of Confirmed COVID-19 Cases by Highly Urbanized Cities
There is a consistent declining trend in the number of cases in Mandaue City and Lapu-Lapu City from MW 41 to MW 44 (Figure 4). There is a growth change of 10.9% in the number of cases noted in Cebu City from MW 43 to MW 44.
E. Growth Change Among the Cities and Municipalities in Central Visayas
Two-week growth change in the number of cases were noted in Bayawan City with 2800% increase in number of cases, Guihulngan City with 1900% increase in number of cases, Tubigon with 933% increase in number of cases, Tayasan with 800% increase in number of cases, and Talibon with 550% increase in number of cases (Table 1).
F. Two-Week Average Daily Attack Rate (ADAR) of COVID-19 Cases in Central Visayas
Central Visayas has an average daily attack rate of 4.31. The three highly urbanized cities has an ADAR that falls on the medium range. (Figure 5). The province of Cebu and Bohol has an ADAR of 2.31 and 4.02 respectively while the province of Negros Oriental and Siquijor has low ADAR of 4.16 and 0.5 respectively.
G. Reproduction Number (Rt)
The reproduction number (Rt) in Central Visayas spiked in the month of April with 7.53 being the highest value recorded (Figure 6). In the month of September, Rt started to decrease below the value of 1. For MW 44, the Rt is 0.14.
H. Classification of Death by Province/HUC
A total of 1,340 deaths were reported from MW 5-44. Four hundred ninety-eight (37%) were covid 19-related deaths (Figure 7). Most deaths with co-morbidities were from Cebu City (442, 33%) and Cebu province (226,17%).
I. Leading Comorbidities Among COVID-19 Deaths
Lifestyle related chronic diseases are the leading comorbidities among COVID-19 deaths. Cardiovascular disease (444) ranks first followed by, chronic kidney disease (296) and diabetes mellitus (245) [Figure 8].
J. Distribution of Recoveries with Case Doubling Time by Province/City
From Morbidity Week 6-44, Central Visayas has a total of 20,107 recoveries reported with case doubling time (CDT) of 19.37. Cebu province has reported 3,569 recoveries with CDT of 18.87 while Cebu City has reported 9,420 recoveries with 19.44 CDT (Table 2).
K. Distribution of Individual Tested by Province/City
The number of individual tested in four provinces and in highly urbanized cities were 285, 098 (Table 3) from MW 5-44 with percent positive rate of 7.9. It should be noted that special population like Localized Stranded Individual (LSI), Returning Overseas Filipino (ROF), and healthcare worker (HCW) were not included in this data.
Eugenia Mercedes R. Cañal, MD, FPSMS, MBAHA
RESU/HEMS Cluster Head
Guy R. Perez, MD, RPT, FPSMS, MBAHA, CESE
Assistant Regional Director
Jaime S. Bernadas, MD, MGM, CESO III