COVID-19 Cases in Central Visayas
Report No. 60
Morbidity Week 45 (November 1-7, 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 22,705 reported cases. Cebu City comprises 45.31% (10,303) of the total cases while Cebu province comprises 28.04% (6,377) of the total cases. For MW 45, there were 860 (4%) active cases (Figure 1).
B. Distribution of cases by Age Group and Sex
Majority (12,285 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 (6058, 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 displayed a consistent down trend in number of cases from MW 42 to MW 45 (Figure 3). On the other hand, the province of Negros Oriental and Bohol showed a shrinkage in number of cases of 13% and 39% from MW 44 to MW 45. Siquijor province has reported four cases of Locally Stranded Individual (LSI) two 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 Cebu City and Mandaue City from MW 42 to MW 45 (Figure 4). There is a growth change of 56% in the number of cases noted in Mandaue City from MW 44 to MW 45.
E. Growth Change Among the Cities and Municipalities in Central Visayas
Two-week growth change in the number of cases were noted in Boljoon with 1700% increase in number of cases, Tayasan with 900% increase in number of cases, Candijay with 700% increase in number of cases, Bayawan City with 500% increase in number of cases, and Tubigon with 418% 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 0.59. The three highly urbanized cities as well as the four provinces has an ADAR that falls on low range (Figure 5).
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 45, the Rt is 0.05.
H. Classification of Death by Province/HUC
A total of 1,358 deaths were reported from MW 5-45. Five hundred five (37%) were covid 19-related deaths (Figure 7). Most deaths with co-morbidities were from Cebu City (443, 33%) and Cebu province (230,17%).
I. Leading Comorbidities Among COVID-19 Deaths
Lifestyle related chronic diseases are the leading comorbidities among COVID-19 deaths. Cardiovascular disease (451) ranks first followed by, chronic kidney disease (298) and diabetes mellitus (246) [Figure 8].
J. Distribution of Recoveries with Case Doubling Time by Province/City
From Morbidity Week 6-45, Central Visayas has a total of 20,453 recoveries reported with case doubling time (CDT) of 19.83. Cebu province has reported 3,707 recoveries with CDT of 19.38 while Cebu City has reported 9,441 recoveries with 19.95 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 296,830 (Table 3) from MW 5-45 with percent positive rate of 7.6. 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