JezK

Edit File: 1642010371.M626082P206652.mocha3025.mochahost.com,S=99454,W=101690:2,S

From: "Shamail Azimi" <sazimi@InternationalMedicalCorps.org>
To: <ahmad@jack.ngo>,
	"Mark Ward" <mward@InternationalMedicalCorps.org>,
	"Mohammad Zia Sanaban" <msanaban@InternationalMedicalCorps.org>
Cc: <nooromari@jack.ngo>,
	"'Sardar Wali Takal'" <takal@jack.ngo>,
	"'Sardar Wali Takal'" <takal@jack.af>,
	<haseeb.shirzada@jack.ngo>,
	<dr.safar@jack.ngo>,
	"'Samyullah Niazi'" <dr.niazi@jack.ngo>,
	<ghani@jack.ngo>,
	<dr.shafiq@jack.ngo>
References: <001f01d77009$cf56ae60$6e040b20$@jack.ngo>
In-Reply-To: <001f01d77009$cf56ae60$6e040b20$@jack.ngo>
Subject: RE: COVID-19 update Kunduz Weekly 
Date: Sat, 3 Jul 2021 19:36:55 +0430
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Dear Dr. sahib Noor ,

Salaam – I hope you are doing well .

Thank you for sharing the updates .

Safe and healthy

Regards

Dr. Shamail

From: ahmad@jack.ngo <ahmad@jack.ngo>
Sent: Saturday, July 3, 2021 5:19 PM
To: Mark Ward <mward@InternationalMedicalCorps.org>; Shamail Azimi 
<sazimi@InternationalMedicalCorps.org>; Mohammad Zia Sanaban 
<msanaban@InternationalMedicalCorps.org>
Cc: nooromari@jack.ngo; 'Sardar Wali Takal' <takal@jack.ngo>; 'Sardar Wali 
Takal' <takal@jack.af>; haseeb.shirzada@jack.ngo; dr.safar@jack.ngo; 
'Samyullah Niazi' <dr.niazi@jack.ngo>; ghani@jack.ngo; dr.shafiq@jack.ngo
Subject: RE: COVID-19 update Kunduz Weekly

Dear IMC colleagues,

Greetings from JACK,

Following is the weekly update of COVID-19 from Kunduz and JACK input for 
the duration of 24 June 2021 till 01 July 2021.

RRT and District Centers update  (surveillance)

Total 261 awareness sessions were held by RRTs, DCs and Hospital staff 
during this reporting period.

In 261 sessions, 271 populations were below 18 years old and 1476 of them 
were over 18 years’ old (Total of 1747 of population received COVID-19 
awarness)

In this reporting period, 1745 population were screened.

Between 1745 population, 644 were identified as suspect to COVID-19.

From 644 suspect to COVID-19, samples were collected from all of them 
(100%).

From 644 testes, 256 of them was positive and remaining 388 of them was 
negative (40% positivity rate)

From RRTs and DCs, 50 patients were referred to COVID-19 hospital.

215 positive cases were traced by RRTs and DCs during this reporting period.

COVID-19 Hospital Update

70 new patients were admitted to COVID-19 hospital during this reporting 
period.

43 patients were cured (61%)

19 patients died in this reporting period (7%)

COVID-19 Vaccination update

In this reporting period following populations were vaccinated based on 
their category:

*	Total 33 first dose Health workers (6 Female, 27 Male).
*	Total 60 first dose Teachers ((28 F, 32 M)
*	Total 244 to over 18 and below 50 of age (89 F, 155 M)
*	Total 16 first dose (3 F, 6 M) and total 7 second dose (2 F, 5 M) for 
population with co-morbidity.
*	Total 143 first dose for population with over 50 of age (64 F, 79 M)
*	Total 11 first dose for Kochi over 30 and below 50 of age (6 F, 5 M)
*	Total 8 first dose for internal displaced persons (IDPS) (1 F, 7 M)
*	Total 70 first dose for crowded places workers (18 F, 52 M)
*	Total 90 first dose (69 F, 21 M) and 5 second dose (3 F, 2 M) for poor 
population of Kunduz province

In Total 680 dose of vaccine were injected to above category population in 
this reporting period.

With Best Regards,

Dr.Noor Ahmad “Ahmad” MD,PGD (Leadership) PGD (NMD), PMP

Program Director

Just for Afghan Capacity and Knowledge       بلند بردن سطح دانش و توانمندی 
افغانها (جک)

Address: First Street of Karta-e-Chahar, Kabul Afghanistan

Behind AWCC Main Office, House # 08

Ph: +93 +93(0)748480909

Email: ahmad <mailto:ahmad@jack.ngo> @jack.ngo

Website:www.jack.ngo

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From: ahmad@jack.ngo <mailto:ahmad@jack.ngo> [mailto:ahmad@jack.ngo]
Sent: Monday, June 28, 2021 12:31 AM
To: 'Mark Ward' <mward@InternationalMedicalCorps.org 
<mailto:mward@InternationalMedicalCorps.org> >; 'Shamail Azimi' 
<sazimi@InternationalMedicalCorps.org 
<mailto:sazimi@InternationalMedicalCorps.org> >; 'Mohammad Zia Sanaban' 
<msanaban@InternationalMedicalCorps.org 
<mailto:msanaban@InternationalMedicalCorps.org> >
Cc: 'nooromari@jack.ngo' <nooromari@jack.ngo <mailto:nooromari@jack.ngo> >; 
'Sardar Wali Takal' <takal@jack.ngo <mailto:takal@jack.ngo> >; 'Sardar Wali 
Takal' <takal@jack.af <mailto:takal@jack.af> >; 'haseeb.shirzada@jack.ngo' 
<haseeb.shirzada@jack.ngo <mailto:haseeb.shirzada@jack.ngo> >; 
'dr.safar@jack.ngo' <dr.safar@jack.ngo <mailto:dr.safar@jack.ngo> >; 
'Samyullah Niazi' <dr.niazi@jack.ngo <mailto:dr.niazi@jack.ngo> >; 
'ghani@jack.ngo' <ghani@jack.ngo <mailto:ghani@jack.ngo> >; 
'dr.shafiq@jack.ngo' <dr.shafiq@jack.ngo <mailto:dr.shafiq@jack.ngo> >
Subject: RE: COVID-19 update Kunduz Weekly

Dear IMC collueages ,

Greetings from JACK,

Following is COVID-19 weekly update from Kunduz ;

The reporting period is from 17 June 2021 until 23 June 2021.

Stat reports of COVID-19 hospital, RRTs and DCs.

238 health education sessions were conducted in past 7 days.

In 238 sessions, 1311 individuals received education on risk communication, 
community engagement, COVID-19 prevention, COVID-19 sign and symptoms and 
who to reach when you have sign and symptoms.

In this reporting period, 1187 population were screened for COVID-19.

From 1187 screened population, 719 of them were suspect to COVID-19.

Samples were collected from all 719 suspect (414 Male and 305 Female) and 
these samples were transferred to COVID-19 diagnostic lab for testing.

COVID-19 diagnostic lab tested 719 samples in this reporting period.

From 719 tested samples by PCR, 294 were tested positive and 425 were tested 
negative.

The positivity rate in this reporting period was 41%.

In this reporting period, 100 beds were active for COVID-19 hospital.

91 new patients were admitted and they spend 387 (Length of Stay) days in 
COVID-19 hospital.

The BOR for this week is 55%.

20 patients were admitted to ICU and they spent 151 (ICU bed days) days.

Average BOR for ICU ward was 108% in past 7 days.

97 patients were discharged from hospital in this reporting period and its 
average rate is 107% (refers, cured, death).

63 patients were cured and their treatment were completed (65%)

5% of above patients were referred to higher health facility.

There were 29 death cases reported. According to overall positivity rate 
(294), the death rate is 9.8%.

PCR confirmed Patients who were traced after their 14 days’ home quarantine 
were 508 (280 M, 228 F)

Stat report of COVID-19 vaccination

68 health worker (58 Male, 10 Female) were vaccinated (51 first dose, 17 
second dose) in this period.

103 government employees (72 Male, 31 Female) were vaccinated (102 First 
dose, 1 second dose).

35 Nomadic populations (16 Male, 19 Female) were vaccinated (35 First dose, 
0 second dose).

485 vaccines were vaccinated for age between 18 to 50 years old. (279 Male, 
206 Female)

31 IDP camps residents (18 Male, 13 Female) were vaccinated whom were 
between 30 to 50 years old.

62 population living in urban slums of big cities (35 Male, 27 female) were 
vaccinated.

147 vaccines were vaccinated for +50 years old (146 first dose, 1 second 
dose) (92 Male, 55 Female).

34 people with co-morbidities (24 Male, 10 Female) were vaccinated (17 first 
dose, 17 second dose).

48 teachers (25 Male, 23 Female) were vaccinated (46 first dose, 2 second 
dose)

From all 2026 vaccines, 975 of them were from sinopharm company and 
remaining 1051 were from santrazica company.

Challenges

During this reporting period, active gun fight between AOGs and ANSFs were 
increased dramatically. Roads to health facilities were closed. RRTs of 
Imamsahib and RRT of Chardara were not able to work in their field due to 
active armed clashes. Sample taken were decreased due to less activity of 
RRTs and DCs. There were no oxygen shortage during the week, however due to 
active gun fight oxygen shortage could happen in upcoming weeks.

Recommendation

An oxygen plant is necessary for Kunduz COVID-19 hospital. It is hard to 
supply oxygen from Kabul, Mazar e Sharif or Jalalabad due to road blocks. It 
would be a lot better if Kunduz produce oxygen rather than import them from 
other provinces.

With Best Regards,

Dr.Noor Ahmad “Ahmad” MD,PGD (Leadership) PGD (NMD), PMP

Program Director

Just for Afghan Capacity and Knowledge       بلند بردن سطح دانش و توانمندی 
افغانها (جک)

Address: First Street of Karta-e-Chahar, Kabul Afghanistan

Behind AWCC Main Office, House # 08

Ph: +93 +93(0)748480909

Email: ahmad <mailto:ahmad@jack.ngo> @jack.ngo

Website:www.jack.ngo

=======================================================================================================================================================================

P Every 3000 sheets of paper costs us a tree. Please don't print this e-mail 
unless you really need to

From: ahmad@jack.ngo <mailto:ahmad@jack.ngo> [mailto:ahmad@jack.ngo]
Sent: Saturday, June 19, 2021 11:27 AM
To: 'Mark Ward' <mward@InternationalMedicalCorps.org 
<mailto:mward@InternationalMedicalCorps.org> >; 'Shamail Azimi' 
<sazimi@InternationalMedicalCorps.org>; 'Mohammad Zia Sanaban' 
<msanaban@InternationalMedicalCorps.org 
<mailto:msanaban@InternationalMedicalCorps.org> >
Cc: 'nooromari@jack.ngo' <nooromari@jack.ngo <mailto:nooromari@jack.ngo> >; 
'Sardar Wali Takal' <takal@jack.ngo <mailto:takal@jack.ngo> >; 'Sardar Wali 
Takal' <takal@jack.af <mailto:takal@jack.af> >; 'haseeb.shirzada@jack.ngo' 
<haseeb.shirzada@jack.ngo <mailto:haseeb.shirzada@jack.ngo> >; 
'dr.safar@jack.ngo' <dr.safar@jack.ngo <mailto:dr.safar@jack.ngo> >; 
'Samyullah Niazi' <dr.niazi@jack.ngo <mailto:dr.niazi@jack.ngo> >; 
'ghani@jack.ngo' <ghani@jack.ngo <mailto:ghani@jack.ngo> >; 
'dr.shafiq@jack.ngo' <dr.shafiq@jack.ngo <mailto:dr.shafiq@jack.ngo> >
Subject: COVID-19 update Kunduz Weekly

Dear IMC colleagues,

Greetings from JACK ,

Following is the update of COVID-19 in Kunduz province in the reporting 
period; we share such updates with UN-OCHA and other stakeholders like WHO, 
UNICEF and so on; if your agree I will share our inputs regarding COVID-19 
in Kunduz with you on weekly basis

1.	1,475 people received health education through RRTs ( Rapid Response 
Teams) from these people 779 are male and 678 are female
2.	1,277 people are screened for COVID-19 through RRTs and District Centers 
and from these 1,277 people (773 are male and 504 are female)
3.	454 people are advised home quarantine and from these people 272 are male 
and 182 are female.
4.	1120 samples are collected from suspected people and sent to PCR for 
testing from these people 632 male and 488 female
5.	474 people resulted positive from PCR and from these 474 persons ( 258 
male and 216 are female)
6.	Positivity rate in the reporting week is 42% which is very high
7.	895 persons are contact traced through phone and reported and from these 
people 478 are male and 417 female.
8.	566 people received OPD services and from these 566 people (345 are male 
and 221 are female)
9.	BOR ( Bed Occupancy Rate) is reported 109% average
10.	ICU (Intensive Care Unit) occupancy rate is reported 159%
11.	517 people received COVID-19 vaccination doses and from these 517 ( 334 
male, 183 female)
12.	4343 are reported ARI ( Acute Respiratory Infection) cases from BPHS 
health facilities
13.	740 are reported suspected of COVID-19 from BPHS health facilities in 
the reporting period

External Monitoring:

1.	High ranking representatives from MoPH ( Ministry of Public Health ) 
visited the COVID-19 hospital
2.	Kunduz PPHD had several visit from COVID-19 hospital of Kunduz
3.	Deputy governor of Kunduz visited from Kunduz COVID-19 hospital
4.	Several Medias visited the COVID-19 hospital
5.	Civic society representative visited COVID-19 hospital
6.	MSF and other stakeholders visited COVID-19 hospital

Support from Stakeholders:

1.	MSF Kunduz provided 10 oxygen concentrators for till end of this peak of 
COVID-19 then JACK will back submit to them.
2.	Kunduz PPHD provided to Kunduz COVID-19 hospital the beds, and oxygen 
concentrators

Challenges:

1.	People transfer the patients from their homes at the end stage to 
COVID-19 hospital and the recovery of these people is very difficult
2.	Private hospitals and clinics in Kunduz first admit the COVID-19 patients 
then when the patient became severe and critical and went to end stage then 
they refer to Kunduz COVID-19 hospital

With Best Regards,

Dr.Noor Ahmad “Ahmad” MD,PGD (Leadership) PGD (NMD), PMP

Program Director

Just for Afghan Capacity and Knowledge       بلند بردن سطح دانش و توانمندی 
افغانها (جک)

Address: First Street of Karta-e-Chahar, Kabul Afghanistan

Behind AWCC Main Office, House # 08

Ph: +93 +93(0)748480909

Email: ahmad <mailto:ahmad@jack.ngo> @jack.ngo

Website:www.jack.ngo

=======================================================================================================================================================================

P Every 3000 sheets of paper costs us a tree. Please don't print this e-mail 
unless you really need to

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<div class=3D"WordSection1">
Dear Dr. sahib Noor ,<o:p></o:p>
<o:p>&nbsp;</o:p>
Salaam =E2=80=93 I hope you are doing well =
.<o:p></o:p>
<o:p>&nbsp;</o:p>
Thank you for sharing the updates =
.<o:p></o:p>
<o:p>&nbsp;</o:p>
Safe and healthy <o:p></o:p>
<o:p>&nbsp;</o:p>
Regards <o:p></o:p>
<o:p>&nbsp;</o:p>
Dr. Shamail <o:p></o:p>
<o:p>&nbsp;</o:p>
<div>
<div style=3D"border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt =
0in 0in 0in">
From: ahmad@jack.ngo =
&lt;ahmad@jack.ngo&gt; 
Sent: Saturday, July 3, 2021 5:19 PM 
To: Mark Ward &lt;mward@InternationalMedicalCorps.org&gt;; =
Shamail Azimi &lt;sazimi@InternationalMedicalCorps.org&gt;; Mohammad Zia =
Sanaban &lt;msanaban@InternationalMedicalCorps.org&gt; 
Cc: nooromari@jack.ngo; 'Sardar Wali Takal' =
&lt;takal@jack.ngo&gt;; 'Sardar Wali Takal' &lt;takal@jack.af&gt;; =
haseeb.shirzada@jack.ngo; dr.safar@jack.ngo; 'Samyullah Niazi' =
&lt;dr.niazi@jack.ngo&gt;; ghani@jack.ngo; dr.shafiq@jack.ngo 
Subject: RE: COVID-19 update Kunduz Weekly <o:p></o:p>
</div>
</div>
<o:p>&nbsp;</o:p>
Dear IMC =
colleagues, <o:p></o:p>
<o:p>&nbsp;</o:p>
Greetings from =
JACK, <o:p></o:p>
<o:p>&nbsp;</o:p>
Following is the =
weekly update of COVID-19 from Kunduz and JACK input for the duration of =
24 June 2021 till 01 July 2021.
<o:p></o:p>
<o:p>&nbsp;</o:p>
<h1>RRT and District Centers update&nbsp; (surveillance)<o:p></o:p></h1>
Total 261 awareness sessions were held by RRTs, =
DCs and Hospital staff during this reporting period.<o:p></o:p>
In 261 sessions, 271 populations were below 18 =
years old and 1476 of them were over 18 years=E2=80=99 old (Total of =
1747 of population received COVID-19 awarness)<o:p></o:p>
In this reporting period, 1745 population were =
screened. <o:p>
</o:p>
Between 1745 population, 644 were identified as =
suspect to COVID-19.
<o:p></o:p>
From 644 suspect to COVID-19, samples were =
collected from all of them (100%).<o:p></o:p>
From 644 testes, 256 of them was positive and =
remaining 388 of them was negative (40% positivity rate)<o:p></o:p>
From RRTs and DCs, 50 patients were referred to =
COVID-19 hospital.<o:p></o:p>
215 positive cases were traced by RRTs and DCs =
during this reporting period.<o:p></o:p>
<h1>COVID-19 Hospital Update <o:p></o:p></h1>
70 new patients were admitted to COVID-19 =
hospital during this reporting period.<o:p></o:p>
43 patients were cured (61%)<o:p></o:p>
19 patients died in this reporting period =
(7%)<o:p></o:p>
<h1>COVID-19 Vaccination update <o:p></o:p></h1>
In this reporting period following populations =
were vaccinated based on their category:<o:p></o:p>
<ul style=3D"margin-top:0in" type=3D"disc">
<li class=3D"MsoListParagraphCxSpFirst" =
style=3D"margin-left:0in;mso-add-space:auto;mso-list:l0 level1 lfo1">
Total 33 first dose Health workers (6 Female, 27 =
Male).<o:p></o:p></li><li class=3D"MsoListParagraphCxSpMiddle" =
style=3D"margin-left:0in;mso-add-space:auto;mso-list:l0 level1 lfo1">
Total 60 first dose Teachers ((28 F, 32 M)<o:p></o:p></li><li =
class=3D"MsoListParagraphCxSpMiddle" =
style=3D"margin-left:0in;mso-add-space:auto;mso-list:l0 level1 lfo1">
Total 244 to over 18 and below 50 of age (89 F, 155 =
M)<o:p></o:p></li><li class=3D"MsoListParagraphCxSpMiddle" =
style=3D"margin-left:0in;mso-add-space:auto;mso-list:l0 level1 lfo1">
Total 16 first dose (3 F, 6 M) and total 7 second dose (2 F, 5 M) for =
population with co-morbidity.<o:p></o:p></li><li =
class=3D"MsoListParagraphCxSpMiddle" =
style=3D"margin-left:0in;mso-add-space:auto;mso-list:l0 level1 lfo1">
Total 143 first dose for population with over 50 of age (64 F, 79 =
M)<o:p></o:p></li><li class=3D"MsoListParagraphCxSpMiddle" =
style=3D"margin-left:0in;mso-add-space:auto;mso-list:l0 level1 lfo1">
Total 11 first dose for Kochi over 30 and below 50 of age (6 F, 5 =
M)<o:p></o:p></li><li class=3D"MsoListParagraphCxSpMiddle" =
style=3D"margin-left:0in;mso-add-space:auto;mso-list:l0 level1 lfo1">
Total 8 first dose for internal displaced persons (IDPS) (1 F, 7 =
M)<o:p></o:p></li><li class=3D"MsoListParagraphCxSpMiddle" =
style=3D"margin-left:0in;mso-add-space:auto;mso-list:l0 level1 lfo1">
Total 70 first dose for crowded places workers (18 F, 52 =
M)<o:p></o:p></li><li class=3D"MsoListParagraphCxSpLast" =
style=3D"margin-left:0in;mso-add-space:auto;mso-list:l0 level1 lfo1">
Total 90 first dose (69 F, 21 M) and 5 second dose (3 F, 2 M) for poor =
population of Kunduz province<o:p></o:p></li></ul>
In Total 680 dose of vaccine were injected to =
above category population in this reporting period.<o:p></o:p>
<o:p>&nbsp;</o:p>
With Best =
Regards,<o:p></o:p>
<o:p>&nbsp;</o:p>
<img width=3D"49" =
height=3D"38" style=3D"width:.5069in;height:.3958in" =
id=3D"Picture_x0020_1" =
src=3D"cid:image001.jpg@01D77042.BFDFB2E0"><o:p></o:p>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p>
Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D
MD,PGD (Leadership) PGD (NMD), =
PMP<o:p></o:p>
Program Director
<o:p></o:p>
Just for Afghan Capacity and =
Knowledge&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
 &nbsp;=D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 =
=D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 =
=D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9)&nbsp; =
<o:p></o:p>
Address:
 First Street of Karta-e-Chahar, Kabul Afghanistan =
<o:p></o:p>
Behind AWCC Main Office, House # =
08<o:p></o:p>
Ph: +93 +93(0)748480909
<o:p></o:p>
Email:
<a href=3D"mailto:ahmad@jack.ngo">ahmad@jack.ngo</a>&nbsp;
<o:p></o:p>
Website:www.jack.ngo
<o:p></o:p>
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
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jack (Afghanistan). Electronic transmissions may be recorded and =
monitored.For
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<![endif]><o:p>&nbsp;</o:p><=
/b>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</=
o:p>
<o:p>&nbsp;</=
o:p>
 
P<s=
pan =
style=3D"font-size:7.5pt;font-family:&quot;Arial&quot;,sans-serif;color:g=
reen">
Every 3000 sheets of paper costs us a tree. Please don't print =
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<div>
<div style=3D"border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt =
0in 0in 0in">
From: <a =
href=3D"mailto:ahmad@jack.ngo">ahmad@jack.ngo</a> [<a =
href=3D"mailto:ahmad@jack.ngo">mailto:ahmad@jack.ngo</a>]
 
Sent: Monday, June 28, 2021 12:31 AM 
To: 'Mark Ward' &lt;<a =
href=3D"mailto:mward@InternationalMedicalCorps.org">mward@InternationalMe=
dicalCorps.org</a>&gt;; 'Shamail Azimi' &lt;<a =
href=3D"mailto:sazimi@InternationalMedicalCorps.org">sazimi@International=
MedicalCorps.org</a>&gt;; 'Mohammad Zia Sanaban' &lt;<a =
href=3D"mailto:msanaban@InternationalMedicalCorps.org">msanaban@Internati=
onalMedicalCorps.org</a>&gt; 
Cc: 'nooromari@jack.ngo' &lt;<a =
href=3D"mailto:nooromari@jack.ngo">nooromari@jack.ngo</a>&gt;; 'Sardar =
Wali Takal' &lt;<a =
href=3D"mailto:takal@jack.ngo">takal@jack.ngo</a>&gt;; 'Sardar Wali =
Takal' &lt;<a href=3D"mailto:takal@jack.af">takal@jack.af</a>&gt;; =
'haseeb.shirzada@jack.ngo'
 &lt;<a =
href=3D"mailto:haseeb.shirzada@jack.ngo">haseeb.shirzada@jack.ngo</a>&gt;=
; 'dr.safar@jack.ngo' &lt;<a =
href=3D"mailto:dr.safar@jack.ngo">dr.safar@jack.ngo</a>&gt;; 'Samyullah =
Niazi' &lt;<a =
href=3D"mailto:dr.niazi@jack.ngo">dr.niazi@jack.ngo</a>&gt;; =
'ghani@jack.ngo' &lt;<a =
href=3D"mailto:ghani@jack.ngo">ghani@jack.ngo</a>&gt;;
 'dr.shafiq@jack.ngo' &lt;<a =
href=3D"mailto:dr.shafiq@jack.ngo">dr.shafiq@jack.ngo</a>&gt; 
Subject: RE: COVID-19 update Kunduz Weekly <o:p></o:p>
</div>
</div>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
Dear IMC collueages =
,<o:p></o:p>
<o:p>&nbsp;</o:p>
Greetings from =
JACK, <o:p></o:p>
<o:p>&nbsp;</o:p>
Following is =
COVID-19 weekly update from Kunduz ;<o:p></o:p>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
The reporting period is from 17 June 2021 until =
23 June 2021.
<o:p></o:p>

Stat reports of COVID-19 hospital, =
RRTs and DCs.<o:p></o:p>
238 health education sessions were conducted in =
past 7 days.
<o:p></o:p>
In 238 sessions, 1311 individuals received =
education on risk communication, community engagement, COVID-19 =
prevention, COVID-19 sign and symptoms and who to reach when you have =
sign and symptoms.<o:p></o:p>
In this reporting period, 1187 population were =
screened for COVID-19.
<o:p></o:p>
From 1187 screened population, 719 of them were =
suspect to COVID-19.<o:p></o:p>
Samples were collected from all 719 suspect (414 =
Male and 305 Female) and these samples were transferred to COVID-19 =
diagnostic lab for testing.<o:p></o:p>
COVID-19 diagnostic lab tested 719 samples in =
this reporting period.<o:p></o:p>
From 719 tested samples by PCR, 294 were tested =
positive and 425 were tested negative.<o:p></o:p>
The positivity rate in this reporting period was =
41%.<o:p></o:p>
In this reporting period, 100 beds were active =
for COVID-19 hospital.
<o:p></o:p>
91 new patients were admitted and they spend 387 =
(Length of Stay) days in COVID-19 hospital.<o:p></o:p>
The BOR for this week is 55%.<o:p></o:p>
20 patients were admitted to ICU and they spent =
151 (ICU bed days) days.
<o:p></o:p>
Average BOR for ICU ward was 108% in past 7 =
days.<o:p></o:p>
97 patients were discharged from hospital in this =
reporting period and its average rate is 107% (refers, cured, =
death).<o:p></o:p>
63 patients were cured and their treatment were =
completed (65%)<o:p></o:p>
5% of above patients were referred to higher =
health facility.<o:p></o:p>
There were 29 death cases reported. According to =
overall positivity rate (294), the death rate is 9.8%.<o:p></o:p>
PCR confirmed Patients who were traced after =
their 14 days=E2=80=99 home quarantine were 508 (280 M, 228 =
F)<o:p></o:p>

Stat report of COVID-19 =
vaccination<o:p></o:p>
68 health worker (58 Male, 10 Female) were =
vaccinated (51 first dose, 17 second dose) in this =
period.<o:p></o:p>
103 government employees (72 Male, 31 Female) =
were vaccinated (102 First dose, 1 second dose).<o:p></o:p>
35 Nomadic populations (16 Male, 19 Female) were =
vaccinated (35 First dose, 0 second dose).<o:p></o:p>
485 vaccines were vaccinated for age between 18 =
to 50 years old. (279 Male, 206 Female)<o:p></o:p>
31 IDP camps residents (18 Male, 13 Female) were =
vaccinated whom were between 30 to 50 years old.<o:p></o:p>
62 population living in urban slums of big cities =
(35 Male, 27 female) were vaccinated.<o:p></o:p>
147 vaccines were vaccinated for +50 years old =
(146 first dose, 1 second dose) (92 Male, 55 Female).<o:p></o:p>
34 people with co-morbidities (24 Male, 10 =
Female) were vaccinated (17 first dose, 17 second dose).<o:p></o:p>
48 teachers (25 Male, 23 Female) were vaccinated =
(46 first dose, 2 second dose)<o:p></o:p>
From all 2026 vaccines, 975 of them were from =
sinopharm company and remaining 1051 were from santrazica =
company.<o:p></o:p>

Challenges<o:p></o:p>
During this reporting period, active gun fight =
between AOGs and ANSFs were increased dramatically. Roads to health =
facilities were closed. RRTs of Imamsahib and RRT of Chardara were not =
able to work in their field due to active armed clashes.
 Sample taken were decreased due to less activity of RRTs and DCs. There =
were no oxygen shortage during the week, however due to active gun fight =
oxygen shortage could happen in upcoming weeks.<o:p></o:p>

Recommendation<o:p></o:p></p=
>
An oxygen plant is necessary for Kunduz COVID-19 =
hospital. It is hard to supply oxygen from Kabul, Mazar e Sharif or =
Jalalabad due to road blocks. It would be a lot better if Kunduz produce =
oxygen rather than import them from other provinces.<o:p></o:p>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
With Best =
Regards,<o:p></o:p>
<o:p>&nbsp;</o:p>
<img border=3D"0" =
width=3D"49" height=3D"38" style=3D"width:.5069in;height:.3958in" =
id=3D"Picture_x0020_2" =
src=3D"cid:image004.jpg@01D77042.BFDFB2E0"><o:p></o:p>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p>
Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D
MD,PGD (Leadership) PGD (NMD), =
PMP<o:p></o:p>
Program Director
<o:p></o:p>
Just for Afghan Capacity and =
Knowledge&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
 &nbsp;=D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 =
=D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 =
=D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9)&nbsp; =
<o:p></o:p>
Address:
 First Street of Karta-e-Chahar, Kabul Afghanistan =
<o:p></o:p>
Behind AWCC Main Office, House # =
08<o:p></o:p>
Ph: +93 +93(0)748480909
<o:p></o:p>
Email:
<a href=3D"mailto:ahmad@jack.ngo">ahmad@jack.ngo</a>&nbsp;
<o:p></o:p>
Website:www.jack.ngo
<o:p></o:p>
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
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=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
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<o:p></o:p>
This e-mail and any =
files transmitted with it may contain privileged or confidential =
information. It is solely for use by the individual for
 whom it is intended, even if addressed incorrectly. If you received =
this e-mail in error, please notify the sender; do not disclose copy, =
distribute, or take any action in reliance on the contents of this =
information; and delete it from your system. Any other
 use of this e-mail is prohibited. The views expressed herein are those =
of the author and do not necessarily reflect the views or policies of =
jack (Afghanistan). Electronic transmissions may be recorded and =
monitored.For
 Verification Please Read the Barcode Reader.&nbsp; =
<o:p></o:p>
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<tr>
<td></td>
<td><img width=3D"92" height=3D"92" =
style=3D"width:.9583in;height:.9583in" =
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<![endif]><o:p>&nbsp;</o:p><=
/b>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</=
o:p>
<o:p>&nbsp;</=
o:p>
 
P<s=
pan =
style=3D"font-size:7.5pt;font-family:&quot;Arial&quot;,sans-serif;color:g=
reen">
Every 3000 sheets of paper costs us a tree. Please don't print =
this e-mail unless you really need to<o:p></o:p>
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<div>
<div style=3D"border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt =
0in 0in 0in">
From: <a =
href=3D"mailto:ahmad@jack.ngo">ahmad@jack.ngo</a> [<a =
href=3D"mailto:ahmad@jack.ngo">mailto:ahmad@jack.ngo</a>]
 
Sent: Saturday, June 19, 2021 11:27 AM 
To: 'Mark Ward' &lt;<a =
href=3D"mailto:mward@InternationalMedicalCorps.org">mward@InternationalMe=
dicalCorps.org</a>&gt;; 'Shamail Azimi' &lt;<a =
href=3D"mailto:sazimi@InternationalMedicalCorps.org">sazimi@International=
MedicalCorps.org</a>&gt;; 'Mohammad Zia Sanaban' &lt;<a =
href=3D"mailto:msanaban@InternationalMedicalCorps.org">msanaban@Internati=
onalMedicalCorps.org</a>&gt; 
Cc: 'nooromari@jack.ngo' &lt;<a =
href=3D"mailto:nooromari@jack.ngo">nooromari@jack.ngo</a>&gt;; 'Sardar =
Wali Takal' &lt;<a =
href=3D"mailto:takal@jack.ngo">takal@jack.ngo</a>&gt;; 'Sardar Wali =
Takal' &lt;<a href=3D"mailto:takal@jack.af">takal@jack.af</a>&gt;; =
'haseeb.shirzada@jack.ngo'
 &lt;<a =
href=3D"mailto:haseeb.shirzada@jack.ngo">haseeb.shirzada@jack.ngo</a>&gt;=
; 'dr.safar@jack.ngo' &lt;<a =
href=3D"mailto:dr.safar@jack.ngo">dr.safar@jack.ngo</a>&gt;; 'Samyullah =
Niazi' &lt;<a =
href=3D"mailto:dr.niazi@jack.ngo">dr.niazi@jack.ngo</a>&gt;; =
'ghani@jack.ngo' &lt;<a =
href=3D"mailto:ghani@jack.ngo">ghani@jack.ngo</a>&gt;;
 'dr.shafiq@jack.ngo' &lt;<a =
href=3D"mailto:dr.shafiq@jack.ngo">dr.shafiq@jack.ngo</a>&gt; 
Subject: COVID-19 update Kunduz Weekly <o:p></o:p>
</div>
</div>
<o:p>&nbsp;</o:p>
Dear IMC =
colleagues, <o:p></o:p>
<o:p>&nbsp;</o:p>
Greetings from JACK =
, <o:p></o:p>
<o:p>&nbsp;</o:p>
Following is the =
update of COVID-19 in Kunduz province in the reporting period; we share =
such updates with UN-OCHA and other stakeholders like WHO, UNICEF and so =
on; if your agree I will share our inputs regarding
 COVID-19 in Kunduz with you on weekly basis <o:p></o:p>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
<ol style=3D"margin-top:0in" start=3D"1" type=3D"1">
<li class=3D"MsoNormal" style=3D"line-height:105%;mso-list:l3 level1 =
lfo2">1,475 people received health education through RRTs ( Rapid =
Response Teams) from these people 779 are male and 678 are female
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">1,277 people are =
screened for COVID-19 through RRTs and District Centers and from these =
1,277 people (773 are male and 504 are female)<o:p></o:p></li><li =
class=3D"MsoNormal" style=3D"line-height:105%;mso-list:l3 level1 =
lfo2">454 people are advised home quarantine and from these people 272 =
are male and 182 are female.<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">1120 samples are =
collected from suspected people and sent to PCR for testing from these =
people 632 male and 488 female<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">474 people resulted =
positive from PCR and from these 474 persons ( 258 male and 216 are =
female)<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">Positivity rate in =
the reporting week is
42%<spa=
n style=3D"color:red">
which is very high<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">895 persons are =
contact traced through phone and reported and from these people 478 are =
male and 417 female.<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">566 people received =
OPD services and from these 566 people (345 are male and 221 are =
female)<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">BOR ( Bed Occupancy =
Rate) is reported 109% average
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">ICU (Intensive Care =
Unit) occupancy rate is reported 159%<o:p></o:p></li><li =
class=3D"MsoNormal" style=3D"line-height:105%;mso-list:l3 level1 =
lfo2">517 people received COVID-19 vaccination doses and from these 517 =
( 334 male, 183 female)<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">4343 are reported ARI =
( Acute Respiratory Infection) cases from BPHS health facilities
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l3 level1 lfo2">740 are reported =
suspected of COVID-19 from BPHS health facilities in the reporting =
period
<o:p></o:p></li></ol>
External Monitoring:<o:p></o:p>
<ol style=3D"margin-top:0in" start=3D"1" type=3D"1">
<li class=3D"MsoNormal" style=3D"line-height:105%;mso-list:l4 level1 =
lfo3">High ranking representatives from MoPH ( Ministry of Public Health =
) visited the COVID-19 hospital
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l4 level1 lfo3">Kunduz PPHD had =
several visit from COVID-19 hospital of Kunduz
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l4 level1 lfo3">Deputy governor of =
Kunduz visited from Kunduz COVID-19 hospital
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l4 level1 lfo3">Several Medias =
visited the COVID-19 hospital
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l4 level1 lfo3">Civic society =
representative visited COVID-19 hospital
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l4 level1 lfo3">MSF and other =
stakeholders visited COVID-19 hospital
<o:p></o:p></li></ol>
Support from Stakeholders:<o:p></o:p>
<ol style=3D"margin-top:0in" start=3D"1" type=3D"1">
<li class=3D"MsoNormal" style=3D"line-height:105%;mso-list:l2 level1 =
lfo4">MSF Kunduz provided 10 oxygen concentrators for till end of this =
peak of COVID-19 then JACK will back submit to them.
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l2 level1 lfo4">Kunduz PPHD provided =
to Kunduz COVID-19 hospital the beds, and oxygen concentrators
<o:p></o:p></li></ol>
<o:p>&nbsp;</o:p>
Challenges:<o:p></o:p>
<ol style=3D"margin-top:0in" start=3D"1" type=3D"1">
<li class=3D"MsoNormal" style=3D"line-height:105%;mso-list:l1 level1 =
lfo5">People transfer the patients from their homes at the end stage to =
COVID-19 hospital and the recovery of these people is very difficult
<o:p></o:p></li><li class=3D"MsoNormal" =
style=3D"line-height:105%;mso-list:l1 level1 lfo5">Private hospitals and =
clinics in Kunduz first admit the COVID-19 patients then when the =
patient became severe and critical and went to end stage then they refer =
to Kunduz COVID-19 hospital
<o:p></o:p></li></ol>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
<o:p>&nbsp;</o:p>
With Best =
Regards,<o:p></o:p>
<o:p>&nbsp;</o:p>
<img border=3D"0" =
width=3D"49" height=3D"38" style=3D"width:.5069in;height:.3958in" =
id=3D"Picture_x0020_21" =
src=3D"cid:image007.jpg@01D77042.BFDFB2E0"><o:p></o:p>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p>
Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D
MD,PGD (Leadership) PGD (NMD), =
PMP<o:p></o:p>
Program Director
<o:p></o:p>
Just for Afghan Capacity and =
Knowledge&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
 &nbsp;=D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 =
=D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 =
=D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9)&nbsp; =
<o:p></o:p>
Address:
 First Street of Karta-e-Chahar, Kabul Afghanistan =
<o:p></o:p>
Behind AWCC Main Office, House # =
08<o:p></o:p>
Ph: +93 +93(0)748480909
<o:p></o:p>
Email:
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<o:p></o:p>
Website:www.jack.ngo
<o:p></o:p>
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