October has reported thenmaximum number of Criticalncases needing ICU care andninvasive ventilation. Credit: H&FW

Kohima: As per the state’s health and family welfare department, ICU admissions among COVID-19 patients increased five times during October. During this period, the maximum number of critical cases needing ICU care and invasive ventilation were reported.

The medical department informed that 4% of the total confirmed cases are symptomatic. The most common presenting feature among the symptomatic cases is fever (77%) followed by cough (48%).

An infected person is most infectious 1-2 days before symptoms and during the symptomatic phase, and asymptomatic cases can transmit the infection unaware, officials warned.

Nearly half of all COVID-19 deaths were reported in October. Out of the 33 confirmed COVID-19 deaths in the state, 15 were reported in October.

As per the district-wise distribution of the COVID-19 death cases, 24 deaths are from Dimapur, six from Kohima, one each Mon, Mokokchung, and Wokha.

60% of all deaths are below 60 years of age. Out of the total COVID-19 related deaths, five deaths each are of persons between 80-89 years and 70-79 years, three deaths are between 60-69 years, four deaths are between 50-59 years, and eight each are between 40-49 years and 28-39 years. Males comprise 73% of the total cases. Hypertension and diabetes are the most common associated comorbidities.

As per the health department, this is alarming due to the high prevalence of non-communicable diseases (hypertension, diabetes, heart diseases) in the state.

Data showing death associated with comorbidities and death by age group

Although the sample positivity rate declined in the past week, the positivity rate remains higher than the national average. October recorded the highest positivity rate till date at 15.4 % despite fewer testing.

It informed that the decline in testing is also attributed to a more ‘targeted and focused testing’ approach. The current positivity rate is 9.2%.

Increasing rate of positive cases among traced contacts:

The percentage of traced contacts among confirmed cases increased from 7% in July to 57% in October. So far, a total of 27,105 contacts including 11,372 primary contacts have been traced by surveillance teams.

Among the traced contacts, the most affected age group is 21-30 years at 26% and 31-40 years at (26%). As per the health department, the high positivity rate among the 21-40 years is “alarming”.

It informed that the uncontrolled spread among these age groups poses an increased risk in the higher age groups. There is also 1% increase in cases among 61-98 years age group in the past one week.

The household contacts (28%) and office goers (23%) continue to have maximum positivity among traced contacts. Positivity among among students (18% of positive traced contacts) continue to remain high.

There is increasing positivity among patients attending flu clinics. Further, Close contact settings (household, offices, restaurants, prison, church, old age home) are witnessing more and more infections.

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The total number of COVID-19 positive cases in the state spiked to 9,047 on Saturday. Out of the total positive cases, the total recoveries so far are 7,375.

The active cases are 1,552. As per the severity of symptoms 1,478 active cases are asymptomatic, 49 active cases are mild, 6 active cases are moderate on oxygen, 9 active cases are severe on oxygen, 7 active cases are critical with oxygen and 3 active cases are on ventilator.

Further, out of 9,047 positive cases, the distribution across various categories of people are: 3,934 cases of Armed Forces/ Police, 1,656 cases of Returnees, 3,019 cases of Traced Contacts and 438 cases of Frontline Workers.

A total of 61,874 samples have been sent for testing through RT-PCR, and results of 60,793 samples have been received. In addition, a total 33,612 samples have been sent for testing on Truenat and results of 33,556 samples have been received. Through Rapid Antigen Test 3,922 samples have been tested.”

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