covid-19 pandemic in pakistan covid-19 pandemic in pakistan the covid-19 pandemic in pakistan was a part of the ongoing pandemic of coronavirus disease 2019 (covid-19) caused by severe acute respiratory syndrome coronavirus 2 (sars-cov-2). the virus was confirmed to have reached pakistan on 26 february 2020, when two cases were recorded (a student in karachi who had just returned from iran and another person in the islamabad capital territory). on 18 march 2020, cases had been registered in all four provinces, the two autonomous territories, and islamabad capital territory, and by 17 june, each district in pakistan had recorded at least one confirmed case of covid-19. covid-19 pandemic in pakistanconfirmed covid-19 casesper 100,000 residentscovid-19 deaths per 100,000 residentsconfirmed covid-19 casescovid-19 deathscovid-19 case fatality ratediseasecovid-19virus strainsars-cov-2locationpakistanfirst outbreakwuhan, hubei, chinaindex casekarachi and islamabad (cases reported on same day)arrival date26 february 2020(3 years, 2 months, 2 weeks and 3 days)confirmed cases1,580,631recovered1,245,155deaths30,656fatality rate1.94%vaccinations165,538,888 (total vaccinated)140,425,683 (fully vaccinated)338,642,674 (doses administered)government websitewww.covid.gov.pk despite being the world's 5th-most-populous country, pakistan only has so far recorded the world's 29th-highest death toll (at approximately 23,087) and 29th-highest number of confirmed cases (at approximately 1,011,708). however, these figures do not include undercounting of covid-19 infections in the country. pakistan so far has experienced three different waves of covid-19. the nation's first wave of covid-19 began in late may 2020, peaked in mid-june when daily new confirmed case numbers and daily new death numbers reached high points, then ended in mid-july. the first wave was marked by a low death rate, and passed very suddenly as case and death rates began to drop very quickly after peaking. after the first wave, pakistan's covid-19 situation subsided daily new death numbers and testing positivity rates in the country stabilized at low levels. cases and deaths began rising again, though, in early november 2020, culminating in the country's second wave. this wave was low in its intensity, mainly affected the southern province of sindh, and peaked in mid-december 2020. the country's third wave began in mid-march 2021, when testing positivity rates, and daily new confirmed cases and deaths began to skyrocket. the third wave mainly affected the provinces of punjab and khyber pakhtunkhwa. this wave peaked in late april 2021, and since then, positivity rates, daily new case numbers, and daily new death numbers have been falling. pakistan's most populated province, punjab, has so far seen the highest raw number of confirmed cases (334,000) and deaths (9,770). sindh, the second-most populated province in the country, has seen the second-highest number of confirmed cases (308,000) and deaths (4,910), but was hit hardest by pakistan's first two waves of the virus, and still has higher proportions of confirmed cases than all of pakistan's other provinces. it also has the second-highest death rate, after khyber pakhtunkhwa, which is pakistan's third-most-populated province. while khyber pakhtunkhwa has the third-highest number of confirmed cases of covid-19 (129,000), it has faced an exceptionally high fatality rate of 3.03% which has caused it to have the highest death rate out of any province and the third-highest number of deaths (3,920). in the southwest of the country, the sparse and arid province of balochistan has seen the lowest confirmed case count (24,500) and the lowest death count (270) of all of pakistan's provinces and has also shown the lowest number of confirmed cases per capita, as well as the lowest number of deaths per capita. the fatality rate in balochistan is especially low, currently standing at 1.10%. islamabad capital territory, which is richer than any of pakistan's provinces, has confirmed 80,300 cases and has seen 745 deaths so far, giving it a higher number of deaths per capita and a higher number of confirmed cases per capita than any pakistani province, while also having the lowest fatality rate in the country. the country was put under a nationwide lockdown from 1 april and extended twice until 9 may. upon its end, the lockdown was eased in phases. after the first wave, the country has battled covid-19 by using "smart lockdowns" and enforcing sops. the distribution of covid-19 in pakistan is heavily concentrated in a few key areas. the city of karachi (as of 7 may 2021) has recorded about 189,000 confirmed cases, making up about 22% of all cases of covid-19 in pakistan. meanwhile, lahore, the country's second-largest city, has recorded (as of 5 september 2020) 170,000 cases of covid-19, making up about 19% of the country's cases. islamabad capital territory and peshawar district have recorded about 79,000 and 47,000 confirmed cases respectively as of the latest available data. karachi, lahore, islamabad, and peshawar account for about 485,000 cases, which make up over 55% of the country's total confirmed cases. background on 12 january 2020, the world health organization (who) confirmed that a novel coronavirus was the cause of a respiratory illness in a cluster of people in wuhan city, hubei province, china, which was reported to the who on 31 december 2019. the case fatality ratio for covid-19 has been much lower than sars of 2003, but the transmission has been significantly greater, with a significant total death toll. timeline main article: timeline of the covid-19 pandemic in pakistan covid-19 cases in pakistan () deaths recoveries active cases2020202020212021febfebmarmarapraprmaymayjunjunjuljulaugaugsepsepoctoctnovnovdecdecjanjanfebfebmarmarapraprmaymayjunjunjuljulaugaugsepsepoctoctnovnovdecdeclast 15 dayslast 15 days date# of cases# of deaths 2020-02-262(n.a.) ⋮2(=) 2020-02-294(+2) ⋮4(=) 2020-03-035(+1) 2020-03-045(=) 2020-03-056(+1) ⋮6(=) 2020-03-097(+1) 2020-03-1016(+9) 2020-03-1119(+3) 2020-03-1220(+1) 2020-03-1321(+1) 2020-03-1428(+7) 2020-03-1531(+3) 2020-03-1653(+22) 2020-03-17187(+134) 2020-03-18241(+54) 2020-03-19302(+61)2(n.a.) 2020-03-20461(+159)2(=) 2020-03-21495(+34)3(+1) 2020-03-22646(+151)3(=) 2020-03-23784(+138)5(+2) 2020-03-24887(+103)6(+1) 2020-03-25991(+104)7(+1) 2020-03-261,057(+66)8(+1) 2020-03-271,197(+140)9(+1) 2020-03-281,408(+211)11(+2) 2020-03-291,526(+118)13(+2) 2020-03-301,625(+99)18(+5) 2020-03-311,865(+240)25(+7) 2020-04-012,039(+174)26(+1) 2020-04-022,291(+252)31(+5) 2020-04-032,450(+159)35(+4) 2020-04-042,640(+190)36(+1) 2020-04-052,818(+178)41(+5) 2020-04-063,062(+244)45(+4) 2020-04-073,556(+494)51(+6) 2020-04-084,005(+449)55(+4) 2020-04-094,207(+202)61(+6) 2020-04-104,489(+282)63(+2) 2020-04-114,695(+206)66(+3) 2020-04-125,011(+316)86(+20) 2020-04-135,230(+219)91(+5) 2020-04-145,496(+266)93(+2) 2020-04-155,837(+341)96(+3) 2020-04-166,383(+546)111(+15) 2020-04-176,919(+536)128(+17) 2020-04-187,025(+106)135(+7) 2020-04-197,638(+613)144(+9) 2020-04-208,348(+710)168(+24) 2020-04-218,418(+70)176(+8) 2020-04-229,565(+1,147)201(+25) 2020-04-2310,076(+511)212(+11) 2020-04-2411,057(+981)235(+23) 2020-04-2511,940(+883)253(+18) 2020-04-2612,723(+783)269(+16) 2020-04-2713,328(+605)281(+12) 2020-04-2813,915(+587)292(+11) 2020-04-2914,612(+697)312(+20) 2020-04-3015,525(+913)343(+31) 2020-05-0116,817(+1,292)385(+42) 2020-05-0218,114(+1,297)417(+32) 2020-05-0319,103(+989)440(+23) 2020-05-0420,186(+1,083)462(+22) 2020-05-0521,501(+1,315)486(+24) 2020-05-0622,049(+548)514(+28) 2020-05-0723,214(+1,165)544(+30) 2020-05-0824,644(+1,430)585(+41) 2020-05-0926,435(+1,791)599(+14) 2020-05-1028,736(+2,301)636(+37) 2020-05-1130,334(+1,598)659(+23) 2020-05-1230,941(+607)667(+8) 2020-05-1332,674(+1,733)724(+57) 2020-05-1434,336(+1,662)737(+13) 2020-05-1535,788(+1,452)770(+33) 2020-05-1637,218(+1,430)803(+33) 2020-05-1738,799(+1,581)834(+31) 2020-05-1840,151(+1,352)873(+39) 2020-05-1942,125(+1,974)903(+30) 2020-05-2043,966(+1,841)939(+36) 2020-05-2145,898(+1,932)985(+46) 2020-05-2248,091(+2,193)1,017(+32) 2020-05-2350,694(+2,603)1,067(+50) 2020-05-2452,437(+1,743)1,101(+34) 2020-05-2554,601(+2,164)1,133(+32) 2020-05-2656,349(+1,748)1,167(+34) 2020-05-2757,705(+1,356)1,197(+30) 2020-05-2859,151(+1,446)1,225(+28) 2020-05-2961,227(+2,076)1,260(+35) 2020-05-3064,028(+2,801)1,317(+57) 2020-05-3166,457(+2,429)1,395(+78) 2020-06-0169,496(+3,039)1,483(+88) 2020-06-0272,460(+2,964)1,543(+60) 2020-06-0376,398(+3,938)1,621(+78) 2020-06-0480,463(+4,065)1,688(+67) 2020-06-0585,264(+4,801)1,770(+82) 2020-06-0689,249(+3,985)1,838(+68) 2020-06-0793,983(+4,734)1,935(+97) 2020-06-0898,943(+4,960)2,002(+67) 2020-06-09103,671(+4,728)2,067(+65) 2020-06-10108,317(+4,646)2,172(+105) 2020-06-11113,702(+5,385)2,255(+83) 2020-06-12119,536(+5,834)2,356(+101) 2020-06-13125,933(+6,397)2,463(+107) 2020-06-14132,405(+6,472)2,551(+88) 2020-06-15139,230(+6,825)2,632(+81) 2020-06-16144,478(+5,248)2,729(+97) 2020-06-17148,921(+4,443)2,839(+110) 2020-06-18154,760(+5,839)2,975(+136) 2020-06-19160,118(+5,358)3,093(+118) 2020-06-20165,062(+4,944)3,229(+136) 2020-06-21171,666(+6,604)3,382(+153) 2020-06-22176,617(+4,951)3,501(+119) 2020-06-23181,088(+4,471)3,590(+89) 2020-06-24185,034(+3,946)3,695(+105) 2020-06-25188,926(+3,892)3,755(+60) 2020-06-26192,970(+4,044)3,903(+148) 2020-06-27195,745(+2,775)3,962(+59) 2020-06-28198,883(+3,138)4,035(+73) 2020-06-29202,955(+4,072)4,118(+83) 2020-06-30206,510(+3,555)4,167(+49) 2020-07-01209,337(+2,827)4,304(+137) 2020-07-02213,470(+4,133)4,395(+91) 2020-07-03217,809(+4,339)4,473(+78) 2020-07-04221,896(+4,087)4,551(+78) 2020-07-05225,283(+3,387)4,619(+68) 2020-07-06228,474(+3,191)4,712(+93) 2020-07-07231,818(+3,344)4,762(+50) 2020-07-08234,509(+2,691)4,839(+77) 2020-07-09237,489(+2,980)4,922(+83) 2020-07-10240,848(+3,359)4,983(+61) 2020-07-11243,599(+2,751)5,058(+75) 2020-07-12246,351(+2,752)5,123(+65) 2020-07-13248,872(+2,521)5,197(+74) 2020-07-14251,625(+2,753)5,266(+69) 2020-07-15253,604(+1,979)5,320(+54) 2020-07-16255,769(+2,165)5,386(+66) 2020-07-17257,914(+2,145)5,426(+40) 2020-07-18259,999(+2,085)5,475(+49) 2020-07-19261,917(+1,918)5,522(+47) 2020-07-20263,493(+1,576)5,568(+46) 2020-07-21265,083(+1,590)5,599(+31) 2020-07-22266,096(+1,013)5,639(+40) 2020-07-23267,428(+1,332)5,677(+38) 2020-07-24269,191(+1,763)5,709(+32) 2020-07-25270,400(+1,209)5,763(+54) 2020-07-26271,887(+1,487)5,787(+24) 2020-07-27273,113(+1,226)5,822(+35) 2020-07-28274,289(+1,176)5,842(+20) 2020-07-29275,275(+986)5,865(+23) 2020-07-30276,300(+1,025)5,890(+25) 2020-07-31277,300(+1,000)5,919(+29) 2020-08-01278,305(+1,005)5,951(+32) 2020-08-02279,146(+841)5,970(+19) 2020-08-03280,029(+883)5,984(+14) 2020-08-04280,461(+432)5,999(+15) 2020-08-05281,136(+675)6,014(+15) 2020-08-06281,863(+727)6,035(+21) 2020-08-07282,645(+782)6,052(+17) 2020-08-08283,487(+842)6,068(+16) 2020-08-09284,121(+634)6,082(+14) 2020-08-10284,660(+539)6,097(+15) 2020-08-11285,191(+531)6,112(+15) 2020-08-12285,921(+730)6,129(+17) 2020-08-13286,674(+753)6,139(+10) 2020-08-14287,174(+500)6,153(+14) 2020-08-15288,041(+867)6,162(+9) 2020-08-16288,716(+675)6,168(+6) 2020-08-17289,215(+499)6,175(+7) 2020-08-18289,829(+614)6,190(+15) 2020-08-19290,442(+613)6,201(+11) 2020-08-20290,958(+516)6,209(+8) 2020-08-21291,539(+581)6,219(+10) 2020-08-22292,174(+635)6,231(+12) 2020-08-23292,765(+591)6,235(+4) 2020-08-24293,261(+496)6,244(+9) 2020-08-25293,711(+450)6,255(+11) 2020-08-26294,193(+482)6,267(+12) 2020-08-27294,638(+445)6,274(+7) 2020-08-28295,053(+415)6,283(+9) 2020-08-29295,372(+319)6,284(+1) 2020-08-30295,636(+264)6,288(+4) 2020-08-31295,849(+213)6,294(+6) 2020-09-01296,149(+300)6,298(+4) 2020-09-02296,590(+441)6,318(+20) 2020-09-03297,014(+424)6,328(+10) 2020-09-04297,512(+498)6,335(+7) 2020-09-05298,025(+513)6,340(+5) 2020-09-06298,509(+484)6,342(+2) 2020-09-07298,903(+394)6,345(+3) 2020-09-08299,233(+330)6,350(+5) 2020-09-09299,659(+426)6,359(+9) 2020-09-10299,855(+196)6,365(+6) 2020-09-11300,371(+516)6,370(+5) 2020-09-12300,955(+584)6,373(+3) 2020-09-13301,481(+526)6,379(+6) 2020-09-14302,020(+539)6,383(+4) 2020-09-15302,424(+404)6,389(+6) 2020-09-16303,089(+665)6,393(+4) 2020-09-17303,634(+545)6,399(+6) 2020-09-18304,386(+752)6,408(+9) 2020-09-19305,031(+645)6,415(+7) 2020-09-20305,671(+640)6,416(+1) 2020-09-21306,304(+633)6,420(+4) 2020-09-22306,886(+582)6,424(+4) 2020-09-23307,418(+532)6,432(+8) 2020-09-24308,217(+799)6,437(+5) 2020-09-25309,015(+798)6,444(+7) 2020-09-26309,581(+566)6,451(+7) 2020-09-27310,275(+694)6,457(+6) 2020-09-28310,841(+566)6,466(+9) 2020-09-29311,516(+675)6,474(+8) 2020-09-30312,263(+747)6,479(+5) 2020-10-01312,806(+543)6,484(+5) 2020-10-02313,431(+625)6,499(+15) 2020-10-03313,984(+553)6,507(+8) 2020-10-04314,616(+632)6,513(+6) 2020-10-05315,260(+644)6,517(+4) 2020-10-06315,727(+467)6,523(+6) 2020-10-07316,351(+624)6,535(+12) 2020-10-08316,934(+583)6,544(+9) 2020-10-09317,595(+661)6,552(+8) 2020-10-10318,266(+671)6,558(+6) 2020-10-11318,932(+666)6,570(+12) 2020-10-12319,317(+385)6,580(+10) 2020-10-13319,848(+531)6,588(+8) 2020-10-14320,463(+615)6,601(+13) 2020-10-15321,218(+755)6,614(+13) 2020-10-16321,877(+659)6,621(+7) 2020-10-17322,452(+575)6,638(+17) 2020-10-18323,019(+567)6,654(+16) 2020-10-19323,452(+433)6,659(+5) 2020-10-20324,077(+625)6,673(+14) 2020-10-21324,744(+667)6,692(+19) 2020-10-22325,480(+736)6,702(+10) 2020-10-23326,216(+736)6,715(+13) 2020-10-24327,063(+847)6,727(+12) 2020-10-25327,895(+832)6,736(+9) 2020-10-26328,602(+707)6,739(+3) 2020-10-27329,375(+773)6,745(+6) 2020-10-28330,200(+825)6,759(+14) 2020-10-29331,108(+908)6,775(+16) 2020-10-30332,186(+1,078)6,795(+20) 2020-10-31332,993(+807)6,806(+11) 2020-11-01333,970(+977)6,823(+17) 2020-11-02335,093(+1,123)6,835(+12) 2020-11-03336,260(+1,167)6,849(+14) 2020-11-04337,573(+1,313)6,867(+18) 2020-11-05338,875(+1,302)6,893(+26) 2020-11-06340,251(+1,376)6,923(+30) 2020-11-07341,753(+1,502)6,943(+20) 2020-11-08343,189(+1,436)6,968(+25) 2020-11-09344,839(+1,650)6,977(+9) 2020-11-10346,476(+1,637)7,000(+23) 2020-11-11348,184(+1,708)7,021(+21) 2020-11-12349,992(+1,808)7,055(+34) 2020-11-13352,296(+2,304)7,092(+37) 2020-11-14354,461(+2,165)7,109(+17) 2020-11-15356,904(+2,443)7,141(+32) 2020-11-16359,032(+2,128)7,160(+19) 2020-11-17361,082(+2,050)7,193(+33) 2020-11-18363,380(+2,298)7,230(+37) 2020-11-19365,927(+2,547)7,248(+18) 2020-11-20368,665(+2,738)7,561(+313) 2020-11-21371,508(+2,843)7,603(+42) 2020-11-22374,173(+2,665)7,662(+59) 2020-11-23376,929(+2,756)7,696(+34) 2020-11-24379,883(+2,954)7,744(+48) 2020-11-25382,892(+3,009)7,803(+59) 2020-11-26386,198(+3,306)7,843(+40) 2020-11-27389,311(+3,113)7,897(+54) 2020-11-28392,356(+3,045)7,942(+45) 2020-11-29395,185(+2,829)7,985(+43) 2020-11-30398,024(+2,839)8,025(+40) 2020-12-01400,482(+2,458)8,091(+66) 2020-12-02403,311(+2,829)8,166(+75) 2020-12-03406,810(+3,499)8,205(+39) 2020-12-04410,072(+3,262)8,260(+55) 2020-12-05413,191(+3,119)8,303(+43) 2020-12-06416,499(+3,308)8,361(+58) 2020-12-07420,294(+3,795)8,398(+37) 2020-12-08423,179(+2,885)8,487(+89) 2020-12-09426,412(+3,233)8,547(+60) 2020-12-10429,280(+2,868)8,603(+56) 2020-12-11432,327(+3,047)8,653(+50) 2020-12-12435,056(+2,729)8,724(+71) 2020-12-13438,425(+3,369)8,796(+72) 2020-12-14440,787(+2,362)8,832(+36) 2020-12-15443,246(+2,459)8,905(+73) 2020-12-16445,977(+2,731)9,010(+105) 2020-12-17448,522(+2,545)9,080(+70) 2020-12-18451,494(+2,972)9,164(+84) 2020-12-19454,673(+3,179)9,250(+86) 2020-12-20457,288(+2,615)9,330(+80) 2020-12-21458,968(+1,680)9,392(+62) 2020-12-22460,672(+1,704)9,474(+82) 2020-12-23462,814(+2,142)9,557(+83) 2020-12-24465,070(+2,256)9,668(+111) 2020-12-25467,222(+2,152)9,753(+85) 2020-12-26469,482(+2,260)9,816(+63) 2020-12-27471,335(+1,853)9,874(+58) 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2021-12-031,286,022(+391)28,753(+8) source: government tracker february 2020 on 26 february, pakistan confirmed its first two cases of the coronavirus. zafar mirza, the prime minister's special assistant on health, stated in a tweet: "i can confirm first two cases of coronavirus in pakistan." the first patient was a student at the university of karachi, karachi in sindh province, while the second patient was from the federal territory of the country. both patients had recently returned from iran. within a week of the first two cases, pakistan confirmed three more cases, including a case in pakistan's capital, islamabad and also in rawalpindi, punjab. 1–10 march – early spread the fifth case was also reported, on 2 march, from the federal area of the country, of a 45-year-old woman from gilgit-baltistan, who had also travelled from iran. on 6 march, murtaza wahab announced that the first patient in karachi had fully recovered and was later discharged from hospital after testing negative. on 8 march, pakistan confirmed its seventh case of covid-19, also in karachi. the next day, pakistan reported nine new cases in karachi, meaning that there was a total of 16 cases of covid-19, with sindh having the highest number of cases, 13 altogether. five of the new patients had travelled to syria and some others patients had returned from london. three new cases were confirmed on 10 march, including one in hyderabad and the first case in quetta, balochistan. 11–19 march – outbreak on 11 march 76 suspected cases were reported in several districts of punjab province, including lahore, gujranwala, sargodha, hafizabad and lodhran. the healthcare department officials informed that ten patients were immediately cleared of the suspicion, while 55 patients were cleared after testing negative. a second case in gilgit-baltistan was confirmed the same day in skardu leaving the tally at 20. a third case was confirmed in gilgit-baltistan in shigar district on 12 march, who had a travel history of iran and was reported to be under treatment at the skardu hospital. the same day, murtaza wahab informed that the second patient of the virus had completely recovered. on 13 march, the sindh health department identified a 52-year-old patient as positive, which marked the first case of local disease transmission as the patient had travelled from islamabad. 24 of the 27 suspected cases in khyber pakhtunkwa were also cleared that day. at the end of the day, the total number of cases had risen to 28, with six new cases in taftan and another in sindh. by 14 march, the number of cases was 31 as two new patients were found positive in karachi while one was reported in islamabad. five more cases were announced in karachi the next day on 15 march, including a second local transmission of the coronavirus in sindh, while the other three had a travel history of saudi arabia and one had been to balochistan. there was also a new case reported in islamabad capital territory. lahore health secretary, mohammad usman confirmed the first case of coronavirus in punjab in the city of lahore. the infected patient had returned from united kingdom on 10 march and was shifted to mayo hospital in an isolation ward. the