COVID-19 weekly report - August 31st

Photo /vijesti/Maske%20za%20lice.jpg
Tested Confirmed cases Active cases Recovered Self-isolation Hospitalized On a respirator Deaths
168.229 (+1591*) 10269 (+146*) 2649 7434 8681 251 14
(+4*)
186 (+2*)
 
*Number in the last 24 hours

A total of 79 people died in this epidemic wave. Most of the deceased had significant comorbidities or were of advanced age. The average age of the deceased in this epidemic wave is 76.9 years. Thirty people died on a respirator.

There are currently 22 testing places in the Republic of Croatia that perform RT-PCR analysis and collect samples. All processed samples enter national Croatian Health Insurance Institute platform, which is accessible to all county public health institutes. County public health institutes submit data about positive cases, sources of infection and hotspots as part of their daily reports to the Croatian Institute of Public Health. The Croatian Institute of Public Health collects information about hotspots, hospital treatment of COVID-19 positive persons, COVID-19 positive patients on respirators and the deceased.

You can find more about the test centres on the link: https://www.koronavirus.hr/testing-centers-in-croatia/764


Daily report
 
In the past 24 hours, 146 new cases of SARS-CoV-2 virus infection were recorded and the number of currently ill (active cases) in Croatia today is a total of 2,649. Among them, 251 patients are in hospital and 14 of them are on a respirator. Two people died. Since February 25th 2020, when the first case of infection was recorded in Croatia, a total of 10,269 people infected with the new coronavirus have been recorded until today, of whom 186 have died and 7,434 have recovered. There are currently 8,681 people in self-isolation. Until today, a total of 168,229 people has been tested and 1,591 in the last 24 hours. The share of confirmed cases in the total number of persons tested is 6.13%. The average age of confirmed cases is 42.32 years, and 51.16% of confirmed cases are men and 48.84% women.

Important numbers
  • the number of new confirmed cases per 100,000 inhabitants in the last 14 days: 88,0/100 000
  • the number of new cases in intensive care per 100,000 inhabitants in the last 14 days: 0,54/100 000
  • the number of tested persons in the last 24 hours, the overall share of confirmed cases in the last 14 days: 1591; 12,16 %.


Geographical distribution of new COVID-19 cases by counties

In the period from 18th of August to 31st of August all counties recorded new cases of COVID-19 disease. The highest number of new cases are recorded in the Splitsko - dalmatinska County, followed by the City of Zagreb and Zadarska County. The lowest number of new cases were recorded in Bjelovarsko - bilogorska County. The Splitsko - dalmatinska County also has the highest 14-day rate, followed by the Šibensko – kninska and Zadarska counties.
 
COUNTY Total
number of
cases in
14 days
Total
number of
cases in
7 days
14-day rate of
confirmed cases per
100,000
inhabitants
7-day rate of
confirmed cases
per 100,000
inhabitants
CITY OF ZAGREB 749 404 93,1 50,2
BJELOVARSKO-BILOGORSKA 18 9 16,7 8,3
BRODSKO-POSAVSKA 175 92 124,9 65,7
DUBROVAČKO-NERETVANSKA 118 67 97,3 55,3
ISTARSKA 102 44 48,9 21,1
KARLOVAČKA 45 11 38,5 9,4
KOPRIVNIČKO-KRIŽEVAČKA 34 17 31,6 15,8
KRAPINSKO-ZAGORSKA 40 28 31,9 22,3
LIČKO-SENJSKA 31 15 68,6 33,2
MEĐIMURSKA 29 14 26,4 12,7
OSJEČKO-BARANJSKA 108 43 39,0 15,5
POŽEŠKO-SLAVONSKA 65 45 95,8 66,3
PRIMORSKO-GORANSKA 113 77 39,8 27,1
SISAČKO-MOSLAVAČKA 67 37 45,1 24,9
SPLITSKO-DALMATINSKA 1190 672 265,6 150,0
ŠIBENSKO-KNINSKA 189 91 188,7 90,9
VARAŽDINSKA 67 26 40,1 15,6
VIROVITIČKO-PODRAVSKA 35 22 46,5 29,2
VUKOVARSKO-SRIJEMSKA 69 39 44,7 25,3
ZADARSKA 212 114 126,1 67,8
ZAGREBAČKA 140 74 45,2 23,9
REPUBLIC OF CROATIA 3596 1941 88,0 47,5

Table 1. Total number of patients and number of patients in the last week by counties, total rate of confirmed cases per 100,000 inhabitants and rates of confirmed cases in the last 7 and last 14 days per 100,000 inhabitants


Epidemic by weeks, from 19 th – 26 th week of the epidemic

In the period from 29 th of June to 31st of August 2020, the number of cases per week (from the 19 th to the 27 th week of the epidemic) was from 460 to 1,948 and the rate from 11.3 to 47.6 per 100,000 inhabitants. The number of tests performed per week was ranged from 7,957 to 16,178 and the share of positive tests in those tested per week ranged from 5.8 to 12.5%. During this period, the weekly number of cases and the percentage of positive tests in the weekly number of tested varied. An overview is given in Table 2.


Table 2. Overview of the number of confirmed cases by weeks, from week 19 th – 27 th

In the period from 29 th of June to 21st of August 2020, the number of cases per week (from the 19 th to the 27th week of the epidemic) was from 460 to 1948. The number of deceased varied from 6-9 and showed increase in the number compared to 22nd, 23 rd and 27 th week of the epidemic. The share of deceased on the respirator ranged in the weekly number of deaths from 16.7-60%. The mean age of deceased was 75 years or more, except in the 21 st week of the epidemic, when the mean age of death cases was 69 years.

The death rate ranged from 0.1 in the 19 th week of the epidemic to 0.2 in the 27 th week of the epidemic with an increase in the 22 nd and 23 rd week of the epidemic when it was 0.4 and 0.3. An overview is given in Table 3.

Table 3. Overview of patients on respirator and deaths by weeks, from week 19 th – 27 th


Died from COVID-19, 29 th of June – 24 th of August 2020, age and sex

A total of 79 people died in this wave of epidemics. Most of the people who died had significant comorbidities or were of advanced age. The mean age of the deceased in this wave of epidemics is 76.9 years. Thirty people died on a respirator.
An overview of the situation is given in Table 5 and 6, and Figure 1.
 
AGE GROUP 50-59 60-69 70-79 80-89 90-99 100+
MEN 3 13 20 8 1 0
WOMEN 0 3 6 19 5 1
Table 5. Distribution by age and sex of the deceased people


Figure 1. Age and sex distribution of deaths from COVID-19 in the period 29 th June – 31st August 2020

In the last week, 13 people died, of which 6 (46.1%) were on a respirator. The distribution by age and sex in the last weeks is shown in Table 5, and by counties in Table 6.
 
AGE GROUP 60-69 70-79 80-89 90-99
MEN 4 3 1 0
WOMEN 1 2 0 2
Table 5. Distribution by age and sex of the deceased people in the last week


Hotspots

County Number of new cases in the period 18.8.-24.8. Incidence of new cases in the last 7 days on
100 000 inhabitants
Number of deaths in the period 18/8/2020-24/8/2020 Total number of deaths Total mortality rate on
1,000,000 inhabitants
CITY OF ZAGREB 404 50,2 2 26 32,3
BJELOVARSKO-BILOGORSKA COUNTY 9 8,3 1 1 9,3
BRODSKO-POSAVSKA COUNTY 92 65,7 0 3 21,4
DUBROVAČKO-NERETVANSKA COUNTY 67 55,3 0 8 66,0
ISTARSKA COUNTY 44 21,1 0 12 57,5
KARLOVAČKA COUNTY 11 9,4 0 2 17,1
KOPRIVNIČKO-KRIŽEVAČKA COUNTY 17 15,8 0 16 148,5
KRAPINSKO-ZAGORSKA COUNTY 28 22,3 0 2 16,0
LIČKO-SENJSKA COUNTY 15 33,2 0 1 22,1
MEĐIMURSKA COUNTY 14 12,7 0 0 0,0
OSJEČKO-BARANJSKA COUNTY 43 15,5 3 24 86,6
POŽEŠKO-SLAVONSKA COUNTY 45 66,3 0 2 29,5
PRIMORSKO-GORANSKA COUNTY 77 27,1 0 2 7,0
SISAČKO-MOSLAVAČKA COUNTY 37 24,9 0 0 0,0
SPLITSKO-DALMATINSKA COUNTY 672 150,0 1 49 109,4
ŠIBENSKO-KNINSKA COUNTY 91 90,9 0 5 49,9
VARAŽDINSKA COUNTY 26 15,6 0 3 18,0
VIROVITIČKO-PODRAVSKA COUNTY 22 29,2 0 1 13,3
VUKOVARSKO-SRIJEMSKA COUNTY 39 25,3 4 14 90,7
ZADARSKA COUNTY 114 67,8 1 4 23,8
ZAGREBAČKA COUNTY 74 23,9 1 11 35,5
UKUPNO 1941 47,5 13 186 45,5




















































Table 6. New ill and deceased cases in the last week and total deaths and rates

Continental Croatia
In the last week, new cases were recorded in all counties of continental Croatia, but mostly in the City of Zagreb, Brodsko - posavska and Zagrebačka County, while the highest 7-day rates on 31st of August were in Požeško - slavonska, Brodsko - posavska County and the City of Zagreb. In most counties, there is influx of patients whose source of infection is associated with holidays and going to clubs on the Adriatic continues. New groupings were recorded around wedding celebrations in Požeško - slavonska County and Virovitičko - podravska County. The disease has also spread to a home for the elderly in Požeško - slavonska County. A significant proportion of cases are contacts of previously patients or they are imported from Bosnia and Herzegovina. Given that most of the known source of infection, the epidemiological situation is under control.

Coastal Croatia
The highest number of patients and the highest 7-day rates in the last week were recorded in the Splitsko - dalmatinska County, Šibensko - kninska County and Zadarska County. In the Splitsko - dalmatinska County, groupings were recorded in the health care system, institutions for accommodation in the social welfare system and one preschool institution. In spite of, mostly, patients are young people whose illness is associated with night outs. In other counties of Coastal Croatia, groupings were recorded around weddings in the Primorsko - goranska County and gatherings of pensioners in the Zadarska County. As in the continental part of the country, there is a significant proportion of patients who are contacts of already known cases.


Age-sex distribution of patients in the last week

In the previous week, a total of 1,941 people fell ill - approximately the same number of males, 974 (50.18%) and females, 967 (49.82%). The same distribution by sex is present in most age groups, except in the age group of 7-10 years (lower grades of primary school) where the share of sick boys is higher (12 boys or 70.6%), in the age group 15-18 years (high school age) where the share of girls is higher (51 girls or 63.8%) and the age group 66 and older (pensioners) where the share of women is higher (130 persons or 55.6%).

By age groups, 161 children became ill and they are the smallest share (8.3%) in patients in the last week. The lowest number of affected were children younger than 1 year, a total of 4, and children in the lower grades of primary school, a total of 17, each of whom make up less than 1% of patients.

Most sick children are of high school age, 80 in total, or 4.1%. Almost a third of patients (538, actually 27.7%) in the last week were young adults, aged 19 to 30, which fits into the epidemiological situation where there is a significant influx of patients associated with holidays and outings because people from this age group were going out to the night clubs during the holidays. In general, adults make up the largest share in the total number of patients last week, actually 1,546 (79.6%), so the age group from 19 to 30 years is followed by the age group from 31 to 40 years and the age group from 51 to 65 years with a total of 367 (18.9%) or 361 (18.6%) patients, and the lowest number of sick adults is in the age group 41-50 years (280 or 14.4%). There are 234 or 12.1% of persons older than 66 and at the same time the most endangered.

The overview can be found in Figure 2 and Table 7.


Figure 2. Distribution of patients in the last week by age groups
 
  AGE GROUP M W TOTAL   SHARE  
KIDS 0 2 2 4 161 0,2% 8,3%
1-6 20 17 37 1,9%
7-10 12 5 17 0,9%
11-14 10 13 23 1,2%
15-18 29 51 80 4,1%
ADULTS 19-30 285 253 538 1546 27,7% 79,6%
31-40 191 176 367 18,9%
41-50 135 145 280 14,4%
51-65 186 175 361 18,6%
ELDERS 66+ 104 130 234 234 12,1% 12,1%
TOTAL   974 967 1941 100,0%
Table 7. Age and sex distribution of patients in the period 25.8.-31.8.2020


Tourists

Place of infection / State AT UK SLO DE IT FR P Total
Stay in multiple places 34 31 51 3   3   122
Makarska 63   1 6       70
Split 1 47   2     1 51
Novalja 9 1   22 4     36
Hvar 1 18           19
Nepoznato   10   1       11
Vodice 11             11
Zadar   2   4       6
Tučepi 4             4
Brač 3             3
Klis   2           2
Pag         2     2
Rovinj 2             2
Trogir 1 1           2
Velika 2             2
Vir 2             2
Baška Voda 1             1
Crikvenica 1             1
Čiovo 1             1
Dubrovnik   1           1
Imotski       1       1
Malinska 1             1
Medulin 1             1
Pašman 1             1
Poreč 1             1
Požega 1             1
Pula  1             1
Sukošan 1             1
Šibenik   1           1
Umag 1             1
Vodice 1             1
Zmijavci       1       1
Žrnovnica   1           1
Total 145 115 52 40 6 3 1 362



































Table 8. Place of infection and number of reports via the EWRS system.

The table 8 shows the number of infected foreign nationals according to the place of infection. Data refers to the period 7 th of July 2020 – 28 th of August 2020 and was collected via EWRS system. In addition to the data listed in the table, there is an unspecified number of 'several' cases of Italian citizens with an unknown place of infection and 'several' cases of German citizens with a place of infection in Novalja which were reported.


Measures

Measures to maintain physical distance, maintain hand hygiene and disinfection are still in force. Also, it is mandatory to wear face masks or medical masks indoors for all health workers and professionals, employees who work in social care system and the ones who work in hospitality facilities

Decisions of the Headquarters
  • June 24 - Decision about changing the Decision on the manner of organizing public transport during the declared epidemic of the COVID-19 disease (mandatory face mask/medical mask in public transport)
  • June 26 - Decision about controlling compliance with the Recommendation for the prevention of infection with COVID-19 in the catering industry of nightclubs (control of the implementation of recommendations in nightclubs)
  • June 30 - Decision about a temporary prohibition on crossing the border of the Republic of Croatia (prohibition on crossing for third-country nationals, with the exception of those with long-term residence in the EU and other listed exceptions)
  • July 10 - Decision about the necessary measures for the organization of gatherings attended by more than a hundred participants during the declared epidemic of the COVID-19 disease
  • July 10 - Decision about the necessary measure of mandatory use of face masks or medical masks for the duration of the declared epidemic of the COVID-19 disease
  • July 14 – Decision about changing the Decision on the necessary measure of mandatory use of face masks or medical masks for the duration of the declared epidemic of the COVID-19 disease
  • July 14 - Decision about changing the Decision on the temporary prohibition on crossing the border crossings of the Republic of Croatia
  • July 31 - Decision about changing the Decision on the temporary prohibition on crossing the border crossings of the Republic of Croatia
  • August 13 - Decision about the necessary measure of limiting the working hours of hospitality facilities from the category bars /night clubs
  • August 21 - Decision about amendment Decision on the necessary measure of limitation of working hours of hospitality facilities from the category "Bars"
  • August 22 - Decision about introduction of necessary epidemiological measures for the area of ​​the City of Imotski and the Municipalities of Cista Provo, Lovreć, Lokvičići, Podbablje, Proložac, Runovići, Zagvozd and Zmijavci
  • August 25 - Decision about the introduction of the necessary epidemiological measure to limit wedding ceremonies for the Brodsko - posavska County
  • August 26 - Decision about the introduction of necessary epidemiological measures for the Splitsko - dalmatinska County
  • August 28 - Decision about the introduction of necessary epidemiological measures for the Zadarska County
  • August 28 - Decision about the introduction of the necessary epidemiological measure of the manner of holding events, festivals and other events in the area of ​​Međimurska County
  • August 28 - Decision about the introduction of necessary epidemiological measures for the Dubrovačko - neretvanska County
  • August 28 - Decision about the introduction of necessary epidemiological measures for the Brodsko - posavska County
  • August 29 - Decision about the introduction of the necessary epidemiological measure to limit wedding ceremonies for the area of ​​Virovitičko - podravska County
  • August 29 - Decision about the introduction of necessary epidemiological measures for the Šibensko - kninska County
  • August 29 - Decision about the introduction of the necessary epidemiological measure to limit wedding ceremonies for the area of ​​Varaždinska County
  • August 31 - Decision amending the Decision on the temporary ban on crossing the border crossings of the Republic of Croatia
  • August 31 - Decision amending the Decision on the introduction of necessary epidemiological measures for the area of ​​Splitsko - dalmatinska County

CIPH recommendations
  • Recommendations for the prevention of COVID-19 infection in the activity of multiplex cinemas in shopping malls
  • Instructions for the implementation of the state matriculation exam during the coronavirus epidemic (COVID-19) autumn deadline - August and September 2020
  • Supplement to the recommendation for the prevention of COVID-19 infection in the catering industry of nightclubs
  • Possibilities of conducting extracurricular classes related to the COVID-19 pandemic
  • Instructions for prevention and suppression of the COVID-19 epidemic related to the work of preschool institutions, primary and secondary schools in the school year 2020/2021.
  • Recommendations for manufacturers of textile masks intended for schools
  • Guidelines for the prevention and control of the COVID-19 epidemic in student dormitories with regard to the COVID-19 epidemic in the school year 2020/2021.
  • Recommendations for the operation of dance schools during the coronavirus epidemic (COVID-19)
  • Recommendations for the operation of art schools during the coronavirus epidemic (COVID-19)


Recommendations and measures on global and EU level

Europe
On 10 th of August 2020, ECDC released an updated version of the risk assessment:
https://www.ecdc.europa.eu/en/publications-data/rapid-risk-assessment-coronavirus-disease2019-covid-19-eueea-and-uk-eleventh
 
ECDC has additional documents and information available::
https://www.ecdc.europa.eu/en
https://www.ecdc.europa.eu/en/covid-19-pandemic
The number of cases and the 7-day cumulative incidence of COVID-19 confirmed cases worldwide can be found on the ECDC dashboard: https://qap.ecdc.europa.eu/public/extensions/COVID-19/COVID-19.html
 
Austria
Bundesministerium für Soziales, Gesundheit, Pflege und Konsumentenschutz:
https://www.sozialministerium.at/Informationen-zum-Coronavirus/Neuartiges-Coronavirus-(2019-nCov).html
 
Netherlands
Government of the Netherlands: https://www.government.nl/topics/coronavirus-covid-19
National Institute for Public Health and the Environment: https://www.rivm.nl/en/novel-coronavirus-covid-19
 
Germany
Rober Koch Institut: https://www.rki.de/DE/Home/homepage_node.html
 

Slovenia
(gov.si): https://www.gov.si/en/topics/coronavirus-disease-covid-19/
National Institute for Public Health – Slovenia: https://www.nijz.si/en
 
United Kingdom
gov.uk: https://www.gov.uk/coronavirus
NHS: https://www.nhs.uk/conditions/coronavirus-covid-19/
 
World
WHO provides comprehensive information and documents
WHO COVID-19-Dashboard: https://covid19.who.int/
https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Coronavirus disease (COVID-19) Weekly Epidemiological Update and Weekly Operational Update i Weekly Surveillance Report:
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/weekly-surveillance-report
 

Sources of information

https://www.hzjz.hr/
https://zdravlje.gov.hr/
 

Information about the global epidemiological situation

More about COVID-19 in other countries can be found and learned on the ECDC website: https://www.ecdc.europa.eu/en/geographical-distribution-2019-ncov-cases

The WHO Regional Office for Europe, the European Commission and the European Observatory on Health Systems and Health Policy have at their disposal the COVID-19 Health System Response Monitor (HSRM). There is information available about European countries and ways to respond to this epidemic. The focus is on health systems and public initiatives: https://www.covid19healthsystem.org/mainpage.aspx