Coronavirus Covid-19 Bulletin #493/ 24 July 2021

Restrictive measures have been effective and have controlled the May spike in Covid-19 cases in the Dominican Republic. The Ministry of Public Health’s Epidemiology Department Coronavirus Bulletin #493 reports 384 new PCR cases for the Saturday, 24 July 2021 deadline. Health authorities closely monitor the new variants and their impact in the Dominican Republic as curfew restrictions are reduced to a minimum.

The Health Cabinet has challenged the people in the Dominican Republic to get fully vaccinated. The Presidency says it is considering fully removing curfew restrictions in municipalities where 70% of the people have at least two doses. In the Dominican Republic the government has sufficient inventories of vaccines to apply at least 100,000 doses per day. The tourism province of La Altagracia (Punta Cana) has all of its population with at least one vaccine.

The 384 new cases compare to the 7-day nationwide average for PCR confirmed cases that is 354, up from the previous day. As has been happening since the start of the pandemic, Greater Santo Domingo concentrates most of the new registered cases.

As per Bulletin #493, with the deadline of 24 July 2021, the Ministry of Public Health has registered 340,053 confirmed cases since the first case on 1 March 2020. Labs carried out 3,322 first-time PCR tests. This number of PCR tests compares with the 14-day average now at 3,899 down from the previous day.

The national 4-week positivity rate is 11.11%, continuing on the downward trend. The 24-hour positivity for the day is 11.56%, up from the day before.

The number of reported active Covid-cases declined to 33,154 (-4,755), a major decline from the previous day.

The National Vaccination Plan now contemplates a booster shot different from the first two doses to be applied a month after the second dose of the Sinovac vaccine and three months after the second dose of the AstraZeneca vaccine. The Pfizer booster vaccine is being applied to persons with co-morbidities and seniors, and at demand in select vaccination stations.

The general vaccination drive is open to persons 12+ years old since Saturday, 12 June 2021 with the arrival of Pfizer vaccines to select vaccination centers. As of 2 July 2021, a third Pfizer booster shot has been available. As of February 2021, vaccines have consistently arrived to continue with the National Vaccination Plan as scheduled. The goal is to have fully vaccinated upwards of 60% of the population in time for the start of the 2021-2022 school year in September 2021.

Health experts insist that sufficient immunity is not acquired until two weeks after the person has received the second dose. The government aspires to maintain a pace of 100,000+ vaccinations a day. The rolling 7-day average as of 23 July 2021 deadline is 65,290 vaccines applied per day, down from the previous day. The VacunateRD government website reports 5,458,029 first doses of the vaccine and 3,996,388 second doses for the 24 July 2021 vaccination deadline. More than 51% of the target population over 18 years old now have the two doses.

The government seeks to vaccinate 7.8 million adults of the population of 10.8 million. In addition. This total does not take into consideration those 12-18 years of age that of June 2021 are included in the vaccination campaign with the expected weekly arrival of Pfizer vaccines.

Regarding Covid-19 testing in the Dominican Republic, private labs have special facilities for those requiring results in time for travel abroad. Results of PCR tests can be had in 24 hours for those presenting a valid airline ticket at labs carried out the test in Santo Domingo, Santiago, Puerto Plata, La Romana and Punta Cana. Antigen tests results can be had in three hours at select labs in the same locations. Nevertheless, travelers are recommended to make arrangements with extra time. PCR test results are usually given in 24 hours or less online.

Canada and Spain are requiring all entering to show negative results of a PCR test carried out within 72 hours before the traveler’s scheduled departure to those countries. Yet, Spain has announced that travelers who have the two doses of the Sinovac or Pfizer vaccine at least two weeks before the travel date can enter without a PCR test. Both vaccines are now available in the Dominican Republic. Around 90% of those vaccinated in the Dominican Republic have received the Sinovac/Coronavac vaccine. The US requires travelers to show negative antigen or PCR test results taken within 72 hours of the arrival to US territory.

Decree No. 432-21 sets curfew from 11pm to 5am daily with a daily two-hour free transit period. The sale and consumption of alcoholic beverages in public and private places of public use is again allowed for the full regular curfew schedule.

The Plan for the Relaxation of Restrictive Measures for COVID-19 contemplates the lifting of the curfew in municipalities when at least 70% of the respective population has received the second dose of the Covid-19 vaccine. It is expected that La Altagracia (Punta Cana) will be the first to meet this requirement. Yet, the government is being cautious in this respect after the spread of the Delta variant in the United States, from where most of the visitors to the Dominican Republic come from.

The intention is still to contain mobility and people mixing now that new highly transmissible variants of the virus are in circulation.

The government has ordered that all private and public schools open for in person learning in September. It is likely private schools will open in August. Schools continue to be subject to keeping to health protocols. Universities say they will reopen in August but require students to have the full vaccination dose to enroll in in person learning classes.

Open-air public spaces, such as parks and boulevards, can be used for activities other than social gatherings and always complying with preventive health protocols. Gyms, restaurants and bars are allowed to operate at 50% of their capacity. A maximum of six persons per table is allowed, among other health protocols. Religious ceremonies are allowed three days a week, as long as they keep within 60% of the capacity of the church and churchgoers must keep their masks on during the service. Theaters have resumed showings under health protocols.

Hotels and resorts continue to operate under previously established less restrictive health protocols. This means that alcoholic beverages are available at restaurants and bars within the resort or hotel areas that are under the tourism protocols.

The government began to vaccinate for the Covid-19 virus on 16 February 2021. As of 21 July 2021, the Dominican Republic has received 16,098,160 vaccine doses, of which around 85% have come from China – 13,768,000 Sinovac and 50,000 Sinopharm vaccines (13,818,000). Pfizer has delivered 1,599,130 vaccine doses around 8%. Of the AstraZeneca vaccine, the delivered 884,400 doses represent 4.5% of the total.

A batch of 163,200 vaccines arrived on 21 July 2021. The Ministry of Health did not specify the pharmaceutical company for this shipment.

Free vaccines are available at more than 1,000 vaccination centers nationwide. The Pfizer vaccine is available at major vaccination sites at request for those 12+. The Pfizer vaccine is also available as a booster shot for those who have received the two Sinovac or AstraZeneca vaccines. As of 24 July 2021, the Ministry of Public Health reports that 286,854 people had received the Pfizer third shot.

The Dominican Republic is in the top 5 of numbers of persons per country vaccinated in the Americas.

Regardless of the widespread vaccination program, the Ministry of Public Health continues to mandate keeping to the preventive measures of mask-wearing, physical distancing in public spaces, hand hygiene and keeping to well-ventilated areas. In the cities, mask-wearing is the norm and is mandatory. As of recent weeks, mask usage is relaxed in ventilated public areas. Shopping malls and major stores continue to require the use of the facial masks.

The Dominican Republic continues under a National State of Emergency. The Presidency approved Decree 417-21 that extends the National State of Emergency until 26 August 2021.

By regional standards, the Dominican Republic has been relatively successful at treating Covid-19 and keeping the number of deaths low. For the 24 July 2021 deadline, Worldometer lists the 1M deaths per inhabitant rate for the Dominican Republic at 359. According to the same 1M deaths statistics, fewer people have died of Covid-19 in the Dominican Republic than in Brazil at 2,566, Colombia at 2,304, Argentina at 2,270, Italy at 2,120, the United Kingdom at 1,892, the United States at 1,882, Spain at 1,736, France at 1,706, Germany 1,095, Russia at 1,054 and Canada at 697, all major markets for Dominican tourism and countries with overall better health systems.

No Covid-related death is recorded for the 24 July 2021 deadline, and no death occurred in the previous 24 hours of the deadline. As of the 24 July 2021 deadline, 3,937 persons are reported to have died of the disease in the Dominican Republic, a nation of more than 10.8 million adults since March 2020. The fatality rate is at 1.16%. The fatality rate per 1M inhabitants is 376.80. Dominican physicians’ diverse treatment for the disease has been relatively successful in the region. The Ministry of Public Health reports that the country’s 376.80 fatality rate per 1M compares favorably to the average 1M inhabitants’ fatality rate for the Americas at 1,910.57.

The Ministry of Public Health report #493 indicates 24% of Covid-19 hospital beds are occupied (650 of 2,680 total available), slightly up compared to the previous day. 34% of the intensive care units for Covid-19 are taken (214 of 638 beds), up from the day before. The hospitalization statistics are for all the country. Hospitalization demand in Greater Santo Domingo, Santiago and other major cities is much higher than the national average.

The past seven days bulletin result highlights are:

Bulletin #493: 340,053 confirmed cases, 384 new cases reported in the past 24 hours, 33,164 active cases, no death is reported for the deadline, and no death is reported happening in the past 24 hours. The fatality rate per 1M is 376.80.

Bulletin #492: 339,669 confirmed cases, 367 new cases reported in the past 24 hours, 37,919 active cases, six deaths are reported for the deadline, and two deaths are reported happening in the past 24 hours. The fatality rate per 1M is 376.80.

Bulletin #491: 339,302 confirmed cases, 400 new cases reported in the past 24 hours, 42,674 active cases, no deaths are reported for the deadline, and no death is reported happening in the past 24 hours. The fatality rate per 1M is 376.23.

Bulletin #490: 338,902 confirmed cases, 611 new cases reported in the past 24 hours, 47,364 active cases, two deaths are reported for the deadline, and one death is reported happening in the past 24 hours. The fatality rate per 1M is 376.23.

Bulletin #489: 338,291 confirmed cases, 316 new cases reported in the past 24 hours, 51,521 active cases, one death is reported for the deadline, and one death is reported happening in the past 24 hours. The fatality rate per 1M is 376.03.

Bulletin #488: 337,975 confirmed cases, 237 new cases reported in the past 24 hours, 53,402 active cases, 12 deaths are reported for the deadline, and six death reported happening in the past 24 hours. The fatality rate per 1M is 375.94.

Bulletin #487: 337,738 confirmed cases, 428 new cases reported in the past 24 hours, 53,581 active cases, one death is reported for the deadline, and one death reported happening in the past 24 hours. The fatality rate per 1M is 374.79.

Greater Santo Domingo continues to lead in the number of reported PCR cases. As of 24 July 2021 at 6pm, the deadline for Bulletin #493, the most confirmed cases have been reported in the National District (93,173) and the Santo Domingo province (74,576). The numbers account for 50% of the 340,053 confirmed cases nationwide.

Other provinces are: Santiago (32,835), La Romana (12,538), La Altagracia (11,848), San Cristóbal (11,573), La Vega (11,479), Puerto Plata (8,345), Duarte (7,969), Espaillat (6,725), San Pedro de Macoris (5,671), San Juan de la Maguana (5,504), Barahona (4,706), Azua (4,393), Maria Trinidad Sánchez (4,053), Monseñor Nouel (3,845), Sánchez Ramírez (3,548), Valverde (3,244), Hermanas Mirabal (3,208), Peravia (3,062), Monte Plata (2,093), Baoruco (1,930), Hato Mayor (1,637), Santiago Rodriguez (1,608), Montecristi (1,572), Dajabón (1,476), San José de Ocoa (1,360), Independencia (1,330), El Seibo (1,173), Samaná (1,095), Pedernales (893) and Elías Piña (500) as of the 24 July 2021 deadline.

The Ministry indicates that the newest allocated cases (more than 9) reported for the 24 July 2021 update deadline are: the National District (65) and Santo Domingo province (36) in Greater Santo Domingo. Greater Santo Domingo concentrates around 50% of the nationwide spread of the virus.

Haiti reports 19,783 confirmed cases and 526 deaths, for the 24 July 2021 deadline. Haiti has only just begun to start its Covid-19 vaccination program. This was because the Haitian government rejected a first Covax facility donation of AstraZeneca vaccines. The Dominican government authorized the vaccinating of Haitians with domicile in the Dominican Republic. A donation of Moderna vaccines was shipped to Haiti for the start of the vaccination program.

Overall, health experts attribute the general low number of deaths in Haiti (46 per 1M pop compared to 359 per 1M in the DR) as of 24 July 2021 in part due to widespread vaccinating of babies with the tuberculosis vaccine and widespread use of ivermectin for parasites that have raised the immunity of the population. In person education has continued regularly in Haiti, and most people do not wear masks nor exercise physical distancing.

In the Americas, the Dominican Republic is now ranked 14th in confirmed PCR cases after the United States, Brazil, Colombia, Argentina, Mexico, Peru, Canada, Chile, Panama, Ecuador, Bolivia, Uruguay and Costa Rica.

Read more:
Decree 432-21 Curfew schedule
Decree 417-21 National State of Emergency

See the Ministry of Public Health epidemiological


John Hopkins Coronavirus Resource Center
University of Washington Health Data
University of Oxford Covid Tracker
Our World in Data

University of Virginia Covid-19 Surveillance Dashboard

26 July 2021