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Coronavirus Covid-19 Bulletin #613/ 21 November 2021

The Ministry of Public Health Coronavirus Bulletin #613 with the deadline of 21 November 2021 reports 707 new cases, the lowest cases recorded since late October when the upward trend began again. Bulletin #613 reports active Covid-19 cases are at 4,357, down (-220) compared to the day before. The number of active cases is considerably less than the peak of 55,773 active cases registered in July 2021, and is evidence the vaccines are working.

With more than 63.5% of the population vaccinated with least two doses of vaccine, and 77% with at least one dose, the fourth wave outbreak seems to be waning.

The most cases are in Greater Santo Domingo (the National District and Santo Domingo province) followed by Santiago, the country’s second largest city.

The national 4-week positivity rate for the 21 November 2021 Epidemiological Bulletin #613 is at 8.82%, up from the previous day. The 24-hour positivity for the day is 7.50%, evidence of the new downward trend.

10 provinces and the National District present a positivity rate over 10%, reflecting the switch to a downward trend in cases. The positivity rates, have been dropping gradually in most provinces.

The positivity rates over 10% in descending order are: Dajabón 16.51%, Pedernales 14.59%, El Seibo 13.50%, Santiago Rodríguez 12.49%, San José de Ocoa 12.34%, Montecristi 11.95%, Peravia 11.39%, Santiago 10.33%, La Altagracia 10.30%, San Cristóbal 10.19% and Valverde 10.01%.

The authorities are tackling the rise in cases with new efforts to override resistance to vaccination in many population groups that allege religious reasons and among others who distrust the vaccines or have just not taken the time to get vaccinated. The authorities seek to disavow the counsel of evangelical pastors and Roman Catholic priests who are known to strongly discourage vaccinating among their followers. Hundreds of thousands of Haitians that live in the Dominican Republic have also rejected getting vaccinated for cultural and religious reasons.

The daily number of vaccines administered has been gradually declining after the peak of 83,745 doses for the 22 October 2021 deadline. For the 21 November deadline, Our World in Data reports a low 16,771 first and second dose vaccines were applied. The record vaccinations for one day is 184,208 on 10 June 2021. The rolling 7-day average as of 21 November 2021 deadline is now at 18,462 vaccines applied per day.

The VacunateRD government website reports injecting 6,844,994 first doses of the vaccine and 5,534,706 second doses for the 21 November 2021 vaccination deadline.

The National Vaccination Plan recommends 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. For the 21 November 2021 deadline, the Ministry of Public Health had reported that 1,307,560 people had received the Pfizer third booster shot, mostly people older than 50 years, but the vaccine is also available on demand for other age groups.

The booster shot is also available for Dominicans living abroad that may come and get the Pfizer shot here and it will be added to their US vaccination card, for example.

More than 63.5% of the adult population is already fully vaccinated (two doses or more) in the Dominican Republic, but the government has vaccine stocks for 100%+ and wants more people to get the jab. 77% of the population has at least one dose.

The vaccines have spared the population a major spike in Covid-19 cases even with the entry of more aggressive variants. The Presidency has removed curfew restrictions nationwide and the new measures seek to motivate those that have not been vaccinated to get with it.

As of 18 October 2021, the government is requiring physical or digital proof that people be fully vaccinated for entering government offices, public transport and schools. The government said those that apply their first dose in October will be allowed to enter the public spaces and use public transport.

The goal is that at least 70% of the adult population be fully vaccinated. The authorities say the vaccines have protected people that catch the disease from being hospitalized. Death numbers and hospitalizations continue to be under control despite the recent surge in cases.

The 707 new cases for bulletin #613 compare to the 7-day nationwide average for confirmed cases that is 917, down from the previous day. Back to school, opening of night time entertainment centers, removal of curfew and circulation restrictions bring people together and serve to spread Covid. This is in addition to the circulation of the variants, including Gamma, Alpha, Delta and Mu. The government is also concerned of the impact the elimination of the curfew nationwide and the current winter baseball professional championship will have on the spread of Covid-19 and shopping for Black Friday and Christmas. The entertainment industry is also back, with packed audiences in closed and open quarters. Compliance of masking is waning.

As per Bulletin #613, with the deadline of 21 November 2021, the Ministry of Public Health has registered 403,438 confirmed cases since the first case on 1 March 2020. Labs carried out 9,427 first-time tests. This number of tests compares with the 14-day average now at 9,511, up from the previous day. The increase in testing also reflects the new demand now that influenza season is here and more people are getting tested to discard Covid-19.

The Ministry of Public Health is monitoring the new variants and their impact in the Dominican Republic as curfew restrictions are reduced to a minimum. The Ministry says unvaccinated people are driving the spread of the disease.

The Ministry of Public Health is closely monitoring the situation now that circulation restrictions that were part of the National State of Emergency were removed on 11 October 2021.

The government is betting on getting more people vaccinated. While there is an increase in cases, the death rate and hospitalizations continue under control. The government says that around 63.5% of the population is fully vaccinated and this apparently is containing the spread of the virus now that new variants are in circulation.

In its vaccination bulletin with data for the 19 October 2021 deadline, the Ministry of Public Health reports a significant change in the percentages of population with two doses of Covid-19 vaccine. The average is up from 57.84% for the 10 October bulletin to 60.01% for the 19 October bulletin. See the individual percentages now and for the 10 October previous bulletin:
La Altagracia (Punta Cana) – 91.8% (89.6%)
National District – 87.8% (84.5%)
Pedernales – 75.1% (73.8%)
Espaillat (Moca) – 68.0% (66.9%)
Puerto Plata – 66.7% (65.2%)
San Pedro de Macorís (Juan Dolio) – 64.3% (62.3%)
La Romana – 64.6% (61.7%)
Independencia – 60.9% (60.1%)
Sánchez Ramírez (Cotuí) – 60.5% (59.3%)
Barahona – 59.1% (58.2%)
San José de Ocoa – 58.9% (57.9%)
Dajabón – 58.8% (57.6%)
Baoruco – 57.9% (57.0%)
Monte Plata – 57.7% (56.3%)
San Juan de la Maguana – 57.4% (56.7%)
Valverde – 55.8% (55.0%)
Santiago Rodríguez – 55.6% (54.2%)
Montecristi – 55.5% (54.3%)
El Seibo –55.1% (53.6%)
Azua – 54.5% (53.6%)
Hato Mayor – 54.9% (53.2%)
Peravia (Baní) – 54.2% (52.8%)
Santiago – 53.9% (52.3%)
Samaná – 53.8% (52.2%)
Santo Domingo – 52.8% (50.8%)
Hermanas Mirabal – 52.7% (51.6%)
Elías Piña – 52.1% (50.5%)
María Trinidad Sánchez (Nagua) – 51.8% (50.9%)
Duarte (San Francisco de Macorís) – 51.7% (50.5%)
La Vega – 51.4% (50.0%)
San Cristóbal – 51.2% (49.0%)
Monseñor Nouel (Bonao) – 50.7% (49.3%)

Decree 622-21 removed the curfew. Yet the Ministry of Public Health issued Resolution #048 that mandates vaccines for those older than 12 years and maintains a ban on the sale of alcoholic beverages from 12 midnight to 5am nationwide.

Ministry of Public Health permits continue to be required for events where people agglomerate and public places and private places for public use are limited to 75% of capacity.

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 for adults.

By regional standards, the Dominican Republic has been relatively successful at treating Covid-19 and keeping the number of deaths low. For the 21 November 2021 deadline, Worldometer lists the 1M deaths per inhabitant rate for the Dominican Republic at 381. According to the same 1M deaths statistics, fewer people have died of Covid-19 in the Dominican Republic than in Brazil at 2,854, Argentina at 2,543, Colombia at 2,481, the United States at 2,378, Italy at 2,208, the United Kingdom at 2,105, Spain at 1,878, France at 1,811, Russia at 1,817, Germany 1,185 and Canada at 772, all major markets for Dominican tourism and countries with overall better health systems.

Four Covid-related deaths are recorded for the 21 November 2021 deadline. One death is reported having occurred in the previous 24 hours of the deadline. As of the 21 November 2021 deadline, 4,186 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 has been dropping and now is at 1.04%. The fatality rate per 1M inhabitants is 401.01. Dominican physicians’ diverse treatment for the disease has been relatively successful in the region. The Ministry of Public Health reports that the country’s 401.01 fatality rate per 1M compares favorably to the average 1M inhabitants’ fatality rate for the Americas at 2,242.50 as of 21 November 2021.

The Ministry of Public Health report #613 indicates 23% of Covid-19 hospital beds are occupied (512 of 2,261 total available), down from the previous day. 36% of the intensive care units for Covid-19 are taken (210 of 585), down 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 hospitals say that most of the patients that require hospitalization had not been vaccinated for Covid-19.

The past seven days bulletin result highlights are:

Bulletin #613: 403,438 confirmed cases, 707 new cases reported in the past 24 hours, 4,357 active cases, four deaths are reported for the deadline, and one death happened in the past 24 hours. The fatality rate per 1M is 401.01.

Bulletin #612: 402,731 confirmed cases, 817 new cases reported in the past 24 hours, 4,577 active cases, no deaths are reported for the deadline, and no deaths happened in the past 24 hours. The fatality rate per 1M is 400.63.

Bulletin #611: 401,914 confirmed cases, 1,068 new cases reported in the past 24 hours, 5,124 active cases, three deaths are reported for the deadline, and one death happened in the past 24 hours. The fatality rate per 1M is 400.63.

Bulletin #610: 400,846 confirmed cases, 1,073 new cases reported in the past 24 hours, 5,247 active cases, one death is reported for the deadline, and no deaths happened in the past 24 hours. The fatality rate per 1M is 400.34.

Bulletin #609: 399,773 confirmed cases, 893 new cases reported in the past 24 hours, 5,047 active cases, four deaths are reported for the deadline, and three deaths happened in the past 24 hours. The fatality rate per 1M is 400.25.

Bulletin #608: 398,880 confirmed cases, 862 new cases reported in the past 24 hours, 4,533 active cases, four deaths are reported for the deadline, and three deaths happened in the past 24 hours. The fatality rate per 1M is 399.87.

Bulletin #607: 398,018 confirmed cases, 1,002 new cases reported in the past 24 hours, 4,845 active cases, four deaths are reported for the deadline, and two deaths happened in the past 24 hours. The fatality rate per 1M is 399.48.

For the 21 November deadline, there were more than 10 cases reported in 12 of the 31 Dominican provinces and in the National District. There were 198 cases in the National District, 188 in Santo Domingo province, 61 in Santiago, 44 in La Vega, 31 in Puerto Plata, 28 in La Romana, 29 in San Pedro de Macorís, 21 in San Cristóbal, 17 in Duarte (San Francisco de Macorís), 14 in Espaillat (Moca), 12 in María Trinidad Sánchez and Santiago Rodríguez, and 10 in Hermanas Mirabal (Salcedo).

Greater Santo Domingo continues to lead in the number of reported PCR cases. As of 21 November 2021 at 6pm, the deadline for Bulletin #613, the most confirmed cases have been reported in the National District (103,700) and the Santo Domingo province (85,745) that represents Greater Santo Domingo, with the country’s highest urban density. The numbers account for 50% of the 403,438 confirmed cases nationwide.

Other province case totals are: Santiago (42,466), La Romana (14,405), La Altagracia (14,304), La Vega (13,915), San Cristóbal (13,713), Puerto Plata (11,837), Duarte (9,220), Espaillat (8,717), San Pedro de Macoris (6,866), San Juan de la Maguana (6,452), Valverde (5,917), Barahona (5,157), Maria Trinidad Sánchez (5,133), Azua (4,994), Monseñor Nouel (4,545), Sánchez Ramírez (4,434), Peravia (4,090), Hermanas Mirabal (3,763), Montecristi (2,870), Dajabón (2,860), Santiago Rodriguez (2,720), Monte Plata (2,664), Baoruco (2,086), Hato Mayor (2,121), San José de Ocoa (1,628), Independencia (1,585), El Seibo (1,500), Pedernales (1,429), Samaná (1,420) and Elías Piña (677) as of the 21 November 2021 deadline.

Public schools reopened for in-person learning on 20 September 2021. Many private schools opened for in-person learning before 1 September 2021. Schools continue to be subject to health protocols. Universities reopened for classes in August but from day one have required students and teachers to have the full vaccination dose. On 8 November 2021, the Health Cabinet approved vaccinating school children ages 5 to 11 years old. Sinovac vaccines will be used in a first phase. Children 12+ have been vaccinated with Pfizer vaccines. The start date of this campaign is yet to be announced.

The government seeks to vaccinate 7.8 million adults of the population of 10.8 million. The 7.8 million does not take into consideration those 12-18 years of age that of June 2021 are included in the vaccination campaign with the regular arrival of batches 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 70% of those vaccinated in the Dominican Republic have received the Sinovac/Coronavac vaccine. The US requires travelers toshow proof of two doses of Covid-19 vaccination and negative antigen or PCR test results taken within 72 hours of the arrival to US territory.

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 75% of their capacity. Theaters have resumed showings under health protocols.

Hotels and resorts have operated throughout the pandemic under previously established less restrictive health protocols. In July 2021, the Ministry of Tourism authorized again booking up to 100% of room capacity. Booster shots have been made available to all hotel personnel as an extra step to ensure the safety of guests and staff alike.

The government began to vaccinate for the Covid-19 virus on 16 February 2021. As of 3 September 2021, the Dominican Republic had received 21,737,730 vaccine doses, of which around 72.77% have come from China – 15,768,000 Sinovac and 50,000 Sinopharm vaccines (15,818,000). Pfizer has delivered 5,530,530 vaccine doses for 20.84%. Of the AstraZeneca vaccine, the delivered 1,389,200 doses represent 6.39% of the total.

The last reported arrivals of vaccines was on 3 September 2021, when the Health Cabinet announced the arrival of a shipment of 180,180 Pfizer vaccines. The government has a surplus of vaccines. The Health Cabinet has not shared updates on new arrivals of vaccine stock. President Luis Abinader announced on 22 September 2021 speaking at the UN General Assembly that the Dominican Republic had donated 802,000 vaccines to neighboring countries. The Dominican Republic has also donated vaccines to Guatemala, Honduras and Costa Rica. The Abinader administration donated 101,000 doses to Honduras and 304,000 doses to Guatemala to boost their vaccination campaigns. 50,000 AstraZeneca vaccines were donated to Jamaica on 6 November 2021.

Free vaccines are available at more than 1,400 vaccination centers nationwide. The Pfizer vaccine is available at major vaccination sites. The Pfizer vaccine is also available as a booster shot for those who have received the two Sinovac or AstraZeneca vaccines and at demand for those who prefer this vaccine. It is also available for those who need the vaccine for travel purposes.

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 has been relaxed in public areas. People are gathering in restaurants and bars without masks, and discos and theaters are again open. Shopping malls and major stores continue to require the use of the facial masks. Those attending sports and theater performances need to keep their masks on during the events.

Haiti is reported having 24,768 confirmed cases and 711 deaths, as per the 21 November 2021 global epidemiological 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. As of 20 November 2021, 153,182 doses of Spikevax (Moderna) vaccines had been applied in Haiti at the 149 open vaccination centers since the start of vaccination on 16 July 2021. Haiti rejected a donation of 100,000 AstraZeneca vaccines from the Dominican Republic. Only 39,676 people are fully vaccinated (2 doses) in Haiti as of the 31 October 2021 data update.

Overall, health experts attribute the general low number of deaths in Haiti 61 per 1M pop compared to 381 per 1M in the DR) as of 21 November 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 general. 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 18th in confirmed cases after the United States, Brazil, Argentina, Colombia, Mexico, Peru, Canada, Chile, Cuba, Guatemala, Costa Rica, Ecuador, Bolivia, Panama, Paraguay, Venezuela, and Uruguay.

See the Ministry of Public Health epidemiological
Bulletins

VacunateRD

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

23 November 2021