First 65 Days Trajectory of COVID-19 Outbreak in Pakistan (Facts, Hopes and Expectations) an Evidence Review

There is a significant risk to the public health in world and strong apprehensions in Pakistan due to emerging infectious disease known as Covid-19 which is characterized by a completely unique mode of pathogen. In this paper we reviewed the first 65 days trajectory of Covid-19 outbreak in Pakistan and its impact on over the coming days, weeks and months. Since the first reported case of infection (COVID-19) caused by the SARS-CoV-2 on February 26th, 2020, in Karachi, (Sindh), until there has been a total of 15760 confirmed cases with 313 victims as of April 30, 2020. The identified route of (COVID-19) in Pakistan was though patients with travel history from various countries, such as Iran, China, Afghanistan and India coming to Pakistan. Further the data revealed that out of the total COVID-19 cases in Pakistan 78 percent cases were reported from visitors coming from Iran, the remaining statistic filled by religious centre Rewind and some by local transmission. Pakistan responded toward the pandemic naturally through management and arrangement of quarantine facilities, field hospitals, and necessary testing and protective kits. It was established early that the state of affairs of quarantines were not adequate, but was supportive to a big extant. The lockdown damaged daily wage labor financially and we have compiled a template for monitoring this impact till this crisis is over. Further COVID-19 higher education response of online system halted due to connectivity and quality issue. We suggested that to reduce the emerging risks of Covid-19 in future, the government should launch contemporary isolation house immediately at the departure and arrival points on border air ports as well as on communication routs and in major hospitals. We proposed hybrid education management for online system and suggested to generate catalogues and database for daily wage labour for on time support in future