Vol 8, Issue 2, 2020 ISSN - 2347-5544 A WIDE REVIEW OF HEALTH AND ECONOMY OF BANGLADESH AMID COVID-19 PANDEMIC ABDUL KADER MOHIUDDIN* Secretary and Treasurer. Dr. M. Nasirullah Memorial Trust, Tejgaon, Dhaka 1215, Bangladesh. Email: trymohi@gmail.com Received: 17 June 2020, Revised and Accepted: 13 August 2020 ABSTRACT COVID-19 has affected 213 countries around the soil, killing around 480,000 and infecting close to 9.4 million by June 24, 2020 (worldometer.info). Bangladesh, a low-middle-income South Asian economy, has experienced an epidemiological and demographic transition with rapid urbanization and a gradual increase in life expectancy. It is the world’s seventh most populous country and the country’s population is expected to almost double by 2050. The increasing burden of transmissible diseases in Bangladesh can be attributed to rapid urbanization and nearly 50% of the country’s slum residents live in the Dhaka division. Institute of Epidemiology, Disease Control, and Research National Rapid Response Team investigated 26 disease- outbreak incidents in 2017. The joint survey conducted by the Power and Participation Research Center and the Bangladesh Rural Advancement Committee Institute for Governance and Development reveals that per capita daily income of urban slums and rural poor people drops by 80% due to the current national shutdown forced by the government to stop the increase of COVID-19. About 40–50% of these inhabitants took loans to get together the daily operating cost. The country has only 127,000 hospital beds, of which 91,000 are in government-run hospitals. Researchers say that the economy of the country loses 33 billion BDT per day from its repair in addition to agriculture sectors during the nationwide shutdown. Keywords: Domestic violence during lockdown, Health-care refutation, Poor devotion to self-quarantine, Natural disaster amid COVID-19, Repatriation of refugee personnel, Supply chain crisis. INTRODUCTION Notwithstanding, the sad state of major indicators such as negative growth in exports-imports; significant drop in revenues; decrease in private sector investment; and increase in bad loans documented in 2019 [1-16]. The government of Bangladesh was optimistic that the depressing trend of these indicators could be reversed somehow. But that optimism has now been severely dented by COVID-19’s severe attack. The decline in domestic and global demand for manufactured goods, especially in the garment industry, risks creating unemployment, and deepening poverty. The urban poor will be hardest hit as the figure of additional poor people in rural areas will be higher. The Institute of Epidemiology, Disease Control, and Research (IEDCR) was the only Institute in Bangladesh with COVID-19 testing facilities until March 26, when a second facility received testing rights. Central testing has not yet been able to react effectively to the wave of suspected COVID-19 patients in these under-resourced public institutions. Amidst this worldwide crisis, Bangladesh has been identified as one of the 25 most vulnerable countries to be exaggerated by the fast spreading virus [17,18]. By April 25, 2020, it was long-established in 63 out of 64 districts (Fig. 1) [19]. Bangladesh confirmed its first coronavirus cases on March 8 and the first death on March 18. At June 24, 2020, 66 laboratories of the country tested 18,000 samples and 3946 new cases detected [20,21]. Reluctance of the authorities concerned and bureaucratic peculiarities has shown that the availability of a kit delays the detection of the novel infection with coronavirus. In addition, the Bangladesh government has not so far sought to proactively limit the transmission from primary cases to the community [22]. CURRENT STATE OF EPIDEMIOLOGY Nearly 70% of the 119,198 coronavirus cases (up to June 24, 2020) detected in Bangladesh have been reported in the Dhaka division and nearly 50% of them are in the capital, Dhaka [23,24]. It was more than 80% in Dhaka division and 60% in capital Dhaka at the very beginning. Several reasons could be there, as COVID-19 test was less outside Dhaka at earlier stage. Furthermore, huge people moved before and after the lockdown process and the disease spreads. However, more than 50% infections and around 50% deaths reported in 15 days period (May 20–June 5). Approximately 68% of them are men while they comprise 73% of the dead, according IEDCR and expert are pointing two main reasons, outside exposure and hygiene do [25]. An psychoanalysis of the coronavirus patients by age demonstrated that the highest amount of the infected populace 24% – was between 31 and 40 years, followed by 22% in the age bracket of 21–30 years and 16% aged 41–50 years, according to IEDCR (Fig. 2). Virologists have noted a lack of difficult that would give a clearer picture of the true number of coronavirus infections. As expected, number of novel infections raised after the country has softened its limits on factories to pave the way for reopening despite the worsening COVID-19 situation in the country (Fig. 3) [26]. Although, 8% infected, no death was report among the age bracket of 11–20 years (Fig. 4). However, 11,590 have recovered and there have been 746 deaths, reported by US Embassy in Bangladesh. More or 800 Bangladeshi died in abroad so far and around 35,000 expatriates are infected in different countries (highest 16,000 in Singapore) [27]. Bank, kitchen market, public transports, and hospitals are believed to be the major places of infection spread by the experts. PRESENT HOSPITAL SITUATION WITH COVID-19 PATIENTS Many patients with fever, cold, and mouthful of air difficulties that are also COVID-19 health issues have gone untreated as they are sent to the IEDCR for coronavirus testing by the hospitals in Dhaka [28]. Most hospitals are unable to provide physicians and other healthcare associates with personal protective equipment (PPE) such as masks, gloves, and infected patients at any time [29-35]. Many doctors do not provide services that fear the contagion and according to the patients, laboratory technicians are shunning workplaces, and stopping medical tests. In some cases, serious patients who were not affected by COVID-19 moved from one hospital to another but were unable to receive treatment and eventually died, reported the media. In one more case, the doctor fled leaving the patient behind [36-40]. Doctors and other physical condition care professionals say they do not even have enough protective gear and the health-care system cannot cope with the outbreak [41]. Experts believe older people suffering from coronavirus most need ICU support [42]. There are more than 0.8 million older people in the country. A 100-bed hospital should contain at least five ICUs, in accordance with international standards [43]. In fact, hospitals in Bangladesh have a total of <1200 ICU beds (432 government, Review Article