Abstract

We describe three waves of COVID-19 infections in Manila. First, imported cases among Chinese nationals; second, infections amongst Filipinos residing in less densely populated areas; and third, infections amongst Filipinos residing in high-density areas. We highlight this using admissions data from the National Infectious Diseases hospital in Manila.

Highlights

  • The person with confirmed COVID-19 was admitted to San Lazaro Hospital more than one month later, on 8 March

  • In Manila City, increased community testing and monitoring of individuals presenting to hospitals with respiratory symptoms could detect increased COVID-19 transmission

  • Timeline of cases with confirmed COVID-19 admitted to San Lazaro Hospital, from 25 January to 29 March 2020

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Summary

Letter to the Editor

COVID-19 is moving to high-density, poor residential areas in Metropolitan Manila, Philippines. We note three successive waves of coronavirus disease 2019 (COVID-19) cases in the National Capital Region (Metropolitan Manila), Philippines: the first was from imported cases among Chinese nationals; the second was from infections among Filipinos residing in less densely populated areas; and the third was from infections among Filipinos residing in high-density, poor areas. We support these observations with data from San Lazaro Hospital, the national infectious diseases hospital, which serves a low-income population in Manila City, the most densely populated city within Metropolitan Manila (Fig. 1). Maps show the residence of patients in the National Capital Region (Metropolitan Manila) admitted during 8–18 March (left) and 19–29 March (right)

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Conflicts of interest

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