Charter of the Economy However, the NCOC has warned of the likelihood of the fourth attack being the worst attack because of the spread of the DELTA-variant and asked people to continue taking major precautions. The Government has imposed a near complete lockdown in the city of Karachi. Table 26.15 makes a comparison of the incidence of COVID-19 in the different countries of Asia as of the end of the third week of June 2021. According to Table 26.15, Pakistan has been fortunate in having the lowest incidence of confirmed cases among the major South Asian countries. The GDP impact also has been the smallest. However, there is no scope for complacency. There is need for the widespread use of vaccines. Here Pakistan performs poorly. Only 2.3 percent of the population of Pakistan has been fully vaccinated as of the 25 th of July 2021, as compared to 4 percent in India and Bangladesh. Also, 9.1percent of the population has been partly vaccinated as compared to over 20 percent in India. There will need for procurement of larger number of vaccines to build up stocks and avoid localized shortages. Table 26.15: Cumulative Incidence of COVID-19 Cases and Deaths per Million Population in South Asian Countries(Per million population) Countries Confirmed Cases Deaths India 21,698 288 Nepal 21,962 313 Sri Lanka 12,167 139 Bangladesh 5,481 87 Pakistan 4,324 100 Source: WHO 26.6. Health Policy Emerging Constraints in the Health Sector: The analysis above has clearly demonstrated that public health facilities and services are not keeping pace with the increase in the country’s population. The level of health spending is low and the share of development expenditure on expansion of services is very low and declining. At the minimum, the Provincial Governments will need to raise their health sector allocations sufficiently to ensure that the overall level of spending rises to 1.5 percent of the GDP and almost half is for the expansion of services, especially in the rural areas. 276