Tehran University of Medical Sciences Journal of Craniomaxillofacial Research 2345-5489 7 1 2020 08 01 45 46 Sajjad Baber Department of Oral and Maxillofacial Surgery, Craniomaxillofacial Research Center, School of Dentistry, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2020 05 09 2020 06 11 Dear Sir, COVID 19 is spreading rapidly throughout the whole world especially in United States of America and some European countries such as Italy, Spain, France, United Kingdom, Belgium, and Netherlands. More than 276,000 and 4 million people have been killed and infected, respectively. The author wants to mphasize the reasons of low COVID 19 detection and mortality rate in Pakistan. Pakistan came into being on 4 and 15 August 1947, respectively. Now let’s come to the point. Pakistan confirmed its first case on 26 bruary 2020. Till now on 7 May 2020, Pakistan confirmed a total of 24,073 cases, 564 deaths and 6,464 ecoveries. Pakistan has implemented a complete lock down for first three weeks and five weeks, respectively 1,2]. Extensive testing and effective lockdown are the main key points to stop covid 19 infection chain. One of he important reasons behind low COVID 19 detection is limited testing. That is why the low number of cases has been reported in Pakistan. Even the director general of World Health Organization Tedros Adhanom Ghebreyesus said ‘Without testing, it’s like moving blind folded. A minimum ratio of 10 per positive case was recommended by World Health Organization [3]. https://jcr.tums.ac.ir/index.php/jcr/article/view/323 https://jcr.tums.ac.ir/index.php/jcr/article/download/323/289