COVID-19 weekly epidemiological update, 22 December 2020

COVID-19 Weekly Epidemiological Update Data as received by WHO from national authorities, as of 20 December 2020, 10 am CET. Other information collected by epidemic intelligence activities and verified by WHO. For the latest data and information on COVID-19, please see: • WHO COVID-19 Dashboard • WHO COVID-19 Weekly Operational Update Global epidemiological situation New COVID-19 cases and deaths continued to increase during the past week, by 6% and 4% respectively (Figure 1, Table 1). The Region of the Americas again accounted for the greatest proportion, reporting over 2.3 million new cases (half of the global cumulative), while the European Region reported the highest number of new deaths (36 286; 46%) in the past week. The African Region accounted for the greatest relative increase in new cases (27%) and deaths (34%) compared to the previous week. Increasing trends were also observed in the Western Pacific Region, while the South-East Asia and Eastern Mediterranean Regions were the only two that reported a decrease in both cases and deaths. On 14 December 2020, authorities from the United Kingdom of Great Britain and Northern Ireland (United Kingdom) reported a new variant of SARS-CoV-2 to WHO. It was identified by viral genomic sequencing, and is referred to as SARS-CoV-2 Variant Under Investigation, year 2020, month 12, variant 01 (SARS-CoV-2 VUI 202012/01). Initial analysis indicates that the variant may spread more readily between people. Investigations are ongoing to determine if it is associated with any change in the severity of infection, antibody response or vaccine efficacy. As of 20 December there have been over 75 million cases and over 1.6 million deaths since the start of the pandemic. Figure 1: COVID-19 cases reported weekly by WHO Region, and global deaths, as of 20 December 2020** **See data table and figure notes. 0 10000 20000 30000 40000 50000 60000 70000 80000 90000 0 500 000 1 000 000 1 500 000 2 000 000 2 500 000 3 000 000 3 500 000 4 000 000 4 500 000 5 000 000 3 0 -D e c 2 0 -J a n 1 0 -F e b 0 2 -M a r 2 3 -M a r 1 3 -A p r 0 4 -M a y 2 5 -M a y 1 5 -J u n 0 6 -J u l 2 7 -J u l 1 7 -A u g 0 7 -S e p 2 8 -S e p 1 9 -O c t 0 9 -N o v 3 0 -N o v D e a th s C a s e s Reported week commencing Americas South-East Asia Europe Eastern Mediterranean Africa Western Pacific Deaths In the past week, the five countries reporting the highest number of cases globally were the United States of America with over 1.6 million cases, a 14% increase from the previous week, Brazil (326 751 new cases, an 8% increase from the previous week), Turkey (194 476 new cases, an 11% decrease from the previous week), the Russian Federation (194 449 new cases; less than a 1% increase from the previous week) and India (174 194 new cases; an 18% decrease from the previous week). Additional Region-specific information can be found below: African Region, Region of the Americas, Eastern Mediterranean Region, European Region, South-East Asia Region, and Western Pacific Region. Table 1. Newly reported and cumulative COVID-19 confirmed cases and deaths, by WHO Region, as of 20 December 2020 ** WHO Region New cases in last 7 days (%) Change in new cases in last 7 days * Cumulative cases (%) New deaths in last 7 days (%) Change in new deaths in last 7 days * Cumulative deaths (%) Americas 2 321 202 (50%) 13% 32 437 597 (43%) 32 397 (41%) 9% 809 105 (48%) Europe 1 726 941 (37%) 2% 23 691 857 (32%) 36 286 (46%) 3% 522 719 (31%) South-East Asia 249 007 (5%) -14% 11 610 444 (15%) 3 968 (5%) -10% 176 826 (11%) Eastern Mediterranean 174 325 (4%) -14% 4 665 285 (6%) 3 852 (5%) -12% 115 495 (7%) Africa 94 653 (2%) 27% 1 716 697 (2%) 1 862 (2%) 34% 37 741 (2%) Western Pacific 46 662 (1%) 3% 1 006 682 (1%) 636 (1%) 18% 18 895 (1%) Global 4 612 790 (100%) 6% 75 129 306 (100%) 79 001 (100%) 4% 1 680 794 (100%) Figure 2. COVID-19 cases per 1 million population reported in the last seven days by countries, territories and areas, 14 December through 20 December 2020** **See data, table and figure notes Situation by WHO Region African Region The African Region has continued to report a steady increase in new reported cases and deaths, with 27% and 34% increases respectively week on week. (Figure 3). The Region reported 94 653 new cases, constituting the highest overall change in case counts (Table 1). The number of new cases per 1 million population was 84 during the last week and a case fatality rate of 2.2%, since the start of the pandemic. The highest number of cases were reported from South Africa (59 512, 1 003 new cases per 1 million population), Nigeria (5 176, 25 new cases per 1 million population), Ethiopia (4 134, 36 cases per 1 million population), Kenya (3 846, 72 cases per 1 million population), Uganda (3 631, 79 cases per 1 million population) and Algeria (3 143, 72 cases per 1 million population). South Africa continues to report high numbers of new cases and deaths, and has the highest case incidence (1003 new cases per 1 million population) within the region. As of 20 December 2020, the cases were mainly distributed in Gauteng (28%), Western Cape (19%), Eastern Cape (17%) and KwaZulu Natal (17%) provinces. New stay-at-home orders were implemented, as well as closures of some public beaches and parks, limiting alcohol selling hours and a curfew from 11pm to 4am. A new variant of SARS-CoV-2 was detected in South Africa and the changes observed may translate to higher transmissibility. New cases reported in Eswatini have increased by 170%, bringing the cumulative to 7305 cases. The country reported an increased incidence of 509 new cases per million population compared to 189 cases per million population reported in the previous week. As of 14 December 2020, cases were mainly distributed in regions of Manzini (46%) and Hhohho (38%), according to the Ministry of Health. Reported deaths increased, though cumulative deaths remain low (137 deaths) compared to neighbouring countries, South Africa and Mozambique. Figure 3: Number of COVID-19 cases and deaths reported weekly by the WHO African Region, as of 20 December 2020** **See data, table and figure notes 0 500 1000 1500 2000 2500 3000 0 20 000 40 000 60 000 80 000 100 000 120 000 140 000 3 0 -D e c 2 0 -J a n 1 0 -F e b 0 2 -M a r 2 3 -M a r 1 3 -A p r 0 4 -M a y 2 5 -M a y 1 5 -J u n 0 6 -J u l 2 7 -J u l 1 7 -A u g 0 7 -S e p 2 8 -S e p 1 9 -O c t 0 9 -N o v 3 0 -N o v D e a th s C a s e s Reported week commencing Cases Deaths Region of the Americas The Region of the Americas reported over 2.3 million new cases this week, a 13% increase from the previous week (Figure 4). The Region also reported over 32 000 deaths, a 9% increase from the previous week and a continuation in the a rapid rise in deaths since November. The United States of America continues to report an increasing number of new cases (over 1.65 million new cases; over 5000 new cases per 1 million population) – the highest incidence in the Region. The United States of America is followed by Brazil, Colombia, Mexico and Canada in cases reported last week. The five countries with the highest number of deaths per 1 million population were Belize (75 deaths per 1 million), the United States of America (54 deaths per 1 million), Panama (45 deaths per million), Mexico (33 deaths per 1 million), and Colombia (27 deaths per 1 million). The number of new cases reported last week in Argentina (over 42 000, 930 per 1 million population) represents a 21% increase from last week and pushes the cumulative number of cases above 1.5 million. This is the first increase in the number of new cases since a continuous downward trend from the week of 19 October, when new weekly cases peaked at 103 000. Despite this increase in new cases, the number of new deaths continued to decline, to just over 1000 new deaths reported last week, a 3% decline compared to the previous week. Buenos Aires province has reported the highest number of cumulative cases and accounts for 43% of cases, followed by the province of Santa Fé, the city of Buenos Aires and Córdoba province. Since the beginning of the pandemic, 4.3 million cumulative people have been tested, with a current test positivity rate of 30%. The occupancy rate of intensive care beds stands at 54%. The number of new cases reported by Panama has risen rapidly since the week of 9 November. Last week, a 31% rise was seen compared to the previous week, with 18 500 new cases reported (4300 new cases per 1 million population – the second highest in the Region after the United States of America). The number of new deaths has also risen by 26% in comparison to the previous week, with 195 new deaths reported (45 new deaths per 1 million population). Public health and social measures including curfews are being implemented over the end-of-year holiday period. The government has approved the use of the Pfizer vaccine against COVID-19 and expects to start receiving the first batch in the first quarter of 2021. In the Dominican Republic, new cases reported stabilized during the last week, to just under 5500 new cases (500 new cases per 1 million), an 8% decline from last week. As of 13 December, 790 000 polymerase chain- reaction (PCR) tests had been conducted, with a current test positivity rate around 15%. Around 30% of COVID-19 intensive care unit beds are currently occupied. Of those who have died, one third were reported to have hypertension, while 21% were diabetic, according to authorities. As with Panama, curfews will be implemented over the end-of-year holiday period. Figure 4: Number of COVID-19 cases and deaths reported weekly by the WHO Region of the Americas, as of 20 December 2020** **See data, table and figure notes 0 5000 10000 15000 20000 25000 30000 35000 0 500 000 1 000 000 1 500 000 2 000 000 2 500 000 3 0 -D e c 2 0 -J a n 1 0 -F e b 0 2 -M a r 2 3 -M a r 1 3 -A p r 0 4 -M a y 2 5 -M a y 1 5 -J u n 0 6 -J u l 2 7 -J u l 1 7 -A u g 0 7 -S e p 2 8 -S e p 1 9 -O c t 0 9 -N o v 3 0 -N o v D e a th s C a s e s Reported week commencing Cases Deaths Eastern Mediterranean Region The number of new cases and deaths in the Eastern Mediterranean Region has decreased, for the fourth consecutive week (Figure 5). A cumulative 174 325 new cases (a 14% decrease compared to the previous week) and 3852 new deaths (a 12% decrease compared to the previous week) was reported in the past week. The countries reporting the highest number of new cases in the past week were the Islamic Republic of Iran (51 254 new cases; 610 new cases per 1 million population), Pakistan (19 617 new cases; 89 new cases per 1 million population) and Morocco (17 629 new cases; 478 per 1 million population). These three countries also accounted for the most deaths reported in the past week (table 2). There has been a 40% increase in new cases in the Syrian Arab Republic in the past week, with over 1000 cases reported, while the number of new deaths increased by nearly 50%. Increases in new cases have been reported for the past eight weeks, and the case fatality rate is high, at just under 6%. In Lebanon the number of new cases has increased by 20%, after five weeks of reporting decreases. The number of new deaths decreased by 21%. Most cases were male (54%) compared to female (46%), and the highest incidence per 100 000 population was reported in those aged 50-59 years since the start of the pandemic. Nationally, the cumulative incidence has been reported to be highest in the district of Aleyh (5 121 per 100 000 population), while the incidence in the past 14 days has been highest in the district of Zahleh (655 per 100 000 population). A new COVID-19 department was opened in the Othman Hospital in Kutermaya -- Al-Kharroub region of Lebanon -- along with an increase in the number of beds and intensive care units in two other hospitals: Al-Koura Hospital and Shaheen Hospital. Both cases and deaths continued to increase in Egypt during the last week. The number of cases increased by 24%, representing the largest relative increase reported in the past two months. The number of new deaths increased by 16%. There was a cluster of cases reported among the youth national football team. The Minister of Health stated early in December that 56% of intensive care unit beds and 30% of ventilators are currently occupied, while the occupancy of beds for isolation is 24%. In an effort to address the rising number of cases and deaths, a grant will be used to scale up medical supplies. Figure 5: Number of COVID-19 cases and deaths reported weekly by the WHO Eastern Mediterranean Region, as of 20 December 2020** *See data, table and figure notes 0 1000 2000 3000 4000 5000 6000 7000 0 50 000 100 000 150 000 200 000 250 000 300 000 3 0 -D e c 2 0 -J a n 1 0 -F e b 0 2 -M a r 2 3 -M a r 1 3 -A p r 0 4 -M a y 2 5 -M a y 1 5 -J u n 0 6 -J u l 2 7 -J u l 1 7 -A u g 0 7 -S e p 2 8 -S e p 1 9 -O c t 0 9 -N o v 3 0 -N o v D e a th s C a s e s Reported week commencing Cases Deaths European Region The increase in the number of new cases (2%) and deaths (3%) reported last week in the European Region remained very similar to the previous week (Figure 6). The highest number accounting for 33% of all cases reported in the Region, were in Turkey (194 476 new cases; 2306 new cases per 1 million population), the Russian Federation (194 449 new cases; 1332 new cases per 1 million population) and Germany (173 293 new cases; 2068 new cases per 1 million population). The highest number of new deaths were reported in Italy (4411 new deaths; 73 new deaths per 1 million population), Germany (4262 new deaths; 51 new deaths per 1 million population) and the Russian Federation (3917 new deaths; 27 new deaths per 1 million population). For the ninth consecutive week, the number of cases and deaths increased in Estonia. Last week, while the number of new cases reported in Estonia increased by 27%, the number of new deaths increased by 18% . The country has reported peaks in new cases and deaths, with the most affected counties being Harju, Ida- Viru and Tartu. The average age of hospitalized cases was 67 years; 69 years for among females and 65 years among males. In response to these increases, public health and social measures were tightened on 14 December. Estonia has conducted over 565 000 PCR tests. The case fatality rate (0.8%) remains low, the test positivity rate is relatively high at 11%. In Portugal, following three weeks of a decline in the incidence of cases and deaths, both remained relatively stable in the past week. The number of new cases in the country was highest in Mandim de Basto, Marvao and Chaves counties. As of 20 December, there were 3158 hospitalized cases, of which 502 (16%) are in intensive care unit. The number of new reported deaths in the country was the highest reported since the start of the pandemic. The number of cases in Spain have decreased for the seventh consecutive week, dropping slightly (2%), with a much larger decrease in the number of new deaths (a 44% decrease). The regions with the highest incidence per 100 000 population were Palencia (172) and Girona (159), while Palencia also had the highest incidence per 100 000 in those aged over 65 years (247). Approximately 20% of intensive care unit beds in the country are occupied by COVID-19 patients. Figure 6: Number of COVID-19 cases and deaths reported weekly by the WHO European Region, as of 20 December 2020** **See data, table and figure notes 0 5000 10000 15000 20000 25000 30000 35000 40000 0 500 000 1 000 000 1 500 000 2 000 000 2 500 000 3 0 -D e c 2 0 -J a n 1 0 -F e b 0 2 -M a r 2 3 -M a r 1 3 -A p r 0 4 -M a y 2 5 -M a y 1 5 -J u n 0 6 -J u l 2 7 -J u l 1 7 -A u g 0 7 -S e p 2 8 -S e p 1 9 -O c t 0 9 -N o v 3 0 -N o v D e a th s C a s e s Reported week commencing Cases Deaths South-East Asia Region The Region reported just over 249 000 new cases and under 4000 new deaths, 14% and 10% decreases respectively (Figure 7). This continues the declines observed since the middle of September. Only two countries out of ten in the Region reported an increase in new cases (Thailand and Indonesia). India has now reported over 10 million cases, and despite the number of new cases falling by 18% this week, the country reported the fifth highest number of new cases globally (174 000 new cases, 126 new cases per 1 million population). In the Region, India was followed by Indonesia, Bangladesh, Myanmar and Nepal in the number of new cases and new deaths reported last week. Myanmar reported 8300 new cases (150 new cases per 1 million population) last week, an 11% decline from the previous week. Although cases were first reported in Myanmar in March, fewer than 1000 cases were reported by mid-August. The number of weekly new cases started to rise at the end of August and has remained between 6000 and 11 000 since the end of September. The townships of Mingaladon, North Okkalapa, Hlaingtharya, and Insein, which are close to the capital, Yangon, have reported the highest numbers of cumulative cases. As of 20 December, 1.6 million PCR tests had been conducted, with a current test positivity rate of 4%. Sri Lanka reported 3900 new cases (180 new cases per 1 million), a 20% decline from last week. Weekly new cases rose considerably in the beginning of October, and new weekly cases have remained between 2500 and 5000 since the end of October. The number of deaths due to COVID-19 has remained low, with a current case fatality rate of 0.5%. As of 13 December, 1 million PCR tests have been conducted, with a current positivity rate of 4%. Thailand reported 139 new cases last week (2 new cases per 1 million population), a 16% increase from the previous reporting period. Thailand has been successful at keeping the number of new cases below 100 per week from the end of April to early November. However, since the week of 9 November, the number of new weekly cases has risen steadily. A new outbreak in Samut Sakhon province was reported on 21 December, and accounts for a considerable proportion of the number of new cases. There have been no new deaths reported since 2 November. As of 6 December, 1.3 million PCR tests have been conducted, with a test positivity rate of 0.3%. Figure 7: Number of COVID-19 cases and deaths reported weekly by the WHO South-East Asia Region, as of 20 December 2020* 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 0 100 000 200 000 300 000 400 000 500 000 600 000 700 000 800 000 3 0 -D e c 2 0 -J a n 1 0 -F e b 0 2 -M a r 2 3 -M a r 1 3 -A p r 0 4 -M a y 2 5 -M a y 1 5 -J u n 0 6 -J u l 2 7 -J u l 1 7 -A u g 0 7 -S e p 2 8 -S e p 1 9 -O c t 0 9 -N o v 3 0 -N o v D e a th s C a s e s Reported week commencing Cases Deaths Western Pacific Region The numbers of new cases and deaths reported in the Western Pacific Region have been increasing consistently but gradually over the past seven weeks. New weekly cases increased by 3% in the past week (Figure 8). The Region continues to report the lowest number of new cases compared to other regions, with 46 662 new cases and 636 deaths reported. Japan continued to report the highest number of new cases and deaths (18 593 and 311 respectively), followed by Malaysia (9723 new cases, 22 new deaths), Philippines (9713 new cases, 181 new deaths) and the Republic of Korea (6899 new cases, 94 new deaths). The Republic of Korea reported 94 deaths, a 169% increase in new weekly deaths compared to the previous week with 35 deaths. Due to the increasing number of new cases since November 2020, the Seoul metropolitan area is facing challenges in the availability of critical care beds, with 580 patients waiting for beds in Seoul as of 18 December, of which nearly half have been waiting for at least two days. In response to the continued rise in number of new cases, the government toughened preventive measures in Seoul to Level 2.5, the second highest level under the five-tier system. In the past week, Singapore reported the highest increase (55%) in new weekly cases in the region. While the country reported 90 new cases last week, all were imported and had been issued stay-at-home notices or were isolated on arrival, preventing further transmission in the community. The country will be moving from Phase 2 to Phase 3 of its reopening starting 28 December 2020, allowing gatherings of eight people ahead of the new year. Singapore approved the Pfizer-BioNTech vaccine and announced that they expect to have enough for the whole country by the third quarter of 2021. Figure 8: Number of COVID-19 cases and deaths reported weekly by the WHO Western Pacific Region, data as of 20 December 2020** **See data, table and figure notes 0 200 400 600 800 1000 1200 1400 1600 0 5 000 10 000 15 000 20 000 25 000 30 000 35 000 40 000 45 000 50 000 3 0 -D e c 2 0 -J a n 1 0 -F e b 0 2 -M a r 2 3 -M a r 1 3 -A p r 0 4 -M a y 2 5 -M a y 1 5 -J u n 0 6 -J u l 2 7 -J u l 1 7 -A u g 0 7 -S e p 2 8 -S e p 1 9 -O c t 0 9 -N o v 3 0 -N o v D e a th s C a s e s Reported week commencing Cases Deaths Key weekly updates To mark the end of the Year of the Nurse and Midwife, WHO has unveiled the 2020 List of 100+ Outstanding Women Nurses and Midwives. This partnership between WHO, UNFPA, Nursing Now, the International Council of Nurses (ICN), the International Confederation of Midwives (ICM), and Women in Global Health (WGH) features the achievements and contributions of nurses and midwives from 43 countries and across six global regions, to recognize these women and the millions of nurses and midwives around the world. COVAX now has agreements in place to access nearly two billion doses of several promising vaccine candidates, and laid the groundwork for further doses to be secured through contributions from donors. These agreements mean that all COVAX’s 190 participating and eligible economies will be able to access doses to protect vulnerable groups in the first half of 2021. At least 1.3 billion donor-funded doses will be made available to 92 countries eligible for the Gavi COVAX AMC, targeting up to 20% of each country’s population by the end 2021. WHO and YouTube have partnered on a public service announcement to help battle COVID-19 fatigue. The COVID-19 pandemic has had a negative impact on the living and working conditions of refugees and migrants according to a new WHO study, launched on 18 December, International Migrants Day. It shows that people living on the streets and in asylum centres are less likely than the general population to seek care if they have symptoms of COVID-19. More than half of those surveyed said that COVID-19 has caused them depression, worry, anxiety and loneliness. WHO Publications: • Emergency Use Designation of COVID-19 candidate vaccines: Ethical considerations • Emergency Global Supply Chain System (COVID-19) catalogue • Therapeutics and COVID-19: living guideline • COVID-19 diagnostic testing in the context of international travel • Risk assessment tool to inform mitigation measures for international travel in the context of COVID-19 • Considerations for implementing a risk-based approach to international travel in the context of COVID- 19 Table 2. COVID-19 confirmed cases and deaths reported in the last seven days by countries, territories and areas, and WHO Region, as of 20 December 2020** Reporting Country/Territory/Areai New cases in last 7 days Cumulative cases Cumulative cases per 1 million population New deaths in last 7 days Cumulative deaths Cumulative deaths per 1 million population Transmission classificationii Africa 94 653 1 716 697 1 530 1 862 37 741 34 South Africa 59 512 912 477 15 385 1 433 24 539 414 Community transmission Nigeria 5 176 77 933 378 24 1 218 6 Community transmission Ethiopia 4 134 119 494 1 039 67 1 846 16 Community transmission Kenya 3 846 94 151 1 751 65 1 633 30 Community transmission Uganda 3 631 30 702 671 10 230 5 Community transmission Algeria 3 143 94 781 2 161 75 2 659 61 Community transmission Namibia 2 340 18 437 7 256 11 171 67 Community transmission Mauritania 1 292 10 971 2 360 31 225 48 Community transmission Zimbabwe 1 070 12 151 818 13 318 21 Community transmission Burkina Faso 1 060 4 954 237 3 74 4 Community transmission Democratic Republic of the Congo 869 15 210 170 17 369 4 Community transmission Ghana 720 53 653 1 727 4 331 11 Community transmission Cameroon 706 25 849 974 5 448 17 Community transmission Rwanda 704 7 232 558 3 59 5 Clusters of cases Mozambique 665 17 477 559 7 147 5 Community transmission Senegal 609 17 670 1 055 12 361 22 Community transmission Eswatini 591 7 305 6 297 10 137 118 Community transmission Zambia 529 18 620 1 013 9 373 20 Community transmission Niger 505 2 361 98 5 82 3 Community transmission Angola 465 16 626 506 20 386 12 Community transmission Mali 443 6 164 304 29 220 11 Community transmission Botswana 372 12 873 5 474 1 38 16 Community transmission Cabo Verde 265 11 567 20 804 1 111 200 Community transmission Togo 194 3 396 410 0 66 8 Community transmission Congo 151 6 200 1 124 1 100 18 Community transmission Reporting Country/Territory/Areai New cases in last 7 days Cumulative cases Cumulative cases per 1 million population New deaths in last 7 days Cumulative deaths Cumulative deaths per 1 million population Transmission classificationii Lesotho 135 2 285 1 067 0 44 21 Community transmission Côte d’Ivoire 133 21 772 825 0 133 5 Community transmission Chad 128 1 867 114 0 102 6 Community transmission Guinea 112 13 532 1 030 1 80 6 Community transmission Liberia 103 1 779 352 0 83 16 Community transmission Eritrea 98 754 213 0 0 0 Sporadic cases Malawi 87 6 153 322 1 187 10 Community transmission Gabon 70 9 400 4 223 1 64 29 Community transmission Benin 62 3 152 260 0 44 4 Community transmission Sierra Leone 51 2 486 312 0 75 9 Community transmission South Sudan 47 3 228 288 0 62 6 Community transmission Burundi 32 761 64 1 2 0 Community transmission Equatorial Guinea 29 5 214 3 716 0 85 61 Community transmission Comoros 19 643 739 0 7 8 Community transmission Seychelles 17 202 2 054 0 0 0 Sporadic cases Mauritius 10 524 412 0 10 8 Clusters of cases Gambia 6 3 788 1 567 0 123 51 Community transmission Guinea-Bissau 3 2 447 1 243 0 44 22 Community transmission Sao Tome and Principe 3 1 012 4 618 0 17 78 Community transmission Central African Republic 0 4 936 1 022 0 63 13 Community transmission Madagascar 0 17 587 635 0 259 9 Community transmission United Republic of Tanzania 0 509 9 0 21 0 Community transmission Territoriesiii Réunion 359 8 704 9 722 1 42 47 Clusters of cases Mayotte 157 5 708 20 923 1 53 194 Clusters of cases Americas 2 321 202 32 437 597 31 715 32 397 809 105 791 United States of America 1 666 736 17 314 834 52 310 18 021 311 150 940 Community transmission Brazil 326 751 7 162 978 33 699 5 213 185 650 873 Community transmission Reporting Country/Territory/Areai New cases in last 7 days Cumulative cases Cumulative cases per 1 million population New deaths in last 7 days Cumulative deaths Cumulative deaths per 1 million population Transmission classificationii Colombia 73 163 1 482 072 29 127 1 350 40 019 786 Community transmission Mexico 72 167 1 301 546 10 095 4 230 117 249 909 Community transmission Canada 46 505 495 346 13 124 789 14 040 372 Community transmission Argentina 42 046 1 531 374 33 883 1 066 41 672 922 Community transmission Panama 18 531 206 310 47 815 195 3 504 812 Community transmission Chile 13 573 583 354 30 516 255 16 101 842 Community transmission Peru 12 817 993 760 30 140 425 36 969 1 121 Community transmission Costa Rica 6 525 157 472 30 913 101 1 996 392 Community transmission Paraguay 6 183 98 296 13 781 123 2 050 287 Community transmission Dominican Republic 5 479 159 064 14 663 22 2 382 220 Community transmission Ecuador 4 396 205 920 11 671 74 13 948 791 Community transmission Guatemala 3 496 132 595 7 401 219 4 624 258 Community transmission Uruguay 3 101 11 950 3 440 19 109 31 Community transmission Venezuela (Bolivarian Republic of) 2 680 109 395 3 847 35 979 34 Community transmission Honduras 2 504 116 212 11 733 52 3 023 305 Community transmission Bolivia (Plurinational State of) 2 452 149 149 12 777 20 9 033 774 Community transmission El Salvador 1 801 43 195 6 660 49 1 242 191 Community transmission Belize 964 9 929 24 971 30 215 541 Community transmission Cuba 670 10 024 885 0 137 12 Clusters of cases Jamaica 527 12 135 4 098 14 285 96 Community transmission Guyana 237 6 076 7 725 5 159 202 Clusters of cases Haiti 183 9 674 848 1 234 21 Community transmission Suriname 120 5 459 9 306 0 117 199 Sporadic cases Trinidad and Tobago 103 6 955 4 970 1 123 88 Community transmission Bahamas 74 7 733 19 665 1 164 417 Clusters of cases Grenada 51 94 835 0 0 0 Sporadic cases Nicaragua 39 4 748 717 1 163 25 Community transmission Barbados 15 307 1 068 0 7 24 Clusters of cases Saint Lucia 6 280 1 525 1 5 27 Sporadic cases Reporting Country/Territory/Areai New cases in last 7 days Cumulative cases Cumulative cases per 1 million population New deaths in last 7 days Cumulative deaths Cumulative deaths per 1 million population Transmission classificationii Saint Vincent and the Grenadines 6 100 901 0 0 0 Sporadic cases Antigua and Barbuda 5 152 1 552 1 5 51 Sporadic cases Saint Kitts and Nevis 3 30 564 0 0 0 Sporadic cases Dominica 1 88 1 222 0 0 0 Clusters of cases Territoriesiii Puerto Rico 5 488 67 211 23 493 76 1 342 469 Community transmission French Guiana 569 12 369 41 412 0 71 238 Community transmission Curaçao 419 3 823 23 298 3 11 67 Community transmission Bermuda 125 516 8 286 0 9 145 Clusters of cases United States Virgin Islands 119 1 910 18 291 0 23 220 Community transmission Aruba 113 5 124 47 993 1 47 440 Community transmission Saint Martin 110 948 24 522 0 12 310 Community transmission Guadeloupe 106 8 557 21 386 3 155 387 Community transmission Sint Maarten 93 1 294 30 176 0 26 606 Community transmission Martinique 81 5 634 15 013 1 42 112 Community transmission Turks and Caicos Islands 20 789 20 378 0 6 155 Clusters of cases Saint Barthélemy 18 182 18 412 0 0 0 Sporadic cases Cayman Islands 13 311 4 732 0 2 30 Sporadic cases British Virgin Islands 10 86 2 844 0 1 33 Clusters of cases Bonaire 4 154 8 816 0 3 172 Sporadic cases Falkland Islands (Malvinas) 4 23 6 604 0 0 0 No cases Anguilla 0 10 667 0 0 0 Sporadic cases Montserrat 0 13 2 601 0 1 200 No cases Saba 0 5 3 342 0 0 0 No cases Saint Pierre and Miquelon 0 14 2 416 0 0 0 Sporadic cases Sint Eustatius 0 18 7 246 0 0 0 Sporadic cases Eastern Mediterranean 174 325 4 665 285 6 384 3 852 115 495 158 Reporting Country/Territory/Areai New cases in last 7 days Cumulative cases Cumulative cases per 1 million population New deaths in last 7 days Cumulative deaths Cumulative deaths per 1 million population Transmission classificationii Iran (Islamic Republic of) 51 254 1 152 072 13 716 1 499 53 448 636 Community transmission Pakistan 19 617 454 673 2 058 526 9 250 42 Clusters of cases Morocco 17 629 415 226 11 250 320 6 909 187 Clusters of cases Jordan 15 522 272 797 26 737 210 3 545 347 Community transmission Lebanon 11 325 156 570 22 939 80 1 270 186 Community transmission Iraq 9 496 583 118 14 497 115 12 680 315 Community transmission Tunisia 8 758 119 151 10 082 290 4 126 349 Community transmission United Arab Emirates 8 649 192 404 19 454 25 634 64 Community transmission Libya 3 892 93 772 13 647 68 1 346 196 Community transmission Egypt 3 802 124 891 1 220 171 7 069 69 Clusters of cases Kuwait 1 731 147 775 34 603 7 918 215 Community transmission Afghanistan 1 584 50 536 1 298 94 2 054 53 Clusters of cases Oman 1 350 127 019 24 873 20 1 483 290 Community transmission Sudan 1 232 22 823 520 79 1 434 33 Community transmission Saudi Arabia 1 099 360 848 10 365 76 6 112 176 Sporadic cases Bahrain 1 098 90 062 52 929 1 349 205 Clusters of cases Qatar 1 031 141 858 49 238 3 243 84 Community transmission Syrian Arab Republic 1 009 10 050 574 95 601 34 Community transmission Somalia 83 4 662 293 3 124 8 Sporadic cases Djibouti 56 5 781 5 851 0 61 62 Clusters of cases Yemen 4 2 091 70 0 607 20 Sporadic cases Territoriesiii occupied Palestinian territory 14 104 137 106 26 876 170 1 232 242 Community transmission Europe 1 726 941 23 691 857 25 382 36 286 522 719 560 Turkey 194 476 1 189 947 14 109 1 652 17 851 212 Community transmission Russian Federation 194 449 2 848 377 19 518 3 917 50 858 348 Clusters of cases Germany 173 293 1 494 009 17 832 4 262 26 049 311 Clusters of cases The United Kingdom 173 263 2 004 223 29 523 3 049 67 075 988 Community transmission Italy 112 308 1 938 083 32 055 4 411 68 447 1 132 Clusters of cases Reporting Country/Territory/Areai New cases in last 7 days Cumulative cases Cumulative cases per 1 million population New deaths in last 7 days Cumulative deaths Cumulative deaths per 1 million population Transmission classificationii France 93 836 2 418 439 37 051 2 651 60 043 920 Community transmission Poland 76 000 1 202 700 31 778 2 721 25 397 671 Community transmission Netherlands 73 449 676 589 39 486 444 10 454 610 Community transmission Ukraine 70 233 964 448 22 053 1 431 16 585 379 Community transmission Czechia 45 061 624 140 58 282 796 10 331 965 Community transmission Spain 44 895 1 797 236 38 440 584 48 926 1 046 Community transmission Sweden 38 630 367 120 36 351 154 7 993 791 Community transmission Romania 36 044 587 944 30 562 1 032 14 296 743 Community transmission Serbia 35 091 296 528 42 582 357 2 632 378 Community transmission Azerbaijan 27 704 199 127 19 639 292 2 175 215 Clusters of cases Switzerland 26 394 402 264 46 480 539 5 981 691 Community transmission Portugal 26 087 370 787 36 363 602 6 063 595 Clusters of cases Denmark 24 490 131 606 22 721 84 1 019 176 Community transmission Hungary 22 589 302 989 31 364 1 134 8 099 838 Community transmission Croatia 22 439 194 962 47 491 615 3 177 774 Community transmission Lithuania 19 258 112 359 41 274 204 1 019 374 Community transmission Georgia 18 912 208 638 52 301 304 2 094 525 Community transmission Slovakia 18 352 151 336 27 719 380 1 555 285 Clusters of cases Austria 17 598 334 629 37 155 772 5 127 569 Community transmission Belgium 16 803 625 928 54 008 585 18 616 1 606 Community transmission Israel 16 748 371 373 42 906 96 3 075 355 Community transmission Belarus 13 245 171 579 18 158 62 1 316 139 Community transmission Bulgaria 12 077 191 029 27 492 925 6 551 943 Clusters of cases Slovenia 9 519 105 013 50 513 319 2 347 1 129 Clusters of cases Republic of Moldova 8 855 134 578 33 361 180 2 727 676 Community transmission Greece 6 643 130 485 12 519 562 4 102 394 Community transmission Armenia 5 500 153 825 51 911 144 2 630 888 Community transmission Latvia 5 251 30 297 16 062 103 427 226 Clusters of cases Reporting Country/Territory/Areai New cases in last 7 days Cumulative cases Cumulative cases per 1 million population New deaths in last 7 days Cumulative deaths Cumulative deaths per 1 million population Transmission classificationii Bosnia and Herzegovina 5 218 105 524 32 164 327 3 625 1 105 Community transmission North Macedonia 4 862 77 949 37 415 178 2 274 1 091 Community transmission Albania 4 800 52 542 18 258 85 1 074 373 Clusters of cases Kazakhstan 4 692 190 969 10 171 0 2 609 139 Clusters of cases Estonia 4 081 21 794 16 429 26 174 131 Clusters of cases Ireland 3 020 78 776 15 954 31 2 154 436 Community transmission Luxembourg 2 795 44 067 70 397 44 440 703 Community transmission Norway 2 753 42 775 7 890 17 404 75 Clusters of cases Cyprus 2 676 17 476 14 475 12 89 74 Clusters of cases Finland 2 509 32 582 5 880 36 489 88 Community transmission Montenegro 2 345 44 037 70 115 44 626 997 Clusters of cases Kyrgyzstan 1 766 79 122 12 127 23 1 330 204 Clusters of cases Uzbekistan 995 75 806 2 265 0 612 18 Clusters of cases Malta 520 11 621 26 319 21 187 424 Clusters of cases Tajikistan 325 13 182 1 382 2 89 9 Pending Andorra 272 7 560 97 845 2 80 1 035 Community transmission Liechtenstein 223 1 725 45 232 4 22 577 Sporadic cases San Marino 175 2 107 62 084 4 55 1 621 Community transmission Iceland 69 5 621 16 472 0 28 82 Community transmission Monaco 52 723 18 423 0 3 76 Sporadic cases Holy See 0 26 32 138 0 0 0 Sporadic cases Territoriesiii Kosovo 2 564 48 639 26 145 62 1 238 665 Community transmission Jersey 597 2 234 20 533 4 36 331 Community transmission Gibraltar 114 1 184 35 143 1 6 178 Clusters of cases Faroe Islands 21 546 11 174 0 0 0 Sporadic cases Isle of Man 3 373 4 387 0 25 294 No cases Guernsey 2 291 4 605 0 13 206 Community transmission Greenland 0 19 335 0 0 0 No cases Reporting Country/Territory/Areai New cases in last 7 days Cumulative cases Cumulative cases per 1 million population New deaths in last 7 days Cumulative deaths Cumulative deaths per 1 million population Transmission classificationii South-East Asia 249 007 11 610 444 5 744 3 968 176 826 87 India 174 194 10 031 223 7 269 2 458 145 477 105 Clusters of cases Indonesia 46 317 657 948 2 405 1 006 19 659 72 Community transmission Bangladesh 10 382 499 560 3 033 222 7 242 44 Community transmission Myanmar 8 335 114 198 2 099 178 2 398 44 Clusters of cases Nepal 5 591 253 184 8 689 88 1 777 61 Clusters of cases Sri Lanka 3 914 36 049 1 683 16 165 8 Clusters of cases Thailand 139 4 331 62 0 60 1 Clusters of cases Maldives 126 13 474 24 927 0 48 89 Clusters of cases Bhutan 9 446 578 0 0 0 Clusters of cases Timor-Leste 0 31 24 0 0 0 Sporadic cases Western Pacific 46 662 1 006 682 512 636 18 895 10 Japan 18 593 195 880 1 549 311 2 873 23 Clusters of cases Malaysia 9 723 91 969 2 842 22 433 13 Clusters of cases Philippines 9 713 458 044 4 180 181 8 911 81 Community transmission Republic of Korea 6 899 49 665 969 94 674 13 Clusters of cases China 766 95 716 65 14 4 770 3 Clusters of cases Australia 103 28 128 1 103 0 908 36 Sporadic cases Singapore 90 58 403 9 983 0 29 5 Sporadic cases Mongolia 47 953 291 0 0 0 Clusters of cases Papua New Guinea 40 760 85 0 8 1 Community transmission New Zealand 20 1 760 365 0 25 5 Clusters of cases Viet Nam 16 1 411 14 0 35 0 Clusters of cases Cambodia 3 362 22 0 0 0 Sporadic cases Fiji 2 46 51 0 2 2 Sporadic cases Brunei Darussalam 0 152 347 0 3 7 Sporadic cases Lao People's Democratic Republic 0 41 6 0 0 0 Sporadic cases Reporting Country/Territory/Areai New cases in last 7 days Cumulative cases Cumulative cases per 1 million population New deaths in last 7 days Cumulative deaths Cumulative deaths per 1 million population Transmission classificationii Solomon Islands 0 17 25 0 0 0 Sporadic cases Territoriesiii French Polynesia 564 16 182 57 606 12 103 367 Sporadic cases Guam 78 7 031 41 659 2 119 705 Clusters of cases Northern Mariana Islands (Commonwealth of the) 3 116 2 015 0 2 35 Pending New Caledonia 1 37 130 0 0 0 Sporadic cases Wallis and Futuna 1 4 356 0 0 0 Sporadic cases Marshall Islands 0 4 68 0 0 0 Sporadic cases Vanuatu 0 1 3 0 0 0 No cases Global 4 612 790 75 129 306 592 79 001 1 680 794 10 **See data, table and figure notes Technical guidance and other resources – Technical guidance – WHO Coronavirus Disease (COVID-19) Dashboard – Weekly COVID-19 Operational Updates – WHO COVID-19 case definitions – COVID-19 Supply Chain Inter-Agency Coordination Cell Weekly Situational Update – Research and Development – Online courses on COVID-19 in official UN languages and in additional national languages – The Strategic Preparedness and Response Plan (SPRP) outlining the support the international community can provide to all countries to prepare and respond to the virus – Updates from WHO regions – African Region – Region of the Americas – Eastern Mediterranean Region – South-East Asia Region – European Region – Western Pacific Region Recommendations and advice for the public – Protect yourself – Questions and answers – Travel advice – EPI-WIN: tailored information for individuals, organizations and communities Data, table and figure notes Data presented are based on official laboratory-confirmed COVID-19 case and deaths reported to WHO by country/territories/areas, largely based upon WHO case definitions and surveillance guidance. While steps are taken to ensure accuracy and reliability, all data are subject to continuous verification and change, and caution must be taken when interpreting these data as several factors influence the counts presented, with variable underestimation of true case and death incidence, and variable delays to reflecting these data at global level. Case detection, inclusion criteria, testing strategies, reporting practices, and data cut-off and lag times differ between countries/territories/areas. A small number of countries/territories/areas report combined probable and laboratory-confirmed cases. Differences are to be expected between information products published by WHO, national public health authorities, and other sources. Due to public health authorities conducting data reconciliation exercises which remove large numbers of cases or deaths from their cumulative counts, negative numbers may be displayed in the new cases/deaths columns as appropriate. Retro-adjustments can also affect the percentage change reported in Table 1, with the percentages reflecting retro-adjustments made over the past week. When additional details become available that allow the subtractions to be suitably apportioned to previous days, graphics will be updated accordingly. See the log of major changes and errata for details. Prior situation reports will not be edited; see covid19.who.int for the most up-to-date data. Global totals include 744 cases and 13 deaths reported from international conveyances. The designations employed, and the presentation of these materials do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. Countries, territories and areas are arranged under the administering WHO region. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. [1] All references to Kosovo should be understood to be in the context of the United Nations Security Council resolution 1244 (1999). In the map, number of cases of Serbia and Kosovo (UNSCR 1244, 1999) have been aggregated for visualization purposes. Data for Bonaire, Sint Eustatius and Saba have been disaggregated and displayed at the subnational level. i Excludes countries, territories, and areas that have never reported a confirmed COVID-19 case. ii Transmission classification is based on a process of country/territory/area self-reporting. Classifications are reviewed on a weekly basis and may be revised as new information becomes available. Differing degrees of transmission may be present within countries/territories/areas. For further information, please see: Considerations for implementing and adjusting public health and social measures in the context of COVID-19: • No (active) cases: No new cases detected for at least 28 days (two times the maximum incubation period), in the presence of a robust surveillance system. This implies a near-zero risk of infection for the general population. • Imported / Sporadic cases: Cases detected in the past 14 days are all imported, sporadic (e.g. laboratory acquired or zoonotic) or are all linked to imported/sporadic cases, and there are no clear signals of further locally acquired transmission. This implies minimal risk of infection for the general population. • Clusters of cases: Cases detected in the past 14 days are predominantly limited to well-defined clusters that are not directly linked to imported cases, but which are all linked by time, geographic location and common exposures. It is assumed that there are a number of unidentified cases in the area. This implies a low risk of infection to others in the wider community if exposure to these clusters is avoided. • Community transmission: Which encompasses a range of levels from low to very high incidence, as described below and informed by a series of indicators described in the aforementioned guidance. As these subcategorizations are not currently collated at the global level, but rather intended for use by national and sub-national public health authorities for local decision-making, community transmission has not been disaggregated in this information product. o CT1: Low incidence of locally acquired, widely dispersed cases detected in the past 14 days, with many of the cases not linked to specific clusters; transmission may be focused in certain population sub-groups. Low risk of infection for the general population. o CT2: Moderate incidence of locally acquired, widely dispersed cases detected in the past 14 days; transmission less focused in certain population sub-groups. Moderate risk of infection for the general population. o CT3: High incidence of locally acquired, widely dispersed cases in the past 14 days; transmission widespread and not focused in population sub-groups. High risk of infection for the general population. o CT4: Very high incidence of locally acquired, widely dispersed cases in the past 14 days. Very high risk of infection for the general population. • Pending: transmission classification has not been reported to WHO. iii “Territories” include territories, areas, overseas dependencies and other jurisdictions of similar status.