COVID-19 monthly update: November 2023

Distribution of daily cases and CFR% in EMR, 29 January 2020 to 30 November 2023 0 10 20 30 40 50 60 70 80 90 100 CF R% a nd m ov in g av er ag e N um be r of c as es Date of reporting Cases Moving average of cases 7 days CFR% Highlights In November 2023, a total of 4,227 COVID-19 confirmed cases were reported from 4 Member States of the WHO Eastern Mediterranean Region (EMR). There was a decrease of 35% in overall reported confirmed cases compared to the previous month when it was 6,496 confirmed cases. The highest number of confirmed cases was reported from the Islamic Republic of Iran followed by Afghanistan and Morraco. During November 2023, a total of 134 COVID-19-related deaths were reported from 3 Member States in the Region with the Islamic Republic of Iran reporting the highest number of deaths followed by Afghanistan. There was a 24%% decrease in reported deaths compared to the previous month when it was 176. Out of the 22 Member States in the Region, 4 reported updates on COVID-19 confirmed cases and associated deaths in November 2023. Since the start of the pandemic, a total of 23,406,374 confirmed COVID-19 cases including 351,802 related deaths at a case-fatality ratio (CFR) of 1.5% were reported from the Region. 21 countries have reported one or more new variants of concern (VOC) in the Region: Alpha in 21 countries, Beta in 18 countries, Gamma in 6 countries, Delta in 20 countries and Omicron in 21 countries. Vaccination continues across the Region. The total number of doses administered as of 30 November 2023 in the Region is 902,709,401 and the average coverage of the fully vaccinated population in the Region is 51%. The United Arab Emirates (98%), Qatar (97%) and Kuwait (77%) have reported the highest number of completed primary series while Libya (18%), Syria (13%), and Yemen (3%) reported the lowest number of vaccination coverage in the Region. . . . . . . COVID-19 cases and deaths by EMR countries, 29 January 2020 to 30 November 2023 Distribution of COVID-19 cases by age and gender in EMR, 29 January 2020 to November 2023 Distribution of daily deaths in EMR, 29 January 2020 to 30 November 2023 Distribution of weekly COVID-19 tested in EMR, 29 January 2020 to November 2023 New cases New deaths Cases Deaths CFR% Afghanistan Bahrain Djibouti Egypt Islamic Republic of Iran Iraq Jordan Kuwait Lebanon Libya Morocco Occupied Palestinian territory Oman Pakistan Qatar Saudi Arabia Somalia Sudan Syrian Arab Republic Tunisia United Arab Emirates Yemen Total November Cumulative figures Countries Trend* 1500 2280 43 404 4227 9 125 0 0 134 229263 696614 15690 516023 7624407 2465545 1746997 666529 1239904 507269 1277746 703228 399449 1580631 514524 841469 27334 63993 57423 1153361 1067030 11945 23406374 7965 1536 189 24830 146705 25375 14122 2570 10947 6437 16297 5708 4628 30656 690 9646 1361 5046 3163 29423 2349 2159 351802 3.5 0.2 1 4.8 1.9 1.0 0.8 0 0.9 1 1.3 0.8 1.2 1.9 0.1 1.1 5 7.9 5.5 2.6 0.2 18.1 1.5 - - - - - - - - - - - - - - - - - - *trend refers to % changes in the cases compared to previous month 0 to 04 05 to 09 10 to 14 15 to 19 20 to 24 25 to 29 30 to 34 35 to 39 40 to 44 45 to 49 50 to 54 55 to 59 60 to 64 65 to 69 70 to 74 75 to 79 80 to 84 85 and above Female Male 0 200 400 600 800 1000 1200 1400 N um be r of d ea th s Date of reporting Deaths Moving average of Deaths 7 days 0 5 10 15 20 25 30 35 40 45 Po si tiv ity week of reporting Tests Cases Positivity% 5 weeks moving average Number of reported cases A ge g ro up Document number: WHO-EM/CSR/709/E Published by the WHO Regional Office for the Eastern Mediterranean in Cairo, Egypt. The information in this document is gathered from the Region’s ministries of health. For more information, please contact: emrgohspoutbreak@who.int World Health Organization Regional Office for the Eastern Mediterranean Monazamet El Seha El Alamia Str,Extension of Abdel Razak El Sanhouri Street P.O. Box 7608, Nasr City Cairo 11371, Egypt www.emro.who.int © World Health Organization 2023 COVID-19 cases and deaths per million population in EMR, 29 January 2020 to 30 November 2023 Key figures, November Cumulative key figures, 29 January 2020 to 30 November 2023 Tested 270,290 Confirmed 4,227 Recovered 4,476 Deaths 134 Tested 450,258,700 Confirmed 23,406,374 Recovered 22,741,296 Deaths 351,802 Tests/100 000 604,697.3 Recovery rate 97.16% CFR 1.50% AR/Million 31,435 CFR 3.17% Afghanistan Pakistan Iraq EgyptLibya Tunisia Morocco Sudan Kuwait Saudi Arabia United Arab Emirates Oman Yemen Somalia Djibouti Iran SyriaLebanon Occupied Palestinian territory Jordan Qatar Bahrain 2020 2021 2022 2023 0 20000 40000 60000 80000 100000 140000 120000 1000000 2000000 3000000 4000000 5000000 6000000 7000000 8000000 9000000 0 200 150 100 50 0 50 100 150 200 250 COVID-19 MONTHLY UPDATE NOVEMBER 2023 2 9 -J a n -2 0 2 9 -F e b -2 0 3 1 -M a r- 2 0 3 0 -A p r- 2 0 3 1 -M a y -2 0 3 0 -J u n -2 0 3 1 -J u l- 2 0 3 1 -A u g -2 0 3 0 -S e p -2 0 3 1 -O ct -2 0 3 0 -N o v -2 0 3 1 -D e c- 2 0 3 1 -J a n -2 1 2 8 -F e b -2 1 3 1 -M a r- 2 1 3 0 -A p r- 2 1 3 1 -M a y -2 1 3 0 -J u n -2 1 3 1 -J u l- 2 1 3 1 -A u g -2 1 3 0 -S e p -2 1 3 1 -O ct -2 1 3 0 -N o v -2 1 3 1 -D e c- 2 1 3 1 -J a n -2 2 2 8 -F e b -2 2 3 1 -M a r- 2 2 3 0 -A p r- 2 2 3 1 -M a y -2 2 3 0 -J u n -2 2 3 1 -J u l- 2 2 3 1 -A u g -2 2 3 0 -S e p -2 2 3 1 -O ct -2 2 3 0 -N o v -2 2 3 1 -D e c- 2 2 3 1 -J a n -2 3 2 8 -F e b -2 3 3 1 -M a r- 2 3 3 0 -A p r- 2 3 3 1 -M a y -2 3 3 0 -J u n -2 3 3 1 -J u l- 2 3 3 1 -A u g -2 3 3 0 -S e p -2 3 3 1 -O ct -2 3 3 0 -N o v -2 3 2 9 -J a n -2 0 2 9 -F e b -2 0 3 1 -M a r- 2 0 3 0 -A p r- 2 0 3 1 -M a y -2 0 3 0 -J u n -2 0 3 1 -J u l- 2 0 3 1 -A u g -2 0 3 0 -S e p -2 0 3 1 -O ct -2 0 3 0 -N o v -2 0 3 1 -D e c- 2 0 3 1 -J a n -2 1 2 8 -F e b -2 1 3 1 -M a r- 2 1 3 0 -A p r- 2 1 3 1 -M a y -2 1 3 0 -J u n -2 1 3 1 -J u l- 2 1 3 1 -A u g -2 1 3 0 -S e p -2 1 3 1 -O ct -2 1 3 0 -N o v -2 1 3 1 -D e c- 2 1 3 1 -J a n -2 2 2 8 -F e b -2 2 3 1 -M a r- 2 2 3 0 -A p r- 2 2 3 1 -M a y -2 2 3 0 -J u n -2 2 3 1 -J u l- 2 2 3 1 -A u g -2 2 3 0 -S e p -2 2 3 1 -O ct -2 2 3 0 -N o v -2 2 3 1 -D e c- 2 2 3 1 -J a n -2 3 2 8 -F e b -2 3 3 1 -M a r- 2 3 3 0 -A p r- 2 3 3 1 -M a y -2 3 3 0 -J u n -2 3 3 1 -J u l- 2 3 3 1 -A u g -2 3 3 0 -S e p -2 3 3 1 -O ct -2 3 3 0 -N o v -2 3 5 8 11 14 17 20 23 26 29 32 35 38 41 44 47 50 53 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 2 5 8 11 14 17 20 23 26 29 32 35 38 41 44 47 50 1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46