Coronavirus disease (COVID-19): situation report, 138

Coronavirus disease (COVID-19) Situation Report – 138 Data as received by WHO from national authorities by 10:00 CEST, 06 June 2020 Highlights Community health mobilizers are on the frontlines of Angola’s COVID-19 response, increasing awareness of COVID-19 among the general population by conducting home visits and social mobilization campaigns in local markets and other busy communal areas. This year on World Environment Day on 5 June, people around the world celebrated biodiversity and called for the preservation of nature, as human impact on the environment has increased the risk of emerging infectious diseases in humans: over 60% of emerging infectious diseases originate from animals, mainly from wildlife. The need to lessen our impact on the environment is being emphasised in the context of post-COVID-19 recovery, in order to reduce at source the risk of future epidemics. WHO has published an updated interim guidance on Key planning recommendations for mass gatherings in the context of COVID-19, which reflects the evolution of the pandemic and the most recent WHO recommendations on COVID-19, summarized in the ‘Subject in Focus’ below. The guidance provides advice to host governments, health authorities and event organizers on containing COVID-19 risks associated with a mass gathering, and on mitigating the likelihood of strain on health services. Situation in numbers (by WHO Region) Total (new cases in last 24 hours) Globally 6 663 304 cases (127 950) 392 802 deaths (5 647) Africa 126 561 cases (5 457) 3 062 deaths (104) Americas 3 155 370 cases (70 853) 176 167 deaths (3 891) Eastern Mediterranean 605 026 cases (17 996) 14 024 deaths (304) Europe 2 249 999 cases (19 293) 183 128 deaths (963) South-East Asia 336 577 cases (13 714) 9 316 deaths (374) Western Pacific 189 030 cases (637) 7 092 deaths (11) Subject in Focus: Key planning recommendations for mass gatherings in the context of COVID-19 WHO has published an updated interim guidance on Key planning recommendations for mass gatherings in the context of COVID-19 on 29 May 2020. This general guidance is an updated version of the guidance first published on 14 February and revised on 19 March 2020. The current version reflects the evolution of the pandemic and the most recent WHO recommendations on COVID-19. The guidance provides advice to host governments, health authorities and event organizers on containing COVID-19 risks associated with a mass gathering, and on mitigating the resulting likelihood of strain on health services. Mass gatherings include a wide range of events characterized by the concentration of people in space and time. They are not merely recreational events; rather, they may also have major political, cultural, social and economic implications. WHO recommends that any decision to restrict, modify, postpone, cancel or proceed with a mass gathering should be based on a rigorous risk assessment, based on three main considerations: 1. Normative and epidemiological context in which the event takes place: the application of restrictive public health and social measures to control the spread of COVID-19, may not allow mass gatherings to take place. However, in countries where measures are eased in response to an evolving transmission scenario, the decision to proceed with an event and how to proceed, becomes relevant. The context continuously evolves, which entails an evolution of risk and of the action required to mitigate it, and therefore calls for a review of the risk assessment at regular intervals. 2. Risk factors associated with the event: this evaluation examines factors which determine the risk profile for an event, including the characteristics of the venue, the number and key features of the participants (and their expected interactions), the duration of the event, and the capacity of the health system to detect and manage COVID-19 cases, among others. 3. Prevention and control measures: this area focuses on the capacity that host governments, health authorities and event organizers have to apply actions that mitigate the risk identified in step 2, above. Measures may modify the characteristics of the event (venue, attendees, facilities, etc.) or focus on strengthening the preparedness and response. Prevention and control measures can be applied throughout the event’s timeline – in the planning phase, operational phase, and post-event phase. WHO has developed tools that facilitate the evaluation of the risks associated with a mass gathering and guide the selection of tailored prevention and control measures. A set of three tools is currently available: a generic tool, one tailored to sports events, and one tailored to religious events. At the same time, many organisers have adapted and tailored WHO tools to specific purposes, especially for sport-related events, such as football, rugby and rowing competitions – with the aim of guiding the decision-making process on closing down or reopening them. A mass gathering indicator has been included in the COVID-19 Strategic Preparedness and Response Plan (SPRP) Monitoring and Evaluation Framework. This will help monitor how health systems prepare and respond to the COVID-19 pandemic as well as how they tackle risks associated with mass gatherings. Surveillance Figure 1. Number of confirmed COVID-19 cases reported in the last seven days by country, territory or area, 31 May to 06 June** **See Annex 1 for data, table and figure notes. Figure 2. Number of confirmed COVID-19 cases, by date of report and WHO region, 30 December 2019 through 06 June 2020** **See Annex 1 for data, table and figure notes. Table 1. Countries, territories or areas with reported laboratory-confirmed COVID-19 cases and deaths, by WHO region. Data as of 10 AM CEST, 06 June 2020** Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Africa South Africa 43 434 2 642 908 60 Community transmission 0 Nigeria 11 844 328 333 10 Community transmission 0 Algeria 9 935 104 690 9 Community transmission 0 Ghana 9 168 283 42 4 Community transmission 0 Cameroon 7 392 603 205 2 Community transmission 0 Senegal 4 155 134 45 0 Community transmission 0 Guinea 4 060 69 23 0 Community transmission 0 Democratic Republic of the Congo 3 763 120 80 3 Community transmission 0 Côte d’Ivoire 3 431 169 36 1 Community transmission 0 Gabon 3 101 146 21 0 Community transmission 0 Kenya 2 474 134 79 1 Community transmission 0 Ethiopia 1 805 169 19 1 Clusters of cases 0 Mali 1 485 24 87 2 Community transmission 0 Central African Republic 1 451 163 4 0 Clusters of cases 0 Guinea-Bissau 1 368 22 12 3 Community transmission 0 South Sudan 1 317 0 14 0 Clusters of cases 2 Zambia 1 111 0 7 0 Community transmission 1 Equatorial Guinea 1 043 0 12 0 Community transmission 13 Madagascar 975 18 7 0 Clusters of cases 0 Niger 966 3 65 0 Community transmission 0 Sierra Leone 929 15 47 0 Community transmission 0 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Burkina Faso 885 0 53 0 Community transmission 1 Mauritania 883 99 43 4 Clusters of cases 0 Chad 836 8 68 2 Community transmission 0 Uganda 686 35 0 0 Sporadic cases 0 Congo 639 4 20 0 Community transmission 0 Cabo Verde 536 34 5 0 Clusters of cases 0 United Republic of Tanzania 509 0 21 0 Community transmission 29 Togo 485 20 13 0 Community transmission 0 Rwanda 420 10 2 0 Sporadic cases 0 Malawi 409 16 4 0 Clusters of cases 0 Mozambique 352 0 2 0 Clusters of cases 1 Mauritius 337 2 10 0 Clusters of cases 0 Liberia 334 13 30 2 Community transmission 0 Eswatini 305 5 3 0 Clusters of cases 0 São Tomé and Príncipe 295 0 10 0 Clusters of cases 10 Zimbabwe 265 43 4 0 Sporadic cases 0 Benin 261 0 3 0 Community transmission 1 Angola 86 0 4 0 Clusters of cases 5 Burundi 63 0 1 0 Clusters of cases 5 Comoros 62 0 2 0 Community transmission 5 Eritrea 41 0 0 0 Sporadic cases 1 Botswana 40 0 1 0 Clusters of cases 3 Gambia 26 0 1 0 Sporadic cases 3 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Namibia 25 0 0 0 Sporadic cases 4 Seychelles 11 0 0 0 Clusters of cases 60 Lesotho 4 0 0 0 Sporadic cases 2 Territoriesii Mayotte 2 079 21 25 0 Clusters of cases 0 Réunion 480 1 1 0 Clusters of cases 0 Americas United States of America 1 857 872 20 069 107 911 1 035 Community transmission 0 Brazil 614 941 30 925 34 021 1 473 Community transmission 0 Peru 183 198 4 284 5 031 137 Community transmission 0 Chile 122 499 4 207 1 448 92 Community transmission 0 Mexico 105 680 4 442 12 545 817 Community transmission 0 Canada 94 070 629 7 652 109 Community transmission 0 Ecuador 42 106 1 140 3 592 106 Community transmission 0 Colombia 35 120 1 766 1 087 42 Community transmission 0 Argentina 20 197 929 615 27 Community transmission 0 Dominican Republic 18 708 389 525 5 Community transmission 0 Panama 15 044 435 363 6 Community transmission 0 Bolivia (Plurinational State of) 12 245 607 415 15 Community transmission 0 Guatemala 6 154 394 158 15 Community transmission 0 Honduras 5 880 190 243 9 Community transmission 0 El Salvador 2 849 68 53 1 Community transmission 0 Haiti 2 640 36 50 0 Community transmission 0 Cuba 2 133 14 83 0 Clusters of cases 0 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Venezuela (Bolivarian Republic of) 2 087 135 20 0 Community transmission 0 Nicaragua 1 309 0 46 0 Community transmission 2 Costa Rica 1 194 37 10 0 Clusters of cases 0 Paraguay 1 087 1 11 0 Community transmission 0 Uruguay 832 4 23 0 Clusters of cases 0 Jamaica 591 1 10 1 Clusters of cases 0 Guyana 153 0 12 0 Clusters of cases 4 Trinidad and Tobago 117 0 8 0 Sporadic cases 5 Bahamas 102 0 11 0 Clusters of cases 4 Barbados 92 0 7 0 Clusters of cases 12 Suriname 82 0 1 0 Sporadic cases 1 Saint Vincent and the Grenadines 26 0 0 0 Sporadic cases 5 Antigua and Barbuda 25 0 3 0 Clusters of cases 33 Grenada 23 0 0 0 Clusters of cases 10 Saint Lucia 19 1 0 0 Sporadic cases 0 Belize 18 0 2 0 Sporadic cases 52 Dominica 16 0 0 0 Clusters of cases 56 Saint Kitts and Nevis 15 0 0 0 Sporadic cases 46 Territoriesii Puerto Rico 4 620 112 141 1 Community transmission 0 French Guiana 589 33 1 0 Clusters of cases 0 Martinique 200 0 14 0 Clusters of cases 6 Guadeloupe 164 2 14 0 Clusters of cases 0 Cayman Islands 160 4 1 0 Clusters of cases 0 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Bermuda 141 0 9 0 Clusters of cases 3 Aruba 101 0 3 0 No cases 31 Sint Maarten 77 - 1 15 0 Sporadic cases 0 United States Virgin Islands 71 0 6 0 Clusters of cases 1 Saint Martin 41 0 3 0 Sporadic cases 6 Curaçao 21 0 1 0 Sporadic cases 1 Falkland Islands (Malvinas) 13 0 0 0 Clusters of cases 41 Turks and Caicos Islands 12 0 1 0 Sporadic cases 39 Montserrat 11 0 1 0 Sporadic cases 53 British Virgin Islands 8 0 1 0 Sporadic cases 21 Bonaire, Sint Eustatius and Saba 7 0 0 0 No cases 11 Saint Barthélemy 6 0 0 0 Sporadic cases 67 Anguilla 3 0 0 0 Sporadic cases 63 Saint Pierre and Miquelon 1 0 0 0 Sporadic cases 59 Eastern Mediterranean Iran (Islamic Republic of) 167 156 2 886 8 134 63 Community transmission 0 Saudi Arabia 95 748 2 591 642 31 Clusters of cases 0 Pakistan 93 983 4 734 1 935 97 Clusters of cases 0 Qatar 65 495 1 754 49 4 Community transmission 0 United Arab Emirates 37 642 624 274 1 Pending 0 Egypt 31 115 1 348 1 166 40 Clusters of cases 0 Kuwait 30 644 723 244 8 Clusters of cases 0 Afghanistan 19 551 582 327 18 Clusters of cases 0 Oman 15 086 770 72 5 Clusters of cases 0 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Bahrain 13 835 606 22 1 Clusters of cases 0 Iraq 9 846 1 006 285 14 Clusters of cases 0 Morocco 8 071 68 208 0 Clusters of cases 0 Sudan 5 865 151 347 14 Community transmission 0 Djibouti 4 123 69 26 0 Clusters of cases 0 Somalia 2 204 0 79 0 Sporadic cases 1 Lebanon 1 312 6 28 0 Clusters of cases 0 Tunisia 1 087 0 49 0 Community transmission 2 Jordan 784 19 9 0 Clusters of cases 0 Yemen 473 16 112 8 Pending 0 Libya 239 43 5 0 Clusters of cases 0 Syrian Arab Republic 124 0 6 0 Community transmission 1 Territoriesii occupied Palestinian territory 643 0 5 0 Clusters of cases 1 Europe Russian Federation 458 689 8 855 5 725 197 Clusters of cases 0 The United Kingdom 283 315 1 650 40 261 357 Community transmission 0 Spain 240 978 318 27 134 1 Community transmission 0 Italy 234 531 518 33 774 85 Community transmission 0 Germany 183 678 407 8 646 33 Community transmission 0 Turkey 168 340 930 4 648 18 Community transmission 0 France 149 495 554 29 053 46 Community transmission 0 Belgium 58 907 140 9 566 18 Community transmission 0 Netherlands 47 152 210 6 005 15 Community transmission 0 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Belarus 46 868 887 259 6 Community transmission 0 Sweden 42 939 1 056 4 639 77 Community transmission 0 Portugal 33 969 377 1 465 10 Community transmission 0 Switzerland 30 853 23 1 659 0 Community transmission 0 Ukraine 26 514 550 777 15 Community transmission 0 Poland 25 419 371 1 137 20 Community transmission 0 Ireland 25 163 21 1 670 6 Community transmission 0 Romania 20 103 196 1 308 9 Community transmission 0 Israel 17 562 67 291 0 Pending 0 Austria 16 803 62 672 2 Community transmission 0 Kazakhstan 12 511 199 52 4 Clusters of cases 0 Armenia 12 364 547 190 7 Community transmission 0 Denmark 11 875 64 586 4 Community transmission 0 Serbia 11 667 96 247 1 Pending 0 Czechia 9 529 35 327 1 Clusters of cases 0 Republic of Moldova 9 247 229 323 8 Community transmission 0 Norway 8 504 27 238 0 Clusters of cases 0 Finland 6 941 30 322 0 Pending 0 Azerbaijan 6 860 338 82 4 Clusters of cases 0 Tajikistan 4 370 81 48 0 Pending 0 Luxembourg 4 032 5 110 0 Clusters of cases 0 Uzbekistan 4 022 57 16 0 Clusters of cases 0 Hungary 3 970 16 542 3 Community transmission 0 Greece 2 937 0 179 0 Clusters of cases 2 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case North Macedonia 2 792 180 149 2 Clusters of cases 0 Bulgaria 2 668 83 160 13 Clusters of cases 0 Bosnia and Herzegovina 2 605 12 158 0 Community transmission 0 Croatia 2 247 0 103 0 Sporadic cases 1 Kyrgyzstan 1 974 38 22 0 Clusters of cases 0 Estonia 1 910 20 69 0 Pending 0 Iceland 1 806 0 10 0 Community transmission 6 Lithuania 1 694 7 71 0 Community transmission 0 Slovakia 1 526 0 28 0 Clusters of cases 1 Slovenia 1 489 12 108 0 Clusters of cases 0 Albania 1 232 20 34 1 Clusters of cases 0 Latvia 1 082 0 25 0 Clusters of cases 1 Cyprus 960 2 17 0 Clusters of cases 0 Andorra 852 0 51 0 Community transmission 1 Georgia 808 2 13 0 Community transmission 0 San Marino 695 0 42 0 Community transmission 1 Malta 622 0 9 0 Sporadic cases 2 Montenegro 324 0 9 0 Clusters of cases 31 Monaco 98 0 1 0 Sporadic cases 13 Liechtenstein 83 0 1 0 Pending 41 Holy See 12 0 0 0 Sporadic cases 30 Territoriesii Kosovo[1] 1 142 0 30 0 Community transmission 2 Isle of Man 336 0 24 0 Pending 15 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Jersey 309 0 30 0 Community transmission 1 Guernsey 252 0 13 0 Community transmission 34 Faroe Islands 187 0 0 0 Pending 43 Gibraltar 174 1 0 0 Clusters of cases 0 Greenland 13 0 0 0 Pending 8 South-East Asia India 236 657 9 887 6 642 294 Clusters of cases 0 Bangladesh 60 391 2 828 811 30 Community transmission 0 Indonesia 29 521 703 1 770 49 Community transmission 0 Thailand 3 104 2 58 0 Clusters of cases 0 Nepal 2 912 278 11 1 Sporadic cases 0 Maldives 1 883 11 7 0 Clusters of cases 0 Sri Lanka 1 801 4 11 0 Clusters of cases 0 Myanmar 236 0 6 0 Clusters of cases 1 Bhutan 48 1 0 0 Sporadic cases 0 Timor-Leste 24 0 0 0 Clusters of cases 43 Western Pacific China 84 620 6 4 645 0 Clusters of cases 0 Singapore 37 183 261 24 0 Clusters of cases 0 Philippines 20 626 244 987 3 Community transmission 0 Japan 17 103 39 914 7 Clusters of cases 0 Republic of Korea 11 719 51 273 0 Clusters of cases 0 Malaysia 8 266 19 116 1 Clusters of cases 0 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Australia 7 251 11 102 0 Clusters of cases 0 New Zealand 1 154 0 22 0 Clusters of cases 15 Viet Nam 329 1 0 0 Clusters of cases 0 Mongolia 191 5 0 0 Sporadic cases 0 Brunei Darussalam 141 0 2 0 Clusters of cases 29 Cambodia 125 0 0 0 Sporadic cases 7 Lao People's Democratic Republic 19 0 0 0 Sporadic cases 54 Fiji 18 0 0 0 Sporadic cases 46 Papua New Guinea 8 0 0 0 Sporadic cases 44 Territoriesii Guam 171 0 5 0 Clusters of cases 1 French Polynesia 60 0 0 0 Sporadic cases 31 Northern Mariana Islands (Commonwealth of the) 26 0 2 0 Pending 1 New Caledonia 20 0 0 0 Sporadic cases 1 Subtotal for all regions 6 662 563 127 950 392 789 5 647 Other* 741 0 13 0 Not applicable - Grand total 6 663 304 127 950 392 802 5 647 **See Annex 1 for data, table and figure notes. Technical guidance and other resources – To view all technical guidance documents regarding COVID-19, please go to this webpage. – Updates from WHO regional offices – WHO AFRO – WHO PAHO – WHO EMRO – WHO SEARO – WHO EURO – WHO WPRO – Research and Development – Online courses on COVID-19 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 – WHO Coronavirus Disease (COVID-19) Dashboard – Weekly COVID-19 Operations Updates Recommendations and advice for the public – Protect yourself – Questions and answers – Travel advice – EPI-WIN: tailored information for individuals, organizations and communities Case definitions WHO periodically updates the Global Surveillance for human infection with coronavirus disease (COVID-19) document which includes surveillance definitions. Definition of COVID-19 death COVID-19 death is defined for surveillance purposes as a death resulting from a clinically compatible illness in a probable or confirmed COVID-19 case, unless there is a clear alternative cause of death that cannot be related to COVID-19 disease (e.g. trauma). There should be no period of complete recovery between the illness and death. Further guidance for certification and classification (coding) of COVID-19 as cause of death is available here. Annex 1: Data, table and figure notes Caution must be taken when interpreting all data presented. Differences are to be expected between information products published by WHO, national public health authorities, and other sources using different inclusion criteria and different data cut-off times. While steps are taken to ensure accuracy and reliability, all data are subject to continuous verification and change. Case detection, definitions, testing strategies, reporting practice, and lag times differ between countries/territories/areas. These factors, amongst others, influence the counts presented, with variable underestimation of true case and death counts, and variable delays to reflecting these data at global level. 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. Counts reflect laboratory-confirmed cases and deaths, based on WHO case definitions, unless stated otherwise (see Country, territory, or area-specific updates and errata), and include both domestic and repatriated cases. Other*: includes cases reported from international conveyances. Due to the recent trend of countries conducting data reconciliation exercises which remove large numbers of cases or deaths from their total counts, WHO will now display such data as negative numbers in the “new cases” / “new deaths” columns as appropriate. This will aid readers in identifying when such adjustments occur. When additional details become available that allow the subtractions to be suitably apportioned to previous days, graphics will be updated accordingly. Prior situation reports will not be edited; see covid19.who.int for the most up-to-date data. Additional table notes i 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. and. Differing degrees of transmission may be present within countries/territories/areas; classification is based on the highest category reported within a country/territory/area. Categories: • No cases: with no confirmed cases • Sporadic cases: with one or more cases, imported or locally detected. • Clusters of cases: experiencing cases, clustered in time, geographic location and/or by common exposures. • Community transmission: experiencing larger outbreaks of local transmission defined through an assessment of factors including, but not limited to: large numbers of cases not linkable to transmission chains; large numbers of cases from sentinel lab surveillance; and/or multiple unrelated clusters in several areas of the country/territory/area. • Pending: transmission classification has not been reported to WHO. ii “Territories” include territories, areas, overseas dependencies and other jurisdictions of similar status. Country, territory, or area-specific updates and errata None