Coronavirus disease 2019 (COVID-19): situation report, 126

Coronavirus disease (COVID-19) Situation Report – 126 Data as received by WHO from national authorities by 10:00 CEST, 25 May 2020 Highlights The WHO Regional Office for Africa has provided training for Tanzanian health workers to equip them with skills for caring for critically ill COVID-19 patients. A total of 160 health workers in Tanzania attended a three-day virtual training session organized by the Ministry of Health and the World Health Organization. The United Kingdom will contribute $3.8m for the COVID-19 response in the Caribbean. The financial contribution to the WHO Regional Office for the Americas will help Antigua and Barbuda, Belize, Dominica, Grenada, Guyana, Jamaica, Saint Lucia, and Saint Vincent and the Grenadines contain the spread of the disease and mitigate its impact. WHO has partnered with Vital Strategies and other global partners to launch a new technical package: Revealing the Toll of COVID-19: A Technical Package for Rapid Mortality Surveillance and Epidemic Response. This is a technical package for rapid mortality surveillance and epidemic response to support national governments with surveillance and response planning surrounding COVID-19. Situation in numbers (by WHO Region) Total (new cases in last 24 hours) Globally 5 304 772 cases (100 264) 342 029 deaths (4 342) Africa 80 002 cases (2 707) 2 120 deaths (47) Americas 2 395 295 cases (57 171) 141 472 deaths (3 356) Eastern Mediterranean 427 832 cases (12 026) 11 164 deaths (176) Europe 2 025 176 cases (18 192) 174 429 deaths (543) South-East Asia 201 207 cases (9 241) 5 952 deaths (204) Western Pacific 174 548 cases (927) 6 879 deaths (16) Surveillance Figure 1. Number of confirmed COVID-19 cases reported in the last seven days by country, territory or area, 19 May to 25 May** **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 25 May 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, 25 May 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 22 583 1 240 429 22 Community transmission 0 Algeria 8 306 193 600 8 Community transmission 0 Nigeria 7 839 313 226 5 Community transmission 0 Ghana 6 683 66 32 1 Community transmission 0 Cameroon 4 400 0 159 0 Community transmission 2 Guinea 3 275 99 20 0 Community transmission 0 Senegal 3 047 71 35 1 Community transmission 0 Côte d’Ivoire 2 376 10 30 0 Community transmission 0 Democratic Republic of the Congo 2 140 0 62 0 Community transmission 1 Gabon 1 934 0 12 0 Community transmission 1 Kenya 1 214 22 51 1 Community transmission 0 Guinea-Bissau 1 173 59 6 0 Community transmission 0 Equatorial Guinea 1 043 0 12 0 Community transmission 1 Mali 1 030 15 65 3 Community transmission 0 Niger 945 2 61 0 Community transmission 0 Zambia 920 0 7 0 Community transmission 2 Burkina Faso 832 1 52 0 Community transmission 0 Sierra Leone 721 100 40 1 Community transmission 0 Chad 675 27 60 0 Community transmission 0 South Sudan 655 92 8 2 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 Central African Republic 604 52 1 0 Clusters of cases 0 Ethiopia 582 88 5 0 Clusters of cases 0 Madagascar 527 39 2 0 Clusters of cases 0 United Republic of Tanzania 509 0 21 0 Community transmission 17 Congo 487 0 16 0 Community transmission 1 Togo 381 8 12 0 Community transmission 0 Cabo Verde 380 9 3 0 Clusters of cases 0 Mauritius 334 2 10 0 Clusters of cases 0 Rwanda 327 2 0 0 Sporadic cases 0 Uganda 304 -8 0 0 Sporadic cases 0 Liberia 265 10 26 0 Community transmission 0 Eswatini 250 12 2 0 Clusters of cases 0 Mauritania 237 10 6 0 Clusters of cases 0 Mozambique 194 26 0 0 Clusters of cases 0 Benin 191 56 3 0 Community transmission 0 São Tomé and Príncipe 174 0 9 1 Clusters of cases 1 Malawi 83 0 4 0 Clusters of cases 1 Angola 69 9 4 1 Clusters of cases 0 Zimbabwe 56 0 4 0 Sporadic cases 1 Comoros 43 9 1 0 Community transmission 0 Burundi 42 0 1 0 Clusters of cases 7 Eritrea 39 0 0 0 Sporadic cases 36 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Botswana 35 6 1 0 Clusters of cases 0 Gambia 25 0 1 0 Sporadic cases 2 Namibia 21 1 0 0 Sporadic cases 0 Seychelles 11 0 0 0 Clusters of cases 48 Lesotho 2 0 0 0 Sporadic cases 2 Territoriesii Mayotte 1 587 66 20 1 Clusters of cases 0 Réunion 452 0 1 0 Clusters of cases 1 Americas United States of America 1 592 599 24 151 95 863 1 852 Community transmission 0 Brazil 347 398 16 508 22 013 965 Community transmission 0 Peru 115 754 4 056 3 373 129 Community transmission 0 Canada 84 081 1 189 6 380 103 Community transmission 0 Chile 69 102 3 709 718 45 Community transmission 0 Mexico 65 856 3 329 7 179 190 Community transmission 0 Ecuador 36 756 498 3 108 12 Community transmission 0 Colombia 20 177 1 046 705 23 Community transmission 0 Dominican Republic 14 801 379 458 0 Community transmission 0 Argentina 11 353 704 445 6 Community transmission 0 Panama 10 577 310 299 4 Community transmission 0 Bolivia (Plurinational State of) 5 915 336 240 10 Community transmission 0 Honduras 3 743 266 174 7 Community transmission 0 Guatemala 3 054 311 57 4 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 Cuba 1 941 10 82 1 Clusters of cases 0 El Salvador 1 915 96 35 2 Community transmission 0 Venezuela (Bolivarian Republic of) 1 010 66 10 0 Community transmission 0 Costa Rica 918 7 10 0 Clusters of cases 0 Haiti 865 53 26 1 Community transmission 0 Paraguay 862 12 11 0 Community transmission 0 Uruguay 764 11 22 2 Clusters of cases 0 Jamaica 550 6 9 0 Clusters of cases 0 Nicaragua 279 0 17 0 Community transmission 4 Guyana 127 0 10 0 Clusters of cases 2 Trinidad and Tobago 116 0 8 0 Sporadic cases 27 Bahamas 100 3 11 0 Clusters of cases 0 Barbados 92 2 7 0 Clusters of cases 0 Antigua and Barbuda 25 0 3 0 Clusters of cases 21 Grenada 22 0 0 0 Clusters of cases 9 Belize 18 0 2 0 Sporadic cases 40 Saint Lucia 18 0 0 0 Sporadic cases 20 Saint Vincent and the Grenadines 18 0 0 0 Sporadic cases 4 Dominica 16 0 0 0 Clusters of cases 44 Saint Kitts and Nevis 15 0 0 0 Sporadic cases 34 Suriname 11 0 1 0 Sporadic cases 6 Territoriesii Puerto Rico 3 189 89 127 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 French Guiana 279 18 1 0 Clusters of cases 0 Martinique 197 0 14 0 Clusters of cases 2 Guadeloupe 156 0 13 0 Clusters of cases 1 Bermuda 133 5 9 0 Clusters of cases 0 Cayman Islands 129 0 1 0 Clusters of cases 1 Aruba 101 0 3 0 Sporadic cases 19 Sint Maarten 78 0 15 0 Sporadic cases 11 United States Virgin Islands 69 0 6 0 Clusters of cases 14 Saint Martin 39 0 3 0 Sporadic cases 14 Curaçao 17 1 1 0 Sporadic cases 0 Falkland Islands (Malvinas) 13 0 0 0 Clusters of cases 29 Turks and Caicos Islands 12 0 1 0 Sporadic cases 27 Montserrat 11 0 1 0 Sporadic cases 41 British Virgin Islands 8 0 1 0 Sporadic cases 9 Bonaire, Sint Eustatius and Saba 6 0 0 0 No cases 27 Saint Barthélemy 6 0 0 0 Sporadic cases 55 Anguilla 3 0 0 0 Sporadic cases 51 Saint Pierre and Miquelon 1 0 0 0 Sporadic cases 47 Eastern Mediterranean Iran (Islamic Republic of) 135 701 2 180 7 417 58 Community transmission 0 Saudi Arabia 72 560 2 399 390 11 Clusters of cases 0 Pakistan 56 349 1 748 1 167 34 Clusters of cases 0 Qatar 43 714 1 501 23 2 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 United Arab Emirates 29 485 781 245 1 Pending 0 Kuwait 21 302 838 156 8 Clusters of cases 0 Egypt 17 265 752 764 29 Clusters of cases 0 Afghanistan 11 094 512 219 1 Clusters of cases 0 Bahrain 9 138 336 13 0 Clusters of cases 0 Oman 7 770 513 37 1 Clusters of cases 0 Morocco 7 433 27 199 1 Clusters of cases 0 Iraq 4 469 197 160 8 Clusters of cases 0 Sudan 3 826 192 165 19 Community transmission 0 Djibouti 2 270 0 10 0 Clusters of cases 2 Somalia 1 594 0 61 0 Sporadic cases 3 Lebanon 1 114 17 26 0 Clusters of cases 0 Tunisia 1 051 3 48 0 Community transmission 0 Jordan 708 4 9 0 Clusters of cases 0 Yemen 226 10 43 3 Pending 0 Syrian Arab Republic 86 16 4 0 Community transmission 0 Libya 75 0 3 0 Clusters of cases 1 Territoriesii occupied Palestinian territory 602 0 5 0 Clusters of cases 2 Europe Russian Federation 353 427 8 946 3 633 92 Clusters of cases 0 The United Kingdom 259 563 2 405 36 793 118 Community transmission 0 Spain 235 772 482 28 752 74 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 Italy 229 858 531 32 785 50 Community transmission 0 Germany 178 570 289 8 257 10 Community transmission 0 Turkey 156 827 1141 4340 32 Community transmission 0 France 142 204 31 28 315 34 Community transmission 0 Belgium 57 092 282 9 280 43 Community transmission 0 Netherlands 45 236 172 5 822 11 Community transmission 0 Belarus 36 198 954 199 5 Community transmission 0 Sweden 33 459 271 3 998 6 Community transmission 0 Switzerland 30 653 11 1 640 0 Community transmission 0 Portugal 30 623 152 1 316 14 Community transmission 0 Ireland 24 639 57 1 608 4 Community transmission 0 Poland 21 326 395 996 3 Community transmission 0 Ukraine 21 245 259 623 6 Community transmission 0 Romania 18 070 213 1 179 9 Community transmission 0 Israel 16 712 0 279 0 Pending 1 Austria 16 439 32 640 1 Community transmission 0 Denmark 11 360 71 562 1 Community transmission 0 Serbia 11 159 67 238 0 Pending 0 Czechia 8 957 67 315 1 Clusters of cases 0 Kazakhstan 8 531 209 35 0 Pending 0 Norway 8 309 0 235 0 Clusters of cases 2 Armenia 7 113 452 87 6 Clusters of cases 0 Republic of Moldova 7 093 99 256 6 Pending 0 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Finland 6 579 11 307 1 Pending 0 Azerbaijan 4 122 140 49 0 Clusters of cases 0 Luxembourg 3 992 2 110 1 Pending 0 Hungary 3 756 15 491 5 Community transmission 0 Uzbekistan 3 180 48 13 0 Clusters of cases 0 Tajikistan 2 929 191 46 2 Pending 0 Greece 2 878 2 171 0 Clusters of cases 0 Bulgaria 2 433 25 130 4 Clusters of cases 0 Bosnia and Herzegovina 2 391 20 141 1 Community transmission 0 Croatia 2 244 1 99 0 Community transmission 0 North Macedonia 1 978 37 113 0 Clusters of cases 0 Estonia 1 823 2 64 0 Pending 0 Iceland 1 804 0 10 0 Community transmission 1 Lithuania 1 623 7 63 0 Community transmission 0 Slovakia 1 509 5 28 0 Clusters of cases 0 Slovenia 1 509 31 107 1 Clusters of cases 0 Kyrgyzstan 1 433 30 16 2 Clusters of cases 0 Latvia 1 047 1 22 0 Clusters of cases 0 Albania 1 004 15 32 0 Clusters of cases 0 Cyprus 935 8 17 0 Clusters of cases 0 Andorra 763 0 51 0 Community transmission 1 Georgia 731 1 12 0 Community transmission 0 San Marino 672 0 42 0 Community transmission 3 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Malta 610 1 6 0 Sporadic cases 0 Montenegro 324 0 9 0 Clusters of cases 19 Monaco 98 0 1 0 Sporadic cases 1 Liechtenstein 83 0 1 0 Pending 29 Holy See 12 0 0 0 Sporadic cases 18 Territoriesii Kosovo[1] 1 032 7 29 0 Community transmission 0 Isle of Man 336 0 24 0 Pending 3 Jersey 306 0 29 0 Community transmission 3 Guernsey 252 0 13 0 Community transmission 22 Faroe Islands 187 0 0 0 Pending 31 Gibraltar 155 4 0 0 Clusters of cases 0 Greenland 11 0 0 0 Pending 49 South-East Asia India 138 845 6 977 4 021 154 Clusters of cases 0 Bangladesh 33 610 1 532 480 28 Clusters of cases 0 Indonesia 22 271 526 1 372 21 Community transmission 0 Thailand 3 042 2 57 1 Clusters of cases 0 Maldives 1 371 58 4 0 Clusters of cases 0 Sri Lanka 1 141 52 9 0 Clusters of cases 0 Nepal 675 91 3 0 Sporadic cases 0 Myanmar 201 0 6 0 Clusters of cases 2 Bhutan 27 3 0 0 Sporadic 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 Timor-Leste 24 0 0 0 Clusters of cases 31 Western Pacific China 84 536 11 4 645 0 Clusters of cases 0 Singapore 31 616 548 23 0 Clusters of cases 0 Japan 16 581 31 830 10 Clusters of cases 0 Philippines 14 035 258 868 5 Community transmission 0 Republic of Korea 11 206 16 267 1 Clusters of cases 0 Malaysia 7 245 60 115 0 Clusters of cases 0 Australia 7 109 3 102 0 Clusters of cases 0 New Zealand 1 154 0 21 0 Clusters of cases 3 Viet Nam 325 0 0 0 Clusters of cases 1 Brunei Darussalam 141 0 1 0 Clusters of cases 17 Mongolia 141 0 0 0 Sporadic cases 2 Cambodia 124 0 0 0 Sporadic cases 2 Lao People's Democratic Republic 19 0 0 0 Sporadic cases 42 Fiji 18 0 0 0 Sporadic cases 34 Papua New Guinea 8 0 0 0 Sporadic cases 32 Territoriesii Guam 161 0 5 0 Clusters of cases 1 French Polynesia 89 0 0 0 Sporadic cases 2 Northern Mariana Islands (Commonwealth of the) 22 0 2 0 Pending 3 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case New Caledonia 18 0 0 0 Sporadic cases 52 Subtotal for all regions 5 304 060 100 264 342 016 4 342 Other* 712 0 13 0 - 70 Grand total 5 304 772 100 264 342 029 4 342 **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 Health Emergency 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 an international conveyance (Diamond Princess). 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, may be revised as new information becomes available, and are based on the highest category reported. Differing degrees of transmission may be present within countries/territories/areas. 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