Coronavirus disease (COVID-19): situation report, 146

Coronavirus disease (COVID-19) Situation Report – 146 Data as received by WHO from national authorities by 10:00 CEST, 14 June 2020 Highlights The investigation of a cluster of COVID-19 in Beijing associated with a wholesale market continues. As of 14 June, 16:00 (CEST+6), Chinese authorities reported a total of 77 cases since 11 June, including 2 linked cases in Liaoning Province. See below for more information and press statement issued on 13 June. World Elder Abuse Awareness Day takes place every year on 15 June as designated by the United Nations General Assembly. It is believed that abuse towards older people has risen significantly during the COVID-19 pandemic. This makes a compelling case for World Elder Abuse Awareness Day’s call for decision-makers to develop universally applicable normative standards for the protection of older people. Situation in numbers (by WHO Region) Total (new cases in last 24 hours) Globally 7 690 708 cases (137 526) 427 630 deaths (4 281) Africa 167 566 cases (6 312) 3 998 deaths (131) Americas 3 711 768 cases (73 243) 199 252 deaths (2 812) Eastern Mediterranean 758 551 cases (20 910) 16 640 deaths (380) Europe 2 398 779 cases (19 821) 188 001 deaths (533) South-East Asia 455 439 cases (16 091) 12 526 deaths (400) Western Pacific 197 864 cases (1 149) 7 200 deaths (25) Surveillance Update on a cluster of COVID-19 in Beijing, People’s Republic of China After 56 days of no reported confirmed COVID-19 cases or asymptomatic infections in Beijing, People’s Republic of China, a local case of COVID-19 with no known travel history or contact with a case was reported on 11 June. WHO published a press release summarizing the event as of 13 June. From 11-14 June (as of 18:00 CEST+6 14 June), 77 symptomatic laboratory-confirmed cases have been identified related to this cluster in Beijing, including two cases who travelled to Liaoning Province. An additional 46 laboratory confirmed cases, reported without symptoms, have been identified through active screening in the area. The initial symptomatic cases were identified from presentation at six fever clinics and most of the initial cases were linked to the Xinfadi Market in Beijing. Preliminary investigations continue and as of 14 June, WHO is aware of 40 environmental samples from the Xinfadi market, which have tested positive for SARS-CoV-2 using molecular tests (RT-PCR). Genetic sequencing from humans and environmental samples is ongoing and WHO encourages the release of these sequences as soon as possible. WHO understands that genetic sequences will be released as soon as possible once further laboratory analyses are completed. Chinese officials have informed WHO of ongoing investigations into the source of the cluster as well as the extent of the current infection among contacts and others who have visited markets in recent weeks. WHO recommends that thorough investigations continue to better understand the source of the cluster (exploring multiple hypotheses) and the extent of infection. All identified cases are currently isolated and receiving care, depending on clinical presentation, and contacts of all cases, including those without symptoms, are being followed up and tested. The public health response by Chinese officials includes: • Tracing and monitoring of close contacts of all laboratory conformed cases (regardless of the development of symptoms). • Six wholesale food markets in Beijing have fully or partially closed operations. • Those working in Xinfadi Market, those living in the surrounding residential compounds, and those who have visited the Xinfadi Market in the preceding weeks are being traced and will undergo testing. • Under the Emergency Response framework, some of the local measures that were relaxed had been re-implemented in Beijing. • Enhanced screening measures implemented at points of entry. WHO is closely monitoring the situation and is in close contact with national authorities in China. Surveillance Figure 1. Number of confirmed COVID-19 cases reported in the last seven days by country, territory or area, 08 June to 14 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 through 14 June** **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, 14 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 65 736 3 809 1 423 69 Community transmission 0 Nigeria 15 181 627 399 12 Community transmission 0 Ghana 11 118 262 48 0 Community transmission 0 Algeria 10 810 112 760 9 Community transmission 0 Cameroon 8 743 0 270 0 Community transmission 1 Senegal 4 996 145 60 4 Community transmission 0 Côte d’Ivoire 4 848 164 45 0 Community transmission 0 Democratic Republic of the Congo 4 723 87 105 5 Community transmission 0 Guinea 4 484 58 25 1 Community transmission 0 Gabon 3 463 0 23 0 Community transmission 2 Kenya 3 457 152 100 4 Community transmission 0 Ethiopia 3 166 251 55 8 Clusters of cases 0 Central African Republic 2 057 0 7 0 Clusters of cases 1 Mali 1 776 24 104 3 Community transmission 0 South Sudan 1 684 14 25 3 Clusters of cases 0 Mauritania 1 573 134 81 7 Clusters of cases 0 Guinea-Bissau 1 460 71 15 3 Community transmission 0 Zambia 1 357 36 10 0 Community transmission 0 Madagascar 1 252 22 10 0 Clusters of cases 0 Sierra Leone 1 132 29 51 0 Community transmission 0 Equatorial Guinea 1 043 0 12 0 Community transmission 21 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Niger 978 0 65 0 Community transmission 1 Burkina Faso 892 0 53 0 Community transmission 1 Chad 848 0 72 0 Community transmission 2 Uganda 823 15 0 0 Sporadic cases 0 Congo 779 34 25 0 Community transmission 0 Cabo Verde 726 29 6 0 Clusters of cases 0 Mozambique 553 44 2 0 Clusters of cases 0 Rwanda 541 31 2 0 Sporadic cases 0 Malawi 529 48 5 1 Clusters of cases 0 Togo 525 1 13 0 Community transmission 0 United Republic of Tanzania 509 0 21 0 Community transmission 37 Eswatini 486 14 3 0 Clusters of cases 0 Liberia 446 25 32 0 Community transmission 0 Benin 412 0 6 0 Community transmission 1 São Tomé and Príncipe 388 0 10 0 Clusters of cases 3 Zimbabwe 356 13 4 0 Sporadic cases 0 Mauritius 337 0 10 0 Clusters of cases 8 Comoros 176 13 2 0 Community transmission 0 Angola 138 8 6 1 Clusters of cases 0 Burundi 94 0 1 0 Clusters of cases 2 Eritrea 65 24 0 0 Sporadic cases 0 Botswana 60 0 1 0 Clusters of cases 1 Namibia 32 1 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 Gambia 28 0 1 0 Sporadic cases 5 Seychelles 11 0 0 0 Clusters of cases 68 Lesotho 4 0 0 0 Sporadic cases 10 Territoriesii Mayotte 2 282 14 29 1 Clusters of cases 0 Réunion 489 1 1 0 Clusters of cases 0 Americas United States of America 2 032 524 22 133 114 466 709 Community transmission 0 Brazil 828 810 25 982 41 828 909 Community transmission 0 Peru 220 749 5 961 6 308 199 Community transmission 0 Chile 167 355 6 509 3 101 231 Community transmission 0 Mexico 139 196 5 222 16 448 504 Community transmission 0 Canada 97 943 413 8 049 55 Community transmission 0 Colombia 46 858 1 646 1 545 57 Community transmission 0 Ecuador 46 356 578 3 874 46 Community transmission 0 Argentina 28 764 1 391 802 30 Community transmission 0 Dominican Republic 22 572 564 577 9 Community transmission 0 Panama 19 211 625 421 3 Community transmission 0 Bolivia (Plurinational State of) 16 929 764 559 26 Community transmission 0 Guatemala 8 982 421 351 17 Community transmission 0 Honduras 8 132 463 306 12 Community transmission 0 Haiti 3 941 0 64 0 Community transmission 1 El Salvador 3 603 122 72 4 Community transmission 0 Venezuela (Bolivarian Republic of) 2 879 65 23 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 Cuba 2 238 5 84 0 Clusters of cases 0 Nicaragua 1 655 0 55 0 Community transmission 3 Costa Rica 1 612 74 12 0 Clusters of cases 0 Paraguay 1 261 7 11 0 Community transmission 0 Uruguay 847 0 23 0 Clusters of cases 2 Jamaica 614 3 10 0 Clusters of cases 0 Suriname 187 19 3 1 Clusters of cases 0 Guyana 159 1 12 0 Clusters of cases 0 Trinidad and Tobago 117 0 8 0 Sporadic cases 13 Bahamas 103 0 11 0 Clusters of cases 7 Barbados 96 0 7 0 Clusters of cases 3 Saint Vincent and the Grenadines 27 0 0 0 Sporadic cases 5 Antigua and Barbuda 26 1 3 0 Clusters of cases 0 Grenada 23 0 0 0 Clusters of cases 18 Belize 20 0 2 0 Sporadic cases 3 Saint Lucia 19 0 0 0 Sporadic cases 8 Dominica 18 0 0 0 Clusters of cases 1 Saint Kitts and Nevis 15 0 0 0 Sporadic cases 54 Territoriesii Puerto Rico 5 690 154 146 0 Community transmission 0 French Guiana 1 161 118 2 0 Clusters of cases 0 Martinique 202 0 14 0 Clusters of cases 7 Cayman Islands 187 1 1 0 Clusters of cases 0 Guadeloupe 171 0 14 0 Clusters of cases 1 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Bermuda 142 1 9 0 Clusters of cases 0 Aruba 101 0 3 0 No cases 39 Sint Maarten 77 0 15 0 Sporadic cases 8 United States Virgin Islands 72 0 6 0 Clusters of cases 3 Saint Martin 41 0 3 0 Sporadic cases 14 Curaçao 22 0 1 0 Sporadic cases 3 Falkland Islands (Malvinas) 13 0 0 0 Clusters of cases 49 Turks and Caicos Islands 12 0 1 0 Sporadic cases 47 Montserrat 11 0 1 0 Sporadic cases 61 British Virgin Islands 8 0 1 0 Sporadic cases 29 Bonaire, Sint Eustatius and Saba 7 0 0 0 No cases 19 Saint Barthélemy 6 0 0 0 Sporadic cases 75 Anguilla 3 0 0 0 Sporadic cases 71 Saint Pierre and Miquelon 1 0 0 0 Sporadic cases 67 Eastern Mediterranean Iran (Islamic Republic of) 184 955 2 410 8 730 71 Community transmission 0 Pakistan 139 230 6 825 2 632 81 Clusters of cases 0 Saudi Arabia 123 308 3 366 932 39 Clusters of cases 0 Qatar 78 416 1 828 70 0 Community transmission 0 Egypt 42 980 1 677 1 484 62 Clusters of cases 0 United Arab Emirates 41 990 491 288 1 Pending 0 Kuwait 35 466 514 289 4 Clusters of cases 0 Afghanistan 24 766 664 471 20 Clusters of cases 0 Oman 22 077 1 006 99 3 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 Iraq 18 950 1 180 549 53 Clusters of cases 0 Bahrain 18 227 514 39 3 Clusters of cases 0 Morocco 8 692 82 212 0 Clusters of cases 0 Sudan 7 007 128 447 14 Community transmission 0 Djibouti 4 449 8 41 3 Clusters of cases 0 Somalia 2 579 66 87 2 Sporadic cases 0 Lebanon 1 442 20 32 1 Clusters of cases 0 Tunisia 1 094 1 49 0 Community transmission 0 Jordan 953 38 9 0 Clusters of cases 0 Yemen 709 73 161 21 Pending 0 Libya 418 9 8 2 Clusters of cases 0 Syrian Arab Republic 170 6 6 0 Community transmission 0 Territoriesii occupied Palestinian territory 673 4 5 0 Clusters of cases 0 Europe Russian Federation 528 964 8 835 6 948 119 Clusters of cases 0 The United Kingdom 294 379 1 425 41 662 181 Community transmission 0 Spain 243 605 396 27 136 0 Community transmission 0 Italy 236 651 346 34 301 78 Community transmission 0 Germany 186 269 247 8 787 6 Community transmission 0 Turkey 176 677 1 459 4792 14 Community transmission 0 France 152 460 393 29 335 23 Community transmission 0 Belgium 59 918 99 9 650 4 Community transmission 0 Belarus 53 241 721 303 5 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 Sweden 50 931 1 247 4 874 20 Community transmission 0 Netherlands 48 640 179 6 057 4 Community transmission 0 Portugal 36 463 283 1 512 7 Community transmission 0 Ukraine 31 154 648 889 9 Community transmission 0 Switzerland 31 011 31 1 676 0 Community transmission 0 Poland 29 017 440 1 237 15 Community transmission 0 Ireland 25 295 45 1 705 0 Community transmission 0 Romania 21 679 275 1 391 11 Community transmission 0 Israel 18 876 175 300 0 Pending 0 Austria 17 014 20 677 2 Community transmission 0 Armenia 16 667 663 269 5 Community transmission 0 Kazakhstan 14 496 258 73 3 Clusters of cases 0 Serbia 12 251 76 253 1 Pending 0 Denmark 12 139 40 597 3 Community transmission 0 Republic of Moldova 11 459 366 399 4 Community transmission 0 Czechia 9 991 53 329 0 Clusters of cases 0 Azerbaijan 9 570 352 115 2 Clusters of cases 0 Norway 8 606 0 242 0 Clusters of cases 1 Finland 7 087 14 325 0 Pending 0 Uzbekistan 4 994 93 19 0 Clusters of cases 0 Tajikistan 4 971 69 50 1 Pending 0 Hungary 4 064 11 559 4 Community transmission 0 Luxembourg 4 063 8 110 0 Clusters of cases 0 North Macedonia 3 902 196 179 8 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 Bulgaria 3 266 75 172 0 Clusters of cases 0 Greece 3 112 4 183 0 Clusters of cases 0 Bosnia and Herzegovina 2 892 0 162 0 Community transmission 1 Kyrgyzstan 2 285 78 27 0 Clusters of cases 0 Croatia 2 251 2 107 0 Sporadic cases 0 Estonia 1 973 3 69 0 Sporadic cases 0 Iceland 1 808 1 10 0 Community transmission 0 Lithuania 1 763 7 75 1 Community transmission 0 Slovakia 1 545 3 28 0 Clusters of cases 0 Albania 1 521 57 36 0 Clusters of cases 0 Slovenia 1 492 2 109 0 Clusters of cases 0 Latvia 1 097 1 28 1 Clusters of cases 0 Cyprus 980 0 18 0 Clusters of cases 1 Georgia 864 13 14 1 Community transmission 0 Andorra 853 0 51 0 Community transmission 1 San Marino 695 0 42 0 Community transmission 9 Malta 646 1 9 0 Sporadic cases 0 Montenegro 324 0 9 0 Clusters of cases 39 Monaco 99 0 1 0 Sporadic cases 7 Liechtenstein 83 0 1 0 Pending 49 Holy See 12 0 0 0 Sporadic cases 38 Territoriesii Kosovo[1] 1 437 111 32 1 Community transmission 0 Isle of Man 336 0 24 0 Pending 23 Reporting Country/ Territory/Area Total confirmed cases Total confirmed new cases Total deaths Total new deaths Transmission classificationi Days since last reported case Jersey 313 0 30 0 Community transmission 4 Guernsey 252 0 13 0 Community transmission 42 Faroe Islands 187 0 0 0 Pending 51 Gibraltar 176 0 0 0 Clusters of cases 5 Greenland 13 0 0 0 Pending 16 South-East Asia India 320 922 11 929 9 195 311 Clusters of cases 0 Bangladesh 84 379 2 856 1 139 44 Community transmission 0 Indonesia 37 420 1 014 2 091 43 Community transmission 0 Nepal 5 335 273 18 2 Sporadic cases 0 Thailand 3 135 1 58 0 Clusters of cases 0 Maldives 2 013 10 8 0 Clusters of cases 0 Sri Lanka 1 884 4 11 0 Clusters of cases 0 Myanmar 261 0 6 0 Clusters of cases 2 Bhutan 66 4 0 0 Sporadic cases 0 Timor-Leste 24 0 0 0 Clusters of cases 51 Western Pacific China 84 729 58 4 645 0 Clusters of cases 0 Singapore 40 197 347 26 1 Clusters of cases 0 Philippines 25 392 605 1 074 22 Community transmission 0 Japan 17 429 47 925 1 Clusters of cases 0 Republic of Korea 12 085 34 277 0 Clusters of cases 0 Malaysia 8 445 43 120 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 7 302 12 102 0 Clusters of cases 0 New Zealand 1 154 0 22 0 Clusters of cases 23 Viet Nam 334 2 0 0 Clusters of cases 0 Mongolia 197 0 0 0 Sporadic cases 1 Brunei Darussalam 141 0 2 0 Clusters of cases 37 Cambodia 126 0 0 0 Sporadic cases 7 Lao People's Democratic Republic 19 0 0 0 Sporadic cases 62 Fiji 18 0 0 0 Sporadic cases 54 Papua New Guinea 8 0 0 0 Sporadic cases 52 Territoriesii Guam 177 1 5 0 Clusters of cases 0 French Polynesia 60 0 0 0 Sporadic cases 39 Northern Mariana Islands (Commonwealth of the) 30 0 2 0 Pending 4 New Caledonia 21 0 0 0 Sporadic cases 4 Subtotal for all regions 7 689 967 137 526 427 617 4 281 Other* 741 0 13 0 Not applicable - Grand total 7 690 708 137 526 427 630 4 281 **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 A 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 and 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