CoronaVirus disease 2019 (COVID-19) Situation Report – 59

CoronaVirus disease 2019 (COVID-19) Situation Report – 59

HIGHLIGHTS

• Seven new countries/territories/areas (African Region, Eastern Mediterranean Region, European Region, and Region of the Americas) have reported cases of COVID-19.

• The number of confirmed cases worldwide has exceeded 200 000. It took over three months to reach the first 100 00 confirmed cases, and only 12 days to reach the next 100 000.

• A new protocol to investigate the extent of COVID-19 infection in the population, as determined by positive antibody tests in the general population has been developed. 

SURVEILLANCE

 Countries, territories or areas with reported laboratory-confirmed COVID-19 cases and deaths. Data as of 19 March 2020^*

Reporting Country/ Territory/Area†	Total confirmed ‡ cases	Total confirmed new cases1	Total deaths	Total new deaths1	Transmission classification§	Days since last reported case
Western Pacific Region
China	81174	58	3242	11	Local transmission	0
Republic of Korea	8413	93	84	3	Local transmission	0
Japan	873	44	29	1	Local transmission	0
Malaysia	673	120	2	2	Local transmission	0
Australia	510	96	6	1	Local transmission	0
Singapore	313	47	0	0	Local transmission	0
Philippines	187	0	14	2	Local transmission	1
Viet Nam	66	5	0	0	Local transmission	0
Brunei Darussalam	56	2	0	0	Local transmission	0
Cambodia	35	11	0	0	Local transmission	0
New Zealand	20	9	0	0	Local transmission	0
Mongolia	5	1	0	0	Imported cases only	0
Territories**
Guam	5	2	0	0	Local transmission	0
French Polynesia	3	0	0	0	Imported cases only	3
European Region
Italy	35713	4207	2978	473	Local transmission	0
Spain	13716	2538	598	107	Local transmission	0
France	9043	0	244	0	Local transmission	1
Germany	8198	1042	13	0	Local transmission	0
Switzerland	3010	353	21	2	Local transmission	0
The United Kingdom	2630	672	103	0	Local transmission	0
Netherlands	2051	0	58	0	Local transmission	1
Austria	1646	314	4	1	Local transmission	0
Belgium	1486	0	14	0	Local transmission	1
Norway	1423	115	3	0	Local transmission	0
Sweden	1279	112	3	0	Local transmission	0
Denmark	1044	67	4	0	Local transmission	0
Portugal	642	194	2	1	Local transmission	0
Czechia	522	30	0	0	Local transmission	0
Israel	427	0	0	0	Local transmission	2
Greece	418	0	5	0	Local transmission	1
Finland	359	40	0	0	Local transmission	0
Ireland	292	0	2	0	Local transmission	1
Poland	287	0	5	0	Local transmission	1
Slovenia	286	0	1	0	Local transmission	1
Estonia	258	33	0	0	Local transmission	0
Iceland	250	25	0	0	Local transmission	0
Romania	246	62	0	0	Local transmission	0
Luxembourg	210	63	2	1	Local transmission	0
Turkey	191	51	2	1	Local transmission	0
Russian Federation	147	54	0	0	Imported cases only	0
San Marino	109	5	14	3	Local transmission	0
Slovakia	105	8	0	0	Local transmission	0
Serbia††	96	11	0	0	Local transmission	0
Bulgaria	92	11	2	0	Local transmission	0
Armenia	84	32	0	0	Local transmission	0
Croatia	81	16	0	0	Local transmission	0
Latvia	71	11	0	0	Imported cases only	0
Albania	59	2	2	1	Local transmission	0
Cyprus	58	25	0	0	Local transmission	0
Hungary	58	8	1	0	Local transmission	0
Malta	48	10	0	0	Imported cases only	0
Belarus	46	10	0	0	Local transmission	0
Georgia	38	4	0	0	Imported cases only	0
Bosnia and Herzegovina	36	7	0	0	Local transmission	0
Kazakhstan	36	3	0	0	Imported cases only	0
North Macedonia	36	5	0	0	Local transmission	0
Republic of Moldova	36	0	0	0	Local transmission	1
Azerbaijan	34	13	1	1	Imported cases only	0
Lithuania	26	1	0	0	Imported cases only	0
Liechtenstein	25	18	0	0	Imported cases only	0
Ukraine	16	7	2	0	Local transmission	0
Uzbekistan	16	0	0	0	Imported cases only	1
Monaco	9	0	0	0	Under investigation	2
Kyrgyzstan	3	3	0	0	Under investigation	0
Montenegro	2	0	0	0	Imported cases only	1
Holy See	1	0	0	0	Under investigation	12
Territories**
Faroe Islands	58	11	0	0	Imported cases only	0
Andorra	39	23	0	0	Imported cases only	0
Gibraltar	8	5	0	0	Under investigation	0
Jersey	5	0	0	0	Imported cases only	1
Greenland	2	0	0	0	Under investigation	1
Guernsey	1	0	0	0	Imported cases only	9
South-East Asia Region
Indonesia	227	55	19	14	Local transmission	0
Thailand	212	35	1	0	Local transmission	0
India	151	14	3	0	Local transmission	0
Sri Lanka	42	13	0	0	Local transmission	0
Maldives	13	0	0	0	Local transmission	3
Bangladesh	10	2	0	0	Local transmission	0
Bhutan	1	0	0	0	Imported cases only	12
Nepal	1	0	0	0	Imported cases only	55
Eastern Mediterranean Region
Iran (Islamic Republic of)	17361	1192	1135	147	Local transmission	0
Qatar	442	0	0	0	Local transmission	1
Bahrain	256	5	1	0	Local transmission	0
Pakistan	241	54	0	0	Imported cases only	0
Saudi Arabia	238	67	0	0	Local transmission	0
Egypt	196	30	6	2	Local transmission	0
Iraq	164	0	12	0	Local transmission	1
Kuwait	142	12	0	0	Local transmission	0
Lebanon	133	13	4	1	Local transmission	0
United Arab Emirates	113	15	0	0	Local transmission	0
Jordan	52	13	0	0	Imported cases only	0
Morocco	49	11	2	0	Local transmission	0
Oman	33	9	0	0	Imported cases only	0
Tunisia	29	5	0	0	Local transmission	0
Afghanistan	22	0	0	0	Imported cases only	1
Djibouti	1	1	0	0	Under investigation	0
Somalia	1	0	0	0	Imported cases only	2
Sudan	1	0	1	0	Imported cases only	4
Territories**
occupied Palestinian territory	44	3	0	0	Local transmission	0
Region of the Americas
United States of America	7087	3551	100	42	Local transmission	0
Canada	569	145	8	7	Local transmission	0
Brazil	291	57	1	1	Local transmission	0
Chile	238	82	0	0	Local transmission	0
Ecuador	155	97	2	0	Local transmission	0
Peru	145	59	0	0	Local transmission	0
Colombia	93	48	0	0	Local transmission	0
Mexico	93	11	0	0	Imported cases only	0
Panama	86	17	1	0	Local transmission	0
Argentina	79	14	2	0	Local transmission	0
Costa Rica	50	9	0	0	Local transmission	0
Venezuela (Bolivarian Republic of)	36	3	0	0	Imported cases only	0
Uruguay	29	23	0	0	Imported cases only	0
Dominican Republic	21	0	1	0	Local transmission	1
Jamaica	13	1	0	0	Local transmission	0
Bolivia (Plurinational State of)	12	1	0	0	Imported cases only	0
Paraguay	11	2	0	0	Local transmission	0
Cuba	10	5	1	0	Local transmission	0
Honduras	9	1	0	0	Imported cases only	0
Trinidad and Tobago	7	2	0	0	Imported cases only	0
Guatemala	6	0	1	0	Imported cases only	1
Guyana	4	1	1	0	Local transmission	0
Bahamas	3	2	0	0	Local transmission	0
Barbados	2	2	0	0	Imported cases only	0
Saint Lucia	2	0	0	0	Imported cases only	3
Antigua and Barbuda	1	0	0	0	Imported cases only	5
Montserrat	1	1	0	0	Imported cases only	0
Saint Vincent and the Grenadines	1	0	0	0	Imported cases only	5
Suriname	1	0	0	0	Imported cases only	3
Territories**
Guadeloupe	33	15	0	0	Imported cases only	0
Martinique	23	7	0	0	Imported cases only	0
French Guiana	11	4	0	0	Imported cases only	0
Puerto Rico	5	2	0	0	Imported cases only	0
Aruba	4	2	0	0	Imported cases only	0
Saint Martin	4	2	0	0	Under investigation	0
Curaçao	3	0	0	0	Imported cases only	1
Saint Barthélemy	3	0	0	0	Under investigation	3
United States Virgin Islands	2	0	0	0	Imported cases only	1
Cayman Islands	1	0	1	0	Imported cases only	5
African Region
South Africa	116	54	0	0	Local transmission	0
Algeria	72	12	6	2	Local transmission	0
Senegal	36	9	0	0	Local transmission	0
Burkina Faso	26	6	1	1	Imported cases only	0
Rwanda	11	4	0	0	Local transmission	0
Cameroon	10	5	0	0	Local transmission	0
Cote d’Ivoire	9	3	0	0	Imported cases only	0
Ghana	9	1	0	0	Imported cases only	0
Nigeria	8	6	0	0	Imported cases only	0
Democratic Republic of the Congo	7	4	0	0	Local transmission	0
Kenya	7	4	0	0	Local transmission	0
Ethiopia	6	1	0	0	Imported cases only	0
Seychelles	6	2	0	0	Imported cases only	0
Congo	3	2	0	0	Imported cases only	0
Equatorial Guinea	3	2	0	0	Imported cases only	0
Gabon	3	2	0	0	Imported cases only	0
Mauritius	3	3	0	0	Under investigation	0
United Republic of Tanzania	3	2	0	0	Imported cases only	0
Liberia	2	1	0	0	Local transmission	0
Mauritania	2	1	0	0	Imported cases only	0
Namibia	2	0	0	0	Imported cases only	4
Zambia	2	2	0	0	Imported cases only	0
Benin	1	0	0	0	Imported cases only	1
Central African Republic	1	0	0	0	Imported cases only	4
Eswatini	1	0	0	0	Imported cases only	4
Gambia	1	1	0	0	Imported cases only	0
Guinea	1	0	0	0	Imported cases only	4
Togo	1	0	0	0	Imported cases only	11
Territories**
Réunion	12	3	0	0	Imported cases only	0
Mayotte	3	2	0	0	Imported cases only	0
Subtotal for all regions	209127	16556	8771	828
International conveyance (Diamond Princess)	712	0	7	0	Local transmission	3
Grand total	209839	16556	8778	828

*Numbers include both domestic and repatriated cases

†The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city 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.

‡Case classifications are based on WHO case definitions for COVID-19.

§Transmission classification is based on WHO analysis of available official data and may be subject to reclassification as additional data become available. Countries/territories/areas experiencing multiple types of transmission are classified in the highest category for which there is evidence; they may be removed from a given category if interruption of transmission can be demonstrated. It should be noted that even within categories, different countries/territories/areas may have differing degrees of transmission as indicated by the differing numbers of cases and other factors. Not all locations within a given country/territory/area are equally affected.

Terms:

-    Community transmission is evidenced by the inability to relate confirmed cases through chains of transmission for a large number of cases, or by increasing positive tests through sentinel samples (routine systematic testing of respiratory samples from established laboratories).

-    Local transmission indicates locations where the source of infection is within the reporting location.

-    Imported cases only indicates locations where all cases have been acquired outside the location of reporting.

-    Under investigation indicates locations where type of transmission has not been determined for any cases.

-    Interrupted transmission indicates locations where interruption of transmission has been demonstrated (details to be determined)

** “Territories” include territories, areas, overseas dependencies and other jurisdictions of similar status

††Including 13 cases from Kosovo[1]

[1]    All references to Kosovo should be understood to be in the context of the United Nations Security Council resolution 1244 (1999).

Due to differences in reporting methods, retrospective data consolidation, and reporting delays, the number of new cases may not always reflect the exact difference between yesterday’s and today’s totals. WHO COVID-19 Situation Reports present official counts of confirmed COVID-19 cases, thus differences between WHO reports and other sources of COVID-19 data using different inclusion criteria and different data cutoff times are to be expected.

New countries/territories/areas are shown in red.

STRATEGIC OBJECTIVES

WHO’s strategic objectives for this response are to:

• Interrupt human-to-human transmission including reducing secondary infections among close contacts and health care workers, preventing transmission amplification events, and preventing further international spread*;
• Identify, isolate and care for patients early, including providing optimized care for infected patients;
• Identify and reduce transmission from the animal source;
• Address crucial unknowns regarding clinical severity, extent of transmission and infection, treatment options, and accelerate the development of diagnostics, therapeutics and vaccines;
• Communicate critical risk and event information to all communities and counter misinformation;
• Minimize social and economic impact through multisectoral partnerships.

*This can be achieved through a combination of public health measures, such as rapid identification, diagnosis and management of the cases, identification and follow up of the contacts, infection prevention and control in health care settings, implementation of health measures for travelers, awareness-raising in the population and risk communication.

RECOMMENDATIONS AND ADVICE FOR THE PUBLIC

If you are not in an area where COVID-19 is spreading or have not travelled from an area where COVID-19 is spreading or have not been in contact with an infected patient, your risk of infection is low. It is understandable that you may feel anxious about the outbreak. Get the facts from reliable sources to help you accurately determine your risks so that you can take reasonable precautions. Seek guidance from WHO, your healthcare provider, your national public health authority or your employer for accurate information on COVID-19 and whether COVID-19 is circulating where you live. It is important to be informed of the situation and take appropriate measures to protect yourself and your family.

If you are in an area where there are cases of COVID-19 you need to take the risk of infection seriously. Follow the advice of WHO and guidance issued by national and local health authorities. For most people, COVID-19 infection will cause mild illness however, it can make some people very ill and, in some people, it can be fatal. Older people, and those with pre-existing medical conditions (such as cardiovascular disease, chronic respiratory disease or diabetes) are at risk for severe disease 

(Source: WHO)