Coronavirus disease (COVID-19) Situation Report – 171 Data as received by WHO from national authorities by 10:00 CEST, 9 July 2020

Highlights WHO has partnered with Facebook and Praekelt.org to provide COVID-19 information in Free Basics and Discover, in a mobile-friendly format. This will enable some of the most vulnerable people to access health information without any data charges, in more than 50 countries.

A WHO mission arrived yesterday in Ashgabat, Turkmenistan, to assess the risks and develop the response mechanisms required to tackle COVID-19. “This mission reflects the commitment of WHO to a strong partnership with the central Asian countries.” said Dr Catherine Smallwood, Senior Emergency Officer in WHO’s Europe region and mission lead.

The Regional Office for the Americas has been holding webinars on a range of issues in relation to COVID-19. Tomorrow, they will hold a webinar focusing on‘Caring for the Carers: Managing your Mental Health While Caring for Others’ .

OpenWHO.org, WHO’s health emergencies online learning platform, has published courses on thirteen COVID-19 topics with more than 3.7 million enrollments. In the meantime, the WHO Academy, which aims to build one of the world’s largest and most innovative digital learning platforms, is holding a survey from 8 to 29 July.

In today’s ‘Subject in Focus’ below, we provide an update on WHO’s COVID-19 support to Africa.

Situation in numbers (by WHO Region) Total (new cases in last 24 hours)

Globally 11 874 226 cases (204 967) 545 481 deaths (5 575)

Africa 410 744 cases (12 802) 7 559 deaths (144)

Americas 6 125 802 cases (121 117) 272 606 deaths (3 778)

Eastern Mediterranean 1 222 070 cases (17 372) 29 127 deaths (463)

Europe 2 847 887 cases (20 098) 201 853 deaths (598)

South-East Asia 1 032 167 cases (30 512) 26 808 deaths (584)

Western Pacific 234 815 cases (3 066) 7 515 deaths (8)

Subject in Focus: WHO COVID-19 support to Africa As of 7 July, there have been 493 131 cases of COVID-19 and 11 643 deaths reported from the African continent – a 25% increase in cases and 18% increase in deaths over the past week. WHO is working closely with Ministries of Health and other partners in the African region to support the strengthening of essential health services in managing the COVID-19 pandemic. WHO continues to advise and support countries to strengthen both emergency and routine health services and to maintain influenza surveillance and other disease control strategies. As countries begin to reopen borders and resume air travel, including commercial flights, WHO urges governments to take effective measures, including entry and exit screenings and the practising of hand hygiene, cough etiquette and physical distancing measures, to mitigate the risk of a surge in COVID-19 transmission due to the resumption of commercial flights and airport operations. After initial delays in delivering medical supplies for the COVID-19 response, tthe reopening of air spaces and increased availability of commercial flights in recent weeks have been a critical factor in facilitating shipments and the delivery of personal protective equipment, diagnostic tests and biomedical equipment. Over the coming weeks, WHO Operations Support and Logistics (OSL) is preparing to ship nearly 47 million items of personal protective equipment, including medical masks, examination gloves, gowns, face shields and goggles to countries across Africa. WHO is also seeing progress in the procurement of diagnostic tests through a purchasing consortium comprising WHO, UNICEF and the Global Fund. In recent weeks, the consortium has begun deliveries of polymerase chain reaction (PCR) tests to approximately 130 countries. More than 420 000 PCR tests have been delivered to Angola, Benin, Burkina Faso, Cameroon, Central African Republic, Comoros, Congo, the Democratic Republic of the Congo, Ethiopia, Gabon, Kenya, Lesotho, Mali, Nigeria, Senegal, South Africa, Uganda, Zambiaand Zimbabwe. An additional 626 000 tests are presently in transit to 25 countries, and 910 582 tests are awaiting shipment to 42 countries. More than 195 000 sample collection kits also have been delivered to 25 countries, and an additional 866 700 kits are in transit to 37 countries. To date, 2522 oxygen concentrators have been shipped to 26 countries and an additional 700 are being prepared for shipment to 30 countries. WHO continues to provide operational and technical design support, upon the request of governments and UN partner agencies, to establish Severe Acute Respiratory Infection (SARI) treatment facilities in Africa and other regions. In collaboration with a network of architects and engineers, WHO has assisted 15 countries in setting up SARI treatment centres to support the COVID-19 response. The OSL HealthTech unit continues to accept requests for technical assistance via the HealthTech Help Desk (reachable by email at

oslhealthtech@who.int). Current projects in Africa include facilities in Mozambique, Burkina Faso, Gambia and Chad.

Surveillance Figure 1. Number of confirmed COVID-19 cases reported in the last seven days by country, territory or area, 3 July to 9 July **

**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 9 July**

**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, 9 July 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 224 665 8 810 3 602 100 Community transmission 0

Nigeria 30 249 460 684 15 Community transmission 0

Ghana 22 822 854 129 0 Community transmission 0

Algeria 17 348 469 978 10 Community transmission 0

Cameroon 14 916 0 359 0 Community transmission 1

Côte d’Ivoire 11 504 538 78 3 Community transmission 0

Kenya 8 528 278 169 2 Community transmission 0

Democratic Republic of the Congo 7 736 77 183 1 Community transmission 0

Senegal 7 657 110 141 4 Community transmission 0

Ethiopia 6 973 199 120 0 Community transmission 0

Gabon 5 871 128 46 0 Community transmission 0

Guinea 5 697 61 34 0 Community transmission 0

Mauritania 5 024 76 135 2 Clusters of cases 0

Central African Republic 4 109 38 52 0 Community transmission 0

Madagascar 3 573 101 33 0 Clusters of cases 0

Mali 2 358 10 120 1 Community transmission 0

South Sudan 2 106 0 40 0 Clusters of cases 1

Malawi 1 942 65 25 1 Clusters of cases 0

Zambia 1 895 0 42 0 Community transmission 1

Congo 1 821 64 47 3 Community transmission 0

Guinea-Bissau 1 790 0 25 0 Community transmission 2

Reporting Country/ Territory/Area Total confirmed

cases Total confirmed new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Sierra Leone 1 584 12 63 0 Community transmission 0

Cabo Verde 1 542 43 18 0 Clusters of cases 0

Benin 1 285 0 23 0 Community transmission 1

Rwanda 1 194 22 3 0 Sporadic cases 0

Eswatini 1 138 82 14 0 Clusters of cases 0

Niger 1 097 3 68 0 Community transmission 0

Mozambique 1 071 31 8 0 Clusters of cases 0

Equatorial Guinea 1 043 0 12 0 Community transmission 46

Burkina Faso 1 003 0 53 0 Community transmission 1

Uganda 977 6 0 0 Sporadic cases 0

Liberia 926 9 41 0 Community transmission 0

Zimbabwe 885 98 9 0 Sporadic cases 0

Chad 873 0 74 0 Community transmission 1

Togo 695 6 15 0 Community transmission 0

Namibia 593 54 0 0 Sporadic cases 0

United Republic of Tanzania 509 0 21 0 Community transmission 62

Sao Tome and Principe 404 0 11 0 Clusters of cases 1

Angola 396 10 22 1 Clusters of cases 0

Mauritius 342 0 10 0 Clusters of cases 2

Botswana 314 0 1 0 Clusters of cases 2

Comoros 313 0 7 0 Community transmission 1

Burundi 219 28 1 0 Clusters of cases 0

Eritrea 215 0 0 0 Sporadic cases 6

Reporting Country/ Territory/Area Total confirmed

cases Total confirmed new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Lesotho 134 43 1 1 Sporadic cases 0

Seychelles 94 3 0 0 Clusters of cases 0

Gambia 63 2 3 0 Sporadic cases 0

Territoriesii

Mayotte 2 688 0 36 0 Clusters of cases 1

Réunion 563 12 3 0 Clusters of cases 0

Americas

United States of America 2 973 695 50 263 130 893 930 Community transmission 0

Brazil 1 668 589 45 305 66 741 1 254 Community transmission 0

Peru 309 278 3 575 10 952 180 Community transmission 0

Chile 303 083 2 064 6 573 139 Community transmission 0

Mexico 268 008 6 258 32 014 895 Community transmission 0

Colombia 124 494 4 213 4 359 149 Community transmission 0

Canada 106 167 232 8 711 18 Community transmission 0

Argentina 83 426 2 979 1 654 52 Community transmission 0

Ecuador 63 245 0 4 873 0 Community transmission 1

Bolivia (Plurinational State of) 41 545 1 036 1 530 54 Community transmission 0

Panama 40 291 957 799 29 Community transmission 0

Dominican Republic 39 588 1 158 829 8 Community transmission 0

Honduras 25 428 763 677 21 Community transmission 0

Guatemala 24 787 815 1 004 23 Community transmission 0

El Salvador 8 566 259 235 6 Community transmission 0

Venezuela (Bolivarian Republic of) 7 693 282 71 3 Community transmission 0

Haiti 6 432 61 117 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

Costa Rica 5 486 245 23 0 Community transmission 0

Paraguay 2 554 52 20 0 Community transmission 0

Nicaragua 2 411 229 91 8 Community transmission 0

Cuba 2 399 4 86 0 Clusters of cases 0

Uruguay 965 5 29 0 Clusters of cases 0

Jamaica 745 8 10 0 Clusters of cases 0

Suriname 635 21 17 2 Clusters of cases 0

Guyana 284 6 16 0 Clusters of cases 0

Trinidad and Tobago 133 0 8 0 Sporadic cases 2

Bahamas 104 0 11 0 Clusters of cases 23

Barbados 98 0 7 0 Clusters of cases 2

Antigua and Barbuda 70 0 3 0 Clusters of cases 1

Belize 30 0 2 0 Sporadic cases 4

Saint Vincent and the Grenadines 29 0 0 0 Sporadic cases 21

Grenada 23 0 0 0 Clusters of cases 43

Saint Lucia 22 0 0 0 Sporadic cases 5

Dominica 18 0 0 0 Clusters of cases 26

Saint Kitts and Nevis 16 0 0 0 No cases 3

Territoriesii

Puerto Rico 8 745 31 159 2 Community transmission 0

French Guiana 5 459 281 22 1 Community transmission 0

Martinique 249 0 14 0 Clusters of cases 4

Cayman Islands 201 0 1 0 Clusters of cases 6

Guadeloupe 184 0 14 0 Clusters of cases 4

Reporting Country/ Territory/Area Total confirmed

cases Total confirmed new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Bermuda 149 3 9 0 Sporadic cases 0

United States Virgin Islands 122 6 6 0 Clusters of cases 0

Aruba 105 0 3 0 Sporadic cases 2

Sint Maarten 78 0 15 0 No cases 5

Turks and Caicos Islands 55 6 2 0 Clusters of cases 0

Saint Martin 44 0 3 0 Sporadic cases 4

Curaçao 25 0 1 0 Sporadic cases 8

Falkland Islands (Malvinas) 13 0 0 0 No cases 74

Montserrat 11 0 1 0 No cases 86

British Virgin Islands 8 0 1 0 No cases 54

Bonaire, Sint Eustatius and Saba 7 0 0 0 No cases 44

Saint Barthélemy 6 0 0 0 No cases 100

Anguilla 3 0 0 0 No cases 96

Saint Pierre and Miquelon 1 0 0 0 No cases 92

Eastern Mediterranean

Iran (Islamic Republic of) 248 379 2 691 12 084 153 Community transmission 0

Pakistan 240 848 3 359 4 983 61 Clusters of cases 0

Saudi Arabia 220 144 3 036 2 059 42 Clusters of cases 0

Qatar 101 553 608 138 4 Community transmission 0

Egypt 78 304 1 025 3 564 75 Clusters of cases 0

Iraq 67 442 2 741 2 779 94 Community transmission 0

United Arab Emirates 53 045 445 327 1 Community transmission 0

Kuwait 52 007 762 379 2 Clusters of cases 0

Oman 50 207 1 210 233 9 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

Afghanistan 33 653 59 937 1 Clusters of cases 0

Bahrain 30 931 610 98 0 Clusters of cases 0

Morocco 14 771 164 242 2 Clusters of cases 0

Sudan 10 084 87 636 14 Community transmission 0

Djibouti 4 889 11 55 0 Clusters of cases 0

Somalia 3 028 13 92 0 Sporadic cases 0

Lebanon 1 946 39 36 0 Clusters of cases 0

Yemen 1 328 21 352 3 Community transmission 0

Tunisia 1 221 16 50 0 Sporadic cases 0

Libya 1 182 0 35 0 Clusters of cases 1

Jordan 1 169 0 10 0 Clusters of cases 1

Syrian Arab Republic 372 0 14 0 Community transmission 2

Territoriesii

occupied Palestinian territory 5 567 475 24 2 Clusters of cases 0

Europe

Russian Federation 707 301 6 509 10 843 176 Clusters of cases 0

The United Kingdom 286 983 630 44 517 126 Community transmission 0

Spain 252 513 383 28 396 4 Clusters of cases 0

Italy 242 149 193 34 914 15 Community transmission 0

Turkey 208 938 1 041 5 282 22 Community transmission 0

Germany 197 783 442 9 048 12 Clusters of cases 0

France 160 279 370 29 873 30 Clusters of cases 0

Sweden 73 858 514 5 482 35 Community transmission 0

Belarus 64 224 221 443 7 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

Belgium 62 210 87 9 778 2 Community transmission 0

Kazakhstan 53 021 1 962 296 32 Clusters of cases 0

Ukraine 51 224 810 1 327 20 Community transmission 0

Netherlands 50 691 52 6 126 3 Community transmission 0

Portugal 44 859 443 1 631 2 Community transmission 0

Poland 36 689 277 1 542 14 Community transmission 0

Israel 32 543 1 406 342 6 Pending 0

Switzerland 32 413 129 1 685 0 Community transmission 0

Armenia 30 346 526 535 14 Community transmission 0

Romania 30 175 555 1 817 18 Community transmission 0

Ireland 25 542 4 1 743 0 Clusters of cases 0

Azerbaijan 21 916 542 274 9 Clusters of cases 0

Austria 18 516 101 706 0 Community transmission 0

Republic of Moldova 18 471 330 614 10 Community transmission 0

Serbia 17 076 357 341 11 Pending 0

Denmark 12 900 12 609 0 Community transmission 0

Czechia 12 814 129 351 0 Clusters of cases 0

Uzbekistan 11 259 421 47 6 Clusters of cases 0

Norway 8 947 11 251 0 Clusters of cases 0

Kyrgyzstan 8 847 361 116 4 Clusters of cases 0

North Macedonia 7 405 162 359 8 Clusters of cases 0

Finland 7 265 3 329 0 Clusters of cases 0

Tajikistan 6 363 48 54 1 Pending 0

Bulgaria 6 342 240 259 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

Bosnia and Herzegovina 5 868 250 207 1 Community transmission 0

Luxembourg 4 650 47 110 0 Community transmission 0

Hungary 4 210 0 589 0 Community transmission 1

Greece 3 622 33 193 0 Clusters of cases 0

Croatia 3 325 53 114 1 Clusters of cases 0

Albania 3 188 82 83 0 Clusters of cases 0

Estonia 2 003 8 69 0 Clusters of cases 0

Iceland 1 880 7 10 0 Community transmission 0

Lithuania 1 854 10 79 0 Community transmission 0

Slovakia 1 798 31 28 0 Clusters of cases 0

Slovenia 1 763 24 111 0 Clusters of cases 0

Latvia 1 141 7 30 0 Sporadic cases 0

Cyprus 1 008 3 19 0 Clusters of cases 0

Georgia 968 5 15 0 Sporadic cases 0

Montenegro 960 53 17 0 Clusters of cases 0

Andorra 855 0 52 0 Community transmission 20

San Marino 713 0 42 0 Community transmission 19

Malta 673 0 9 0 Sporadic cases 1

Monaco 99 0 1 0 Sporadic cases 32

Liechtenstein 85 0 1 0 Sporadic cases 2

Holy See 12 0 0 0 Sporadic cases 63

Territoriesii

Kosovo[1] 4 057 214 76 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

Isle of Man 336 0 24 0 No cases 48

Jersey 325 0 31 0 Community transmission 1

Guernsey 252 0 13 0 Community transmission 67

Faroe Islands 188 0 0 0 Pending 1

Gibraltar 179 0 0 0 Clusters of cases 2

Greenland 13 0 0 0 Pending 41

South-East Asia

India 767 296 24 879 21 129 487 Clusters of cases 0

Bangladesh 172 134 3 489 2 197 46 Community transmission 0

Indonesia 68 079 1 853 3 359 50 Community transmission 0

Nepal 16 423 255 35 0 Clusters of cases 0

Thailand 3 202 5 58 0 Clusters of cases 0

Maldives 2 517 16 13 1 Clusters of cases 0

Sri Lanka 2 094 13 11 0 Clusters of cases 0

Myanmar 318 2 6 0 Clusters of cases 0

Bhutan 80 0 0 0 Sporadic cases 3

Timor-Leste 24 0 0 0 No cases 76

Western Pacific

China 85 399 33 4 648 0 Clusters of cases 0

Philippines 50 359 2 486 1 314 5 Community transmission 0

Singapore 45 298 158 26 0 Clusters of cases 0

Japan 20 371 197 981 1 Clusters of cases 0

Republic of Korea 13 293 49 287 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

Australia 8 886 131 106 0 Clusters of cases 0

Malaysia 8 677 3 121 0 Clusters of cases 0

New Zealand 1 190 3 22 0 Clusters of cases 0

Viet Nam 369 0 0 0 Clusters of cases 2

Mongolia 227 2 0 0 Sporadic cases 0

Brunei Darussalam 141 0 3 0 No cases 62

Cambodia 141 0 0 0 Sporadic cases 10

Fiji 21 0 0 0 Sporadic cases 1

Lao People's Democratic Republic 19 0 0 0 Sporadic cases 87

Papua New Guinea 11 0 0 0 Sporadic cases 13

Territoriesii

Guam 299 4 5 0 Clusters of cases 0

French Polynesia 62 0 0 0 Sporadic cases 11

Northern Mariana Islands (Commonwealth of the)

31 0 2 0 Pending 6

New Caledonia 21 0 0 0 Sporadic cases 29

Subtotal for all regions 11 873 485 204 967 545 468 5 575

Other* 741 0 13 0 Not applicable -

Grand total 11 874 226 204 967 545 481 5 575

**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. 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

• Update: 9 July 2020, Spain: Data distribution and dates of initial reported cases and deaths adjusted to align with updated information from national authorities and regional office. Cumulative cases and deaths remain unaffected.