Coronavirus disease (COVID-19) Situation Report – 177 Data as received by WHO from national authorities by 10:00 CEST, 15 July 2020

Highlights WHO is supporting ongoing vaccination efforts during the COVID-19 pandemic by providing knowledge and assistance to immunization programmes worldwide and helping countries as they balance the threat of COVID-19 with the threat of vaccine-preventable disease outbreaks and related-deaths.

Since the first confirmed case of COVID-19 in Somalia, WHO and key international partners have upgraded the country’s diagnostic capacity. WHO continues to provide budgetary support for hiring staff and strengthening the overall laboratory capacity in Somalia.

WHO has chronicled the work of a doctor, cultural mediator and migrant, Dr Aref Bandary, who has been leading the COVID-19 response in refugee centers in Serbia.

The Director of the WHO Regional Office for the Americas, Dr Carissa F. Etienne, discusses how countries in the Americas are pooling their efforts to ensure access to treatments and vaccines for COVID-19. Under WHO’s Access to COVID-19 Tools Accelerator, the COVAX facility will negotiate access with the producers of all COVID-19 candidate vaccines that show promising results.

Today’s ‘Subject in Focus’ provides an update on the COVID-19 Supply Chain System. In the coming weeks, nearly 201 million pieces of equipment will be shipped to 138 countries.

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

Globally 13 150 645 cases (185 836) 574 464 deaths (4 176)

Africa 506 124 cases (13 464) 8 650 deaths (220)

Americas 6 884 151 cases (103 723) 290 674 deaths (2 244)

Eastern Mediterranean 1 317 078 cases (14 781) 32 294 deaths (543)

Europe 2 964 046 cases (17 942) 204 449 deaths (492)

South-East Asia 1 231 014 cases (34 363) 30 570 deaths (670)

Western Pacific 247 491 cases (1 563) 7 814 deaths (7)

Subject in Focus: COVID-19 Supply Chain System – Progress Update

With the resumption of commercial flights and air travel, WHO, through the COVID-19 Supply Chain System, has reported increased deliveries of critical medical supplies for the COVID-19 response to countries facing the greatest need. These supplies include personal protective equipment (PPE), diagnostics and biomedical equipment.

Personal Protective Equipment

Working with the World Food Programme (WFP), which is running warehouse and transport operations for the COVID-19 Supply Chain System, WHO has increased deliveries of PPE – including medical masks, respirator masks, goggles, face shields, gowns and gloves - from 5.5 million to 50.4 million pieces over the past month.

Moving forward, nearly 201 million pieces of PPE will be shipped to 138 countries across all six WHO regions. These numbers include 100 million medical masks and 1 million respirator masks donated by the Jack Ma Foundation.

Nearly 20 million pieces of PPE have now been shipped to the Region of the Americas, currently the epicenter of the COVID-19 pandemic. A further 70 million pieces of PPE will be shipped over the coming weeks.

WHO is now prioritizing the shipment of 46.4 million pieces of PPE to 52 countries in Africa over the coming weeks.

Diagnostics

Through the diagnostics purchasing consortium, WHO, UNICEF and the Global Fund have procured close to 6 million polymerase chain reaction (PCR) tests and 5.2 million sample collection kits from a number of manufacturers to increase testing capacity in countries.

To date, 3.1 million PCR tests and 1.7 sample collection kits have been shipped to 137 countries across all WHO regions.

Bio-medical Equipment

Approximately US$19 million of bio-medical equipment – comprising 14 000 oxygen concentrators, 9 700 pulse oximeters and 4 700 patient monitors – have been purchased through the Clinical Care Consortium.

Of WHO’s initial purchase of 4 000 oxygen concentrators, 3 950 concentrators have been shipped to 36 countries that have had the greatest difficulty accessing these life-saving supplies for COVID-19 patients in critical condition. An additional 10 000 oxygen concentrators were purchased in June and will be prepared for shipment upon arrival to the WFP warehouse in China.

COVID-19 Supply Portal

Since the launch of the COVID-19 Supply Portal, 81 countries have submitted 351 requests for supplies with a total estimated value of US$ 174.6 million.

Surveillance Figure 1. Number of confirmed COVID-19 cases reported in the last seven days by country, territory or area, 9 July to 15 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 15 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, 15 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 298 292 10 496 4 346 174 Community transmission 0

Nigeria 33 616 463 754 10 Community transmission 0

Ghana 24 988 0 139 0 Community transmission 1

Algeria 20 216 527 1 028 10 Community transmission 0

Cameroon 15 173 0 359 0 Community transmission 2

Côte d’Ivoire 13 037 165 87 3 Community transmission 0

Kenya 10 791 497 202 5 Community transmission 0

Senegal 8 243 45 150 0 Community transmission 0

Ethiopia 8 181 212 146 7 Community transmission 0

Democratic Republic of the Congo 8 134 60 189 0 Community transmission 0

Guinea 6 200 30 38 0 Community transmission 0

Gabon 5 942 0 46 0 Community transmission 4

Mauritania 5 446 91 149 2 Clusters of cases 0

Madagascar 5 343 263 39 2 Clusters of cases 0

Central African Republic 4 321 0 53 0 Community transmission 1

Malawi 2 497 67 40 1 Clusters of cases 0

Mali 2 423 11 121 0 Community transmission 0

Congo 2 358 136 48 1 Community transmission 0

Zambia 2 283 0 82 0 Community transmission 1

South Sudan 2 153 5 41 0 Clusters of cases 0

Guinea-Bissau 1 902 0 26 0 Community transmission 1

Reporting Country/Territory/Area Total confirmed

cases Total confirmed new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Cabo Verde 1 780 58 19 0 Clusters of cases 0

Sierra Leone 1 651 9 64 1 Community transmission 0

Benin 1 463 85 28 2 Community transmission 0

Eswatini 1 434 45 20 0 Clusters of cases 0

Rwanda 1 416 38 4 0 Sporadic cases 0

Mozambique 1 268 49 9 0 Clusters of cases 0

Niger 1 099 0 68 0 Community transmission 4

Zimbabwe 1 064 30 20 1 Sporadic cases 0

Equatorial Guinea 1 043 0 12 0 Community transmission 52

Uganda 1 040 11 0 0 Sporadic cases 0

Liberia 1 038 14 51 0 Community transmission 0

Burkina Faso 1 037 1 53 0 Community transmission 0

Chad 884 4 75 0 Community transmission 0

Namibia 864 3 2 1 Sporadic cases 0

Togo 731 11 15 0 Community transmission 0

Angola 541 16 26 0 Clusters of cases 0

United Republic of Tanzania 509 0 21 0 Community transmission 68

Sao Tome and Principe 416 4 12 0 Clusters of cases 0

Botswana 399 0 1 0 Clusters of cases 2

Mauritius 343 0 10 0 Clusters of cases 1

Comoros 321 4 7 0 Community transmission 0

Burundi 269 0 1 0 Clusters of cases 1

Lesotho 256 11 3 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

Eritrea 232 0 0 0 Sporadic cases 5

Seychelles 100 0 0 0 Clusters of cases 5

Gambia 64 0 3 0 Sporadic cases 5

Territoriesii

Mayotte 2 724 0 40 0 Clusters of cases 1

Réunion 599 3 3 0 Clusters of cases 0

Americas

United States of America 3 344 783 58 720 135 053 349 Community transmission 0

Brazil 1 884 967 20 286 72 833 733 Community transmission 0

Peru 330 123 3 797 12 054 184 Community transmission 0

Chile 319 493 1 836 7 069 45 Community transmission 0

Mexico 304 435 4 685 35 491 485 Community transmission 0

Colombia 154 277 3 832 5 455 148 Community transmission 0

Canada 108 155 565 8 790 7 Community transmission 0

Argentina 103 265 3 099 1 926 67 Community transmission 0

Ecuador 69 570 1 111 5 130 67 Community transmission 0

Bolivia (Plurinational State of) 49 250 1 063 1 866 59 Community transmission 0

Panama 47 173 1 540 932 23 Community transmission 0

Dominican Republic 46 305 799 910 7 Community transmission 0

Guatemala 29 742 387 1 244 25 Community transmission 0

Honduras 28 579 489 789 15 Community transmission 0

El Salvador 10 303 325 278 11 Community transmission 0

Venezuela (Bolivarian Republic of) 9 707 242 93 4 Community transmission 0

Costa Rica 8 036 440 31 1 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

Haiti 6 727 0 141 2 Community transmission 1

Paraguay 2 980 0 25 0 Community transmission 1

Nicaragua 2 712 301 99 8 Community transmission 0

Cuba 2 432 4 87 0 Clusters of cases 0

Uruguay 989 2 31 0 Clusters of cases 0

Suriname 780 18 18 0 Clusters of cases 0

Jamaica 759 1 10 0 Clusters of cases 0

Guyana 300 3 17 0 Clusters of cases 0

Trinidad and Tobago 133 0 8 0 Sporadic cases 8

Bahamas 113 2 11 0 Clusters of cases 0

Barbados 103 0 7 0 Clusters of cases 2

Antigua and Barbuda 74 0 3 0 Clusters of cases 3

Belize 37 0 2 0 Sporadic cases 3

Saint Vincent and the Grenadines 35 0 0 0 Sporadic cases 1

Grenada 23 0 0 0 Clusters of cases 49

Saint Lucia 22 0 0 0 Sporadic cases 11

Dominica 18 0 0 0 Clusters of cases 32

Saint Kitts and Nevis 17 0 0 0 No cases 4

Territoriesii

Puerto Rico 10 123 113 169 2 Community transmission 0

French Guiana 6 229 59 31 2 Community transmission 0

Martinique 255 0 15 0 Clusters of cases 3

United States Virgin Islands 206 0 6 0 Clusters of cases 1

Cayman Islands 203 2 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

Guadeloupe 190 0 14 0 Clusters of cases 4

Bermuda 150 0 9 0 Sporadic cases 3

Aruba 105 0 3 0 Sporadic cases 8

Sint Maarten 78 0 15 0 No cases 11

Turks and Caicos Islands 72 0 2 0 Clusters of cases 1

Saint Martin 44 0 3 0 Sporadic cases 10

Curaçao 26 0 1 0 Sporadic cases 1

Falkland Islands (Malvinas) 13 0 0 0 No cases 80

Montserrat 12 0 1 0 No cases 4

Bonaire, Sint Eustatius and Saba 9 2 0 0 No cases 0

British Virgin Islands 8 0 1 0 No cases 60

Saint Barthélemy 6 0 0 0 No cases 106

Anguilla 3 0 0 0 No cases 102

Saint Pierre and Miquelon 2 0 0 0 No cases 5

Eastern Mediterranean

Iran (Islamic Republic of) 262 173 2 521 13 211 179 Community transmission 0

Pakistan 255 769 2 165 5 386 66 Clusters of cases 0

Saudi Arabia 237 803 2 692 2 283 40 Clusters of cases 0

Qatar 104 533 517 150 1 Community transmission 0

Egypt 83 930 929 4 008 73 Clusters of cases 0

Iraq 81 757 2 022 3 345 95 Community transmission 0

Oman 59 568 1 389 273 14 Community transmission 0

Kuwait 56 174 666 396 3 Clusters of cases 0

United Arab Emirates 55 573 375 335 1 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 34 940 200 1 094 49 Clusters of cases 0

Bahrain 34 078 602 111 2 Clusters of cases 0

Morocco 16 097 161 257 2 Clusters of cases 0

Sudan 10 417 101 659 2 Community transmission 0

Djibouti 4 979 2 56 0 Clusters of cases 0

Somalia 3 076 4 93 0 Sporadic cases 0

Lebanon 2 451 32 37 1 Clusters of cases 0

Libya 1 563 51 42 2 Clusters of cases 0

Yemen 1 520 18 430 5 Community transmission 0

Tunisia 1 306 4 50 0 Sporadic cases 0

Jordan 1 198 15 10 0 Clusters of cases 0

Syrian Arab Republic 439 22 21 2 Community transmission 0

Territoriesii

occupied Palestinian territory 7 734 293 47 6 Clusters of cases 0

Europe

Russian Federation 746 369 6 422 11 770 156 Clusters of cases 0

The United Kingdom 291 377 1 240 44 968 138 Community transmission 0

Spain 256 619 666 28 409 3 Clusters of cases 0

Italy 243 344 114 34 984 17 Community transmission 0

Turkey 214 993 992 5 402 20 Community transmission 0

Germany 199 726 763 9 071 7 Clusters of cases 0

France 162 390 0 29 925 0 Clusters of cases 1

Sweden 76 001 175 5 545 9 Community transmission 0

Belarus 65 269 155 474 6 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

Kazakhstan 63 514 1 759 375 0 Clusters of cases 0

Belgium 62 781 0 9 787 0 Community transmission 1

Ukraine 55 607 836 1 427 15 Community transmission 0

Netherlands 51 091 53 6 128 0 Community transmission 0

Portugal 47 051 233 1 668 6 Community transmission 0

Israel 39 294 0 364 0 Pending 1

Poland 38 457 267 1 588 12 Community transmission 0

Romania 33 585 637 1 931 30 Community transmission 0

Armenia 33 005 515 592 11 Community transmission 0

Switzerland 32 931 70 1 687 2 Community transmission 0

Ireland 25 670 32 1 746 0 Clusters of cases 0

Azerbaijan 25 113 543 319 6 Clusters of cases 0

Republic of Moldova 19 708 269 658 6 Community transmission 0

Austria 19 060 201 709 1 Community transmission 0

Serbia 18 983 344 418 13 Community transmission 0

Uzbekistan 14 293 421 68 4 Clusters of cases 0

Czechia 13 341 103 355 2 Clusters of cases 0

Denmark 13 061 24 610 0 Community transmission 0

Kyrgyzstan 11 977 439 160 11 Clusters of cases 0

Norway 8 984 3 253 0 Clusters of cases 0

North Macedonia 8 331 134 389 4 Clusters of cases 0

Bulgaria 7 645 234 283 7 Clusters of cases 0

Finland 7 301 6 329 0 Clusters of cases 0

Bosnia and Herzegovina 6 979 0 224 0 Community transmission 1

Reporting Country/Territory/Area Total confirmed

cases Total confirmed new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Tajikistan 6 643 48 56 1 Pending 0

Luxembourg 4 956 0 111 0 Community transmission 1

Hungary 4 263 16 595 0 Community transmission 0

Greece 3 883 57 193 0 Clusters of cases 0

Croatia 3 827 52 120 1 Clusters of cases 0

Albania 3 752 85 101 4 Clusters of cases 0

Estonia 2 015 1 69 0 Clusters of cases 0

Slovakia 1 908 6 28 0 Clusters of cases 0

Iceland 1 905 5 10 0 Community transmission 0

Lithuania 1 875 1 79 0 Community transmission 0

Slovenia 1 859 10 111 0 Clusters of cases 0

Montenegro 1 287 0 24 0 Clusters of cases 1

Latvia 1 178 4 31 0 Sporadic cases 0

Cyprus 1 022 0 19 0 Clusters of cases 1

Georgia 1 003 4 15 0 Sporadic cases 0

Andorra 861 3 52 0 Community transmission 0

San Marino 716 0 42 0 Community transmission 5

Malta 674 0 9 0 Sporadic cases 5

Monaco 99 0 1 0 Sporadic cases 38

Liechtenstein 85 0 1 0 Sporadic cases 8

Holy See 12 0 0 0 Sporadic cases 69

Territoriesii

Kosovo[1] 5 075 0 98 0 Community transmission 1

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 54

Jersey 329 0 31 0 Community transmission 1

Guernsey 252 0 13 0 Community transmission 73

Faroe Islands 188 0 0 0 Pending 7

Gibraltar 180 0 0 0 Clusters of cases 4

Greenland 13 0 0 0 No cases 47

South-East Asia

India 936 181 29 429 24 309 582 Clusters of cases 0

Bangladesh 190 057 3 163 2 424 33 Community transmission 0

Indonesia 78 572 1 591 3 710 54 Community transmission 0

Nepal 17 061 116 38 0 Clusters of cases 0

Thailand 3 232 5 58 0 Clusters of cases 0

Maldives 2 801 39 14 1 Clusters of cases 0

Sri Lanka 2 665 19 11 0 Clusters of cases 0

Myanmar 337 1 6 0 Clusters of cases 0

Bhutan 84 0 0 0 Sporadic cases 2

Timor-Leste 24 0 0 0 No cases 82

Western Pacific

China 85 677 54 4 649 0 Clusters of cases 0

Philippines 57 545 539 1 603 4 Community transmission 0

Singapore 46 630 347 27 1 Clusters of cases 0

Japan 22 508 288 984 2 Clusters of cases 0

Republic of Korea 13 551 39 289 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

Australia 10 251 271 108 0 Clusters of cases 0

Malaysia 8 729 4 122 0 Clusters of cases 0

New Zealand 1 197 2 22 0 Clusters of cases 0

Viet Nam 373 1 0 0 Clusters of cases 0

Mongolia 243 13 0 0 Sporadic cases 0

Cambodia 165 0 0 0 Sporadic cases 1

Brunei Darussalam 141 0 3 0 No cases 68

Fiji 26 0 0 0 Sporadic cases 3

Lao People's Democratic Republic 19 0 0 0 Sporadic cases 93

Papua New Guinea 11 0 0 0 Sporadic cases 19

Territoriesii

Guam 305 1 5 0 Clusters of cases 0

French Polynesia 62 0 0 0 Sporadic cases 17

Northern Mariana Islands (Commonwealth of the)

36 3 2 0 Pending 0

New Caledonia 22 1 0 0 Sporadic cases 0

Subtotal for all regions 13 149 904 185 836 574 451 4 176

Other* 741 0 13 0 Not applicable -

Grand total 13 150 645 185 836 574 464 4 176

**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

• None