Coronavirus disease (COVID-19) Situation Report – 153 Data as received by WHO from national authorities by 10:00 CEST, 21 June 2020

Highlights

The WHO Regional Director for Europe, Dr Hans Henri P. Kluge, shared that the European Region accounts for 31% of COVID-19 cases and 43% of COVID-19 deaths globally. Dr Kluge highlighted that several countries continue to face increasing disease incidence and that “Preparing for the autumn is a priority now at the WHO Regional Office for Europe”.

The WHO Regional Director for the Eastern Mediterranean, Dr Ahmed Al-Mandhari, has released a statement on COVID-19. He highlighted that while there is a wide body of research on COVID-19, many things are still unknown. He reiterated that as knowledge of the disease evolves, recommendations about how best to control the pandemic are also evolving.

A survey conducted by the WHO Regional Office for the Americas highlight that services for the prevention and treatment of noncommunicable diseases (NCDs) have been critically affected since the onset of the COVID-19 pandemic in the Region.

Oman has launched some of the most powerful technological solutions deployed to date in the Middle East to track the movement and spread of COVID-19 and ensure patient compliance with isolation measures, in an effort to contain the disease in the country.

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

Globally 8 708 008 cases (183 020) 461 715 deaths (4 743)

Africa 216 999 cases (8 464) 4 874 deaths (124)

Americas 4 279 854 cases (116 041) 219 144 deaths (3 241)

Eastern Mediterranean 897 403 cases (18 975) 20 075 deaths (515)

Europe 2 527 618 cases (17 922) 193 086 deaths (442)

South-East Asia 580 533 cases (20 248) 17 213 deaths (399)

Western Pacific 204 860 cases (1 370) 7 310 deaths (22)

Surveillance Figure 1. Number of confirmed COVID-19 cases reported in the last seven days by country, territory or area, 15 June to 21 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 21 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, 21 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 92 681 4 966 1 877 46 Community transmission 0

Nigeria 19 808 661 506 19 Community transmission 0

Ghana 13 717 514 85 15 Community transmission 0

Algeria 11 631 127 837 12 Community transmission 0

Cameroon 10 638 0 282 0 Community transmission 1

Côte d’Ivoire 7 276 402 52 3 Community transmission 0

Senegal 5 783 144 82 3 Community transmission 0

Democratic Republic of the Congo 5 671 195 124 3 Community transmission 0

Guinea 4 960 56 27 0 Community transmission 0

Kenya 4 478 104 121 2 Community transmission 0

Ethiopia 4 469 399 72 0 Community transmission 0

Gabon 4 428 88 34 2 Community transmission 0

Central African Republic 2 808 203 23 4 Community transmission 0

Mauritania 2 621 197 102 5 Clusters of cases 0

Mali 1 933 10 109 1 Community transmission 0

South Sudan 1 864 34 34 2 Clusters of cases 0

Guinea-Bissau 1 512 0 16 0 Community transmission 2

Madagascar 1 503 60 13 0 Clusters of cases 0

Zambia 1 430 0 11 0 Community transmission 1

Sierra Leone 1 309 11 53 0 Community transmission 0

Equatorial Guinea 1 043 0 12 0 Community transmission 28

Reporting Country/ Territory/Area Total confirmed

cases Total confirmed new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Niger 1 035 9 67 0 Community transmission 0

Burkina Faso 901 0 53 0 Community transmission 1

Congo 883 0 27 0 Community transmission 5

Cabo Verde 863 15 8 0 Clusters of cases 0

Chad 858 0 74 0 Community transmission 1

Uganda 823 0 0 0 Sporadic cases 7

Malawi 730 82 11 3 Clusters of cases 0

Rwanda 702 41 2 0 Sporadic cases 0

Mozambique 688 20 4 0 Clusters of cases 0

Benin 650 0 11 0 Community transmission 1

Eswatini 627 4 5 1 Clusters of cases 0

Liberia 601 20 33 0 Community transmission 0

Togo 561 6 13 0 Community transmission 0

United Republic of Tanzania 509 0 21 0 Community transmission 44

Zimbabwe 479 0 4 0 Sporadic cases 1

Sao Tome and Principe 388 0 10 0 Clusters of cases 3

Mauritius 337 0 10 0 Clusters of cases 15

Comoros 247 37 5 0 Community transmission 0

Angola 172 6 8 0 Clusters of cases 0

Burundi 144 40 1 0 Clusters of cases 0

Eritrea 142 0 0 0 Sporadic cases 2

Botswana 89 0 1 0 Clusters of cases 1

Namibia 46 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 37 1 2 1 Sporadic cases 0

Seychelles 11 0 0 0 Clusters of cases 75

Lesotho 4 0 0 0 Sporadic cases 17

Territoriesii

Mayotte 2 404 10 31 2 Clusters of cases 0

Réunion 505 1 1 0 Clusters of cases 0

Americas

United States of America 2 208 829 36 617 118 895 690 Community transmission 0

Brazil 1 032 913 54 771 48 954 1 206 Community transmission 0

Peru 247 925 3 537 7 660 199 Community transmission 0

Chile 236 748 5 355 4 295 202 Community transmission 0

Mexico 170 485 5 030 20 394 647 Community transmission 0

Canada 100 629 409 8 346 46 Community transmission 0

Colombia 63 276 3 059 2 045 95 Community transmission 0

Ecuador 50 183 452 4 199 43 Community transmission 0

Argentina 39 570 2 060 979 25 Community transmission 0

Dominican Republic 25 778 710 655 8 Community transmission 0

Panama 24 274 923 485 10 Community transmission 0

Bolivia (Plurinational State of) 22 476 977 715 18 Community transmission 0

Guatemala 12 509 641 483 34 Community transmission 0

Honduras 11 258 519 349 6 Community transmission 0

Haiti 4 980 64 87 3 Community transmission 0

El Salvador 4 475 146 93 7 Community transmission 0

Venezuela (Bolivarian Republic of) 3 591 107 30 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

Cuba 2 309 4 85 0 Clusters of cases 0

Costa Rica 2 058 119 12 0 Clusters of cases 0

Nicaragua 2 014 0 64 0 Community transmission 3

Paraguay 1 362 26 13 0 Community transmission 0

Uruguay 853 3 24 0 Clusters of cases 0

Jamaica 652 14 10 0 Clusters of cases 0

Suriname 293 16 8 0 Clusters of cases 0

Guyana 183 0 12 0 Clusters of cases 2

Trinidad and Tobago 123 0 8 0 Sporadic cases 5

Bahamas 104 0 11 0 Clusters of cases 5

Barbados 97 0 7 0 Clusters of cases 5

Saint Vincent and the Grenadines 29 0 0 0 Sporadic cases 3

Antigua and Barbuda 26 0 3 0 Clusters of cases 7

Grenada 23 0 0 0 Clusters of cases 25

Belize 22 0 2 0 Sporadic cases 3

Saint Lucia 19 0 0 0 Sporadic cases 15

Dominica 18 0 0 0 Clusters of cases 8

Saint Kitts and Nevis 15 0 0 0 No cases 61

Territoriesii

Puerto Rico 6 463 268 147 0 Community transmission 0

French Guiana 2 163 194 5 0 Community transmission 0

Martinique 236 15 14 0 Clusters of cases 0

Cayman Islands 195 2 1 0 Clusters of cases 0

Guadeloupe 174 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 146 2 9 0 Clusters of cases 0

Aruba 101 0 3 0 No cases 46

Sint Maarten 77 0 15 0 Sporadic cases 15

United States Virgin Islands 74 1 6 0 Clusters of cases 0

Saint Martin 42 0 3 0 Sporadic cases 4

Curaçao 23 0 1 0 Sporadic cases 3

Falkland Islands (Malvinas) 13 0 0 0 No cases 56

Turks and Caicos Islands 12 0 1 0 No cases 54

Montserrat 11 0 1 0 No cases 68

British Virgin Islands 8 0 1 0 No cases 36

Bonaire, Sint Eustatius and Saba 7 0 0 0 No cases 26

Saint Barthélemy 6 0 0 0 No cases 82

Anguilla 3 0 0 0 No cases 78

Saint Pierre and Miquelon 1 0 0 0 No cases 74

Eastern Mediterranean

Iran (Islamic Republic of) 202 584 2 322 9 507 115 Community transmission 0

Pakistan 176 617 4 951 3 501 119 Clusters of cases 0

Saudi Arabia 154 233 3 941 1 230 46 Clusters of cases 0

Qatar 86 488 1 026 94 1 Community transmission 0

Egypt 53 758 1 547 2 106 89 Clusters of cases 0

United Arab Emirates 44 533 388 301 1 Pending 0

Kuwait 39 145 467 319 6 Clusters of cases 0

Iraq 29 222 1 870 1 013 88 Clusters of cases 0

Afghanistan 28 833 536 581 33 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

Oman 28 566 896 128 3 Clusters of cases 0

Bahrain 21 331 415 60 3 Clusters of cases 0

Morocco 9 839 226 213 0 Clusters of cases 0

Sudan 8 580 164 521 8 Community transmission 0

Djibouti 4 565 0 45 0 Clusters of cases 1

Somalia 2 755 36 88 0 Sporadic cases 0

Lebanon 1 536 26 32 0 Clusters of cases 0

Tunisia 1 156 10 50 0 Community transmission 0

Jordan 1 015 7 9 0 Clusters of cases 0

Yemen 926 3 255 3 Pending 0

Libya 544 24 10 0 Clusters of cases 0

Syrian Arab Republic 198 11 7 0 Community transmission 0

Territoriesii

occupied Palestinian territory 979 109 5 0 Clusters of cases 0

Europe

Russian Federation 584 680 7 728 8 111 109 Clusters of cases 0

The United Kingdom 303 114 1 295 42 589 128 Community transmission 0

Spain 245 938 363 28 322 7 Community transmission 0

Italy 238 275 264 34 610 49 Community transmission 0

Germany 189 822 687 8 882 0 Clusters of cases 0

Turkey 186 493 1 248 4 927 22 Community transmission 0

France 154 562 421 29 565 14 Community transmission 0

Belgium 60 550 74 9 696 1 Community transmission 0

Belarus 57 936 603 343 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

Sweden 56 043 0 5 053 0 Community transmission 2

Netherlands 49 502 76 6 089 8 Community transmission 0

Portugal 38 841 377 1 528 1 Community transmission 0

Ukraine 36 560 735 1 002 8 Community transmission 0

Poland 31 620 304 1 346 12 Community transmission 0

Switzerland 31 217 0 1 680 0 Community transmission 1

Ireland 25 374 6 1 715 1 Community transmission 0

Romania 23 730 330 1 500 16 Community transmission 0

Israel 20 494 306 305 1 Pending 0

Armenia 20 268 560 350 18 Community transmission 0

Austria 17 247 62 688 0 Community transmission 0

Kazakhstan 17 225 446 118 5 Clusters of cases 0

Republic of Moldova 13 953 397 464 6 Community transmission 0

Serbia 12 803 94 260 1 Pending 0

Denmark 12 391 0 600 0 Community transmission 1

Azerbaijan 12 238 471 148 5 Clusters of cases 0

Czechia 10 448 42 336 1 Clusters of cases 0

Norway 8 708 16 244 0 Clusters of cases 0

Finland 7 142 9 326 0 Pending 0

Uzbekistan 6 216 191 19 0 Clusters of cases 0

Tajikistan 5 399 61 52 1 Pending 0

North Macedonia 5 005 185 233 11 Clusters of cases 0

Luxembourg 4 105 6 110 0 Clusters of cases 0

Hungary 4 094 8 570 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

Bulgaria 3 872 117 199 6 Clusters of cases 0

Bosnia and Herzegovina 3 354 66 169 1 Community transmission 0

Greece 3 256 19 190 1 Clusters of cases 0

Kyrgyzstan 3 151 170 35 0 Clusters of cases 0

Croatia 2 299 19 107 0 Sporadic cases 0

Estonia 1 981 2 69 0 Clusters of cases 0

Albania 1 891 53 43 1 Clusters of cases 0

Iceland 1 822 3 10 0 Community transmission 0

Lithuania 1 795 3 76 0 Community transmission 0

Slovakia 1 586 10 28 0 Clusters of cases 0

Slovenia 1 519 6 109 0 Clusters of cases 0

Latvia 1 111 1 30 0 Sporadic cases 0

Cyprus 985 0 19 0 Clusters of cases 5

Georgia 906 8 14 0 Community transmission 0

Andorra 855 0 52 0 Community transmission 2

San Marino 713 0 42 0 Community transmission 1

Malta 664 1 9 0 Sporadic cases 0

Montenegro 359 4 9 0 Clusters of cases 0

Monaco 99 0 1 0 Sporadic cases 14

Liechtenstein 83 0 1 0 Pending 56

Holy See 12 0 0 0 Sporadic cases 45

Territoriesii

Kosovo[1] 2 030 75 25 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

Isle of Man 336 0 24 0 Pending 30

Jersey 318 0 31 1 Community transmission 2

Guernsey 252 0 13 0 Community transmission 49

Faroe Islands 187 0 0 0 Pending 58

Gibraltar 176 0 0 0 Clusters of cases 12

Greenland 13 0 0 0 Pending 23

South-East Asia

India 410 461 15 413 13 254 306 Clusters of cases 0

Bangladesh 108 775 3 240 1 425 37 Community transmission 0

Indonesia 45 029 1 226 2 429 56 Community transmission 0

Nepal 8 605 331 22 0 Sporadic cases 0

Thailand 3 148 1 58 0 Clusters of cases 0

Maldives 2 187 37 8 0 Clusters of cases 0

Sri Lanka 1 950 0 11 0 Clusters of cases 1

Myanmar 286 0 6 0 Clusters of cases 2

Bhutan 68 0 0 0 Sporadic cases 1

Timor-Leste 24 0 0 0 Clusters of cases 58

Western Pacific

China 84 997 27 4 646 1 Clusters of cases 0

Singapore 41 833 218 26 0 Clusters of cases 0

Philippines 29 400 941 1 150 20 Community transmission 0

Japan 17 864 65 953 1 Clusters of cases 0

Republic of Korea 12 421 48 280 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

Malaysia 8 556 21 121 0 Clusters of cases 0

Australia 7 436 27 102 0 Clusters of cases 0

New Zealand 1 159 0 22 0 Clusters of cases 1

Viet Nam 349 0 0 0 Clusters of cases 1

Mongolia 204 0 0 0 Sporadic cases 1

Brunei Darussalam 141 0 3 0 Clusters of cases 44

Cambodia 129 0 0 0 Sporadic cases 3

Lao People's Democratic Republic 19 0 0 0 Sporadic cases 69

Fiji 18 0 0 0 Sporadic cases 61

Papua New Guinea 9 1 0 0 Sporadic cases 0

Territoriesii

Guam 214 22 5 0 Clusters of cases 0

French Polynesia 60 0 0 0 Sporadic cases 46

Northern Mariana Islands (Commonwealth of the)

30 0 2 0 Pending 11

New Caledonia 21 0 0 0 Sporadic cases 11

Subtotal for all regions 8 707 267 183 020 461 702 4 743

Other* 741 0 13 0 Not applicable -

Grand total 8 708 008 183 020 461 715 4 743

**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

• Update 17 June 2020, India: India has reported a large increase in deaths in the last 24 hours, possibly due to a data reconciliation process. Edit 21 June 2020: Local authorities confirmed that the significant increase of deaths reported earlier this week was due to a backlog in data reporting from Delhi and Mumbai.

• Update 21 June 2020, Brazil: A large increase observed on this day was in part due to a lag in reporting from three states (Bahia, Rio de Janeiro and Sao Paulo), compounding data from two days.

• Erratum 21 June 2020, Czechia: Counts adjusted retrospectively to align with national authorities: 54 cases have been excluded on 20 June.

• Erratum 21 June 2020, Germany: Counts adjusted retrospectively to align with national authorities: 1 death has been excluded on 20 June.