16
Coronavirus disease (COVID-19) Situation Report – 187 Data as received by WHO from national authorities by 10:00 CEST, 25 July 2020 Highlights The COVID-19 pandemic has affected older people disproportionately, especially those living in long-term care facilities. WHO has published a policy brief on preventing and managing COVID-19 across long-term care services. Evelyn Narki Dowuona, a health worker at the Ga East Municipal Hospital in Accra, Ghana, speaks with WHO on the challenges of managing COVID-19. WHO has released a set of practical steps for implementing the prescriptions of the WHO Manifesto for a healthy recovery from COVID-19. These prescriptions aim to create a healthier, fairer and greener world while investing to maintain and resuscitate the economy hit by the effects of the pandemic. Prison nurse Deanna Mezen discusses how life has changed under COVID-19 at one of the largest prisons in the United Kingdom. Through the UHC Partnership, WHO has been working since 2011 to support Timor-Leste’s efforts to strengthen its health system. At the time of the first confirmed case of COVID-19 Timor-Leste had no identified isolation and quarantine facilities, limited surveillance capacity and had just initiated in-country testing for COVID-19. Swift action from the Ministry of Health decisively transformed its fragile health system and prevented COVID-19 from reaching communities. Situation in numbers (by WHO Region) Total (new cases in last 24 hours) Globally 15 581 009 cases (284 083) 635 173 deaths (6 270) Africa 679 962 cases (20 614) 11 340 deaths (339) Americas 8 292 311 cases (170 611) 329 699 deaths (4 074) Eastern Mediterranean 1 456 365 cases (14 019) 37 050 deaths (450) Europe 3 192 041 cases (21 659) 209 930 deaths (509) South-East Asia 1 678 994 cases (53 430) 38 993 deaths (882) Western Pacific 280 595 cases (3 750) 8 148 deaths (16)

Coronavirus disease (COVID-19)€¦ · 25/07/2020  · Situation in numbers (by WHO Region) Total (new cases in last 24 hours) Globally 15 581 009 cases (284 083) 635 173 deaths (6

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Page 1: Coronavirus disease (COVID-19)€¦ · 25/07/2020  · Situation in numbers (by WHO Region) Total (new cases in last 24 hours) Globally 15 581 009 cases (284 083) 635 173 deaths (6

Coronavirus disease (COVID-19) Situation Report – 187 Data as received by WHO from national authorities by 10:00 CEST, 25 July 2020

Highlights

The COVID-19 pandemic has affected older people disproportionately, especially those living in long-term care facilities. WHO has published a policy brief on preventing and managing COVID-19 across long-term care services.

Evelyn Narki Dowuona, a health worker at the Ga East Municipal Hospital in Accra, Ghana, speaks with WHO on the challenges of managing COVID-19.

WHO has released a set of practical steps for implementing the prescriptions of the WHO Manifesto for a healthy recovery from COVID-19. These prescriptions aim to create a healthier, fairer and greener world while investing to maintain and resuscitate the economy hit by the effects of the pandemic.

Prison nurse Deanna Mezen discusses how life has changed under COVID-19 at one of the largest prisons in the United Kingdom.

Through the UHC Partnership, WHO has been working since 2011 to support Timor-Leste’s efforts to strengthen its health system. At the time of the first confirmed case of COVID-19 Timor-Leste had no identified isolation and quarantine facilities, limited surveillance capacity and had just initiated in-country testing for COVID-19. Swift action from the Ministry of Health decisively transformed its fragile health system and prevented COVID-19 from reaching communities.

Situation in numbers (by WHO Region)

Total (new cases in last 24 hours)

Globally 15 581 009 cases (284 083) 635 173 deaths (6 270)

Africa 679 962 cases (20 614) 11 340 deaths (339)

Americas 8 292 311 cases (170 611) 329 699 deaths (4 074)

Eastern Mediterranean 1 456 365 cases (14 019) 37 050 deaths (450)

Europe 3 192 041 cases (21 659) 209 930 deaths (509)

South-East Asia 1 678 994 cases (53 430) 38 993 deaths (882)

Western Pacific 280 595 cases (3 750) 8 148 deaths (16)

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Surveillance

Figure 1. Number of confirmed* COVID-19 cases reported in the last seven days by country, territory or area, 19 July to 25 July **

**See Annex 1 for data, table and figure notes.

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Figure 2. Number of confirmed* COVID-19 cases, by date of report and WHO region, 30 December through 25 July**

**See Annex 1 for data, table and figure notes.

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Table 1. Countries, territories or areas with reported laboratory-confirmed* COVID-19 cases and deaths, by WHO region. Data as of 10 AM CEST, 25 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 421 996 13 944 6 343 250 Community transmission 0

Nigeria 39 539 591 845 12 Community transmission 0

Ghana 31 057 1 385 161 8 Community transmission 0

Algeria 26 159 675 1 136 12 Community transmission 0

Cameroon 16 708 186 385 3 Community transmission 0

Kenya 16 268 667 274 11 Community transmission 0

Côte d’Ivoire 15 253 252 94 1 Community transmission 0

Ethiopia 12 693 760 200 3 Community transmission 0

Senegal 9 422 156 182 4 Community transmission 0

Madagascar 8 741 360 76 6 Community transmission 0

Democratic Republic of the Congo 8 625 0 196 0 Community transmission 2

Gabon 6 984 396 49 2 Community transmission 0

Guinea 6 867 61 42 0 Community transmission 0

Mauritania 6 116 89 156 1 Community transmission 0

Central African Republic 4 593 3 59 1 Community transmission 0

Zambia 3 853 270 134 6 Community transmission 0

Malawi 3 454 68 87 8 Community transmission 0

Congo 3 038 104 51 0 Community transmission 0

Mali 2 503 9 123 0 Community transmission 0

Equatorial Guinea 2 350 0 41 0 Community transmission 8

Zimbabwe 2 296 172 32 4 Clusters of cases 0

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Reporting Country/Territory/Area Total confirmed*

cases Total confirmed* new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

South Sudan 2 258 0 45 0 Community transmission 1

Cabo Verde 2 220 30 22 1 Clusters of cases 0

Eswatini 2 073 52 28 0 Community transmission 0

Guinea-Bissau 1 954 0 26 0 Community transmission 4

Sierra Leone 1 765 13 66 0 Community transmission 0

Rwanda 1 729 19 5 0 Clusters of cases 0

Benin 1 694 0 34 0 Community transmission 1

Mozambique 1 590 8 11 0 Community transmission 0

Namibia 1 539 17 7 0 Clusters of cases 0

Liberia 1 135 18 71 0 Community transmission 0

Niger 1 124 0 69 0 Community transmission 1

Uganda 1 089 9 1 0 Clusters of cases 0

Burkina Faso 1 075 5 53 0 Community transmission 0

Chad 915 0 75 0 Community transmission 1

Angola 880 29 35 2 Clusters of cases 0

Sao Tome and Principe 860 111 14 0 Clusters of cases 0

Togo 839 11 17 1 Community transmission 0

Botswana 686 64 1 0 Clusters of cases 0

United Republic of Tanzania 509 0 21 0 Community transmission 78

Lesotho 419 60 9 3 Clusters of cases 0

Burundi 345 0 1 0 Clusters of cases 1

Mauritius 344 1 10 0 Sporadic cases 0

Comoros 340 0 7 0 Community transmission 1

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Reporting Country/Territory/Area Total confirmed*

cases Total confirmed* new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Eritrea 261 0 0 0 Sporadic cases 1

Gambia 170 0 5 0 Sporadic cases 1

Seychelles 107 0 0 0 Sporadic cases 2

Territoriesii

Mayotte 2 873 11 38 0 Clusters of cases 0

Réunion 654 8 3 0 Clusters of cases 0

Americas

United States of America 4 009 808 71 714 143 663 1 110 Community transmission 0

Brazil 2 287 475 59 961 84 082 1 311 Community transmission 0

Peru 371 096 4 546 17 654 199 Community transmission 0

Mexico 370 712 8 438 41 908 718 Community transmission 0

Chile 341 304 2 545 8 914 76 Community transmission 0

Colombia 226 373 7 945 7 688 315 Community transmission 0

Argentina 148 027 6 127 2 722 105 Community transmission 0

Canada 112 672 432 8 874 4 Community transmission 0

Ecuador 79 049 901 5 468 29 Community transmission 0

Bolivia (Plurinational State of) 65 252 1 117 2 407 79 Community transmission 0

Dominican Republic 59 077 1 462 1 036 30 Community transmission 0

Panama 56 817 911 1 209 29 Community transmission 0

Guatemala 43 283 1 091 1 669 37 Community transmission 0

Honduras 36 902 800 1 011 5 Community transmission 0

El Salvador 13 792 415 379 7 Community transmission 0

Venezuela (Bolivarian Republic of) 13 613 449 129 5 Community transmission 0

Costa Rica 13 129 768 80 9 Community transmission 0

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Reporting Country/Territory/Area Total confirmed*

cases Total confirmed* new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Haiti 7 197 30 154 0 Community transmission 0

Paraguay 4 113 113 36 0 Community transmission 0

Nicaragua 3 004 0 108 0 Community transmission 3

Cuba 2 469 3 87 0 Clusters of cases 0

Suriname 1 234 58 23 2 Clusters of cases 0

Uruguay 1 141 24 34 0 Clusters of cases 0

Jamaica 821 5 10 0 Clusters of cases 0

Guyana 351 1 19 0 Clusters of cases 0

Bahamas 274 55 11 0 Clusters of cases 0

Trinidad and Tobago 142 1 8 0 Sporadic cases 0

Barbados 106 0 7 0 Clusters of cases 3

Antigua and Barbuda 76 0 3 0 Clusters of cases 6

Saint Vincent and the Grenadines 52 0 0 0 Sporadic cases 1

Belize 47 4 2 0 Sporadic cases 0

Saint Lucia 24 0 0 0 Sporadic cases 1

Grenada 23 0 0 0 Clusters of cases 59

Dominica 18 0 0 0 Clusters of cases 42

Saint Kitts and Nevis 17 0 0 0 No cases 14

Territoriesii

Puerto Rico 13 967 494 191 3 Community transmission 0

French Guiana 7 251 165 41 1 Community transmission 0

United States Virgin Islands 342 6 7 0 Clusters of cases 0

Martinique 269 7 15 0 Clusters of cases 0

Cayman Islands 203 0 1 0 Sporadic cases 10

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Reporting Country/Territory/Area Total confirmed*

cases Total confirmed* new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Guadeloupe 203 8 14 0 Clusters of cases 0

Bermuda 153 0 9 0 Sporadic cases 5

Aruba 117 0 3 0 Sporadic cases 2

Sint Maarten 94 10 15 0 Sporadic cases 0

Turks and Caicos Islands 90 4 2 0 Clusters of cases 0

Saint Martin 46 0 3 0 Sporadic cases 7

Curaçao 29 1 1 0 Sporadic cases 0

Falkland Islands (Malvinas) 13 0 0 0 No cases 90

Montserrat 12 0 1 0 No cases 14

Bonaire, Sint Eustatius and Saba 11 0 0 0 Sporadic cases 1

British Virgin Islands 8 0 1 0 No cases 70

Saint Barthélemy 6 0 0 0 No cases 116

Saint Pierre and Miquelon 4 0 0 0 Sporadic cases 8

Anguilla 3 0 0 0 No cases 112

Eastern Mediterranean

Iran (Islamic Republic of) 286 523 2 489 15 289 215 Community transmission 0

Pakistan 271 887 1 487 5 787 24 Clusters of cases 0

Saudi Arabia 262 772 2 378 2 672 37 Clusters of cases 0

Qatar 108 638 394 164 0 Community transmission 0

Iraq 104 711 2 485 4 212 90 Community transmission 0

Egypt 91 072 659 4 518 38 Clusters of cases 0

Oman 73 791 1 145 359 4 Community transmission 0

Kuwait 62 625 753 425 4 Clusters of cases 0

United Arab Emirates 58 249 261 343 1 Community transmission 0

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Reporting Country/Territory/Area Total confirmed*

cases Total confirmed* new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Bahrain 38 458 462 136 2 Clusters of cases 0

Afghanistan 36 036 55 1 246 21 Clusters of cases 0

Morocco 18 834 570 299 7 Clusters of cases 0

Sudan 11 302 0 715 0 Community transmission 1

Djibouti 5 039 8 58 0 Clusters of cases 0

Lebanon 3 407 147 46 3 Clusters of cases 0

Somalia 3 171 0 93 0 Sporadic cases 1

Libya 2 425 111 57 1 Clusters of cases 0

Yemen 1 678 20 462 0 Community transmission 0

Tunisia 1 425 19 50 0 Sporadic cases 0

Jordan 1 302 15 11 0 Clusters of cases 0

Syrian Arab Republic 608 24 35 0 Community transmission 0

Territoriesii

occupied Palestinian territory 12 412 537 73 3 Clusters of cases 0

Europe

Russian Federation 806 720 5 871 13 192 146 Clusters of cases 0

The United Kingdom 297 918 768 45 677 123 Community transmission 0

Spain 272 421 2 255 28 432 3 Clusters of cases 0

Italy 245 590 252 35 097 5 Clusters of cases 0

Turkey 224 252 937 5 580 17 Community transmission 0

Germany 204 964 781 9 118 7 Clusters of cases 0

France 169 222 931 30 078 9 Clusters of cases 0

Kazakhstan 80 226 1 740 585 0 Clusters of cases 0

Sweden 78 997 234 5 697 21 Community transmission 0

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Reporting Country/Territory/Area Total confirmed*

cases Total confirmed* new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Belarus 66 846 158 524 5 Community transmission 0

Belgium 65 106 352 9 817 5 Community transmission 0

Ukraine 63 929 1 106 1 590 19 Community transmission 0

Israel 54 369 0 427 0 Community transmission 2

Netherlands 52 595 191 6 139 0 Community transmission 0

Portugal 49 692 313 1 712 7 Clusters of cases 0

Romania 42 394 1 119 2 150 24 Community transmission 0

Poland 42 038 458 1 655 4 Community transmission 0

Armenia 36 996 383 700 8 Community transmission 0

Switzerland 34 067 154 1 699 6 Community transmission 0

Kyrgyzstan 31 247 0 1 249 38 Clusters of cases 1

Azerbaijan 29 312 332 400 9 Clusters of cases 0

Ireland 25 845 19 1 763 0 Clusters of cases 0

Serbia 22 852 409 518 10 Community transmission 0

Republic of Moldova 22 483 378 726 5 Community transmission 0

Austria 20 229 81 711 0 Community transmission 0

Uzbekistan 19 653 667 104 1 Clusters of cases 0

Czechia 15 081 281 369 4 Clusters of cases 0

Denmark 13 438 48 613 1 Community transmission 0

Bulgaria 10 123 270 337 8 Clusters of cases 0

North Macedonia 9 797 129 451 6 Clusters of cases 0

Bosnia and Herzegovina 9 764 304 278 6 Community transmission 0

Norway 9 085 23 255 0 Clusters of cases 0

Finland 7 380 8 329 1 Clusters of cases 0

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Reporting Country/Territory/Area Total confirmed*

cases Total confirmed* new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Tajikistan 7 104 44 58 0 Pending 0

Luxembourg 6 056 104 112 0 Community transmission 0

Croatia 4 715 81 128 0 Clusters of cases 0

Albania 4 570 104 128 5 Clusters of cases 0

Hungary 4 424 26 596 0 Community transmission 0

Greece 4 135 25 201 0 Clusters of cases 0

Montenegro 2 569 0 40 0 Clusters of cases 1

Slovakia 2 118 29 28 0 Clusters of cases 0

Slovenia 2 052 19 115 0 Clusters of cases 0

Estonia 2 028 1 69 0 Clusters of cases 0

Lithuania 1 986 26 80 0 Community transmission 0

Iceland 1 843 2 10 0 Community transmission 0

Latvia 1 205 2 31 0 Clusters of cases 0

Georgia 1 117 13 16 0 Sporadic cases 0

Cyprus 1 047 2 19 0 Clusters of cases 0

Andorra 897 8 52 0 Community transmission 0

San Marino 716 0 42 0 Community transmission 15

Malta 686 6 9 0 Sporadic cases 0

Monaco 99 0 1 0 Sporadic cases 48

Liechtenstein 87 0 1 0 Sporadic cases 5

Holy See 12 0 0 0 Sporadic cases 79

Territoriesii

Kosovo[1]

6 637 213 154 6 Community transmission 0

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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 64

Jersey 331 0 31 0 Community transmission 7

Guernsey 252 0 13 0 Community transmission 83

Faroe Islands 191 0 0 0 Sporadic cases 5

Gibraltar 184 2 0 0 Clusters of cases 0

Greenland 13 0 0 0 No cases 57

South-East Asia

India 1 336 861 48 916 31 358 757 Clusters of cases 0

Bangladesh 218 658 2 548 2 836 35 Community transmission 0

Indonesia 95 418 1 761 4 665 89 Community transmission 0

Nepal 18 374 133 44 1 Clusters of cases 0

Thailand 3 282 3 58 0 Clusters of cases 0

Maldives 3 175 55 15 0 Clusters of cases 0

Sri Lanka 2 764 11 11 0 Clusters of cases 0

Myanmar 346 3 6 0 Clusters of cases 0

Bhutan 92 0 0 0 Sporadic cases 3

Timor-Leste 24 0 0 0 No cases 92

Western Pacific

China 86 660 160 4 657 1 Clusters of cases 0

Philippines 76 444 2 054 1 879 8 Community transmission 0

Singapore 49 375 277 27 0 Clusters of cases 0

Japan 28 786 830 993 1 Clusters of cases 0

Republic of Korea 14 092 113 298 0 Clusters of cases 0

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Reporting Country/Territory/Area Total confirmed*

cases Total confirmed* new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Australia 13 595 289 139 6 Clusters of cases 0

Malaysia 8 861 21 123 0 Clusters of cases 0

New Zealand 1 206 0 22 0 Clusters of cases 1

Viet Nam 415 3 0 0 Clusters of cases 0

Mongolia 288 1 0 0 Sporadic cases 0

Cambodia 202 0 0 0 Sporadic cases 1

Brunei Darussalam 141 0 3 0 No cases 78

Papua New Guinea 32 1 0 0 Sporadic cases 0

Fiji 27 0 0 0 Sporadic cases 4

Lao People's Democratic Republic 20 1 0 0 Sporadic cases 0

Territoriesii

Guam 329 0 5 0 Clusters of cases 1

French Polynesia 62 0 0 0 Sporadic cases 27

Northern Mariana Islands (Commonwealth of the) 38 0 2 0 Pending 3

New Caledonia 22 0 0 0 Sporadic cases 10

Subtotal for all regions 15 580 268 284 083 635 160 6 270

Other† 741 0 13 0 Not applicable -

Grand total 15 581 009 284 083 635 173 6 270

**See Annex 1 for data, table and figure notes.

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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.

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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.

*A small number of countries/territories/areas report combined probable and laboratory-confirmed cases;

efforts are underway to identify these for notation in the data table.†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;

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• 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 notes, updates and errata

• None