Coronavirus disease (COVID-19) Situation Report – 181 Data as received by WHO from national authorities by 10:00 CEST, 19 July 2020

Highlights COVID-19 affects us all, but most especially vulnerable populations such as refugees and migrants. To assess the public health and social impact of the COVID-19 pandemic on refugees and migrants, WHO and partners are conducting a global study called ‘ApartTogether’. You can participate through a survey currently being conducted. To combat misconceptions about COVID-19 in Nigeria, WHO and the Nigerian government are scaling up strategies to demystify COVID-19 by working with traditional leaders. The aim is to empower traditional leaders, who command great respect, to participate in on-going sensitization efforts and to sustain the strategy by letting community members lead the campaign. Thank you for reading the WHO COVID-19 Situation Report! We would greatly appreciate any feedback and suggestions you may have on these reports via a short anonymous survey.

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

Globally 14 043 176 cases (166 735) 597 583 deaths (4 496) Africa 579 091 cases (17 625) 9 546 deaths (197) Americas 7 376 748 cases (70 377) 305 285 deaths (2 777) Eastern Mediterranean 1 374 503 cases (13 712) 34 226 deaths (488) Europe 3 060 525 cases (18 195) 206 965 deaths (281) South-East Asia 1 391 407 cases (43 453) 33 543 deaths (636) Western Pacific 260 161 cases (3 373) 8 005 deaths (117)

Surveillance Figure 1. Number of confirmed* COVID-19 cases reported in the last seven days by country, territory or area, 13 July to 19 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 19 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, 19 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 350 879 13 285 4 948 144 Community transmission 0

Nigeria 36 107 653 778 6 Community transmission 0

Ghana 27 060 488 145 1 Community transmission 0

Algeria 22 549 601 1 068 11 Community transmission 0

Cameroon 16 157 0 373 0 Community transmission 1

Côte d’Ivoire 13 696 0 87 0 Community transmission 1

Kenya 12 750 688 225 3 Community transmission 0

Ethiopia 9 503 356 167 4 Community transmission 0

Senegal 8 669 125 163 3 Community transmission 0

Democratic Republic of the Congo 8 249 1 192 0 Community transmission 0

Madagascar 6 849 382 55 1 Community transmission 0

Guinea 6 491 61 39 0 Community transmission 0

Gabon 6 121 0 46 0 Community transmission 2

Mauritania 5 710 51 151 1 Community transmission 0

Central African Republic 4 485 96 55 2 Community transmission 0

Zambia 2 980 170 120 11 Community transmission 0

Malawi 2 907 97 59 4 Clusters of cases 0

Congo 2 633 0 49 0 Community transmission 1

Mali 2 472 5 121 0 Community transmission 0

Equatorial Guinea 2 350 0 41 0 Community transmission 2

South Sudan 2 200 9 43 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

Cabo Verde 2 014 75 21 1 Clusters of cases 0

Guinea-Bissau 1 950 0 26 0 Community transmission 1

Eswatini 1 729 110 21 0 Community transmission 0

Sierra Leone 1 701 13 65 0 Community transmission 0

Benin 1 602 0 31 0 Community transmission 1

Rwanda 1 539 54 5 1 Community transmission 0

Zimbabwe 1 478 58 25 1 Clusters of cases 0

Mozambique 1 435 33 10 1 Community transmission 0

Namibia 1 203 125 2 0 Clusters of cases 0

Niger 1 104 2 69 0 Community transmission 0

Liberia 1 088 18 70 2 Community transmission 0

Uganda 1 062 6 0 0 Clusters of cases 0

Burkina Faso 1 047 2 53 0 Community transmission 0

Chad 889 2 75 0 Community transmission 0

Togo 774 8 15 0 Community transmission 0

Sao Tome and Principe 743 2 14 0 Clusters of cases 0

Angola 687 49 29 0 Clusters of cases 0

Botswana 522 0 1 0 Clusters of cases 2

United Republic of Tanzania 509 0 21 0 Community transmission 72

Lesotho 359 0 6 0 Clusters of cases 1

Mauritius 343 0 10 0 Sporadic cases 5

Comoros 328 0 7 0 Community transmission 2

Burundi 310 0 1 0 Clusters of cases 2

Reporting Country/Territory/Area Total confirmed*

cases Total confirmed* new cases

Total deaths Total new deaths Transmission classificationi

Days since last reported case

Eritrea 251 0 0 0 Sporadic cases 2

Seychelles 108 0 0 0 Sporadic cases 3

Gambia 93 0 4 0 Sporadic cases 1

Territoriesii

Mayotte 2 782 0 37 0 Clusters of cases 2

Réunion 624 0 3 0 Clusters of cases 1

Americas

United States of America 3 544 143 0 137 674 0 Community transmission 1

Brazil 2 046 328 34 177 77 851 1 163 Community transmission 0

Peru 345 537 3 951 12 799 184 Community transmission 0

Mexico 331 298 7 257 38 310 736 Community transmission 0

Chile 328 846 2 307 8 445 98 Community transmission 0

Colombia 182 140 8 934 6 288 259 Community transmission 0

Argentina 119 301 4 518 2 204 71 Community transmission 0

Canada 109 669 405 8 839 12 Community transmission 0

Ecuador 73 382 938 5 282 32 Community transmission 0

Bolivia (Plurinational State of) 56 102 1 946 2 049 65 Community transmission 0

Dominican Republic 51 519 1 406 971 29 Community transmission 0

Panama 51 408 1 035 1 038 38 Community transmission 0

Guatemala 33 809 870 1 443 39 Community transmission 0

Honduras 31 745 878 857 22 Community transmission 0

El Salvador 11 508 301 324 15 Community transmission 0

Venezuela (Bolivarian Republic of) 11 191 337 107 3 Community transmission 0

Costa Rica 9 969 423 47 5 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 6 975 27 146 1 Community transmission 0

Paraguay 3 457 115 28 1 Community transmission 0

Nicaragua 2 712 0 99 0 Community transmission 4

Cuba 2 445 1 87 0 Clusters of cases 0

Uruguay 1 037 11 32 0 Clusters of cases 0

Suriname 943 24 19 0 Clusters of cases 0

Jamaica 768 3 10 0 Clusters of cases 0

Guyana 320 5 19 0 Clusters of cases 0

Trinidad and Tobago 136 0 8 0 Sporadic cases 1

Bahamas 129 5 11 0 Clusters of cases 0

Barbados 104 0 7 0 Clusters of cases 2

Antigua and Barbuda 76 2 3 0 Clusters of cases 0

Belize 40 0 2 0 Sporadic cases 1

Saint Vincent and the Grenadines 35 0 0 0 Sporadic cases 5

Grenada 23 0 0 0 Clusters of cases 53

Saint Lucia 23 0 0 0 Sporadic cases 3

Dominica 18 0 0 0 Clusters of cases 36

Saint Kitts and Nevis 17 0 0 0 No cases 8

Territoriesii

Puerto Rico 11 453 333 178 1 Community transmission 0

French Guiana 6 655 146 37 3 Community transmission 0

United States Virgin Islands 283 20 6 0 Clusters of cases 0

Martinique 262 1 15 0 Clusters of cases 0

Cayman Islands 203 0 1 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

Guadeloupe 195 0 14 0 Clusters of cases 1

Bermuda 152 0 9 0 Sporadic cases 1

Aruba 108 0 3 0 Sporadic cases 1

Sint Maarten 79 0 15 0 No cases 3

Turks and Caicos Islands 75 1 2 0 Clusters of cases 0

Saint Martin 46 0 3 0 Sporadic cases 1

Curaçao 28 0 1 0 No cases 1

Falkland Islands (Malvinas) 13 0 0 0 No cases 84

Montserrat 12 0 1 0 No cases 8

Bonaire, Sint Eustatius and Saba 10 0 0 0 No cases 2

British Virgin Islands 8 0 1 0 No cases 64

Saint Barthélemy 6 0 0 0 No cases 110

Saint Pierre and Miquelon 4 0 0 0 Sporadic cases 2

Anguilla 3 0 0 0 No cases 106

Eastern Mediterranean

Iran (Islamic Republic of) 271 606 2 166 13 979 188 Community transmission 0

Pakistan 263 496 1 579 5 568 46 Clusters of cases 0

Saudi Arabia 248 416 2 565 2 447 40 Clusters of cases 0

Qatar 106 308 410 154 1 Community transmission 0

Iraq 90 220 2 049 3 691 75 Community transmission 0

Egypt 87 172 698 4 251 63 Clusters of cases 0

Oman 65 504 1 311 308 10 Community transmission 0

Kuwait 58 904 683 407 3 Clusters of cases 0

United Arab Emirates 56 711 289 338 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

Bahrain 36 004 531 124 0 Clusters of cases 0

Afghanistan 35 475 186 1 181 34 Clusters of cases 0

Morocco 17 015 289 269 5 Clusters of cases 0

Sudan 10 762 235 680 12 Community transmission 0

Djibouti 5 003 0 56 0 Clusters of cases 1

Somalia 3 111 5 93 0 Sporadic cases 0

Lebanon 2 775 75 40 0 Clusters of cases 0

Libya 1 791 87 48 1 Clusters of cases 0

Yemen 1 585 5 444 3 Community transmission 0

Tunisia 1 348 12 50 0 Sporadic cases 0

Jordan 1 214 5 11 1 Clusters of cases 0

Syrian Arab Republic 496 0 25 0 Community transmission 1

Territoriesii

occupied Palestinian territory 9 587 532 62 5 Clusters of cases 0

Europe

Russian Federation 771 546 6 109 12 342 95 Clusters of cases 0

The United Kingdom 294 070 827 45 273 40 Community transmission 0

Spain 260 255 0 28 420 0 Clusters of cases 1

Italy 244 216 249 35 042 14 Community transmission 0

Turkey 218 717 918 5 475 17 Community transmission 0

Germany 201 574 202 9 084 1 Clusters of cases 0

France 164 247 0 30 046 0 Clusters of cases 1

Sweden 77 281 0 5 619 0 Community transmission 1

Kazakhstan 70 339 1 636 375 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

Belarus 65 953 171 495 4 Community transmission 0

Belgium 63 706 207 9 800 0 Community transmission 0

Ukraine 58 842 731 1 485 8 Community transmission 0

Netherlands 51 526 127 6 129 0 Community transmission 0

Portugal 48 390 313 1 684 2 Community transmission 0

Israel 48 041 1 597 395 9 Pending 0

Poland 39 746 339 1 618 6 Community transmission 0

Romania 36 691 889 2 009 21 Community transmission 0

Armenia 34 877 415 641 10 Community transmission 0

Switzerland 33 406 110 1 687 0 Community transmission 0

Azerbaijan 27 133 497 349 8 Clusters of cases 0

Ireland 25 750 20 1 753 1 Clusters of cases 0

Kyrgyzstan 24 984 0 923 0 Clusters of cases 1

Republic of Moldova 20 794 300 680 5 Community transmission 0

Serbia 20 498 389 461 9 Community transmission 0

Austria 19 508 102 711 0 Community transmission 0

Uzbekistan 16 429 533 84 4 Clusters of cases 0

Czechia 13 855 113 358 0 Clusters of cases 0

Denmark 13 173 0 611 0 Community transmission 1

North Macedonia 9 026 240 414 8 Clusters of cases 0

Norway 9 015 0 255 0 Clusters of cases 1

Bulgaria 8 638 196 299 2 Clusters of cases 0

Bosnia and Herzegovina 8 164 256 245 2 Community transmission 0

Finland 7 318 17 328 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

Tajikistan 6 834 48 57 1 Pending 0

Luxembourg 5 409 124 111 0 Community transmission 0

Hungary 4 315 22 596 1 Community transmission 0

Croatia 4 235 98 120 0 Clusters of cases 0

Albania 4 008 102 111 4 Clusters of cases 0

Greece 3 983 19 194 0 Clusters of cases 0

Estonia 2 021 1 69 0 Clusters of cases 0

Slovakia 1 976 11 28 0 Clusters of cases 0

Slovenia 1 940 24 111 0 Clusters of cases 0

Iceland 1 922 6 10 0 Community transmission 0

Lithuania 1 915 7 80 1 Community transmission 0

Montenegro 1 664 46 30 2 Clusters of cases 0

Latvia 1 189 4 31 0 Clusters of cases 0

Cyprus 1 037 6 19 0 Clusters of cases 0

Georgia 1 028 10 15 0 Sporadic cases 0

Andorra 880 0 52 0 Community transmission 1

San Marino 716 0 42 0 Community transmission 9

Malta 674 0 9 0 Sporadic cases 9

Monaco 99 0 1 0 Sporadic cases 42

Liechtenstein 86 0 1 0 Sporadic cases 1

Holy See 12 0 0 0 Sporadic cases 73

Territoriesii

Kosovo[1]

5 574 164 120 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

Isle of Man 336 0 24 0 No cases 58

Jersey 331 0 31 0 Community transmission 1

Guernsey 252 0 13 0 Community transmission 77

Faroe Islands 188 0 0 0 Pending 11

Gibraltar 180 0 0 0 Clusters of cases 8

Greenland 13 0 0 0 No cases 51

South-East Asia

India 1 077 618 38 902 26 816 543 Clusters of cases 0

Bangladesh 202 066 2 709 2 581 34 Community transmission 0

Indonesia 84 882 1 752 4 016 59 Community transmission 0

Nepal 17 502 57 40 0 Clusters of cases 0

Thailand 3 249 3 58 0 Clusters of cases 0

Maldives 2 930 17 15 0 Clusters of cases 0

Sri Lanka 2 708 11 11 0 Clusters of cases 0

Myanmar 341 2 6 0 Clusters of cases 0

Bhutan 87 0 0 0 Sporadic cases 1

Timor-Leste 24 0 0 0 No cases 86

Western Pacific

China 85 937 80 4 653 1 Clusters of cases 0

Philippines 65 304 2 303 1 773 113 Community transmission 0

Singapore 47 656 202 27 0 Clusters of cases 0

Japan 24 642 510 985 0 Clusters of cases 0

Republic of Korea 13 745 34 295 1 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 11 441 206 118 2 Clusters of cases 0

Malaysia 8 764 9 122 0 Clusters of cases 0

New Zealand 1 203 3 22 0 Clusters of cases 0

Viet Nam 382 0 0 0 Clusters of cases 1

Mongolia 287 25 0 0 Sporadic cases 0

Cambodia 171 0 0 0 Sporadic cases 1

Brunei Darussalam 141 0 3 0 No cases 72

Fiji 26 0 0 0 Sporadic cases 7

Lao People's Democratic Republic 19 0 0 0 Sporadic cases 97

Papua New Guinea 15 0 0 0 Sporadic cases 2

Territoriesii

Guam 307 1 5 0 Clusters of cases 0

French Polynesia 62 0 0 0 Sporadic cases 21

Northern Mariana Islands (Commonwealth of the) 37 0 2 0 Pending 2

New Caledonia 22 0 0 0 Sporadic cases 4

Subtotal for all regions 14 042 435 166 735 597 570 4 496

Other† 741 0 13 0 Not applicable -

Grand total 14 043 176 166 735 597 583 4 496

**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.

*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; • 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

• Note, United States of America: no updates were received today prior to the data cutoff time, thus regional and global totals for new cases and deaths are substantially reduced. The figures will be adjusted when data are available.