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Coronavirus disease (COVID-19) Situation Report – 207 Data as received by WHO from national authorities by 10:00 CEST, 14 August 2020
Highlights As previously indicated (Situation Report 203), starting this coming Monday, 17 August, the daily situation report will be replaced by a “COVID-19 Weekly Epidemiological Update” which will focus on analysis and interpretation of the evolving epidemiological situation. All quantitative data will continue to be updated daily on the global COVID-19 dashboard, covid19.who.int. Important narrative updates will appear on the “Rolling updates”pages. Operational updates will continue to be shared through the “Weekly Operational Update on COVID-19”.
In many countries, the response to the COVID-19 pandemic has incorporated lessons from other disease approaches, such as the work to protect communities against Ebola virus disease. In Nigeria’s Niger Delta, health workers have unified their surveillance strategy to improve the detection and reporting of infectious diseases such as measles, yellow fever, and COVID-19.
Today’s ‘Subject in Focus’ highlights updated guidance on home care for patients with suspected or confirmed COVID-19 and the management of their contacts. The document provides guidance on the issues to be considered when deciding whether or not to provide care for COVID-19 patients at home and offers advice for health workers and caregivers providing that care.
Situation in numbers (by WHO Region) Total (new cases in last 24 hours)
Globally 20 730 456 cases (286 710) 751 154 deaths (6 713)
Africa 925 297 cases (8 653) 17 904 deaths (347)
Americas 11 109 443 cases (157 676) 402 734 deaths (4 472)
Eastern Mediterranean 1 696 890 cases (13 379) 45 004 deaths (343)
Europe 3 702 640 cases (31 585) 218 662 deaths (384)
South-East Asia 2 900 347 cases (69 943) 57 756 deaths (1 120)
Western Pacific 395 098 cases (5 474) 9 081 deaths (47)
Subject in Focus: Home care for patients with suspected or confirmed COVID-19 and management of their contacts On 13 August 2020, WHO updated guidance for the provision of care for patients with COVID-19 in a home setting. This replaces the previous version of the guidance published 17 March 2020. This guidance was updated to align with recent updates to WHO surveillance case definitions for COVID-19 and WHO guidance on clinical management for COVID-19. It has also been expanded to include implementation aspects as well as considerations to identify and support patients who could receive care at home, and the infection, prevention and control (IPC) requirements for suitable and safe home care of people infected with SARS-CoV-2, the virus that causes COVID-19. As this virus continues to spread and health systems struggle to find capacity to provide care, some people with COVID-19 may be cared for at home. The needs of the patient, the caregiver, the household and community must all be considered when the decision to provide care for someone infected with SARS-CoV-2 at home is made. WHO has provided updated guidance to policy makers and health professionals to assess the ability to safely provide care for COVID-19 patients in the home setting and to support it with adequate tools, equipment, resources and instructions. Ideally, all patients with COVID-19 should be cared for in a health facility, but there are specific situations where they may be cared for safely at home. The guidance outlines several factors that should be evaluated by the health care provider when determining if a patient with COVID-19 can be cared for at home. These include the patient’s clinical condition and presence of underlying medical conditions, which put them at a higher risk for developing severe disease, an evaluation of the home setting to ensure IPC and other requirements can be met (such as basic hygiene and adequate ventilation), the ability of the caregiver to provide care and recognize when the patient may be deteriorating, adequate support for the caregiver (e.g., food, supplies, psychological support) and support of a trained health worker in the community. If specific requirements cannot be met, then alternative arrangements should be discussed with the patient and caregiver, such as isolation in an alternate or repurposed facility where available. Within the updated guidance, WHO provides specific advice for health workers and caregivers providing or supporting care in a patient’s home, including IPC measures to be taken to protect the health worker or caregiver and prevent transmission of the COVID-19 virus. In addition, a new annex on the implementation of home care policies and guidelines, which was developed with input from social sciences experts, provides some practical examples of approaches towards ensuring patients, family, community and health workers have the necessary supports, resources and communication to safely provide care in the home setting.
The full technical guidance is available here. Information for health workers and the general public about home care can be found here: Q&A: Home care and COVID-19 for health workers and administrators Q&A: Home care and COVID 19 for families and caregivers Information for the general public about home care for COVID-19 patients can be found here.
Surveillance Figure 1. Number of confirmed* COVID-19 cases reported in the last seven days by country, territory or area, 8 August to 14 August **
**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 14 August**
**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, 14 August 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 572 865 3 946 11 270 260 Community transmission 0
Nigeria 48 116 373 966 10 Community transmission 0
Ghana 41 847 275 223 0 Community transmission 0
Algeria 37 187 488 1 341 8 Community transmission 0
Kenya 28 754 650 460 4 Community transmission 0
Ethiopia 26 204 1 068 479 16 Community transmission 0
Cameroon 18 469 161 401 0 Community transmission 0
Côte d’Ivoire 16 847 0 105 0 Community transmission 2
Madagascar 13 522 125 162 6 Community transmission 0
Senegal 11 740 153 244 2 Community transmission 0
Democratic Republic of the Congo 9 588 51 234 9 Community transmission 0
Zambia 8 663 162 246 0 Community transmission 0
Guinea 8 198 82 50 0 Community transmission 0
Gabon 8 077 0 51 0 Community transmission 1
Mauritania 6 622 0 157 0 Community transmission 1
Zimbabwe 4 990 97 128 6 Clusters of cases 0
Malawi 4 912 160 153 1 Community transmission 0
Equatorial Guinea 4 821 0 83 0 Community transmission 13
Central African Republic 4 652 0 61 0 Community transmission 1
Congo 3 745 0 60 0 Community transmission 3
Eswatini 3 599 74 65 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
Namibia 3 544 138 27 5 Clusters of cases 0
Cabo Verde 3 073 73 33 0 Clusters of cases 0
Mozambique 2 638 79 19 0 Community transmission 0
Mali 2 597 15 125 0 Community transmission 0
South Sudan 2 482 4 47 0 Community transmission 0
Rwanda 2 200 11 8 0 Clusters of cases 0
Guinea-Bissau 2 052 0 29 0 Community transmission 6
Benin 2 014 0 38 0 Community transmission 2
Sierra Leone 1 940 3 69 0 Community transmission 0
Angola 1 815 53 83 3 Clusters of cases 0
Gambia 1 556 79 43 10 Sporadic cases 0
Uganda 1 353 21 11 2 Clusters of cases 0
Liberia 1 252 0 82 0 Community transmission 1
Burkina Faso 1 228 15 54 0 Community transmission 0
Botswana 1 214 148 3 1 Clusters of cases 0
Niger 1 161 0 69 0 Community transmission 1
Togo 1 092 25 26 1 Community transmission 0
Chad 949 0 76 0 Community transmission 1
Lesotho 884 69 25 1 Clusters of cases 0
Sao Tome and Principe 883 1 15 0 Clusters of cases 0
United Republic of Tanzania 509 0 21 0 Community transmission 98
Burundi 412 2 1 0 Clusters of cases 0
Comoros 403 4 7 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
Mauritius 344 0 10 0 Sporadic cases 20
Eritrea 285 0 0 0 Sporadic cases 6
Seychelles 126 0 0 0 Sporadic cases 6
Territoriesii
Mayotte 3 119 28 39 0 Clusters of cases 0
Réunion 754 20 5 0 Clusters of cases 0
Americas
United States of America 5 150 407 55 907 164 826 1 486 Community transmission 0
Brazil 3 164 785 55 155 104 201 1 175 Community transmission 0
Peru 498 555 8 875 21 713 212 Community transmission 0
Mexico 498 380 5 858 54 666 737 Community transmission 0
Colombia 422 519 12 066 13 837 362 Community transmission 0
Chile 380 034 1 866 10 299 94 Community transmission 0
Argentina 268 574 7 663 5 246 158 Community transmission 0
Canada 120 844 423 9 006 15 Community transmission 0
Ecuador 98 343 1 233 6 010 26 Community transmission 0
Bolivia (Plurinational State of) 95 071 1 743 3 827 66 Community transmission 0
Dominican Republic 83 134 910 1 393 22 Community transmission 0
Panama 77 377 913 1 703 23 Community transmission 0
Guatemala 60 284 1 195 2 296 29 Community transmission 0
Honduras 48 657 254 1 533 18 Community transmission 0
Venezuela (Bolivarian Republic of) 29 088 1 150 247 9 Community transmission 0
Costa Rica 25 057 549 263 8 Community transmission 0
El Salvador 21 993 349 584 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
Paraguay 8 018 499 93 7 Community transmission 0
Haiti 7 781 38 192 5 Community transmission 0
Nicaragua 3 413 0 128 0 Community transmission 2
Cuba 3 174 46 89 1 Clusters of cases 0
Suriname 2 653 94 39 0 Community transmission 0
Uruguay 1 393 8 37 0 Clusters of cases 0
Jamaica 1 065 18 14 0 Clusters of cases 0
Bahamas 1 036 47 15 0 Clusters of cases 0
Guyana 623 21 22 0 Clusters of cases 0
Trinidad and Tobago 369 61 8 0 Clusters of cases 0
Belize 296 86 2 0 Clusters of cases 0
Barbados 144 1 7 0 Clusters of cases 0
Antigua and Barbuda 92 0 3 0 Clusters of cases 9
Saint Vincent and the Grenadines 57 0 0 0 Sporadic cases 3
Saint Lucia 25 0 0 0 Sporadic cases 14
Grenada 24 0 0 0 Clusters of cases 14
Dominica 18 0 0 0 Clusters of cases 62
Saint Kitts and Nevis 17 0 0 0 No cases 34
Territoriesii
Puerto Rico 24 446 372 306 11 Community transmission 0
French Guiana 8 471 48 51 1 Community transmission 0
Aruba 798 81 3 0 Community transmission 0
United States Virgin Islands 682 43 9 0 Community transmission 0
Guadeloupe 367 50 14 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
Martinique 336 0 16 0 Clusters of cases 5
Sint Maarten 248 29 17 0 Community transmission 0
Turks and Caicos Islands 241 17 2 0 Clusters of cases 0
Cayman Islands 203 0 1 0 No cases 30
Bermuda 159 0 9 0 Sporadic cases 2
Saint Martin 92 8 4 0 Sporadic cases 0
Bonaire, Sint Eustatius and Saba 13 0 0 0 Sporadic cases 10
Falkland Islands (Malvinas) 13 0 0 0 No cases 110
Montserrat 13 0 1 0 No cases 18
Saint Barthélemy 13 0 0 0 Sporadic cases 4
British Virgin Islands 9 0 1 0 Sporadic cases 9
Saint Pierre and Miquelon 4 0 0 0 Sporadic cases 28
Anguilla 3 0 0 0 No cases 132
Curaçao 32 0 1 0 Sporadic cases 3
Eastern Mediterranean
Iran (Islamic Republic of) 336 324 2 625 19 162 174 Community transmission 0
Saudi Arabia 294 519 1 482 3 303 34 Clusters of cases 0
Pakistan 287 300 617 6 153 14 Clusters of cases 0
Iraq 164 277 3 841 5 641 53 Community transmission 0
Qatar 114 281 343 190 0 Community transmission 0
Egypt 96 108 145 5 107 22 Clusters of cases 0
Oman 82 531 232 551 12 Community transmission 0
Kuwait 74 486 701 489 0 Clusters of cases 0
United Arab Emirates 63 489 277 358 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
Bahrain 45 726 462 167 0 Clusters of cases 0
Morocco 37 935 1 241 584 28 Clusters of cases 0
Afghanistan 37 431 7 1 363 0 Clusters of cases 0
Sudan 12 162 47 793 1 Community transmission 0
Lebanon 7 711 298 92 3 Community transmission 0
Libya 7 050 439 135 3 Clusters of cases 0
Djibouti 5 358 0 59 0 Clusters of cases 1
Somalia 3 227 0 93 0 Sporadic cases 8
Yemen 1 851 6 529 0 Community transmission 0
Tunisia 1 847 67 53 1 Sporadic cases 0
Syrian Arab Republic 1 432 100 55 - 3 Community transmission 0
Jordan 1 320 17 11 0 Clusters of cases 0
Territoriesii
Occupied Palestinian territory 20 525 432 116 1 Clusters of cases 0
Europe
Russian Federation 912 823 5 065 15 498 114 Clusters of cases 0
Spain 337 334 7 550 28 605 26 Clusters of cases 0
The United Kingdom 313 802 0 46 706 0 Community transmission 1
Italy 252 235 522 35 231 6 Clusters of cases 0
Turkey 245 635 1 243 5 912 21 Community transmission 0
Germany 221 413 1 449 9 225 14 Clusters of cases 0
France 196 209 2 515 30 259 16 Clusters of cases 0
Kazakhstan 118 514 1 410 1 433 0 Clusters of cases 0
Israel 88 488 1 612 640 14 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
Ukraine 87 872 1 732 2 011 19 Community transmission 0
Sweden 83 852 397 5 776 2 Community transmission 0
Belgium 76 098 0 9 916 2 Community transmission 1
Belarus 69 203 101 599 4 Community transmission 0
Romania 66 631 1 454 2 860 53 Community transmission 0
Netherlands 61 149 577 6 156 4 Community transmission 0
Poland 54 487 811 1 844 14 Community transmission 0
Portugal 53 548 325 1 770 6 Clusters of cases 0
Kyrgyzstan 41 373 304 1 491 4 Clusters of cases 0
Armenia 41 299 276 814 5 Community transmission 0
Switzerland 37 312 233 1 714 1 Community transmission 0
Azerbaijan 33 915 91 500 3 Clusters of cases 0
Uzbekistan 33 561 724 218 5 Clusters of cases 0
Republic of Moldova 29 087 390 878 15 Community transmission 0
Serbia 28 998 247 661 3 Community transmission 0
Ireland 26 929 91 1 774 0 Clusters of cases 0
Austria 22 730 229 725 1 Community transmission 0
Czechia 19 401 326 391 0 Clusters of cases 0
Denmark 15 214 144 621 0 Community transmission 0
Bosnia and Herzegovina 15 187 227 453 5 Community transmission 0
Bulgaria 14 069 176 484 2 Clusters of cases 0
North Macedonia 12 386 141 532 2 Clusters of cases 0
Norway 9 783 33 257 1 Clusters of cases 0
Tajikistan 7 950 38 63 0 Pending 0
Reporting Country/Territory/Area Total confirmed*
cases Total confirmed* new cases
Total deaths Total new deaths Transmission classificationi
Days since last reported case
Finland 7 683 41 333 0 Clusters of cases 0
Luxembourg 7 368 68 122 0 Community transmission 0
Albania 6 971 154 213 5 Clusters of cases 0
Greece 6 381 204 221 5 Clusters of cases 0
Croatia 6 050 180 161 1 Clusters of cases 0
Hungary 4 813 45 607 2 Community transmission 0
Montenegro 3 880 46 73 0 Clusters of cases 0
Slovakia 2 739 49 31 0 Clusters of cases 0
Slovenia 2 332 29 124 1 Clusters of cases 0
Lithuania 2 330 21 81 0 Community transmission 0
Estonia 2 174 0 63 0 Clusters of cases 1
Iceland 1 976 4 10 0 Community transmission 0
Latvia 1 307 4 32 0 Clusters of cases 0
Georgia 1 306 23 17 0 Clusters of cases 0
Cyprus 1 291 0 20 0 Clusters of cases 1
Malta 1 144 55 9 0 Sporadic cases 0
Andorra 981 4 53 0 Community transmission 0
San Marino 719 0 42 0 Community transmission 2
Monaco 141 3 1 0 Sporadic cases 0
Liechtenstein 91 1 1 0 Sporadic cases 0
Holy See 12 0 0 0 Sporadic cases 99
Territoriesii
Kosovo[1] 10 945 193 363 8 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
Faroe Islands 362 23 0 0 Sporadic cases 0
Jersey 352 4 31 0 Community transmission 0
Isle of Man 336 0 24 0 No cases 84
Guernsey 252 0 13 0 Community transmission 103
Gibraltar 203 1 0 0 Clusters of cases 0
Greenland 14 0 0 0 No cases 16
South-East Asia
India 2 461 190 64 553 48 040 1 007 Clusters of cases 0
Bangladesh 269 115 2 617 3 557 44 Community transmission 0
Indonesia 132 816 2 098 5 968 65 Community transmission 0
Nepal 24 957 525 95 4 Clusters of cases 0
Maldives 5 494 128 21 0 Clusters of cases 0
Thailand 3 376 17 58 0 Clusters of cases 0
Sri Lanka 2 882 2 11 0 Clusters of cases 0
Myanmar 361 0 6 0 Sporadic cases 1
Bhutan 131 3 0 0 Sporadic cases 0
Timor-Leste 25 0 0 0 No cases 10
Western Pacific
Philippines 147 526 3 777 2 426 22 Community transmission 0
China 89 625 99 4 707 3 Clusters of cases 0
Singapore 55 497 102 27 0 Clusters of cases 0
Japan 52 217 1 070 1 073 10 Clusters of cases 0
Australia 22 358 231 361 9 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
Republic of Korea 14 873 103 305 0 Clusters of cases 0
Malaysia 9 129 15 125 0 Clusters of cases 0
New Zealand 1 251 13 22 0 Clusters of cases 0
Viet Nam 911 28 21 3 Clusters of cases 0
Mongolia 297 4 0 0 Sporadic cases 0
Cambodia 273 1 0 0 Sporadic cases 0
Papua New Guinea 271 2 3 0 Community transmission 0
Brunei Darussalam 142 0 3 0 Sporadic cases 6
Fiji 28 1 1 0 Sporadic cases 0
Lao People's Democratic Republic 20 0 0 0 Sporadic cases 20
Territoriesii
Guam 469 28 5 0 Clusters of cases 0
French Polynesia 139 0 0 0 Sporadic cases 1
Northern Mariana Islands (Commonwealth of the)
49 0 2 0 Pending 3
New Caledonia 23 0 0 0 Sporadic cases 6
Subtotal for all regions 20 729 715 286 710 751 141 6 713
Other† 741 0 13 0 Not applicable -
Grand total 20 730 456 286 710 751 154 6 713
**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 Operational 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 Public health surveillance for COVID-19: interim guidance 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
• Update 14 August 2020, Belgium: Counts adjusted retrospectively by national authorities: case counts adjusted from 13 May to 13 August and death counts adjusted from 8 to 13 August.
• Update 14 August 2020, Israel: Counts adjusted retrospectively by national authorities: case and death counts adjusted for 13 August.
• Update 14 August 2020, Ecuador: Counts adjusted retrospectively by national authorities: case and death counts adjusted for 13 August.
• Update 14 August 2020, Papua New Guinea: Counts adjusted retrospectively by national authorities: case counts adjusted for 13 August.
• Update 14 August 2020, Monaco: Counts adjusted retrospectively by national authorities: case and death counts adjusted from 29 February to 13 August.
