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Coronavirus disease (COVID-19) Situation Report – 191 Data as received by WHO from national authorities by 10:00 CEST, 29 July 2020
Highlights The WHO Regional Office for Europe urges Turkmenistan to activate critical measures to prepare for COVID-19 outbreaks. To date, Turkmenistan has not reported any confirmed COVID-19 cases to WHO, however, the country has recently activated measures to prevent the transmission of respiratory infections within communities.
The COVID-19 pandemic is threatening progress made towards eliminating hepatitis B. In observance of World Hepatitis Day on 28 July, WHO has called for united and fast-tracked action to stop mother-to-child transmission of viral hepatitis. “No infant should grow up only to die of hepatitis B because they were not vaccinated” said WHO Director-General Dr Tedros.
The WHO Regional Office for the Americas collaborates with the World Food Programme and the Canadian Government to facilitate delivery of Personal Protective Equipment (PPE) to support Trinidad and Tobago’s COVID-19 response. The supplies were procured via the UN Supply Portal and the PAHO Strategic Fund, which facilitates procurement of diagnostics, ventilators, and PPE for the COVID-19 response.
The National Center for Laboratory and Epidemiology (NCLE), the Ministry of Health of Lao People’s Democratic Republic, with support from the WHO Regional Office for Western Pacific, are working with communities to ensure early detection of potential outbreaks of COVID-19 in Lao PDR.
Today’s Subject in Focus highlights recently published WHO guidance on Safe Eid al Adha practices in the context of COVID-19.
Situation in numbers (by WHO Region) Total (new cases in last 24 hours)
Globally 16 558 289 cases (215 127) 656 093 deaths (5 274)
Africa 738 344 cases (12 239) 12 519 deaths (262)
Americas 8 840 524 cases (111 562) 342 635 deaths (2 984)
Eastern Mediterranean 1 507 734 cases (13 037) 38 815 deaths (444)
Europe 3 283 277 cases (20 993) 211 616 deaths (705)
South-East Asia 1 892 056 cases (53 676) 42 233 deaths (867)
Western Pacific 295 613 cases (3 620) 8 262 deaths (12)
Subject in Focus: Safe Eid al Adha practices in the context of COVID-19 The Eid al Adha, also called Eid Qurban (“Feast of the sacrifice”) is a celebration observed by
Muslims worldwide, during which families and friends unite to pray and give alms, usually meat
from animals that have been sacrificed (hence the name).
Festivities may last from one to a few days, and are characterized by many social and religious
gatherings. During the COVID-19 pandemic, precautions need to be taken to prevent transmission
of the virus. On 25 July 2020, WHO published interim guidance entitled Safe Eid al Adha practices in
the context of COVID-19 that provides guidance applicable across different national contexts.
WHO recommends that any decision on mass gatherings should be based on a careful assessment of
all risk factors associated with the event. Guidance documents and tools have been developed to
this effect. Steps to be taken include risk evaluation, risk management and risk communication – the
latter of which has the aim of sharing with communities the rationale for the decisions taken, the
measures applied and any residual risk.
Based on this risk-based approach, the decision may be taken to cancel a planned event or make it
virtual. If, on the contrary, it is decided to proceed with an event, key precautions should be
implemented, including basic measures for enforcing physical distancing of at least one metre
(three feet) between people at all times, frequent hand cleaning, and respiratory etiquette.
Other recommendations relate to:
• The venue, such as whether to hold the event outdoors and/or make it as short as possible;
regulate the number and flow of people entering, attending and departing from the event;
enforce routine cleaning.
• Specific population groups, such as advising those who feel unwell or have symptoms suggestive
of COVID-19 and those at higher risk of developing severe illness from COVID-19 (older
individuals and/or individuals with underliying medical conditions) to refrain from attending
these gatherings.
The slaughter of an animal is central to Eid al Adha. As such, the interim guidance also focuses on
precautions that should be observed on these occasions. Although evidence indicates that infected
humans can infect other mammals, it remains unclear if the reverse can also occur. Animals that
have been shown to be able to be infected by SARS-CoV-2 include dogs, cats and farmed mink are
not typically sacrificed during Eid al Adha. Nevertheless, it is well known that several infectious
diseases can be transmitted at the human-animal interface. As such, countries are advised to follow
general precautionary measures relating to animal management, meat processing, and
marketplaces as recommended by national and international food safety and hygiene regulations.
Precautions should also be applied by the faithful when distributing meat to those in need, so that
remembrance, charity and care for others can safely remain at the core of Eid al Adha’s celebrations
during the COVID-19 pandemic.
The interim guidance is currently available in Arabic, English, French and Russian.
Surveillance Figure 1. Number of confirmed* COVID-19 cases reported in the last seven days by country, territory or area, 23 July to 29 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 29 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, 29 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 459 761 7 231 7 257 190 Community transmission 0
Nigeria 41 804 624 868 8 Community transmission 0
Ghana 34 406 782 168 0 Community transmission 0
Algeria 28 615 642 1 174 11 Community transmission 0
Kenya 18 581 606 299 14 Community transmission 0
Cameroon 17 179 0 391 0 Community transmission 1
Côte d’Ivoire 15 713 58 98 2 Community transmission 0
Ethiopia 15 200 653 239 11 Community transmission 0
Madagascar 10 104 414 93 2 Community transmission 0
Senegal 9 805 41 198 4 Community transmission 0
Democratic Republic of the Congo 8 872 29 207 0 Community transmission 0
Gabon 7 189 0 49 0 Community transmission 1
Guinea 7 126 71 46 1 Community transmission 0
Mauritania 6 249 41 156 0 Community transmission 0
Zambia 5 002 450 142 2 Community transmission 0
Central African Republic 4 599 0 59 0 Community transmission 1
Malawi 3 738 29 103 0 Community transmission 0
Congo 3 200 41 54 0 Community transmission 0
Zimbabwe 2 817 113 40 4 Clusters of cases 0
Mali 2 520 7 124 0 Community transmission 0
Eswatini 2 404 88 39 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
Cabo Verde 2 354 26 22 0 Clusters of cases 0
Equatorial Guinea 2 350 0 41 0 Community transmission 12
South Sudan 2 322 17 46 0 Community transmission 0
Guinea-Bissau 1 954 0 26 0 Community transmission 8
Rwanda 1 926 47 5 0 Clusters of cases 0
Namibia 1 917 75 8 0 Clusters of cases 0
Benin 1 805 35 36 1 Community transmission 0
Sierra Leone 1 786 3 66 0 Community transmission 0
Mozambique 1 720 19 11 0 Community transmission 0
Liberia 1 167 0 72 0 Community transmission 1
Uganda 1 135 7 2 0 Clusters of cases 0
Niger 1 132 0 69 0 Community transmission 2
Burkina Faso 1 105 5 53 0 Community transmission 0
Angola 1 000 50 47 6 Clusters of cases 0
Chad 926 4 75 0 Community transmission 0
Togo 874 0 18 0 Community transmission 1
Sao Tome and Principe 867 2 14 0 Clusters of cases 0
Botswana 739 0 2 0 Clusters of cases 1
United Republic of Tanzania 509 0 21 0 Community transmission 82
Lesotho 505 0 12 0 Clusters of cases 2
Burundi 378 0 1 0 Clusters of cases 1
Comoros 378 24 7 0 Community transmission 0
Mauritius 344 0 10 0 Sporadic 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
Gambia 326 0 8 0 Sporadic cases 1
Eritrea 265 0 0 0 Sporadic cases 1
Seychelles 114 0 0 0 Sporadic cases 1
Territoriesii
Mayotte 2 905 5 39 1 Clusters of cases 0
Réunion 657 0 4 0 Clusters of cases 3
Americas
United States of America 4 263 531 54 022 147 449 1 118 Community transmission 0
Brazil 2 442 375 23 284 87 618 614 Community transmission 0
Mexico 395 489 4 973 44 022 342 Community transmission 0
Peru 389 717 4 920 18 418 189 Community transmission 0
Chile 349 800 1 877 9 240 53 Community transmission 0
Colombia 257 101 8 125 8 777 252 Community transmission 0
Argentina 167 416 4 890 3 082 126 Community transmission 0
Canada 114 597 686 8 901 11 Community transmission 0
Ecuador 82 279 1 118 5 584 52 Community transmission 0
Bolivia (Plurinational State of) 71 181 1 752 2 647 64 Community transmission 0
Dominican Republic 64 690 534 1 101 18 Community transmission 0
Panama 61 442 1 146 1 322 28 Community transmission 0
Guatemala 46 451 1 392 1 782 21 Community transmission 0
Honduras 39 741 465 1 166 50 Community transmission 0
Venezuela (Bolivarian Republic of) 15 988 525 146 4 Community transmission 0
Costa Rica 15 841 612 115 11 Community transmission 0
El Salvador 15 446 411 417 9 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 7 340 25 158 1 Community transmission 0
Paraguay 4 548 104 43 2 Community transmission 0
Nicaragua 3 080 76 116 8 Community transmission 0
Cuba 2 555 23 87 0 Clusters of cases 0
Suriname 1 483 44 24 1 Clusters of cases 0
Uruguay 1 202 10 35 1 Clusters of cases 0
Jamaica 853 11 10 0 Clusters of cases 0
Guyana 389 19 20 0 Clusters of cases 0
Bahamas 382 40 11 0 Clusters of cases 0
Trinidad and Tobago 153 5 8 0 Sporadic cases 0
Barbados 110 0 7 0 Clusters of cases 1
Antigua and Barbuda 86 4 3 0 Clusters of cases 0
Saint Vincent and the Grenadines 52 0 0 0 Sporadic cases 5
Belize 48 0 2 0 Sporadic cases 3
Saint Lucia 24 0 0 0 Sporadic cases 5
Grenada 23 0 0 0 Clusters of cases 63
Dominica 18 0 0 0 Clusters of cases 46
Saint Kitts and Nevis 17 0 0 0 No cases 18
Territoriesii
Puerto Rico 15 840 409 209 8 Community transmission 0
French Guiana 7 562 48 43 1 Community transmission 0
United States Virgin Islands 375 11 7 0 Clusters of cases 0
Martinique 269 0 15 0 Clusters of cases 4
Cayman Islands 203 0 1 0 Sporadic cases 14
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 0 14 0 Clusters of cases 4
Bermuda 154 0 9 0 Sporadic cases 2
Aruba 119 0 3 0 Sporadic cases 1
Sint Maarten 115 1 15 0 Sporadic cases 0
Turks and Caicos Islands 99 0 2 0 Clusters of cases 1
Saint Martin 49 0 3 0 Sporadic cases 3
Curaçao 29 0 1 0 Sporadic cases 4
Falkland Islands (Malvinas) 13 0 0 0 No cases 94
Montserrat 13 0 1 0 No cases 2
Bonaire, Sint Eustatius and Saba 11 0 0 0 Sporadic cases 5
British Virgin Islands 8 0 1 0 No cases 74
Saint Barthélemy 7 0 0 0 No cases 3
Saint Pierre and Miquelon 4 0 0 0 Sporadic cases 12
Anguilla 3 0 0 0 No cases 116
Eastern Mediterranean
Iran (Islamic Republic of) 296 273 2 667 16 147 235 Community transmission 0
Pakistan 276 288 1 063 5 892 27 Clusters of cases 0
Saudi Arabia 270 831 1 897 2 789 29 Clusters of cases 0
Iraq 115 332 2 747 4 535 77 Community transmission 0
Qatar 109 880 283 167 2 Community transmission 0
Egypt 92 947 465 4 691 39 Clusters of cases 0
Oman 77 904 846 402 9 Community transmission 0
Kuwait 65 149 770 442 4 Clusters of cases 0
United Arab Emirates 59 546 369 347 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
Bahrain 39 921 439 141 0 Clusters of cases 0
Afghanistan 36 471 103 1 271 1 Clusters of cases 0
Morocco 21 387 500 327 11 Clusters of cases 0
Sudan 11 496 0 725 0 Community transmission 1
Djibouti 5 068 9 58 0 Clusters of cases 0
Lebanon 4 023 141 54 3 Clusters of cases 0
Somalia 3 212 16 93 0 Sporadic cases 0
Libya 3 017 190 67 3 Clusters of cases 0
Yemen 1 707 12 485 1 Community transmission 0
Tunisia 1 468 13 50 0 Sporadic cases 0
Jordan 1 182 6 11 0 Clusters of cases 0
Syrian Arab Republic 694 20 40 0 Community transmission 0
Territoriesii
occupied Palestinian territory 13 938 481 81 1 Clusters of cases 0
Europe
Russian Federation 828 990 5 475 13 673 169 Clusters of cases 0
The United Kingdom 300 696 581 45 878 119 Community transmission 0
Spain 280 610 905 28 436 0 Clusters of cases 0
Italy 246 488 202 35 123 11 Clusters of cases 0
Turkey 227 982 963 5 645 15 Community transmission 0
Germany 206 926 684 9 128 6 Clusters of cases 0
France 172 148 672 30 105 12 Clusters of cases 0
Kazakhstan 86 192 1 544 793 208 Clusters of cases 0
Sweden 79 494 99 5 702 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
Ukraine 67 597 1 022 1 650 21 Community transmission 0
Belarus 67 518 152 548 5 Community transmission 0
Belgium 66 569 0 9 833 1 Community transmission 1
Israel 64 428 2 052 477 5 Community transmission 0
Netherlands 53 374 223 6 145 4 Community transmission 0
Portugal 50 410 111 1 722 3 Clusters of cases 0
Romania 47 053 1 151 2 239 33 Community transmission 0
Poland 43 904 502 1 682 6 Community transmission 0
Armenia 37 937 308 723 4 Community transmission 0
Switzerland 34 522 132 1 702 2 Community transmission 0
Kyrgyzstan 34 512 668 1 347 18 Clusters of cases 0
Azerbaijan 30 858 412 430 7 Clusters of cases 0
Ireland 25 929 37 1 764 0 Clusters of cases 0
Serbia 24 520 379 551 8 Community transmission 0
Republic of Moldova 23 521 367 757 6 Community transmission 0
Uzbekistan 22 169 663 129 10 Clusters of cases 0
Austria 20 682 132 713 0 Community transmission 0
Czechia 15 799 283 373 0 Clusters of cases 0
Denmark 13 577 30 613 0 Community transmission 0
Bulgaria 10 871 250 355 8 Clusters of cases 0
Bosnia and Herzegovina 10 747 232 295 3 Community transmission 0
North Macedonia 10 315 102 471 5 Clusters of cases 0
Norway 9 132 15 255 0 Clusters of cases 0
Finland 7 404 6 329 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 7 276 41 60 0 Pending 0
Luxembourg 6 375 54 113 1 Community transmission 0
Albania 4 997 117 148 4 Clusters of cases 0
Croatia 4 923 42 140 1 Clusters of cases 0
Hungary 4 465 9 596 0 Community transmission 0
Greece 4 279 52 203 1 Clusters of cases 0
Montenegro 2 936 0 45 0 Clusters of cases 2
Slovakia 2 204 23 28 0 Clusters of cases 0
Slovenia 2 101 14 117 0 Clusters of cases 0
Estonia 2 038 0 69 0 Clusters of cases 1
Lithuania 2 027 8 80 0 Community transmission 0
Iceland 1 857 3 10 0 Community transmission 0
Latvia 1 220 0 31 0 Clusters of cases 1
Georgia 1 155 10 16 0 Sporadic cases 0
Cyprus 1 067 7 19 0 Clusters of cases 0
Andorra 911 4 52 0 Community transmission 0
San Marino 716 0 42 0 Community transmission 19
Malta 708 7 9 0 Sporadic cases 0
Monaco 99 0 1 0 Sporadic cases 52
Liechtenstein 87 0 1 0 Sporadic cases 9
Holy See 12 0 0 0 Sporadic cases 83
Territoriesii
Kosovo[1] 7 609 239 182 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
Isle of Man 336 0 24 0 No cases 68
Jersey 334 2 31 0 Community transmission 0
Guernsey 252 0 13 0 Community transmission 87
Faroe Islands 220 6 0 0 Sporadic cases 0
Gibraltar 185 0 0 0 Clusters of cases 3
Greenland 14 1 0 0 No cases 0
South-East Asia
India 1 531 669 48 513 34 193 768 Clusters of cases 0
Bangladesh 229 185 2 960 3 000 35 Community transmission 0
Indonesia 102 051 1 748 4 901 63 Community transmission 0
Nepal 19 063 311 49 1 Clusters of cases 0
Maldives 3 506 137 15 0 Clusters of cases 0
Thailand 3 298 1 58 0 Clusters of cases 0
Sri Lanka 2 810 5 11 0 Clusters of cases 0
Myanmar 351 1 6 0 Clusters of cases 0
Bhutan 99 0 0 0 Sporadic cases 1
Timor-Leste 24 0 0 0 No cases 96
Western Pacific
China 87 457 212 4 664 1 Clusters of cases 0
Philippines 83 673 1 633 1 947 2 Community transmission 0
Singapore 51 197 359 27 0 Clusters of cases 0
Japan 31 901 940 1 001 3 Clusters of cases 0
Australia 15 304 369 167 6 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 14 251 48 300 0 Clusters of cases 0
Malaysia 8 943 39 124 0 Clusters of cases 0
New Zealand 1 208 1 22 0 Clusters of cases 0
Viet Nam 446 15 0 0 Clusters of cases 0
Mongolia 289 1 0 0 Sporadic cases 0
Cambodia 226 0 0 0 Sporadic cases 1
Brunei Darussalam 141 0 3 0 No cases 82
Papua New Guinea 63 1 0 0 Sporadic cases 0
Fiji 27 0 0 0 Sporadic cases 8
Lao People's Democratic Republic 20 0 0 0 Sporadic cases 4
Territoriesii
Guam 343 2 5 0 Clusters of cases 0
French Polynesia 62 0 0 0 Sporadic cases 31
Northern Mariana Islands (Commonwealth of the)
40 0 2 0 Pending 2
New Caledonia 22 0 0 0 Sporadic cases 14
Subtotal for all regions 16 557 548 215 127 656 080 5 274
Other† 741 0 13 0 Not applicable -
Grand total 16 558 289 215 127 656 093 5 274
**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
• Update 29 July 2020, Spain: Counts adjusted retrospectively by national authorities: case and death counts adjusted from 11 May to 28 July.
• Update 29 July 2020, Belgium: Counts adjusted retrospectively by national authorities: case and death counts adjusted from 3 April to 28 July.
• Update 29 July 2020, Montenegro: Counts adjusted retrospectively by national authorities: case and death counts adjusted from 19 March to 28 July.
