1、 Data as received by WHO from national authorities by 10:00 CEST, 30 April 2020 Coronavirus disease 2019 (COVID-19) Situation Report 101 HIGHLIGHTS WHO reminds health authorities to take specific steps to protect health care workers and communities during essential immunization activities during the

2、 COVID-19 pandemic. PAHO has published an article on this, available here. WHO AMRO/PAHO Director, Dr Carissa F. Etienne, has urged for vaccination programs to continue during the COVID-19 pandemic: “If we fall behind on routine immunizations, particularly for children, we risk outbreaks, thus overw

3、helming hospitals and clinics with preventable diseases in addition to COVID-19.” Her full statement is available here. WHO/EURO Director, Dr Hans Henri P. Kluge, called for transparent knowledge- sharing, tailored support on the ground, and steadfast solidarity. His statement is available here. WHO

4、 SEARO organized a meeting yesterday with vaccine manufacturers and national regulatory authorities to discuss future COVID-19 vaccine manufacturing in the Region. An article on this is available here. WHO endeavours to ensure that all Member States have timely and accurate testing capacity for COVI

5、D-19. In the Subject in Focus below, we describe some of the mechanisms WHO uses to support Member States. Figure 1. Countries, territories or areas with reported confirmed cases of COVID-19, 30 April 2020 SITUATION IN NUMBERS total (new cases in last 24 hours) Globally 3 090 445 confirmed (71 839)

6、217 769 deaths (9797) European Region 1 434 649 confirmed (27 824) 135 961 deaths (6650) Region of the Americas 1 246 190 confirmed (33 102) 65 228 deaths (2824) Eastern Mediterranean Region 182 417 confirmed (5489) 7447 deaths (143) Western Pacific Region 147 743 confirmed (1294) 6094 deaths (57) S

7、outh-East Asia Region 54 021 confirmed (2670) 2088 deaths (87) African Region 24 713 confirmed (1460) 938 deaths (36) WHO RISK ASSESSMENT Global Level Very High SUBJECT IN FOCUS: Detection of disease an update on laboratory services for COVID-19 Diagnostic laboratory testing is a cornerstone of the

8、management of the COVID-19 pandemic. It allows for the detection of cases to inform care and for the isolation of infected individuals to interrupt disease transmission. Confirmatory testing also enables the disease to be tracked in the community and for clusters of cases to be identified. WHO endea

9、vours to ensure that all Member States have timely and accurate testing capacity for COVID- 19. This is done through several mechanisms. First, a reference laboratory network has been established across the 6 WHO regions, and recently expanded to include some two dozen laboratories with expertise in

10、 virology, diagnostics, sequencing, and often viral culture (see Figure 2 below). These laboratories act to support Member States that currently do not have testing capacity or need to get confirmation of their initial test results while building in-country capacity. These same laboratories serve as

11、 a valuable source of support for strategic planning for the WHO HQ team and provide guidance to the WHO Regional Office laboratory focal points as well. A shipment fund to allow transport of samples to WHO reference laboratories for confirmatory testing has been made available to cover transport co

12、sts. Second, working with WHOs Global Influenza Surveillance and Response System, surveillance testing for COVID-19 disease has been established in clinics caring for patients with respiratory disease, giving an early hint to community penetration by COVID-19. Figure 2. WHO COVID-19 Reference Labora

13、tory Network Third, since February 24th WHO has been providing polymerase chain reaction (PCR) kits for COVID-19 directly to countries, offering Member States the capacity to detect cases or clusters before the disease gains a strong foothold. The scale of provision of tests is set to rise to millio

14、ns of tests per month with the recent formation of the Diagnostics Consortium of donor and technical agencies convened by WHO to align and coordinate procurement of validated diagnostic test kits and related laboratory materials. SURVEILLANCE Table 1. Countries, territories or areas with reported la

15、boratory-confirmed COVID-19 cases and deaths, by WHO region.* Data as of 30 April 2020 Reporting Country/ Territory/Area Total confirmed cases New confirmed cases Total deaths New deaths Transmission classification Days since last reported case Western Pacific Region China 84373 4 4643 0 Clusters of

16、 cases 0 Singapore 15641 690 14 0 Clusters of cases 0 Japan 14088 236 415 26 Clusters of cases 0 Republic of Korea 10765 4 247 1 Clusters of cases 0 Philippines 8212 254 558 28 Clusters of cases 0 Australia 6746 8 90 2 Clusters of cases 0 Malaysia 5945 94 100 0 Clusters of cases 0 New Zealand 1129 3

17、 19 0 Clusters of cases 0 Viet Nam 270 0 0 0 Clusters of cases 5 Brunei Darussalam 138 0 1 0 Sporadic cases 10 Cambodia 122 0 0 0 Sporadic cases 18 Mongolia 38 0 0 0 Sporadic cases 3 Lao Peoples Democratic Republic 19 0 0 0 Sporadic cases 17 Fiji 18 0 0 0 Sporadic cases 9 Papua New Guinea 8 0 0 0 Sp

18、oradic cases 7 Territories* Guam 141 1 5 0 Clusters of cases 0 French Polynesia 58 0 0 0 Sporadic cases 2 New Caledonia 18 0 0 0 Sporadic cases 27 Northern Mariana Islands (Commonwealth of the) 14 0 2 0 Pending 12 European Region Spain 212917 2144 24275 453 Community transmission 0 Italy 203591 2086

19、 27682 323 Community transmission 0 The United Kingdom 165225 4076 26097 4419 Community transmission 0 Germany 159119 1478 6288 173 Community transmission 0 France 127066 1602 24054 427 Community transmission 0 Turkey 117589 2936 3081 89 Community transmission 0 Russian Federation 106498 7099 1073 1

20、01 Clusters of cases 0 Belgium 47859 525 7501 170 Community transmission 0 Netherlands 38802 386 4711 145 Community transmission 0 Switzerland 29324 143 1407 28 Community transmission 0 Portugal 24505 183 973 25 Community transmission 0 Sweden 20302 681 2462 107 Community transmission 0 Ireland 2025

21、3 376 1190 31 Community transmission 0 Israel 15782 0 212 0 Pending 1 Austria 15364 50 580 11 Community transmission 0 Belarus 13181 973 84 5 Clusters of cases 0 Poland 12640 422 624 28 Community transmission 0 Romania 11978 362 675 25 Community transmission 0 Ukraine 10406 540 261 11 Community tran

22、smission 0 Denmark 9008 157 443 9 Pending 0 Serbia 8724 227 173 5 Pending 0 Norway 7667 62 202 7 Pending 0 Czechia 7579 75 227 0 Community transmission 0 Finland 4906 166 206 7 Pending 0 Republic of Moldova 3771 133 116 7 Pending 0 Luxembourg 3769 28 89 0 Pending 0 Kazakhstan 3333 255 25 0 Pending 0

23、 Hungary 2775 48 312 12 Clusters of cases 0 Greece 2576 42 139 3 Community transmission 0 Armenia 2066 134 32 2 Clusters of cases 0 Croatia 2062 15 67 4 Community transmission 0 Uzbekistan 2031 76 9 1 Clusters of cases 0 Iceland 1797 2 10 0 Community transmission 0 Azerbaijan 1766 49 23 1 Clusters o

24、f cases 0 Bosnia and Herzegovina 1689 101 64 2 Community transmission 0 Estonia 1666 6 50 0 Pending 0 Bulgaria 1447 48 64 6 Pending 0 North Macedonia 1442 21 73 2 Clusters of cases 0 Slovenia 1418 10 89 3 Community transmission 0 Slovakia 1391 7 22 2 Clusters of cases 0 Lithuania 1375 0 45 1 Communi

25、ty transmission 0 Latvia 849 13 15 2 Community transmission 0 Cyprus 843 6 20 0 Clusters of cases 0 Albania 773 7 31 1 Clusters of cases 0 Andorra 753 0 41 0 Community transmission 1 Kyrgyzstan 746 17 8 0 Clusters of cases 0 San Marino 563 10 41 0 Community transmission 0 Georgia 539 22 6 0 Communit

26、y transmission 0 Malta 463 13 4 0 Pending 0 Montenegro 322 1 7 0 Clusters of cases 0 Liechtenstein 83 0 1 0 Pending 4 Monaco 68 0 1 0 Sporadic cases 16 Holy See 10 0 0 0 Sporadic cases 1 Territories* Kosovo1 799 9 22 0 Community transmission 0 Isle of Man 309 1 21 1 Pending 0 Jersey 284 1 20 1 Pendi

27、ng 0 Guernsey 247 0 13 0 Community transmission 2 Faroe Islands 187 0 0 0 Pending 6 Gibraltar 141 0 0 0 Clusters of cases 3 Greenland 11 0 0 0 Pending 24 South-East Asia Region India 33050 1718 1074 67 Clusters of cases 0 Indonesia 9771 260 784 11 Community transmission 0 Bangladesh 7103 641 163 8 P

28、ending 0 Thailand 2954 7 54 0 Clusters of cases 0 Sri Lanka 649 30 7 0 Clusters of cases 0 Maldives 256 11 0 0 Clusters of cases 0 Myanmar 150 0 6 1 Clusters of cases 1 Nepal 57 3 0 0 Sporadic cases 0 Timor-Leste 24 0 0 0 Clusters of cases 6 Bhutan 7 0 0 0 Sporadic cases 7 Eastern Mediterranean Regi

29、on Iran (Islamic Republic of) 93657 1073 5957 80 Community transmission 0 Saudi Arabia 21402 1325 157 5 Clusters of cases 0 Pakistan 15759 874 346 19 Clusters of cases 0 Qatar 12564 643 10 0 Pending 0 United Arab Emirates 11929 549 98 9 Pending 0 Egypt 5268 226 380 21 Clusters of cases 0 Morocco 435

30、9 107 168 3 Clusters of cases 0 Kuwait 3740 300 24 1 Clusters of cases 0 Bahrain 2921 110 8 0 Clusters of cases 0 Oman 2348 74 10 0 Clusters of cases 0 Iraq 2003 75 92 2 Clusters of cases 0 Afghanistan 1827 0 60 0 Clusters of cases 1 Djibouti 1077 5 2 0 Clusters of cases 0 Tunisia 980 5 40 0 Communi

31、ty transmission 0 Lebanon 721 4 24 0 Clusters of cases 0 Somalia 582 54 28 0 Sporadic cases 0 Jordan 451 2 8 0 Clusters of cases 0 Sudan 375 57 28 3 Sporadic cases 0 Libya 61 0 2 0 Clusters of cases 5 Syrian Arab Republic 43 0 3 0 Community transmission 2 Yemen 6 5 0 0 Pending 0 Territories* occupie

32、d Palestinian territory 344 1 2 0 Clusters of cases 0 Region of the Americas United States of America 1003974 20517 52428 1936 Community transmission 0 Brazil 71886 5385 5017 474 Community transmission 0 Canada 50363 1349 2904 138 Community transmission 0 Peru 31190 2491 854 72 Community transmissio

33、n 0 Ecuador 24675 417 883 12 Community transmission 0 Mexico 16752 1223 1569 135 Community transmission 0 Chile 14885 520 216 9 Community transmission 0 Dominican Republic 6652 236 293 7 Community transmission 0 Panama 6200 179 176 9 Community transmission 0 Colombia 5949 352 269 16 Community transm

34、ission 0 Argentina 4201 182 207 10 Community transmission 0 Cuba 1467 30 58 0 Clusters of cases 0 Bolivia (Plurinational State of) 1053 39 55 2 Clusters of cases 0 Honduras 738 36 66 2 Clusters of cases 0 Costa Rica 705 8 6 0 Clusters of cases 0 Uruguay 625 5 15 0 Clusters of cases 0 Guatemala 557 2

35、7 16 1 Clusters of cases 0 Jamaica 381 17 7 0 Clusters of cases 0 El Salvador 377 32 9 1 Clusters of cases 0 Venezuela (Bolivarian Republic of) 329 0 10 0 Clusters of cases 1 Paraguay 239 9 9 0 Community transmission 0 Trinidad and Tobago 116 0 8 0 Sporadic cases 2 Bahamas 80 0 11 0 Clusters of case

36、s 2 Barbados 80 0 6 0 Clusters of cases 1 Haiti 76 0 6 0 Clusters of cases 1 Guyana 75 1 8 0 Clusters of cases 0 Antigua and Barbuda 24 0 3 0 Clusters of cases 7 Grenada 19 1 0 0 Clusters of cases 0 Belize 18 0 2 0 Sporadic cases 15 Saint Lucia 17 2 0 0 Sporadic cases 0 Dominica 16 0 0 0 Clusters of

37、 cases 19 Saint Vincent and the Grenadines 16 1 0 0 Sporadic cases 0 Saint Kitts and Nevis 15 0 0 0 Sporadic cases 9 Nicaragua 13 0 3 0 Pending 3 Suriname 10 0 1 0 Sporadic cases 26 Territories* Puerto Rico 1433 33 54 0 Clusters of cases 0 Martinique 175 0 14 0 Clusters of cases 3 Guadeloupe 151 2 1

38、1 0 Clusters of cases 0 French Guiana 125 1 1 0 Clusters of cases 0 Bermuda 111 1 6 0 Clusters of cases 0 Aruba 100 0 2 0 Clusters of cases 7 Sint Maarten 75 0 13 0 Clusters of cases 1 Cayman Islands 73 3 1 0 Clusters of cases 0 United States Virgin Islands 62 3 4 0 Clusters of cases 0 Saint Martin

39、38 0 3 0 Sporadic cases 7 Curaao 16 0 1 0 Sporadic cases 2 Falkland Islands (Malvinas) 13 0 0 0 Clusters of cases 4 Turks and Caicos Islands 12 0 1 0 Sporadic cases 2 Montserrat 11 0 1 0 Sporadic cases 16 Bonaire, Sint Eustatius and Saba 6 0 0 0 Sporadic cases 2 British Virgin Islands 6 0 1 0 Sporad

40、ic cases 4 Saint Barthlemy 6 0 0 0 Sporadic cases 30 Anguilla 3 0 0 0 Sporadic cases 26 Saint Pierre and Miquelon 1 0 0 0 Sporadic cases 22 African Region South Africa 5350 354 103 10 Community transmission 0 Algeria 3848 199 444 7 Community transmission 0 Cameroon 1806 101 59 1 Clusters of cases 0

41、Ghana 1671 0 16 0 Clusters of cases 1 Nigeria 1532 195 44 4 Community transmission 0 Guinea 1351 111 7 0 Community transmission 0 Cte dIvoire 1238 55 14 0 Clusters of cases 0 Senegal 882 59 9 0 Clusters of cases 0 Niger 713 4 32 1 Clusters of cases 0 Burkina Faso 638 0 42 0 Community transmission 1

42、Democratic Republic of the Congo 500 9 31 1 Clusters of cases 0 Mali 482 58 25 1 Clusters of cases 0 United Republic of Tanzania 480 180 16 6 Clusters of cases 0 Kenya 384 10 15 1 Clusters of cases 0 Mauritius 332 0 10 0 Community transmission 3 Equatorial Guinea 315 0 1 0 Clusters of cases 1 Gabon

43、276 38 3 0 Clusters of cases 0 Rwanda 225 13 0 0 Clusters of cases 0 Congo 220 13 9 1 Clusters of cases 0 Liberia 141 0 16 0 Clusters of cases 1 Ethiopia 130 4 3 0 Clusters of cases 0 Madagascar 128 0 0 0 Clusters of cases 3 Sierra Leone 116 12 5 1 Clusters of cases 0 Cabo Verde 113 0 1 0 Sporadic c

44、ases 1 Togo 109 10 7 1 Clusters of cases 0 Zambia 97 2 3 0 Sporadic cases 0 Eswatini 91 20 1 0 Sporadic cases 0 Uganda 79 0 0 0 Sporadic cases 2 Guinea-Bissau 77 4 1 0 Sporadic cases 0 Mozambique 76 0 0 0 Sporadic cases 3 Benin 69 5 2 1 Sporadic cases 0 Chad 52 0 2 0 Sporadic cases 1 Central African

45、 Republic 50 0 0 0 Sporadic cases 1 Eritrea 39 0 0 0 Sporadic cases 11 Malawi 36 0 3 0 Sporadic cases 2 South Sudan 34 0 0 0 Sporadic cases 1 Zimbabwe 32 0 4 0 Sporadic cases 1 Angola 27 0 2 0 Sporadic cases 2 Botswana 23 0 1 0 Sporadic cases 1 Namibia 16 0 0 0 Sporadic cases 24 Burundi 15 0 1 0 Spo

46、radic cases 3 Gambia 11 1 1 0 Sporadic cases 0 So Tom and Prncipe 11 0 0 0 Sporadic cases 1 Seychelles 11 0 0 0 Sporadic cases 23 Mauritania 7 0 1 0 Sporadic cases 19 Territories* Mayotte 460 0 4 0 Clusters of cases 1 Runion 420 3 0 0 Clusters of cases 0 Subtotal for all Regions 3 089733 71839 21775

47、6 9797 International conveyance (Diamond Princess) 712 0 13 0 Not Applicable 45 Grand total 3 090445 71839 217769 9797 *Countries are arranged by official WHO regions, in descending order by the number of total confirmed cases. Overseas territories* are listed under the WHO region that administers t

48、hem. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers

49、or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. Case classifications are based on WHO case definitions for COVID-19. Transmission classification is based on a process of country/territory/area self-reporting. Classifications are r