Monday, 23 March 2020

COVID-19 CORONAVIRUS PANDEMIC Last updated: March 23, 2020, 13:19 GMT

Source ; https://www.worldometers.info/coronavirus/


Coronavirus Cases:

351,609

Deaths:

15,361

Recovered:

100,600
ACTIVE CASES
235,648
Currently Infected Patients
224,353 (95%)
in Mild Condition
11,295 (5%)
Serious or Critical
Show Graph
Jan 22Feb 21Mar 22Jan 28Feb 03Feb 09Feb 15Feb 27Mar 04Mar 10Mar 160200k400k
Show Statistics
CLOSED CASES
115,961
Cases which had an outcome:
100,600 (87%)
Recovered / Discharged
15,361 (13%)
Deaths
Show Graph
Feb 02Feb 22Mar 13Feb 07Feb 12Feb 17Feb 27Mar 03Mar 08Mar 180%100%
Show Statistics
Total Coronavirus CasesTotal Cases(Linear Scale)Jan 22Feb 01Feb 11Feb 21Mar 02Mar 12Mar 220100k200k300k400kCases
Total Coronavirus DeathsTotal Deaths(Linear Scale)Jan 22Feb 01Feb 11Feb 21Mar 02Mar 12Mar 2205k10k15k20kDeaths
The charts above are updated after the close of the day in GMT+0. Latest data is provisional, pending delayed reporting and adjustments from China's NHC.

Confirmed Cases and Deaths by Country, Territory, or Conveyance

The coronavirus COVID-19 is affecting 192 countries and territories around the world and 1 international conveyance (the Diamond Princess cruise ship harbored in Yokohama, Japan). The day is reset after midnight GMT+0.
Highlighted in green
= all cases have recovered from the infection
Highlighted in grey
= all cases have had an outcome (there are no active cases)
The "New" columns for China display the previous day changes (as China reports after the day is over). For all other countries, the "New" columns display the changes for the current day while still in progress.

Latest Updates

March 23 (GMT)

  • alert 4321 new cases and 434 new deaths in Spain [source]
  • alert 8 new deaths in the United Kingdom, 4 in Wales and 4 in Scotland. The figures across the rest of the UK have yet to be released  [source]
  • 49 new cases and 1 new death in Pakistan [source]
  • 20 new cases in Andorra [source]
  • 20 new cases in Iceland [source]
  • 114 new cases in Chile [source]
  • 74 new cases in Finland [source]
  • 12 new cases in San Marino [source]
  • 10 new cases in Sri Lanka [source]
  • 1 new case in Curaçao: a person who had returned from the Netherlands [source]
  • 54 new cases in Singapore [source]
  • 3 new cases in Bulgaria [source]
  • 7 new cases in Azerbaijan [source]
  • 2 new cases in Kyrgyzstan [source]
  • 9 new cases in Vietnam including:
     
    • 29-year-old doctor (first doctor infected with COVID-19 in Vietnam) who developed a sore throat on March 19 and, one day later, also cough, muscle aches, and fever
    • an international student in the Netherlands who returned home on March 15
    • a 44-year-old woman who lives in the Czech Republic
    • a 30-year-old man and a 23-year-old woman from Cambodia
    • a 29-year-old man who had traveled to Indonesia and Thailand
    • a 27-year-old man who is a foreign language teacher and had contacts with previously confirmed cases
    • a 58-year-old male who had returned from the US
     [source] [source] [source] [source]
  • 143 new cases and 2 new deaths in Romania: a 72-year-old woman with underlying health issues and a 71-year-old man [source] [source]
  • 1 new death in Zimbabwe [source]
  • 14 new cases in Tunisia [source]
  • 1 new case and 1 new death in Gambia [source]
  • 19 new cases in Morocco [source]
  • 19 new cases in Lebanon [source]
  • 128 new cases in South Africa [source]
  • 5 new cases in Bahrain [source]
  • 21 new cases and 1 new death in the Republic of North Macedonia: a 63-year-old man [source] [source]
  • 17 new cases in Malta [source]
  • 33 new cases and 3 new deaths in Iraq [source]
  • 6 new cases and 1 new death in Bangladesh [source]
  • 24 new cases in Burkina Faso [source]
  • 2 new cases in Togo [source]
  • 71 new cases in Russia [source]
  • 2 new deaths in Greece: a 64-year-old man and a 78-year old man, both with underlying health issues [source]
  • 8 new cases and 1 new death in Puerto Rico: a 73-year-old man from New York who had been on vacation [source]
  • 1 new case in Honduras [source]
  • 2 new cases in Guinea: 2 French nationals from Paris [source]
  • 5 new cases in Belarus [source]
  • 1 new case in Slovakia [source]
  • 2 new cases in Guam [source]
  • 2 new cases in China, Macao SAR [source]
  • 6 new cases and 1 new death in Nigeria1st death, a 67-year-old man with underlying medical conditions who had returned from the UK after receiving medical treatment [source] [source]
  • alert 1411 new cases and 127 new deaths in Iran [source]
  • 3 new cases in Brunei Darussalam [source]
  • 11 new cases in Lithuania [source]
  • 2 new cases in Bosnia and Herzegovina: a married couple in their 30s who had returned from the Caribbeans via France  [source]
  • alert 2 new deaths in Albania:
    - an obese 43-year-old man, and a 71-year-old man who had cancer
    - doctors managed to restitute a 61-year-old man who was proclaimed clinically dead, he is still in serious condition  [source] [source]
  • 3 new cases in Barbados: all imported from the UK [source]
  • 3 new cases in Haiti [source]
  • 11 new cases in Oman [source]
  • 1 new case in Ghana [source]
  • 26 new cases in Estonia [source]
  • 1 new death in Slovenia: a 67-year-old man with cardiovascular disease [source]
  • 10 new cases in Mayotte [source]
  • 2 new cases in Kazakhstan [source]
  • 4 new cases in New Caledonia [source]
  • 3 new cases in Channel Islands [source]
  • alert 1st death in Gambia: a 70-year-old Bangladeshi man [source]
  • 52 new cases in Croatia [source]
  • 1 new case in Kuwait: a person who had traveled to the UAE [source]
  • 41 new cases in Latvia [source]
  • 45 new cases in Czechia [source]
  • 3 new cases in Faeroe Islands [source]
  • 3 new cases in Bolivia: a 39-year-old and 36-year old woman from Santa Cruz, and a 61-year-old man with chronic bronchitis in Cochabamba [source]
  • 2 new cases in Cambodia [source]
  • 11 new cases in Ivory Coast [source]
  • 26 new cases in Taiwan [source]
  • 1 new case in Nepal: a 19-year-old woman who had returned from France [source]
  • 16 new cases in Cameroon [source]
  • 9 new cases in Liechtenstein [source]
  • 4 new cases in Colombia [source]
  • 167 new cases in Israel [source]
  • 36 new cases and 1 new death in Hungary [source]
  • 7 new cases in Venezuela. President Maduro said: "Venezuela has reached 77 coronavirus cases, all are imported: [source]

    • 21 cases are from Spain
    • 10 from Colombia
    • 3 from the US
    • 3 from the Dominican Republic
    • 3 from Italy
    • 2 from Brazil
    • 1 from Peru
    ​​​​​​
  • 1 new case and 1 new death in Montenegro [source]
  • 1 new case in Fiji: the 1-year-old nephew of the first patient [source]
  • 3 new cases in Uzbekistan [source]
  • 65 new cases in Mexico [source]
  • 29 new cases and 1 new death in India. PM Modi said: "Many people are still not taking the lockdown seriously. Please save yourself, save your family, follow the instructions seriously. I request the state governments to get the rules and laws followed[source] [source] [source]
  • 122 new cases in Thailand. 2nd day in a row with a rise of 100 ore more cases [source]
  • 39 new cases9 new deaths (all in Hubei), and 459 new discharges occurred in China on March 22, as reported by the National Health Commission (NHC) of China. For the 5th day in a row, no new confirmed or suspected cases have been reported in Wuhan and in Hubei [source

January Timeline:
  • On January 31, the first 2 novel coronavirus cases in the UK, [18] the first 2 cases in Russia, [20] and the first case in Sweden and in Spain were reported. Canada reported its 4th case.
  • On Jan. 31, the United States
    • declared Coronavirus a Public Health Emergency
    • issued 14 days quarantine rules for US citizens entering the US from China (mandatory if entering from the Hubei province).
    • issued an order to deny entry to foreigners who have traveled to China within the past two weeks.
  • On January 30, the novel coronavirus total case count surpassed that for SARS (which affected 8,096 people worldwide).
  • On January 30, the World Health Organization declared the coronavirus outbreak a Global Public Health Emergency.
  • On January 30 CDC confirmed the first US case of human to human transmission[17].
  • Germany, Japan, Vietnam and the United States have reported cases in patients who didn't personally visit China, but contracted the virus from someone else who had visited Wuhan, China[15]. These cases of human to human transmission are the most worrisome, according to the WHO[16].
  • Wuhan (the city where the virus originated) is the largest city in Central China, with a population of over 11 million people. The city, on January 23, shut down transport links. Following Wuhan lock down, the city of Huanggang was also placed in quarantine, and the city of Ezhou closed its train stations. This means than 18 million people have been placed in isolation. The World Health Organization (WHO) said cutting off a city as large as Wuhan is "unprecedented in public health history."[12and praised China for its incredible commitment to isolate the virus and minimize the spread to other countries.

How dangerous is the virus?

There are three parameters to understand in order to assess the magnitude of the risk posed by this novel coronavirus:

How contagious is the Wuhan Coronavirus? (Ro)

The attack rate or transmissibility (how rapidly the disease spreads) of a virus is indicated by its reproductive number (Ro, pronounced R-nought or r-zero), which represents the average number of people to which a single infected person will transmit the virus.
WHO's estimated (on Jan. 23) Ro to be between 1.4 and 2.5. [13]
Other studies have estimated a Ro between 3.6 and 4.0, and between 2.24 to 3.58. [23].
Preliminary studies had estimated Ro to be between 1.5 and 3.5. [5][6][7]
An outbreak with a reproductive number of below 1 will gradually disappear.
For comparison, the Ro for the common flu is 1.3 and for SARS it was 2.0.

Fatality Rate (case fatality ratio or CFR) of the Wuhan Coronavirus

See full details: Coronavirus Fatality Rate
The novel coronavirus' case fatality rate has been estimated at around 2%, in the WHO press conference held on January 29, 2020 [16] . However, it noted that, without knowing how many were infected, it was too early to be able to put a percentage on the mortality rate figure.
A prior estimate [9] had put that number at 3%.
Fatality rate can change as a virus can mutate, according to epidemiologists.
For comparison, the case fatality rate for SARS was 10%, and for MERS 34%.

Incubation Period (how long it takes for symptoms to appear)

Symptoms of COVID-19 may appear in as few as 2 days or as long as 14 (estimated ranges vary from 2-10 days, 2-14 days, and 10-14 days, see details), during which the virus is contagious but the patient does not display any symptom (asymptomatic transmission).

Age and conditions of Coronavirus cases

According to early estimates by China's National Health Commission (NHC), about 80% of those who died were over the age of 60 and 75% of them had pre-existing health conditions such as cardiovascular diseases and diabetes.[24]
According to the WHO Situation Report no. 7 issued on Jan. 27:
  • The median age of cases detected outside of China is 45 years, ranging from 2 to 74 years.
  • 71% of cases were male.
A study of 138 hospitalized patients with NCIP found that the median age was 56 years (interquartile range, 42-68; range, 22-92 years) and 75 (54.3%) were men.[25]
The WHO, in its Myth busters FAQs, addresses the question: "Does the new coronavirus affect older people, or are younger people also susceptible?" by answering that:
  • People of all ages can be infected by the novel coronavirus COVID-19.
  • Older people, and people with pre-existing medical conditions (such as asthma, diabetes, heart disease) appear to be more vulnerable to becoming severely ill with the virus.

Patient who died in the Philippines was a 44-year old male

The patient who died in the Philippines on February 2, in what was the first death occurring outside of China, was a 44-year-old Chinese man from Wuhan who was admitted on Jan. 25 after experiencing fever, cough, and sore throat, before developing severe pneumonia. In the last few days, “the patient was stable and showed signs of improvement, however, the condition of the patient deteriorated within his last 24 hours resulting in his demise." according to the Philippine Department of Health.

Serious Cases of 30 year old patients in France

As of Jan. 29, according to French authorities, the conditions of the two earliest Paris cases had worsened and the patients were being treated in intensive care, according to French authorities. The patients have been described as a young couple aged 30 and 31 years old, both Chinese citizens from Wuhan who were asymptomatic when they arrived in Paris on January 18 [19].

Age and Sex of the first deaths as reported by the China National Health Commission (NHC)

The NHC reported the details of the first 17 deaths up to 24 pm on January 22, 2020. The deaths included 13 males and 4 females. The median age of the deaths was 75 (range 48-89) years.[21]

WHO Risk Assessment: Global Emergency

See full details: WHO coronavirus updates
On January 30, the World Health Organization declared the coronavirus outbreak a Global Public Health Emergency.
For more information from the WHO regarding novel coronavirus: WHO page on Novel Coronavirus (2019-nCoV)

Comparisons:

  • Every year an estimated 290,000 to 650,000 people die in the world due to complications from seasonal influenza (flu) viruses. This figure corresponds to 795 to 1,781 deaths per day due to the seasonal flu.
  • SARS (November 2002 to July 2003): was a coronavirus that originated from Beijing, China, spread to 29 countries, and resulted in 8,096 people infected with 774 deaths (fatality rate of 9.6%). Considering that SARS ended up infecting 5,237 people in mainland China, Wuhan Coronavirus surpassed SARS on January 29, 2020, when Chinese officials confirmed 5,974 cases of the novel coronavirus (2019-nCoV). One day later, on January 30, 2020 the novel coronavirus cases surpassed even the 8,096 cases worldwide which were the final SARS count in 2003.
  • MERS (in 2012) killed 858 people out of the 2,494 infected (fatality rate of 34.4%).

Coronavirus Worldometer Sections:


More info

Sources

  1. Novel Coronavirus (2019-nCoV) situation reports - World Health Organization (WHO)
  2. 2019 Novel Coronavirus (2019-nCoV) in the U.S. -. U.S. Centers for Disease Control and Prevention (CDC)
  3. Outbreak Notification - National Health Commission (NHC) of the People’s Republic of China
  4. Novel coronavirus (2019-nCoV) - Australian Government Department of Health
  5. Novel coronavirus 2019-nCoV: early estimation of epidemiological parameters and epidemic prediction - Jonathan M. Read et al, Jan. 23,2020.
  6. Early Transmissibility Assessment of a Novel Coronavirus in Wuhan, China - Maimuna Majumder and Kenneth D. Mandl, Harvard University - Computational Health Informatics Program - Posted: 24 Jan 2020 Last revised: 27 Jan 2020
  7. Report 3: Transmissibility of 2019-nCoV - 25 January 2020 - Imperial College London‌
  8. Case fatality risk of influenza A(H1N1pdm09): a systematic review - Epidemiology. Nov. 24, 2013
  9. A novel coronavirus outbreak of global health concern - Chen Want et al. The Lancet. January 24, 2020
  10. Symptoms of Novel Coronavirus (2019-nCoV) - CDC
  11. China's National Health Commission news conference on coronavirus - Al Jazeera. January 26, 2020
  12. Wuhan lockdown 'unprecedented', shows commitment to contain virus: WHO representative in China - Reuters. January 23, 2020
  13. Statement on the meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV) - WHO, January 23, 2020
  14. International Health Regulations Emergency Committee on novel coronavirus in China - WHO, January 30, 2020
  15. Human-to-human transmission of Wuhan virus outside of China, confirmed in Germany, Japan and Vietnam - The Online Citizen, Jan. 29, 2020
  16. Who: "Live from Geneva on the new #coronavirus outbreak"
  17. CDC Confirms Person-to-Person Spread of New Coronavirus in the United States - CDC Press Release, Jan. 30, 2020
  18. CMO confirms cases of coronavirus in England - CMO, UK, Jan. 31, 2020
  19. Coronavirus in France: what you need to know - The Local France, Jan. 31, 2020
  20. First two persons infected with coronavirus identified in Russia - Tass, Jan. 31, 2020
  21. Updated understanding of the outbreak of 2019 novel coronavirus (2019nCoV) in Wuhan, China - Journal of Medical Virology, Jan. 29, 2020
  22. Estimating the effective reproduction number of the 2019-nCoV in China - Zhidong Cao et al., Jan. 29, 2020
  23. Preliminary estimation of the basic reproduction number of novel coronavirus (2019-nCoV) in China, from 2019 to 2020: A data-driven analysis in the early phase of the outbreak - Jan. 30, 2020
  24. Coronavirus: Window of opportunity to act, World Health Organization says - BBC, Feb,\. 4, 2020
  25. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China - Wang et. al, JAMA, Feb. 7, 2020

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