COVID-19 World Map: 1,914,916 Confirmed Cases; 207 Countries; 123,010 Deaths

WHO Novel Coronavirus (COVID-19) Situation Report 86

• No new country/territory/area reported cases of COVID-19 in the past 24 hours.
• WHO has published the updated strategy for tackling the COVID-19 pandemic. The document translates what we have learned so far about the virus into strategic action and will frame the next iteration of the Strategic Preparedness and Response Plan, due in the coming weeks. More details can be found here.
• The first UN solidarity flight has departed Addis Ababa carrying vital COVID-19 medical supplies to African nations. WHO cargo includes one million face masks, as well as personal protective equipment, which will be enough to protect health workers and treat more than 30,000 patients, and laboratory supplies to support surveillance and detection. Information is available here.
• PAHO Director, Dr. Carissa Etienne, calls for “extreme caution” when transitioning to more flexible social distancing measures. Her speech is available here.
• There is no evidence that oral poliovirus vaccine protects people against infection with COVID-19 virus. A clinical trial is planned in the USA, and WHO will evaluate the evidence when it is available. Greater details are available here.
• WHO continues to provide timely and accurate information, in a world where we have an overabundance of information, some accurate and some not. For more, see ‘Subject in Focus’ below.

Risk Assessment

Global Level: Very High

Coronavirus Situation in Numbers

Globally

• 1,914,916 confirmed cases (70,082 new)
• 123,010 deaths (5,989 new)

European Region

• 977,596 confirmed cases (34,324 new)
• 84,607 deaths (3,895 new)

Regions of the Americas

• 673,361 confirmed cases (28,404 new)
• 27,336 deaths (1,785 new)

Western Pacific Region

• 124,204 confirmed cases (1,399 new)
• 4,201 deaths (40 new)

Eastern Mediterranean Region

• 107,389 confirmed cases (3,751 new)
• 5,395 deaths (140 new)

South-East Asia

• 20,287 confirmed cases (1,624 new)
• 936 deaths (107 new)

African Region

• 11,367 confirmed cases (580 new)
• 523 deaths (22 new)

Subject in Focus: Providing Timely and Accurate Information to Dispel the ‘Infodemic’

An infodemic is an over-abundance of information, some accurate and some not that makes it hard for people to find trustworthy sources and reliable guidance when they need it. It poses a serious problem for public health since people need this guidance to know what actions to take to protect themselves and others, and help mitigate the impact of a disease. In the context of the COVID-19 pandemic, the infodemic is exacerbated by the global scale of the emergency, and propagated by the interconnected way that information is disseminated and consumed through social media platforms and other channels. While the infodemic is a major challenge to outbreak response, it presents an opportunity to identify and adapt new preparedness and response tools.

The COVID-19 infodemic spans four major thematic areas where people look for trustworthy information and where there is misinformation and rumors: the cause and origin of the virus and disease; its symptoms and transmission patterns; available treatments, prophylactics, and cures; and the effectiveness and impact of interventions by health authorities or other institutions.

WHO has been managing the infodemic through a wide range of methods such as timely and accurate technical guidance, scientific briefs and situation reports, regular press conferences, educational videos, and trainings, “myth-busters,” active engagement on social media platforms and tailored guidance for key sectors such as healthcare, food and agriculture and travel and tourism, among others.

On April 7 and 8, the WHO Information Network for Epidemics (EPI-WIN) held a two-day, global, online consultation on managing the COVID-19 infodemic. The consultation gathered ideas from an interdisciplinary group of experts and 1,375 webinar participants. Over 500 ideas were also submitted through an online interactive forum. These ideas will form the basis of a COVID-19 infodemic framework to guide actions of governments and public health institutions, and will be made available in the coming days.

The framework will be built around four key principles:

1. Interventions and messages must be based on science and evidence.
2. This knowledge should be translated into actionable, behavior-changing messages, presented in ways that are accessible to all sectors of all societies.
3. Governments should reach out to key communities to understand their concerns and information needs, to better tailor advice and messages that can help these communities address their audiences.
4. Strategic partnerships should be formed with social media and technology platforms and stakeholders, along with other relevant stakeholders such as those in academia and civil society.

The consultation highlighted clear themes and needs that will be further developed in the framework. They include, but are not limited to:

• The need for (a) international coordination of the response to the infodemic, even around such basic issues as terminology; and (b) coordinated and integrated methods to manage the flow of information for maximum positive impact. To fill these gaps, an overview and understanding of the distribution and sharing of information is crucial.
• Public trust in the health authority and other relevant authorities is essential to mitigate the negative impact of an infodemic. In order to build and sustain trust, public health agencies and other authorities need to be transparent about developments as they unfold.
• Health education and health literacy are important to help people receive and act on reliable information.
• Resilience to misinformation depends on strong digital and health literacy. To facilitate this, authorities could run information campaigns on how to convey accurate information, in a similar way that they promote personal hygiene.
• Multidisciplinary cooperation is key to an effective response to an infodemic. The range and effectiveness of possible response measures increases in relation to the degree of cooperation between all these actors, across the whole of society.
• Widespread cultural change around the handling of online information may also be necessary (e.g. individuals retracting and deleting inaccurate posts they might have shared).
• Accurate information must be adapted to different cultures, languages and literacy capacities, extending to marginalized and vulnerable communities.
• Health education before a crisis is always hugely valuable.

Managing the COVID-19 pandemic and related infodemic requires swift, regular, coordinated action from multiple sectors of society and government. The timely translation of evidence into knowledge that people can use, adapted to their local cultures, languages and contexts, will continue to be crucial to fighting misinformation and saving lives as the pandemic continues to evolve.

Countries, territories or areas with reported laboratory-confirmed COVID-19 cases and deaths, April 15, 2020

Country/Territory/Area	Confirmed Cases
United States of America	578268
Spain	172541
Italy	162488
Germany	127584
France	102533
United Kingdom	93877
China	83745
Iran	74877
Turkey	65111
Belgium	31119
Netherlands	27419
Canada	26146
Switzerland	25753
Russian Federation	24490
Brazil	23430
Portugal	17448
Austria	14234
Israel	11868
Ireland	11479
Sweden	11445
India	11439
Republic of Korea	10591
Japan	8100
Chile	7917
Ecuador	7603
Peru	7519
Poland	7202
Romania	6879
Norway	6566
Denmark	6511
Australia	6416
Czechia	6141
Pakistan	5988
Saudi Arabia	5369
Philippines	5223
Mexico	5014
Malaysia	4987
United Arab Emirates	4933
Indonesia	4839
Serbia	4465
Ukraine	3764
Panama	3472
Qatar	3428
Luxembourg	3307
Dominican Republic	3286
Belarus	3281
Singapore	3252
Finland	3161
Colombia	2852
Thailand	2643
South Africa	2415
Egypt	2350
Argentina	2336
Greece	2170
Algeria	2070
Republic of Moldova	1934
Morocco	1888
Iceland	1720
Croatia	1704
Hungary	1579
Bahrain	1528
Iraq	1400
Estonia	1373
Kuwait	1355
Kazakhstan	1275
Slovenia	1220
Uzbekistan	1214
Azerbaijan	1197
Bosnia and Herzegovina	1086
New Zealand	1078
Lithuania	1070
Armenia	1067
Bangladesh	1012
Puerto Rico	923
Oman	910
North Macedonia	908
Cameroon	855
Slovakia	835
Afghanistan	770
Cuba	766
Tunisia	747
Bulgaria	713
International (Diamond Princess Cruise Ship)	712
Cyprus	695
Andorra	659
Latvia	657
Côte d’Ivoire	638
Ghana	636
Lebanon	632
Costa Rica	612
Niger	570
Burkina Faso	515
Uruguay	512
Albania	475
Kyrgyzstan	449
Honduras	407
Jordan	397
Malta	393
Réunion	391
Kosovo	387
San Marino	372
Djibouti	363
Guinea	363
Bolivia	354
Nigeria	343
Mauritius	324
Georgia	306
Senegal	299
Montenegro	288
Palestinian Territory	288
Vietnam	266
Democratic Republic of the Congo	254
Isle of Man	242
Sri Lanka	233
Guernsey	219
Jersey	217
Mayotte	217
Kenya	216
Faroe Islands	184
Venezuela	181
Guatemala	167
Paraguay	159
Martinique	157
El Salvador	149
Guadeloupe	145
Brunei Darussalam	136
Guam	135
Rwanda	134
Gibraltar	129
Mali	123
Cambodia	122
Trinidad and Tobago	113
Madagascar	110
Monaco	93
Aruba	92
French Guiana	88
Ethiopia	82
Liechtenstein	81
Gabon	80
Togo	77
Congo	74
Myanmar	74
Jamaica	73
Barbados	72
Somalia	60
Liberia	59
Bermuda	57
French Polynesia	55
Cayman Islands	54
Uganda	54
United Republic of Tanzania	53
United States Virgin Islands	53
Sint Maarten	52
Bahamas	49
Guyana	47
Zambia	45
Equatorial Guinea	41
Guinea-Bissau	40
Haiti	40
Benin	35
Libya	35
Saint Martin	35
Eritrea	34
Sudan	32
Mongolia	30
Syrian Arab Republic	29
Mozambique	28
Antigua and Barbuda	23
Chad	23
Maldives	20
Angola	19
Lao People’s Democratic Republic	19
Belize	18
New Caledonia	18
Zimbabwe	18
Dominica	16
Fiji	16
Malawi	16
Namibia	16
Nepal	16
Eswatini	15
Saint Lucia	15
Curaçao	14
Grenada	14
Botswana	13
Northern Mariana Islands	13
Saint Kitts and Nevis	12
Saint Vincent and the Grenadines	12
Central African Republic	11
Falkland Islands (Malvinas)	11
Greenland	11
Montserrat	11
Seychelles	11
Sierra Leone	11
Cabo Verde	10
Suriname	10
Turks and Caicos	10
Gambia	9
Nicaragua	9
Holy See	8
Mauritania	7
Saint Barthelemy	6
Timor-Leste	6
Bhutan	5
Burundi	5
Bonaire, Sint Eustatius and Saba	4
São Tomé and Príncipe	4
South Sudan	4
Anguilla	3
British Virgin Islands	3
Papua New Guinea	2
Saint Pierre and Miquelon	1
Yemen	1
Total	1914916

Recommendations and Advice for the Public

If you are not in an area where COVID-19 is spreading or have not traveled from an area where COVID-19 is spreading or have not been in contact with an infected patient, your risk of infection is low. It is understandable that you may feel anxious about the outbreak. Get the facts from reliable sources to help you accurately determine your risks so that you can take reasonable precautions (see Frequently Asked Questions). Seek guidance from WHO, your healthcare provider, your national public health authority or your employer for accurate information on COVID-19 and whether COVID-19 is circulating where you live. It is important to be informed of the situation and take appropriate measures to protect yourself and your family (see Protection measures for everyone).

If you are in an area where there are cases of COVID-19 you need to take the risk of infection seriously. Follow the advice of WHO and guidance issued by national and local health authorities. For most people, COVID-19 infection will cause mild illness however, it can make some people very ill and, in some people, it can be fatal. Older people, and those with pre-existing medical conditions (such as cardiovascular disease, chronic respiratory disease or diabetes) are at risk for severe disease (See Protection measures for persons who are in or have recently visited (past 14 days) areas where COVID-19 is spreading).