For Your Information
Update on Global Pandemic for Week Ending April 18
Number of Cases Worldwide
As of April 18, the worldwide statistics for
COVID-19 pandemic as reported by Worldometer were:
- Total reported cases: 2,287,323. This is
526,739 more than the total reported on April 11
of 1,760,584.
- Total active cases: 1,544,017. This is 286,462
more than the number reported on April 11 of
1,257,555.
- Closed cases: 743,306. This is 233,509 more
than the number reported on April 11 of 509,797.
- Deaths: 157,468. This is 55,983 more deaths
than on April 11, when the toll was 101,485.
- Recovered: 585,838. This is 190,434 more
recoveries than on April 11, when the number was
395,404.
There were 86,496 new cases from April 16 to 17.
This compares to the one-day increase in cases
from April 9 to 10 of 94,625.
The disease was present in 210 countries and
territories, as was the case the week prior. Of
these, 79 had less than 100 cases, as compared to
April 11, when there were 83 countries with less
than 100 cases.
The five countries with the highest number of
cases on April 18 are noted below, accompanied by
the number of cases and deaths per million
population, which permit a more direct comparison
between countries, as well as figures from the
previous week on April 11:
USA: 715,105 (613,375 active; 63,841
recovered; 37,889 deaths)
- 2,160 cases per million; 114 deaths per million
- April 11: 521,714 (473,070 active; 28,580
recovered; 20,064 deaths) and 1,519 cases per
million population; 57 deaths per million
population
Spain: 191,726 (96,886 active; 74,797
recovered; 20,043 deaths)
- 4,101 cases per million; 429 deaths per million
- April 11: 158,273 (86,524 active; 55,668
recovered; 16,801 deaths) and 3,385 cases per
million; 344 deaths per million
Italy: 175,925 (107,771 active; 44,927
recovered; 23,227 deaths)
- 2,910 cases per million; 384 deaths per million
- April 11: 147,577 (98,273 active; 30,455
recovered; 18,849 deaths) and 3,605 cases per
million; 302 deaths per million
France: 147,969 (94,868 active; 34,420
recovered; 18,681 deaths)
- 2,267 cases per million; 286 deaths per million
- April 11: 124,869 (86,740 active; 24,932
recovered; 13,197 deaths) and 1,913 cases per
million; 202 deaths per million
Germany: 142,569 (52,764 active; 85,400
recovered; 4,405 deaths)
- 1,702 cases per million; 53 deaths per million
- April 11: 122,171 (65,522 active; 53,913
recovered; 2,736 deaths) and 1,458 cases per
million; 33 deaths per million
The U.S. remains far and away the country with
the highest number of cases since achieving this
dubious distinction about three weeks ago. Europe,
as a whole has about half the worldwide reported
cases with about 1,029,214 and overall remains the
worst hit region.
Cases in Top Five Countries by Region
In Europe on April 18, the country with the fifth
highest number of reported cases after the four
listed above, is the UK:
UK: 114,217 (98,409 active; recovered NA;
15,464 deaths)
- 1,682 cases per million; 228 deaths per million
- April 11: 73,758 (64,465 active; 344 recovered;
8,958 deaths)
- 1,086 cases per million; 132 deaths per million
Beyond the countries with the highest number of
reported cases, other statistics that show the
rate of infection and death relative to population
show that Belgium, a country of 11.46 million
people which, as of April 18, reports 3,208 cases
per million and 475 deaths per million, is also
relatively hard hit. Switzerland, with 8.65
million people, is also among the European
countries with the highest infection and death
rates.
This week Austria became one of the first
European countries to relax its coronavirus
measures. News agencies report that with the
number of new infections stabilizing, thousands of
shops nationwide reopened their doors on April 14
following a one-month lockdown. Small businesses,
as well as hardware and gardening stores, are
allowed to reopen "but all shoppers are required
to wear masks and maintain social distance."
Shopping centres, larger stores and hairdressers
are set to reopen from May 1, while restaurants
and hotels could resume progressively from
mid-May, Chancellor Sebastian Kurz said. Austria's
modified lockdown is in place until the end of
April. The number of active cases in Austria
peaked on April 3 with 9,334 and as of April 17
the total number of reported cases is 14,595.
In Spain, where the number of active cases is
said to have nearly plateaued, Prime
Minister Pedro Sanchez on April 13 allowed some
workers to return to work, with police and the Red
Cross handing out face masks at train stations to
commuters, news agencies report. Only a few
commuters were seen using Madrid's usually busy
public transport, news agencies report. "Some
workers in factories and the construction industry
were permitted to resume work as the Spanish
government looked to restart manufacturing," they
report. Retail shops and services are still
required to remain closed and white-collar workers
still have to work from home. "Experts warned that
many companies don't have access to enough health
equipment to protect employees." Shops, bars and
public spaces are scheduled to stay closed until
at least April 26.
In Italy, the government is said to have decided
to ease restrictions -- while still requiring the
same social-distancing and sanitary measures --
after it saw a decline in the number of day-to-day
infections, which reached 6,557 cases on March 21
and is now at just under 3,000. The country
officially is under a nationwide lockdown until
May 4 but news agencies report that bookshops,
stationery stores and shops selling baby clothes
were allowed to reopen on a trial basis on April
14. Some regional leaders, however, have opted to
keep bookstores and stationery shops closed,
including the hard-hit northern regions of
Lombardy and Piemonte.
In France, where the rate of daily infections has
yet to peak, President Emmanuel Macron announced
on April 13 that the country's lockdown would be
extended until May 11, saying that "There is new
hope but nothing is won at the moment [...] the
epidemic is not under control." From May 11,
daycares, schools, colleges and lycées will be
"progressively opened" as a priority, he said.
However, restaurants, cafes, hotels, museums and
cultural sites must stay closed and large
festivals and events may only be allowed after
mid-July.
In Scandinavia, Denmark reopened daycare centres
and schools for children from first to fifth
grades on April 15. The number of active cases in
Denmark peaked on April 10 at 3,799. The rate of
new daily cases has been under 200 since April 10,
down from a high of 390 on April 7.
In contrast, on April 16, Britain extended its
lockdown period another three weeks until May 7.
People must stay at home unless they are shopping
for basic necessities, or meeting medical needs.
They are allowed to exercise in public once a day,
and can travel to work if they are unable to work
from home.
The European Commission called on EU countries to
coordinate coronavirus exit plans to avoid
flareups. German Foreign Minister Heiko Maas
suggested that a single smartphone app can be used
across the European Union to assist member states
coordinate when and how to ease coronavirus
lockdown rules and ensure safer measures across
the bloc.
"It's important we don't end up with a patchwork
of 27 coronavirus apps and 27 data protection
regimes, but coordinate as best as possible," Maas
said in an interview on April 14 with Germany's
Funke media group. He said such an app would help
ease travel and border closures across the EU and
also safeguard personal privacy.
In Eurasia on April 17:
Turkey: 78,546 (68,146 active; 8,631
recovered; 1,769 deaths)
- 931 cases per million; 21 deaths per million
- April 10: 42,282 (39,232 active; 2,142
recovered; 908 deaths) and 501 cases per million;
11 deaths per million
Russia: 32,008 (29,145 active; 2,590
recovered; 273 deaths)
- 219 cases per million; 2 deaths per million
- April 10: 11,917 (11,028 active; 795 recovered;
94 deaths) and 82 cases per million; 0.6 deaths
per million
Kazakhstan: 1,546 (1,182 active; 258
recovered; 5 deaths)
- 82 cases per million; 0.9 deaths per million
- April 10: 764 (697 active; 60 recovered; 7
deaths) and 43 cases per million; 0.5 deaths per
million
Azerbajian: 1,340 (1,064 active; 174
recovered; 66 deaths)
- 132 cases per million; 1 death per million
- April 10: 991 (822 active; 159 recovered; 10
deaths) and 98 cases per million; 1 death per
million
Armenia: 1,201 (780 active; 402 recovered;
19 deaths)
- 405 cases per million; 6 deaths per million
- April 10: 937 (776 active; 149 recovered; 12
deaths) and 316 cases per million; 4 deaths per
million
The number of cases in Turkey has risen
considerably in the last week, with a total number
of reported cases nearing that of Iran and China,
two countries with among the highest number of
cases. On April 16, Turkey reported 4,801 cases in
the previous 24 hours, the second highest in the
world, surpassed only by the U.S. with 5,603 in
that same period.
Sinan Adiyaman, head of the Turkish Medical
Association (TBB), warned that, in contrast to the
Turkish Ministry of Health's claims that the
infection rate is stabilizing, the scale of the
outbreak remained unclear because diagnostic tests
only had 55-60 per cent accuracy rates and many
patients had died with COVID-19 symptoms, but had
been excluded from the death toll.
"We receive information based on our members'
observations from across the country that the
figures for cases and deaths are far higher,"
Adiyaman said.
The World Health Organization (WHO) said on April
14 that outbreaks were growing in Britain and
Turkey.
"In fact, the WHO prediction is more accurate for
Turkey. Because it is too early to say that we
have taken control yet, even though health care
professionals are working devotedly," Adiyaman
said.
In West Asia on April 17:
Iran: 79,494 (20,472 active; 54,064
recovered; 4,958 deaths)
- 946 cases per million; 59 deaths per million
- April 10: 68,192 (28,495 active; 35,465
recovered; 4,232 deaths) and 812 cases per
million; 50 deaths per million
Israel: 12,982 (9,705 active; 3,126
recovered; 151 deaths)
- 1,500 cases per million; 17 deaths per million
- April 10: 9,968 (8,871 active; 1,011 recovered;
86 deaths) and 1,166 cases per million; 11 deaths
per million
Saudi Arabia: 7,142 (6,006 active; 1,049
recovered; 87 deaths)
- 205 cases per million; 2 deaths per million
- April 10: 3,287 (1,663 active; 351 recovered; 25
deaths) and 105 cases per million; 1 death per
million
UAE: 5,825 (4,695 active; 1,095 recovered;
35 deaths)
- 589 cases per million; 4 deaths per million
- April 10: 2,659 (2,408 active; 239 recovered; 12
deaths) and 302 cases per million; 1 death per
million
Qatar: 4,663 cases (4,192 active; 464
recovered; 7 deaths)
- 1,619 cases per million; 2 deaths per million
- April 10: 2,376 (2,164 active; 206 recovered; 6
deaths) and 872 cases per million; 2 deaths per
million
In South Asia on April 17:
India: 13,385 (11,606 active; 1,777
recovered; 452 deaths)
- 10 cases per million; 0.3 deaths per million
- April 10: 6,725 (5,879 active; 620 recovered;
226 deaths) and 5 cases per million; 0.2 cases per
million
Pakistan: 7,025 (5,125 active; 1,765
recovered; 135 deaths)
- 32 cases per million; 0.6 deaths per million
- April 10: 6,495 (5,702 active; 727 recovered; 66
deaths) and 29 cases per million; 0.3 deaths per
million
Bangladesh: 1,838 (1,705 active; 58
recovered; 75 deaths)
- 11 cases per million; 0.5 deaths per million
- April 10: 424 (364 active; 33 recovered; 27
deaths) and 3 cases per million; 0.2 deaths per
million
Afghanistan: 906 (777 active; 99
recovered; 30 deaths)
- 23 cases per million; 0.8 deaths per million
- April 10: 521 (474 active; 32 recovered; 15
deaths) and 13 cases per million; 0.4 deaths per
million
Sri Lanka: 244 (160 active; 77; 7 deaths)
- 11 cases per million; 0.3 deaths per million
- April 10: 190 (129 active; 54 recovered; 7
deaths) and 9 cases per million; 01. deaths per
million
In Southeast Asia on April 17:
Indonesia: 5,923 (4,796 active; 607
recovered; 520 deaths)
- 22 cases per million; 2 deaths per million
- April 10: 3,293 (2,761 active; 252 recovered;
280 deaths) and 13 cases per million; 1 death per
million
Philippines: 5,878 (5,004 active; 487
recovered; 387 deaths)
- 54 cases per million; 4 deaths per million
- April 17: 4,076 (3,749 active; 124 recovered;
203 deaths) and 38 cases per million; 2 deaths per
million
Malaysia: 5,251 (2,198 active; 2,967
recovered; 86 deaths)
- 162 cases per million; 3 deaths per million
- April 10: 4,346 (2,446 active; 1,830 recovered;
70 deaths) and 134 cases per million; 2 deaths per
million
Singapore: 5,050 (4,331 active; 708
recovered; 11 deaths)
- 863 cases per million; 2 deaths per million
- April 10: 2,108 (1,444 active; 492 recovered; 7
deaths) and 360 cases per million; 1 death per
million
Thailand: 2,700 (964 active; 1,689
recovered; 47 deaths)
- 39 cases per million; 0.7 deaths per million
- April 17: 2,473 (1,427 active; 1,013 recovered;
33 deaths) and 35 cases per million; 0.5 deaths
per million
Indonesia experienced a relatively sharp increase
in COVID-19 infections, surpassing the Philippines
and Malaysia in the past week to now have the most
cases in the region. Reuters reported that on
April 17 "an Indonesian official said the number
of cases could reach 106,000 by July and follows
criticism that a low rate of testing has hidden
the extent of the spread of the virus.
"Indonesia has accelerated testing and Achmad
Yurianto, a health ministry official, said on
[April 17] 42,000 tests had been performed, up
about three-fold in two weeks.
"'Transmission is still occurring. This has
become a national disaster,' Yurianto told a
televised broadcast [...]"
NPR reports that "Indonesia, which is the world's
fourth most populous country, did not confirm its
first cases until March 2. Since then, cases have
grown exponentially and on a daily basis,
spreading to all 34 provinces across an
archipelago of some 17,000 islands. Still, the
first lockdown orders weren't issued until over a
month later, and the restrictions only applied to
the Jakarta capital region and its population of
some 30 million.
"This week, President Joko Widodo expanded the
restrictions to some other parts of the country.
He also advised the public to stay home during the
Muslim holy month of Ramadan, which starts later
in April. [... An] estimated 19.5 million people
traveled for the Eid al-Fitr holiday marking the
end of Ramadan last year, according to Bloomberg
News."
Singapore, which at the beginning of the pandemic
was being lauded as a model country for
containment of the outbreak, has seen a rapid
increase in cases since April 10. It recorded an
all-time high number of new cases on April 16 with
728, whereas the daily rate of new cases had been
under 100 until April 4. The vast majority of new
cases are amongst foreign workers who live in
cramped and substandard living conditions. In data
posted by Singapore's Ministry of Manpower in
2019, there were 1,399,600 foreign workers in the
country, almost 25 per cent out of a total
population of 5.7 million.
On March 22, the group Transient Workers Count
Too warned that employers' practices were leaving
foreign workers vulnerable to infection. The group
stated:
"With COVID-19 now expected to be a danger for
many more months, preparedness for various
scenarios is key. One possibility is that a
cluster breaks out at a foreign worker dormitory.
[...]
"Currently, foreign workers are housed 12 to 20
men per room in double-decker beds. They are
transported to work on the back of lorries sitting
shoulder to shoulder. Neither of these conditions
conforms with social distancing.
"The risk of a new cluster among this group
remains undeniable."
The group also reported that some employers
impose large fines if workers do not show up for
work, while others refuse to grant time off for
more than one or two days for medical reasons.
The Guardian reported on April 17 that
"Nine dormitories, the biggest of which holds
24,000 men, have been declared isolation units by
officials, while all other buildings accommodating
the city-state's 300,000 [construction] workers
have been placed under effective lockdown. The
restrictions, an attempt to reduce further
transmission, have left the dormitories even more
crowded than usual as only essential workers are
permitted to leave."
Regarding living conditions, the Guardian
reports that "While migrants were being served
food so that they did not use shared kitchens, the
quality of meals was poor and lacking in
nutrition. In some cases 100 men were sharing five
toilets and five showers."
Mohan Dutta, a professor at Massey University in
New Zealand, who has interviewed 45 migrant
workers in Singapore since the outbreak began,
said many feared an outbreak was inevitable due to
the conditions. "Participants told me that even up
until Monday [April 13] they don't have access to
soap and adequate cleaning supplies," he said.
In East Asia on April 17:
China: 82,692 (116 active; 77,944
recovered; 4,632 deaths)
- 57 cases per million; 3 deaths per million
- April 10: 81,907 (1,160 active; 77,370
recovered; 3,335 deaths) and 57 cases per million;
2 deaths per million
South Korea: 10,635 (2,576 active; 7,829
recovered; 230 deaths)
- 207 cases per million; 4 deaths per million
- April 10: 10,450 (3,125 active; 7,117 recovered;
208 deaths) and 204 cases per million; 4 deaths
per million
Japan: 9,231 (8,106 active; 935 recovered;
190 deaths)
- 73 cases per million; 2 deaths per million
- April 10: 5,530 (4,746 active; 685 recovered; 99
deaths) and 44 cases per million; 0.8 deaths per
million
Taiwan: 395 (223 active; 166 recovered; 6
deaths)
- 17 cases per million; 0.3 deaths per million
- April 10: 382 (285 active; 91 recovered; 6
deaths) and 16 cases per million; 0.3 deaths per
million
China's Hubei Province on April 17 issued a
"Notice on the Correction of the Number of New
Coronary Pneumonia Cases Diagnosed and the Number
of Diagnosed Deaths in Wuhan" in which it reported
1,290 additional deaths that had not been
previously counted and reported, bringing the
total number of deaths in Wuhan from 2,579 to
3,869, an increase of 50%, as the result of a
revision by the Wuhan New Coronary Pneumonia
Epidemic Prevention and Control. As part of this
revision, 325 additional cases in Wuhan were also
added. Separately, China's National Health
Commission (NHC) reported 26 new cases (and no
deaths) in its daily report.
Japan is the exception to the overall trend of
very limited numbers of new cases in East Asia.
The number of cases in Japan nearly doubled in the
past week, while Prime Minister Shinzo Abe
declared a nationwide state of emergency on April
16 until at least May 6, upgraded from April 8,
when a state of emergency was declared in six out
of 47 prefectures. Yasutoshi Nishimura, the
minister in charge of Japan's emergency measures,
said expanding the state of emergency to the whole
country was "necessary" before the Golden Week
holidays that start in late April. These are four
national holidays that fall within the space of
seven days, the last of which is on May 6.
On April 17, the government announced that it
will offer a cash payment of 100,000 yen
(U.S.$930) to every resident. Finance Minister
Taro Aso said the government hoped to start
payments in May.
Deutsche Welle reported on April 15 that "Nine of
Japan's 47 prefectures are close to filling all
the emergency hospital beds set aside for
coronavirus cases, according to national
broadcaster NHK, including Tokyo, Osaka, Hyogo and
Fukuoka [...].
"The city government of Osaka on [April 14]
issued a plea for residents to donate waterproof
coats to hospitals as health workers are running
out of protective clothing, an indication that the
coronavirus is spreading faster than anticipated
and provoking further criticism of the central
government's response. [...] Osaka Mayor Ichiro
Matsui said doctors and nurses at a number of
hospitals are forced to wear trash bags when they
treat patients. The city has requested donations
of unused raincoats and asked local manufacturers
of similar clothing to step up production and sell
equipment to the city at fair market rates."
In North America on April 18:
USA: 715,105 (613,375 active; 63,841
recovered; 37,889 deaths)
- 2,160 cases per million; 114 deaths per million
- April 11: 521,714 (473,070 active; 28,580
recovered; 20,064 deaths) and 1,519 cases per
million population; 57 deaths per million
population
Canada: 32,412 (20,523 active; 10,543
recovered; 1,346 deaths)
- 859 cases per million; 36 deaths per million
- April 11: 22,148 (15,566 active; 6,013
recovered; 569 deaths) and 587 cases per million;
15 deaths per million
Mexico: 6,875 (4,204 active; 2,125
recovered; 546 deaths)
- 53 cases per million; 4 deaths per million
- April 11: 3,441 (2,614 active; 633 recovered;
194 deaths) and 27 cases per million; 2 deaths per
million
Despite the terrible levels of infection and
deaths in the U.S., widespread layoffs in the
medical system are taking place, due to the
private profit motive on which the system is
based. The New York Times reported on
April 3, "As hospitals across the country brace
for an onslaught of coronavirus patients, doctors,
nurses and other health care workers -- even in
emerging hot spots -- are being furloughed,
reassigned or told they must take pay cuts.
"The job cuts, which stretch from Massachusetts
to Nevada, are a new and possibly urgent problem
for a business-oriented health care system whose
hospitals must earn revenue even in a national
crisis. Hospitals large and small have canceled
many elective services -- often under state
government orders -- as they prepare for the
virus, sending revenues plummeting.
"That has left trained health care workers
sidelined, even in areas around Detroit and
Washington, where infection rates are climbing,
and even as hard-hit hospitals are pleading for
help.
[...]
"[T]he Department of Veterans Affairs is
scrambling to hire health care workers for its
government-run hospitals, especially in hard-hit
New Orleans and Detroit, where many staff members
have fallen ill. The department moved to get a
federal waiver to hire retired medical workers to
beef up staff levels.
"But even as some hospitals are straining to
handle the influx of coronavirus patients, empty
hospital beds elsewhere carry their own burden.
[...]
"Governors in dozens of states have delivered
executive orders or guidelines directing hospitals
to stop non-urgent procedures and surgeries to
various degrees. Last month, the United States
surgeon general, Dr. Jerome M. Adams, also
implored hospitals to halt elective procedures.
"That has left many health systems struggling to
survive."
USA Today reported on April 2 that "By
June, an estimated 60,000 family practices will
close or significantly scale back, and 800,000 of
their employees will be laid off, furloughed or
have their hours reduced as they see a decline in
business during the coronavirus pandemic,
according to a HealthLandscape and American
Academy of Family Physicians report released
[April 2].
"That represents 43 per cent of the nearly 1.9
million people employed at family medicine
offices, including receptionists, medical
assistants, nurses, physicians, billing staff and
janitors.
"The figure doesn't include reductions at
hospitals and specialty clinics that also feel the
pinch."
The Washington Post reported on April 9
that "Remaining front-line workers face longer
hours, and some have seen their pay cut and
benefits reduced.
"For hospitals already in bad financial shape
before the outbreak, the loss of income has raised
doubts about their ability to keep treating
patients.
[...]
"These experiences reflect the losses across the
entire health-care system given the cancellation
of nonessential procedures, analysts said. A
typical hospital system with 1,000 beds and the
ability to perform outpatient surgeries is
predicted to lose around $140 million -- half its
operating revenue -- over a three-month period,
the Advisory Board, a consulting firm, reported
this week.
"Further complicating problems has been the need
to finance the purchase of additional equipment to
protect staff and prepare for coronavirus
patients.
"Facilities have spent large sums to create
negative air pressure rooms, so infected patients
can be effectively isolated from those who have
not contracted the virus. Many have also set up
drive-through clinics and tent facilities, further
depleting their coffers, the [Inspector General of
the Department of Health and Human Services] found
[in an April 3 report].
[...]
"As part of the stimulus package enacted last
month, the federal government has allocated $100
billion to hospitals and some other health
providers to help offset lost income, pay for the
construction of temporary facilities and retrofits
and to buy equipment and supplies.
"But health-care executives and analysts doubt
that will be sufficient. That $100 billion pot is
about equal to total hospital industry revenue per
month, according to the Advisory Board. Hospitals
expect to be treating COVID-19 patients for
several months to come."
In Central America and the Caribbean: on April
17:
Panama: 4,016 (3,809 active; 98 recovered;
109 deaths)
- 931 cases per million; 25 deaths per million
April 10: 2,752 (2,670 active; 16 recovered; 66
deaths) and 638 cases per million; 15 deaths per
million
Dominican Republic: 3,755 (3,344 active;
215 recovered; 196 deaths)
- 346 cases per million; 18 deaths per million
- April 10: 2,620 (2,396 active; 98 recovered; 126
deaths) and 242 cases per million; 12 deaths per
million
Cuba: 862 (664 active; 171 recovered; 27
deaths)
- 76 cases per million; 2 deaths per million
April 10: 565 (498 active; 51 recovered; 15
deaths) and 50 cases per million; 1 death per
million
Costa Rica: 642 (564 active; 74 recovered;
4 deaths)
- 126 cases per million; 0.8 deaths per million
- April 10: 539 (506 active; 30 recovered; 3
deaths) and 106 cases per million; 0.6 deaths per
million
Honduras: 442 (391 active; 10 recovered;
41 deaths)
- 45 cases per million; 4 deaths per million
- April 10: 382 (352 active; 7 recovered; 23
deaths) and 39 cases per million; 2 deaths per
million
Cuba now has 21 medical brigades, comprised of
some 1,200 people, assisting the local efforts of
20 countries in Europe, Africa, the Middle East
and Latin America and the Caribbean fight the
pandemic. At the same time the U.S. blockade
continues to impact Cuba's capacity to look after
the well-being of its people. The Director General
of Latin America and the Caribbean of the Cuban
Ministry of Foreign Relations, Eugenio Martínez
Enríquez, reported in his official Twitter account
that the U.S. company Vyaire Medical Inc. bought
IMT Medical and Acutronic, the supplier of
ventilators to Cuba, and announced the suspension
of ties with Cuba, because "the corporate
guideline we have today is to suspend all
commercial relations with Medicuba."
The Vice President of Medicuba Luis Silva
reported that Cuba tried to acquire medicine and
supplies with 60 firms in the U.S. of which only
two replied, including Bayer, with which an
agreement was signed that could not be executed,
due to the prohibition issued by the U.S. Treasury
Department, with the justification that,
supposedly, its licence to do so had expired.
On April 1, Cuba's Ambassador to China, Carlos
Miguel Pereira, denounced that the blockade had
prevented the Chinese company Alibaba from
bringing humanitarian aid to Cuba to fight
COVID-19. On March 22, Jack Ma, founder of Alibaba
and the foundation that bears his name, announced
that 2 million masks, 400,000 rapid diagnostic
kits and 104 respirators would be sent, in
addition to equipment such as gloves and
protective suits, to 24 countries in Latin
America, including Cuba. However, as Ambassador
Pereira noted, the U.S. transport company declined
to fulfill its contract at the last minute using
the argument that the regulations that comprise
the economic, commercial and financial blockade
imposed against the destination country, prevented
it from doing so.
Cubans have not forgotten that in 1981, a major
epidemic of dengue hemorrhagic fever hit Cuba,
which it attributed to U.S. biological warfare,
that killed 158 people, 101 of them children. The
impossibility of acquiring fumigation equipment
from the United States on time caused a greater
delay in controlling the disease, resulting in a
significant increase in the number of cases and
deaths.
The fact that the blockade continues to endanger
Cuban lives, especially during a global pandemic,
underscores the criminal and genocidal nature of
the U.S. blockade and the urgency that it be
brought to an end immediately.
To that end, the Caribbean Community (CARICOM)
nations were convened by Barbados for an emergency
videoconference meeting on April 15 where they
called for U.S. sanctions on Venezuela and Cuba to
be lifted, saying "All countries must be part of
the global effort to combat COVID-19." CARICOM
also condemned the U.S. decision to suspend its
funding of the WHO: "It is unfortunate that the
resources of the WHO are under threat, in days
that demand unity in leading the fight against the
pandemic."
The health situation, food security and
protection of the elderly from disease in the
region were also addressed. In general, "the
region has responded quite well to the pandemic,"
the Caribbean Public Health Agency Executive
Director Dr. Joy St. John said at the meeting.
According to Dr. St. John, the early
implementation of measures in the region helped to
contain the virus. But a more coordinated approach
is needed to address the next phase of the
pandemic.
CARICOM will consider a proposed protocol on the
reopening of borders. Once the decision is taken,
all Member States will at the same time adhere to
this proposal. The countries also agreed that the
inter-regional transport of people and goods by
air and sea will also be scrutinized, making
particular reference to the operations of regional
air carriers.
In South America on April 17:
Brazil: 30,891 (14,913 active; 14,026
recovered; 1,954 deaths)
- 145 cases per million; 9 deaths per million
- April 10: 18,397 (17,250 active; 173 recovered;
974 deaths) and 87 cases per million; 5 deaths per
million
Peru: 12,491 (6,097 active; 6,120
recovered; 274 deaths)
- 379 cases per million; 8 deaths per million
- April 10: 5,897 (4,159 active; 1,569 recovered;
169 deaths) and 179 cases per million; 5 deaths
per million
Chile: 8,807 (5,403 active; 3,299
recovered; 105 deaths)
- 461 cases per million; 5 deaths per million
- April 10: 6,501 (4,865 active; 1,571 recovered;
65 deaths) and 340 cases per million; 3 deaths per
million
Ecuador: 8,225 (6,984 active; 838
recovered; 403 deaths)
- 466 cases per million; 23 deaths per million
- April 10: 7,161 (4,354 active; 339 recovered;
272 deaths) and 406 cases per million; 17 deaths
per million
Colombia: 3,233 (2,539 active; 550
recovered; 144 deaths)
- 64 cases per million; 3 deaths per million
- April 10: 2,223 (1,980 active; 174 recovered; 69
deaths) and 44 cases per million; 1 death per
million
There has been a sharp increase in the number of
cases in Peru in the past week, giving it the
second highest number of cases in the region in
the past week, displacing Ecuador, where despite a
relatively small increase in the number of cases
in the past week, the number of active cases and
deaths continues to rise. Ecuador has by far the
highest rate of deaths per million in the region
at 23. This number reflects official reports that
for weeks have been widely believed to be a gross
underestimate, given the collapse of the hospital
and undertaking/funeral services in the hard-hit
port city of Guayaquil in Guayas province, with
bodies remaining for days in the homes where
people have died.
It was reported this week that in the province of
Guayas there were over 5,000 deaths that could be
related to COVID-19, given that in the first two
weeks of April government figures showed there
were 6,700 people who died in the province, far
more than the average 1,000 deaths that usually
occur during that period of time.
In refuting the official figures that continue to
be reported, the mayor of Guayaquil, Cynthia
Viteri has said that patients continue to die
without ever having been tested, and that there is
no space, time or resources to be able to do
further tests and know whether or not they died of
coronavirus. She also indicated that in March
there were 1,500 more deaths in the city than in
the same period during 2019.
Another alarming fact is that more than 70 doctors
are reported to have succumbed to the virus in
Guayas.
Under the government of Lenin Moreno Ecuador's
health care system has been subjected to draconian
funding cuts and privatization, with the country's
2019 health care budget being reduced by 36 per
cent compared to 2018. In addition the program
that received the largest "investment" in the
sector was one dedicated to a restructuring of
health care by getting rid of public employees in
the system. This privatization initiative exceeded
investments in badly needed infrastructure and
equipment maintenance, contributing to the
catastrophe being witnessed today.
As if this were not enough, the Moreno government
saw fit to pay U.S.$324 million on the country's
external debt in the midst of the pandemic rather
than investing in its debilitated health care
system to save lives.
The underreporting of cases and deaths is not
unique to Ecuador, but characterizes other
countries in the region with neo-liberal
governments, many of them brought to power in
foreign-backed coups of one type or another to
dismantle existing public services as in the case
of Brazil and Bolivia, or kept in power with
foreign backing to shore up traditional privatized
systems of health care, education and others
through corruption and force, as in Chile and
Colombia.
In many of these countries doctors and nurses have
been holding public protests over the lack of even
basic PPE and other desperately needed resources
to be able to treat their patients. In an
open letter, the Colombian Medical Federation, the
Colombian Association of Scientific Societies, the
Colombian Medical College and the Federation of
Medical Unions said they would no longer work with
Health Minister Fernando Ruiz over his mishandling
of the crisis, and urged state governors to ignore
President Ivan Duque's plan to lift the quarantine
prematurely. They also have said they will not
obey the government's labour decree forcing
doctors and nurses to work without any measures in
place to protect them, saying they would abide by
the oath they took when they graduated, but that
nobody could force them to commit suicide.
Adding to the region's problems, the Pan-American
Health Organization reports there have been over a
million cases of dengue fever, a mosquito-borne
disease that is sometimes lethal, throughout the
Americas. Most of the cases are in Brazil and
Paraguay, far surpassing the number reported for
the same period last year. Other countries
affected include Bolivia and Colombia.
In Venezuela, President Nicolás Maduro stated on
April 15 that his administration aims to carry out
10 million tests for COVID-19, "with the help of
the World Health Organization, the Pan American
Health Organization, China, Russia, Iran, and
Cuba." He added that Venezuela has carried out
250,123 tests so far and has the interim goal of
performing one million tests.
On April 14, Communication Minister Jorge
Rodriguez reported that Venezuela has conducted
the most screening for COVID-19 in Latin America,
figures which are verified by Johns Hopkins
University.
As of April 17, Venezuela has 204 cases (84
active; 111 recovered; 9 deaths), with a rate of 7
cases per million and 0.3 deaths per million.
In Africa on April 17:
Egypt: 2,673 (1,881 active; 596 recovered;
196 deaths)
- 26 cases per million; 2 deaths per million
- April 10: 1,699 (1,233 active; 348 recovered;
118 deaths) and 17 cases per million; 1 death per
million
South Africa: 2,605 (1,654 active; 903
recovered; 48 deaths)
- 44 cases per million; 0.8 deaths per million
- April 10: 2,003 (1,569 active; 410 recovered; 24
deaths) and 34 cases per million; 0.4 deaths per
million
Morocco: 2,528 (2,122 active; 273
recovered; 133 deaths)
- 68 cases per million; 4 deaths per million
- April 10: 1,448 (1,168 active; 109 recovered; 97
deaths) and 39 cases per million; 3 deaths per
million
Algeria: 2,268 (1,137 active; 783
recovered; 133 deaths)
- 52 cases per million; 8 deaths per million
- April l0: 1,761 (1,100 active; 405 recovered;
256 deaths) and 40 cases per million; 6 deaths per
million
Cameroon: 996 (810 active; 164 recovered;
22 deaths)
- 38 cases per million; 0.8 deaths per million
- April 10: 820 (710 active; 54 recovered; 12
deaths) and 31 cases per million; 2 deaths per
million
As of April 17, there are 19,398 cases in Africa,
roughly double the number of cases a week earlier.
Egypt has overtaken South Africa with the highest
number of cases in the past week,
On April 13, the African Union informed that "As
part of the efforts to strengthen Africa's
response and preparedness in combating the
COVID-19 pandemic, the African Union Commission
through the Africa Centres for Disease Control and
Prevention (Africa CDC) and the United Nations
Development Programme (UNDP) have jointly designed
a program to support on-going efforts in Africa.
"The joint program aims to coordinate COVID-19
response to recovery efforts along with Member
States, Regional Economic Communities and Regional
Mechanisms (RECs/RMs) as well as Civil Society
Organisations (CSOs) and Faith-based Organizations
(FBOs) to ensure coordinated cooperation and
communication and to adopt a holistic approach.
The four joint interventions areas are:
- Regional coordination and building of
synergies;
- Socio-economic, health, governance and political
impact assessments;
- Capacity building and knowledge sharing;
- Risk communication strategies and sensitization
campaigns;
"These areas are aligned with both the Africa
CDC's mandate and the continental strategy on
COVID-19 preparedness and response as well as the
UNDP's regional approach on response to recovery.
"Specific focus on surveillance; laboratory;
counter-measures guidance; health care
preparedness; risk communications and social
engagement; supply-chain management continues to
be led by the Africa CDC."
Africa CDC on April 14 informed that "The first
United Nations 'solidarity flight' left Addis
Ababa, Ethiopia, today from where it will
transport vital medical cargo to all countries in
Africa, where supplies are desperately needed to
contain the spread of COVID-19.
"The WHO cargo was transported by the United
Nations World Food Programme (WFP), and includes
face shields, gloves, goggles, gowns, masks,
medical aprons, and thermometers, as well as
ventilators.
"The cargo also includes a large quantity of
medical supplies donated by the Ethiopian Prime
Minister Abiy Ahmed and Jack Ma Foundation
Initiative to reverse COVID-19 in Africa. The
African Union, through the Africa Centres for
Disease Control and Prevention (Africa CDC) is
providing technical support and coordination for
the distribution of the supplies."
WHO Director-General Dr. Tedros noted that "The
Solidarity Flight is part of a larger effort to
ship lifesaving medical supplies to 95 countries."
The WHO cargo includes one million face masks, as
well as personal protective equipment, which will
be enough to protect health workers while treating
more than 30,000 patients across the continent.
The WHO Africa region reports that countries'
experience dealing with Ebola and Influenza is
being brought to bear on the COVID-19 pandemic. It
gives the example of Tanzania, and states,
"Tanzania is tapping into the skills of health
workers already knowledgeable in infectious
disease control, established influenza sentinel
surveillance system and repurposing facilities to
tackle the new virus.
"When the tenth Ebola outbreak erupted in the
Democratic Republic of the Congo in 2018, Tanzania
trained 2,400 health workers. Training sessions
initially planned for Ebola were reviewed to
include COVID-19. More than 300 of them have now
been retrained to join the frontline ranks of the
country's COVID-19 battle.
"In regions that had been identified as being at
high risk of Ebola, rapid response teams were
formed and trained, and authorities identified
isolation areas at specific health facilities in
each district and health workers trained to manage
those units and handle suspected cases. The health
workers and the resources are now proving critical
in COVID-19 response.
"In addition, structures such as isolation units
in district health facilities set up for Ebola
preparedness are now being turned into COVID-19
units. All the country's 26 regions have been
instructed to designate isolation areas for
potential COVID-19 infection, while health worker
training in patient triage for Ebola readiness now
counts among the assets in curbing the spread of
the new coronavirus.
[...]
"WHO Tanzania is working with the Ministries of
Health in mainland Tanzania and in Zanzibar to
build the capacity of health workers on clinical
care, improving infection prevention, laboratory
testing and other prevention measures. A total of
182 facilities have been designated to be able to
isolate and treat COVID-19 in all district
councils. The government has also identified 26
regional referral facilities to be capacitated to
provide critical care. Most of the referral
facilities already have staff trained in advanced
care for Ebola, which included critical care.
[...]
"The government has also intensified public
health education, working with WHO, UNICEF,
religious leaders and telecommunications firms to
provide facts and debunk rumours about COVID-19."
In Oceania on April 17:
Australia: 6,523 (2,639 active; 3,819
recovered; 65 deaths)
- 256 cases per million; 3 deaths per million
- April 10: 6,328 (3,043 active; 3,141 recovered;
54 deaths) and 245 cases per million; 2 deaths per
million
New Zealand: 1,409 (582 active; 816
recovered; 11 deaths)
- 292 cases per million; 2 deaths per million
- April 10: 1,239 (921 active; 317 recovered; 1
death) and 266 cases per million; 0.4 deaths per
million
Guam: 135 (5 deaths)
- April 10: 128 (4 deaths)
French Polynesia: 55
- 196 per million
- April 10: 51 and 182 per million
New Caledonia: 18 (4 active; 14 recovered)
- April 10: 18 (17 active; 1 recovered)
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