COVID-19 Pandemic in the Region of the Americas
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Global Situation (as of 4 January 10H CET) Global Overview As of 22 March: • More than 122 million cases of COVID-19 including approximately 2.7 million deaths have been reported worldwide. • Of the total, nearly 3.3 million cases including 60,257 deaths were reported in the past week • PAHO represents the 36% of the global cases and 52% of global deaths
Global Situation (as of 4 January 10H CET) Global Overview The global cases and deaths are once more increasing after a six-week period of sustained decline between EW 1 and EW 7 of 2021 Globally, of the top 10 countries reporting the highest number of new covid-19 cases in the past week, the top two are from the region of the Americas – Brazil & the United States of America Epidemiological Week of report https://covid19.who.int/
4 Region of the Americas: COVID-19 CASES As of 22 March: • Close to 54 million cases of COVID-19 including 1.3 million deaths have been reported in the region of the Americas from all 54 countries and territories. • Cases peaked in EW 1 of 2021 (January) after which there was a sustained decline for six consecutive weeks. • However, since then, weekly cases have stagnated around 1 million for the past 4 weeks. • This is mainly due to the epidemic behavior of the two biggest contributors – the United States where the weekly decline in cases has Previous week: stagnated for the past four weeks and Brazil, 1,173,561 new confirmed cases from 49 countries. where the weekly cases have been increasing 31,040 new deaths from 33 countries. for the past five weeks. 35.8% of new global cases 51.5% of new global deaths
5 • Besides the United States, in the other two countries of the north American subregion, the new weekly cases decreased by 22% in Mexico (30,139 cases) (light blue color) and increased by 11%% (632 new cases) in Canada (orange color) relative to the previous week. • New weekly cases have also increased between 10%-50% (orange color) in several countries/territories belonging to other subregions in the Americas such as Guatemala in Central America, Chile, Paraguay and Uruguay in South America &, all the countries in the Andean sub- region. • In the Caribbean sub-region, six countries/territories reported an increase of greater than or equal to 50% compared to the previous week (Curacao, Bonaire, Turks and Caicos Islands, Bermuda, and Grenada).
6 Region of the Americas: COVID-19 DEATHS As of March 22: After four consecutive weeks of decline in the weekly deaths in the region, it increased slightly again in epidemiological week 11 driven primarily by Brazil. The weekly deaths continue to decline in the United States and Mexico for the fifth consecutive week.
7 • In the past week, Brazil had the highest mortality rate (72 deaths per 1 million population) followed by Peru, Chile and Paraguay. • In terms of relative change compared to the previous week, many countries experienced 20% or higher increase in deaths across all subregions in the Americas: Guatemala (20%) and Honduras (24%) in Central America; Bolivia (21%), and Colombia (26%) in the Andean Region and Brazil (23%), & Paraguay (43%) and Uruguay (37%) in South America. • In the Caribbean subregion – Curacao, Guadeloupe, Aruba, Barbados, Haiti and Saint Vincent and the Grenadines all experienced an increase of 100% or higher in their weekly number of deaths compared to the previous week.
8 VARIANTS IN THE REGION Reporting all 3 VOCs Reporting all 2 VOCs Countries and territories in the region of the Americas that have reported at least one case of the three Variants of Concern (VOC) as defined by the WHO. As of 23 March 2021. Reporting all 1 VOC Source: Data provided by ministries of Health via IHR channels and/or EBS surveillance.
Illustrative Country Indicators All 35 countries have: • Functioning multi-sectoral, multi- partner coordination mechanism for COVID-19 • In-country capacity or access to international laboratory (e.g., CARPHA) that can provide results within 72 hours • Clinical referral system in place to care for COVID-19 cases
Analysis of 4 countries (ICUs) as of 17 November 2020 PENDING UPDATE FOR 2021 Impact on Health Services – ICU beds Increase Peru Chile Colombia Mexico Total Baseline/March 820 1,500 5,845 2,446 10,611 1-Jul 1,335 2,780 6,898 6,853 17,866 141.4% 31-Jul 1,618 3,051 8,968 11,634 25,271 30-Sep 1,725 2,556 10,443 10,657 25,381 Increase in the 17-Nov 1,479 2,229 11,253 10,657 25,618 capacity of ICUs Increase Peru Chile Colombia Mexico Total Peru Chile Colombia Mexico Occupancy Baseline 80% 80% 45% 45% 17-Nov 80.4% 48.6% 92.5% 335.7% 141.4% rate 64% 1-Jul 80% 90% 62% 50% 31-Jul 88% 81% 75% 55% ICU beds 30-Sep 82% 82% 73% 72% 17-Nov 67% 84% 55% 72% 10,611 17,866 25,271 25,381 25,618 In use Avalaible 11,634 11,253 10,657 10,657 10,443 Average 67% 74% 65% 8,968 occupancy 6,898 6,853 63% rate 5,845 8250 6499 8810 52% 3,051 2,780 2,556 6593 2,446 2,229 1,725 1,618 1,500 1,479 1,335 18,882 820 5024 16,951 16,808 11,274 5,587 BASE 1-JUL 31-JUL 30-SEP 17-NOV LINE/MARCH BASE 1-JUL 31-JUL 30-SEP 17-NOV Peru Chile Colombia Mexico LINE/MARCH
COVID-19 Response 177 198 15,681 1,359 As of 10 March 2021
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COVID-19 Key Challenges By Strategic Area Surveillance, Rapid Response Points of Entry, international Teams, and Case Investigation travel, and transport Country surveillance systems have Limited ability of the health sector to influence challenges to adapt and expand decision-making related to the measures to capacities against a backdrop of varying mitigate risks associated with resuming non- transmission intensity, variant emergence, essential international travel, including in relation to testing and proof of vaccination for travelers. and vaccine introduction.
COVID-19 Key Challenges By Strategic Area Infection Prevention National Laboratories and Control • Limited capacity to implement national • Limited in-country capacity to to rapidly regulatory IPC frameworks: governance, identify and report variants of concern guidelines, education and training, HAI (VOC). surveillance, multimodal strategies, and M&E of IPC practices.
COVID-19 Key Challenges By Strategic Area Operational Case Management Support and Logistics Lack of sufficient and sustained resources for the Adapting/managing health services networks to deliver timely procurement and distribution of vaccines, optimized standard of care for all COVID-19 patients in a rational, sustainable and evidence-based manner. PPEs, equipment and diagnostic supplies to priority countries and emergency hotspots
COVID-19 Key Challenges By Strategic Area Maintaining Essential Health Services and Systems during the Pandemic • Limited investment in the first level of care to increase resolution capacity, including human resources (with adequate training and PPE), medicines and other health technologies, for a comprehensive response during the pandemic (essential health services and COVID-19 related services). • Ensuring safe and decent working conditions for health care workers, including equal pay, access to PPE, training, and access to support services (including mental health). • Lack or limited legal provisions for authorizing medicines and other health technologies for emergency use that result in a negative impact on the supply chain.
COVID-19 Key Challenges By Strategic Area Vaccination • Reaching priority groups in the different stages of vaccination, within the context of limited vaccine availability. • Limited in-country operational capacity to guarantee the financial, human and related necessary resources to ensure COVID-19 vaccine deployment. • Ensuring that COVID-19 vaccination strengthens routine immunization programs to avoid the reemergence of vaccine preventable diseases.
z COVID-19 Pandemic in the Region of the Americas z Slide No.
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