COVID-19 Pandemic in the Region of the Americas

 
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COVID-19 Pandemic in the Region of the Americas
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COVID-19 Pandemic in the Region of the Americas

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COVID-19 Pandemic in the Region of the Americas
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
COVID-19 Pandemic in the Region of the Americas
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/
COVID-19 Pandemic in the Region of the Americas
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                            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
COVID-19 Pandemic in the Region of the Americas
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    • 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).
COVID-19 Pandemic in the Region of the Americas
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                                  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.
COVID-19 Pandemic in the Region of the Americas
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    • 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.
COVID-19 Pandemic in the Region of the Americas
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                              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.
COVID-19 Pandemic in the Region of the Americas
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
COVID-19 Pandemic in the Region of the Americas
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

             z            Slide No.
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.
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COVID-19 Pandemic in the Region of the Americas

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