Worldwide Health Alert - COVID-19 Update

Updated on 10 April 2020


The Situation:

As of Friday, 10 April, there are 1,619,495 confirmed COVID-19 cases worldwide – over 172,000 more cases than Wednesday. This data includes 97,200 deaths and 365,142 recoveries. A total of 185 countries are reporting confirmed cases.

Public health officials around the world say the only way to keep the death toll from growing quickly is to extend lockdowns.

There are concerns heading into the Easter holiday weekend and the possible outcomes if people do not heed social distancing during this time, with some countries taking strict measures to prevent intercity travel.

Below is an example of the virus’ progression from inception to reported numbers:


The U.N. Secretary General: “the pandemic is the world’s biggest challenge since World War II” as a U.N. report estimates that 25 million jobs could be lost worldwide. Experts are saying the number of cases and deaths worldwide are “seriously under-counted” due to mild cases that are missed, lack of testing and governments underplaying the pandemic’s impact.

Vaccine trials are under way in the U.S., Europe and China, but will take 12-18 months to be fully developed and released to the public.



Europe

  • U.K. death toll rose by 881 in 24-hours as PM Jonson is moved out of ICU, while remaining in the hospital to complete recovery.

  • Spain reported 605 new deaths in lowest daily number since 23 March.

  • Italy closed ports Tuesday, stating that during the national health emergency they cannot be considered a “place of safety”. Still, small migrant boats from Unisia and Libya continue to arrive.

- More than 100 doctors have died in Italy due to coronavirus since February.

  • Germany saw new cases increase by 5,323 as upward trend continues.

  • Hungary reported the highest daily rise in cases with 210, totaling 1,190. Prime Minister Viktor Orban’s government prolonged the nationwide lockdown indefinitely on Thursday.

  • Russia reported a new record of new daily cases with 1,786, totaling 11,900 with deaths rising by 18 to 94.


Asia/ Southeast Asia

  • The WHO warned that the pandemic is “far from over” in Asia.

  • In China, 42 new cases were reported, 38 of which were imported while 1,169 suspected cases are being monitored in isolation.

  • South Korea reported 27 new cases – the 9th consecutive day below 100

- 91 people tested positive again after previously being confirmed as “cured patients”. Similar reports have come out of China and Japan. Epidemiological investigation into the cases and whether they are (have been) infectious or if they’ve formed antibodies is underway.

  • Indonesia reported 219 new cases, totaling 3,512, including 26 new deaths.

  • Malaysia extended movement and travel restrictions through 28 April. The country has the highest number of cases in Southeast Asia with over 4,200 cases, including 118 new cases reported Friday.


Middle East

  • Iran’s death toll rises to 4,232 with 122 new deaths reported. Remains most affected country in the Middle East.

  • Israel shuts down highways and banned unauthorized intercity travel to stop travel for Passover. Police and military roadblocks surrounding Jerusalem and other cities will be in place until Friday.

  • 3 March: WHO’s regional director for the eastern Mediterranean calls for countries in the region to “be more aggressive” in testing and tracing efforts as the Middle East sees a jump in cases over the week from 32,000 to 58,000. Refugee camps are of particular concern.


Africa

  • The WHO says some African countries could peak in next couple weeks, observing that numbers have doubled over past 4 days with concerns over lack of testing.

  • More than half of Africa’s 54 countries have implemented lockdowns, travel ban, curfews or other restrictive measures in efforts to stem the spread of coronavirus. Leaders warn that the continent faces economic collapse if financial assistance isn’t provided to the millions that are out of work.

  • There has been an increase in reports of police and military abuses of civilians. A 13-year-old boy was shot and killed in the Mathare area of northeastern Nairobi, Kenya earlier this week. Other reports coming from Uganda and other countries as well.


South/Central America

  • Mexico saw a 260 case increase, totaling 3,441 cases and 194 deaths.


U.S.

  • U.S. cases rose to 466,396 confirmed cases, 16,703 total deaths and 26,522 recovered. U.S. Surgeon General warns that this is going to be the “hardest and saddest week of most Americans’ lives.”

  • New York State surpassed all other countries as the number of cases totaled 161,807.

  • Dr. Fauci said a test for detecting previous infections and levels of immunity will be available in the coming days; however, it remains unclear what sort of immunity one gets from having the virus or for how long.

  • Federal stay-at-home measures and social distancing guidelines were extended through 30 April. On 30 March, the FDA issued limited emergency use authorization for drugs usually used to treat malaria: chloroquine and hydroxychloroquine.

  • Dr. Fauci says it would “not be surprising” to see 100,000 deaths in U.S. from the coronavirus. Compared to the 2017-2018 flu season, which killed 60,000 in the U.S., stating that this virus is “clearly worse”. High end projections put number of U.S. deaths at around 200,000.



Please note changes to the following chart: Numbers in ( ) reflect ranking of country in the previous report on 8 April for comparison. New countries to reach the top 25 and data are in red. New numbers are in red and numbers from last report are in black.



Other significant factors for consideration:

  • Experts estimated the actual number of cases could be much higher than what is being officially recorded and reported. If that is true, the mortality rate could be much lower.

  • Men were also disproportionately affected during MERS and SARS outbreaks.

  • Women, in general, have a stronger immune response than men.

  • China accounts for nearly a third of the world’s smokers with more than half of the men smoking compared to just over 2% of China’s women smoking.


Travel Effects:

  • Many countries have urged citizens to reconsider travel or avoid nonessential travel to China and avoid all travel to Hubei.

  • Airlines around the world suspended services to all or some of China and other hot spots around the globe.

  • Several countries banned foreigners who recently traveled to China and/or are Chinese passport holders and increased health screening measure at ports of entry

  • Specialized quarantines based on needs per country.

  • Travel Ban on Europe – to take affect Friday, March 13 at midnight, no travel from Schengen Area countries.

- From DHS: These countries, known as the Schengen Area, include: Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, Sweden, and Switzerland. This does not apply to legal permanent residents, (generally) immediate family members of U.S. citizens, and other individuals who are identified in the proclamation. LINK

- The Department of State advises U.S. citizens to avoid all international travel due to the global impact of COVID-19.

* In countries where commercial departure options remain available, U.S. citizens who live in the United States should arrange for immediate return to the United States, unless they are prepared to remain abroad for an indefinite period.

* U.S. citizens who live abroad should avoid all international travel. Many countries are experiencing COVID-19 outbreaks and implementing travel restrictions and mandatory quarantines, closing borders, and prohibiting non-citizens from entry with little advance notice.

* Airlines have cancelled many international flights and several cruise operators have suspended operations or cancelled trips. If you choose to travel internationally, your travel plans may be severely disrupted, and you may be forced to remain outside of the United States for an indefinite timeframe.

- On March 14, the Department of State authorized the departure of U.S. personnel and family members from any diplomatic or consular post in the world who have determined they are at higher risk of a poor outcome if exposed to COVID-19 or who have requested departure based on a commensurate justification. These departures may limit the ability of U.S. Embassies and consulates to provide services to U.S. citizens.

  • Department of State – Information for Travelers - LINK

- Includes advise for U.S. citizens that are currently abroad with specific information for those in China, Europe and on cruise ships.

- Covid-19 virus related emergency numbers:

* From U.S. or Canada: 1-888-407-4747

* From Overseas: +1 202-501-4444

* Enroll in STEP - LINK

  • Current CDC Travel Alerts for Covid-19:

- Level 3 – Avoid all nonessential travel – Global COVID-19 Pandemic Notice – Widespread Ongoing Transmission - LINK

- See LINK for all current travel alerts by country


Symptoms to Watch Out For:

Officials say the respiratory disease, is capable of spreading through human-to-human contact, droplets carried through sneezing and coughing, and germs left on inanimate objects. The virus might spread during the incubation period – which is believed to be from 1 to 14 days. Be on the lookout for the following symptoms:

  • High fever

  • Difficulty breathing or shortness of breath

  • Cough (usually dry) and/or sore throat

  • Fatigue

  • Muscle Aches in some cases also being reported

  • Loss of smell and/or taste (uncommon)

  • Confusion, stroke-like symptoms, and/or seizures (rare)

  • Pneumonia (secondary infection)


Mitigating Measures to Apply:

  • Monitor local authorities for updates

  • Avoid travel to or through China (including layovers) and specifically through Wuhan and Hubei province, Northern Italy, South Korea, certain areas in the United States and other notable hotspots where transmission is high or on the rise across the globe.

  • Avoid non-essential travel to areas where the infection is known or spreading rapidly

  • Travelers who return from infected areas should self-quarantine

  • Practice social distancing at the workplace and in public spaces

  • Consider work from home arrangements for employees in locations where the virus is spreading or if employees must transit through those areas

  • Employees who feel ill or who have flu-like, respiratory or other symptoms should consider self-quarantine and or stay at home instead of attending office or other functions

  • Weigh the risks of conducting large scale gatherings where the virus is located and the potential for attendees to transit through higher risk areas

  • Large scale gatherings should be avoided

  • Avoid contact with animals (alive or dead), animal markets, and products that come from animals (such as uncooked meat)

  • Wash hands frequently with soap and water; use an alcohol-based hand sanitizer if soap and water isn’t available

  • Older travelers and those with underlying health issues may be at higher risk and should speak to their healthcare provider before travel

  • Avoid exposure to those presenting the above symptoms

  • Avoid populated areas and gatherings if you feel ill (if at all possible)

  • Allow extra time for temperature screening at airports worldwid

  • Enroll in a Safe Traveler Program to receive warnings from your preferred embassy

  • Seek medical care immediately if you experience symptoms and have recently traveled to the infected areas; notify your healthcare provider of your recent travel

  • Confirm travel schedule is not impacted by the coronavirus (including quarantines, which may be individually-imposed, visit/visa restrictions, entry/exit requirements and restrictions, etc.)

  • Ensure the validity of all visas prior to travel as this could be subject to restrictions and changes

Affected Travelers and others:

All travelers have the potential for exposure


DISCLAIMER and Hold Harmless

Disclaimer: LSDS™ gathers information from multiple sources and offers insight and perspective to travelers. Sources cannot be validated for accuracy in every instance. Travelers assume all risk associated with their travel and are responsible for the decisions associated with travel and for their own safety. Users of this reference document agree, to hold harmless LSDS™ (LLC) its employees and clients associated with any risk or injury incurred during travel.

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