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Coronavirus Disease 2019 (COVID-19) External Situation Report #54 26 May 2021 Period of Report: 19 May 2021 to 25 May 2021 as of 26 May 2021, 10:00 (GMT+8)

Overall strategy The World Health Organization (WHO) Western Pacific Regional Office (WPRO) encourages countries to improve detection of COVID-19 transmission, to respond to detection with quick and targeted measures, and to focus efforts on preventing transmission among the vulnerable.

Key highlights ● New cases of COVID-19 were reported in 19 Western Pacific (WPR) countries or areas within the past seven days ( 42, Darussalam 1, Cambodia 3 707, 3 321, 81, French 25, 31, 32 834, of Korea 4 219, Lao People’s Democratic Republic (PDR) 191, 46 468, Mongolia 4 210, 1, 11, 7, 776, 34 295, 239 and Viet Nam 1 388). ● Five countries or areas in the WPR that had reported cases in the past have reported no new cases within the past seven days ( (189 days), (100 days), (46 days), (79 days) and (19 days)). ● Eleven Pacific Island countries and areas have not reported a case to date (, , , (Federated States of), , , , Islands, , and ). Epi update Member States Cases Deaths COVID-19 19 131 847 1 812 countries or areas reporting cases past 7 days past 7 days in the past 7 days 16 2 912 355 43 624 countries or areas reporting ZERO cumulative cases cumulative deaths cases for more than 7 days

Deployments 344 247 50 24 18 COVID-19 total deployments actively supporting actively supporting currently supporting response deployments completed country offices regional office remotely

Supplies and logistics for health care workers shipped to 37 destinations in the Western Pacific Region (as of 26 May 2021)

11 196 500 1 666 329 503 905 313 610 1 068 532 3 239 100 24 294 surgical masks particulate respirators medical gowns goggles face shields pairs of gloves alcohol-based hand rub (100mL)

598 024 338 160 1 369 190 288 1 821 13 730 laboratory tests point of care tests swab kits ICU ventilators Oxygen concentrators pulse oximeters

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Coronavirus Disease 2019 (COVID-19) External Situation Report #54 26 May 2021 Period of Report: 19 May 2021 to 25 May 2021 as of 26 May 2021, 10:00 (GMT+8)

Weekly situation updates ● In the WPR, 24 countries and areas have reported COVID-19 cases since December 2019. Between 19 May and 25 May 2021, a total of 131 847 cases with 1 812 deaths were reported, for a cumulative 2 912 355 cases with 43 624 deaths (proportion of fatal cases (PFC) 1.5%) as of 26 May 2021, 17:00 (GMT+8). Available data indicate most countries or areas in the WPR have identified imported cases1 or localized community transmission, while subnational areas in some WPR countries and areas have identified large-scale community transmission. Figure 1 shows the geographical distribution of cases reported in the last seven days. o Countries and areas with large-scale community transmission: ▪ Japan (Aichi, Fukuoka, Hokkaido, Hyogo, Kyoto, Nara, Okinawa, Osaka and Tokyo), Malaysia (Johor, Kedah, Kelantan, the Federal of Kuala Lumpur, Negeri Sembilan, Penang, Perak, Sarawak and Selangor), Mongolia (Ulaanbaatar), (Eastern New Britain, Madang, Manus, National Capital District and Western Highlands) and the Philippines (National Capital Region, Region III and Region IV-A). o Countries and areas with localized community transmission: ▪ Cambodia (Phnom Penh and Preah Sihanouk province), Guam, Japan (rest of the 34 prefectures), the Republic of Korea, Lao PDR (Vientiane capital), Malaysia (the Federal Territory of Labuan, Malacca, Pahang, Perlis, the Federal Territory of Putrajaya, Sabah, Terengganu), Papua New Guinea (rest of 17 provinces), the Philippines (rest of the 14 ) and Viet Nam (Hanoi capital, Bac Giang, Bac Ninh, Dien Bien, Da Nang and Ho Chi Minh City). Globally, 167 423 479 COVID-19 cases with 3 480 480 deaths have been reported in 223 countries or areas (2.1% PFC) as of 26 May 2021 10:39 CEST. Recent daily new cases in the South-East Region appear to be decreasing, but remain high. Data from the daily trends of the Eastern Mediterranean Region and European Region appear to be decreasing, while the trends of daily new cases in the Regions of the and the African Region appear to have plateaued.

1 0-No cases—no cases detected and no clear signals of transmission for at least 28 days (or two incubation periods); 1-Imported cases—cases reported in the past 28 days are imported or linked to importation within 3 generations, and there are no clear signals of local transmission; 2-Localized community transmission—cases reported in the past 28 days are localized and cannot be linked to importations, though most are linked to a cluster, and there are no clear signals of large-scale community transmission; 3-Large-scale community transmission—most cases reported in the past 28 days have no known link to a cluster and are spread across the , and there are clear signals of increasing transmission and severe outcomes. 2 of 7

Coronavirus Disease 2019 (COVID-19) External Situation Report #54 26 May 2021 Period of Report: 19 May 2021 to 25 May 2021 as of 26 May 2021, 10:00 (GMT+8)

Figure 1. Countries or areas with reported confirmed cases of COVID-19, covering the period from 19 May to 25 May 2021, as of 26 May 2021 10:00 (GMT+8)

Figure 2. Epidemic curve of confirmed COVID-19 cases in countries or areas with highest number of cases, as of 26 May 2021 10:00 (GMT+8)

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Coronavirus Disease 2019 (COVID-19) External Situation Report #54 26 May 2021 Period of Report: 19 May 2021 to 25 May 2021 as of 26 May 2021, 10:00 (GMT+8)

Figure 3. Epidemic curve of confirmed COVID-19 cases in countries or areas with small number of cases, as of 26 May 2021 10:00 (GMT+8)

Table 1. Countries or areas with reported laboratory-confirmed COVID-19 cases and deaths, covering the period from 19 May to 25 May 2021, as of 26 May 2021 10:00 (GMT+8) (n = 2 912 355) New cases New deaths Change in 7-day Days since last Country or area (cumulative) (cumulative) average reported case American Samoa 0 (0) 0 (0) - - Australia 42 (30 030) 0 (910) -1.00 0 Brunei Darussalam 1 (236) 0 (3) -0.57 4 Cambodia 3 707 (26 989) 31 (190) 160.00 0 China 3 321 (108 361) 21 (4 881) 307.14 0 Cook Islands 0 (0) 0 (0) - - Fiji 81 (259) 0 (4) 7.86 0 25 (18 853) 1 (142) -0.86 0 Guam 31 (7 904) 0 (139) -3.29 0 Japan 32 834 (725 536) 646 (12 497) -1 166.57 0 Kiribati 0 (0) 0 (0) - - Korea, Republic of 4 219 (137 682) 28 (1 940) -47.86 0 Lao PDR 191 (1 878) 0 (2) -19.14 0 Malaysia 46 468 (525 889) 375 (2 369) 2 214.86 0 Marshall Islands 0 (4) 0 (0) 0.00 189 Micronesia (Federal States of) 0 (0) 0 (0) - - Mongolia 4 210 (53 734) 34 (255) 88.86 0 Nauru 0 (0) 0 (0) - - New Caledonia 1 (126) 0 (0) 0.00 1 New Zealand 11 (2 313) 0 (26) -0.57 1 4 of 7

Coronavirus Disease 2019 (COVID-19) External Situation Report #54 26 May 2021 Period of Report: 19 May 2021 to 25 May 2021 as of 26 May 2021, 10:00 (GMT+8)

New cases New deaths Change in 7-day Days since last Country or area (cumulative) (cumulative) average reported case Niue 0 (0) 0 (0) - - Northern Mariana Islands 7 (181) 0 (2) 0.43 4 Palau 0 (0) 0 (0) - - Papua New Guinea 776 (15 415) 21 (162) -88.71 0 Philippines 34 295 (1 188 666) 647 (20 019) -937.00 0 0 (0) 0 (0) - - Samoa 0 (1) 0 (0) 0.00 100 Singapore 239 (61 890) 1 (32) -1.29 0 Solomon Islands 0 (20) 0 (0) 0.00 46 Tokelau 0 (0) 0 (0) - - Tonga 0 (0) 0 (0) - - Tuvalu 0 (0) 0 (0) - - Vanuatu 0 (3) 0 (0) 0.00 79 Viet Nam 1 388 (5 931) 7 (44) 59.43 0 Wallis and Futuna 0 (454) 0 (7) 0.00 19 Total 131 847 (2 912 355) 1 812 (43 624) 571.71 0 Data continues to be collected and may change according to Member States’ daily reports.

Table 2. Countries or areas in the Western Pacific Region that have reported variants of concern, as of 26 May 2021 10:00 (GMT+8) Variant detected Country or area B.1.1.7 B.1.351 B.1.1.28.1 B.1617 Australia X X X X Brunei Darussalam X X Cambodia X X China X X X Fiji X French Polynesia X X Guam X X Japan X X X X Lao PDR X Malaysia X X X New Caledonia X New Zealand X X Philippines X X X X Republic of Korea X X X X Singapore X X X X Viet Nam X X X Wallis and Futuna X

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Coronavirus Disease 2019 (COVID-19) External Situation Report #54 26 May 2021 Period of Report: 19 May 2021 to 25 May 2021 as of 26 May 2021, 10:00 (GMT+8)

New guidance ● On 19 May 2021, WHO Headquarters published Preventing and mitigating COVID-19 at work. This joint WHO and International Labour Organization policy brief provides a summary of the evidence for transmission of COVID-19 in workplaces outside of healthcare facilities and recommendations for prevention and mitigation of COVID-19 to protect health and safety at work.

New communications materials

Make it easy for everyone to keep their hands clean at work to prevent #COVID-19!

Learn more about COVID-19 and the workplace: https://bit.ly/30odzzH #StaySafe!

WPRO Website

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Coronavirus Disease 2019 (COVID-19) External Situation Report #54 26 May 2021 Period of Report: 19 May 2021 to 25 May 2021 as of 26 May 2021, 10:00 (GMT+8)

Key information and announcements

Information and planning ● WHO WPRO is continuing to monitor incidence of COVID-19 and transmission levels within countries and areas across the Region. Updated information is available on the WPRO dashboard. ● WHO WPRO continues to work closely with WHO representative offices in Lao PDR, Mongolia, Papua New Guinea, the Philippines and the South Pacific to provide technical assistance for surveillance, analysis and response to the current outbreaks.

Strategic communication ● WHO Representative Office for the Philippines has prepared a video entitled: “I wear a mask because…”, where WHO colleagues share their thoughts on why they continue wearing mask during the COVID-19 pandemic. ● A few news releases have been published on WPRO website marking the newest deliveries of COVAX vaccines to the countries in the Region, including Vanuatu and Viet Nam.

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