<strong>covid-19 эпидемиологическое обновление 22 декабря 2023</strong>

COVID-19 Коронавирусная пандемия

Информация о первых 20 внутренних случаях (за исключением случаев репатриации и случаев эвакуации с круизного корабля Diamond Princess) представлена в таблице ниже:

Обзор

Глобально количество новых случаев увеличилось на 52% за 28-дневный период с 20 ноября по 17 декабря 2023 года по сравнению с предыдущим 28-дневным периодом, с более чем 850 000 новых случаев. Количество новых смертей уменьшилось на 8% по сравнению с предыдущим 28-дневным периодом, с более чем 3000 новыми жертвами. К настоящему моменту, по состоянию на 17 декабря 2023 года, глобально было подтверждено более 772 миллионов случаев и почти семь миллионов смертей.

За период с 13 ноября по 10 декабря 2023 года было зафиксировано более 118 000 новых госпитализаций из-за COVID-19 и более 1600 новых поступлений в реанимационное отделение (РИТ) с общим увеличением на 23% и 51% соответственно среди стран, которые регулярно представляют данные в текущих и прошлых отчетных периодах.

К 18 декабря 2023 года подлинной вариантом BA.2.86 Omicron был назначен подвид JN.1, отличный от своего родительского подвида BA.2.86 из-за его быстрого увеличения распространенности в последние недели. Глобально вариант EG.5 остается наиболее распространенным подвидом, интересующим ВОИ.

В этом издании мы включаем:

Aaron Katz, Adam Lee, Alan Ravitz, Alex Roberts, Alexander Evelo, Amanda Galante, Amina Mahmood, Angel Aliseda Alonso, Anna Yaroslaski, Arman Kalikian, Beatrice Garcia, Breanna Johnson, Cathy Hurley, Christina Pikas, Christopher Watenpool, Cody Meiners, Cory McCarty, Dane Galloway, Daniel Raimi Zlatic, David Zhang, Doug Donovan, Elaine Gehr, Emily Camacho, Emily Pond, Ensheng Dong, Eric Forte, Ethel Wong, Evan Bolt, Fardin Ganjkhanloo, Farzin Ahmadi, Fernando Ortiz-Sacarello, George Cancro, Grant Zhao, Greta Kinsley, Gus Sentementes, Heather Bree, Hongru Du, Ian Price, Jan LaBarge, Jason Williams, Jeff Gara, Jennifer Nuzzo, Jeremy Ratcliff, Jill Rosen, Jim Maguire, John Olson, John Piorkowski, Jordan Wesley, Joseph Duva, Joseph Peterson, Josh Porterfield, Joshua Poplawski, Kailande Cassamajor, Kevin Medina Santiago, Khalil Hijazi, Krushi Shah, Lana Milman, Laura Asher, Laura Murphy, Lauren Kennell, Louis Pang, Mara Blake, Marianne von Nordeck, Marissa Collins, Marlene Caceres, Mary Conway Vaughan, Meg Burke, Melissa Leeds, Michael Moore, Miles Stewart, Miriam McKinney Gray, Mitch Smallwood, Molly Mantus, Nick Brunner, Nishant Gupta, Oren Tirschwell, Paul Nicholas, Phil Graff, Phillip Hilliard, Promise Maswanganye, Raghav Ramachandran, Reina Chano Murray, Roman Wang, Ryan Lau, Samantha Cooley, Sana Talwar, Sara Bertran de Lis, Sarah Prata, Sarthak Bhatnagar, Sayeed Choudury, Shelby Wilson, Sheri Lewis, Steven Borisko, Tamara Goyea, Taylor Martin, Teresa Colella, Tim Gion, Tim Ng, William La Cholter, Xiaoxue Zhou, Yael Weiss

Программа по чрезвычайным ситуациям в области здравоохранения ВОЗ

Всемирная организация здравоохранения

Каково определение подтвержденности и отчетности в данных о COVID-19?

Важность достоверности статистики о COVID-19 от ВОЗ

Дата отчета vs дата начала симптомов

Вся статистика представлена на день составления отчета, а не на день начала симптомов. Вся статистика подлежит непрерывной верификации и может изменяться в зависимости от ретроспективных обновлений для точного отражения тенденций, изменений в определениях случаев страны и/или практиках отчетности. Значительные ошибки в данных, обнаруженные или сообщенные ВОЗ, могут быть исправлены с более частыми интервалами, и некоторые страны могут проводить ретроспективные массовые корректировки, что может привести к появлению значительных всплесков или отрицательных значений, которые проверяются и подтверждаются ВОЗ.

Определение подтвержденного случая

По данным ВОЗ, в статистической отчетности по COVID-19 важно отметить, что в подсчетах случаев и смертей учитываются только подтвержденные случаи. В руководстве, обновленном 22 июля 2023 года, существуют два альтернативных определения подтвержденного случая инфекции SARS-CoV-2 в международной статистической отчетности, хотя могут быть некоторые отклонения из-за местных адаптаций:

a) Человек с положительным тестом для ядернокислотной амплификации (NAAT), независимо от клинических критериев ИЛИ эпидемиологических критериев.b) Человек, отвечающий клиническим критериям И/ИЛИ эпидемиологическим критериям (подозреваемый случай A) с положительным профессиональным или самостоятельным тестом на антиген SARS-CoV-2 Antigen-RDT.

Сбор данных и доклады

Дополнительно, ВОЗ распространяет данные, только как сообщено его государствами-членами. С 31 декабря 2019 года по 21 марта 2020 года ВОЗ собирала данные о подтвержденных случаях и смертях COVID-19 через официальные коммуникации в соответствии с Международными Здравоохранительными Регламентами (МЭБ, 2005 год), дополненными отслеживанием официальных сайтов министерств здравоохранения и аккаунтов в социальных сетях.

С 22 марта 2020 года глобальные данные собираются через региональные панели ВОЗ и/или агрегированные данные, сообщенные непосредственно в штаб-квартиру ВОЗ государствами-членами. Статистические подсчеты включают как внутренние, так и репатриированные случаи. Определения обнаружения случаев, стратегии тестирования, практики отчетности и задержки (например, время уведомления о случае и время уведомления о смерти) различаются между странами, территориями и регионами. Эти факторы, среди прочих, влияют на представленные подсчеты с переменной недооценкой или переоценкой истинных чисел случаев и смертей, а также переменные задержки в отражении этих статистических данных на глобальном уровне.

Обратите внимание, что статистика не обязательно отражает фактическое число случаев и смертей или фактическое число стран, где происходят случаи и смерти, поскольку ряд стран прекратили докладывать или изменили частоту докладов.

Breon Peace, Генеральный прокурор США по Восточному округу Нью-Йорка, и Томас Фатторуссо, Специальный агент по расследованию финансовых преступлений, Нью-Йорк (IRS-CI), объявили арест и обвинение.

Обвинительное Резюме

Подтвержденный случай COVID-19

Хотя COVID-19 определяет симптоматическое заболевание, вызванное вирусом SARS-CoV-2, случаи, представленные в этой информационной доске, соответствуют одному из двух альтернативных определений подтвержденного случая инфекции SARS-CoV-2 в международной системе наблюдения:

a) Человек с положительным результатом теста на амплификацию нуклеиновых кислот (Nucleic Acid Amplification Test, NAAT), независимо от клинических критериев* или эпидемиологических критериев*. b) Человек, отвечающий клиническим критериям* И/ИЛИ эпидемиологическим критериям* (подозрительный случай A) с положительным результатом профессионального или домашнего теста на антигены SARS-CoV-2. *Пожалуйста, посетите Определение случая COVID-19 ВОЗ для получения подробной информации о клинических и эпидемиологических критериях. Обновлено 22 июля 2023 года

Последние 7 дней

‘Последние 7 дней’ относятся к самой последней завершенной эпидемиологической неделе (обычно называемой эпи неделей).

Последние 28 дней

‘Последние 28 дней’ относятся к четырем предшествующим завершенным эпидемиологическим неделям.

Группы доходов Всемирного банка

Всемирный банк классифицирует экономики по группам доходов на основе их валового национального дохода (ВНД) на душу населения. Годовые обновления этой классификации помогают Всемирному банку и другим организациям анализировать и понимать глобальные экономические тенденции, выделять ресурсы и разрабатывать политику развития.

COVID-19 case dataFrom the 31 December 2019 to the 21 March 2020, WHO collected the numbers of confirmed COVID-19 cases and deaths through official communications under the International Health Regulations (IHR, 2005), complemented by monitoring the official ministries of health websites and social media accounts. Since 22 March 2020, global data is compiled through WHO region-specific dashboards, and/or aggregate count data reported to WHO headquarters.WHO COVID-19 Dashboard is updated every Friday for the period of two weeks prior. Counts primarily reflect laboratory-confirmed cases and deaths, based upon WHO case definitions; although some departures may exist due to local adaptations. Counts include both domestic and repatriated cases. Case detection, definitions, testing strategies, reporting practice, and lag times (e.g. time to case notification, and time to reporting of deaths) differ between countries, territories and areas. These factors, amongst others, influence the counts presented with variable under or overestimation of true case and death counts, and variable delays to reflecting these data at a global level.All data represent date of reporting as opposed to date of symptom onset. All data are subject to continuous verification and may change based on retrospective updates to accurately reflect trends, changes in country case definitions and/or reporting practices. Significant data errors detected or reported to WHO may be corrected at more frequent intervals.New case and death counts from the Region of the AmericasStarting from the week commencing on 11 September 2023, the source of the data from the Region of the Americas was switched to the aggregated national surveillances, received through the COVID-19, Influenza, RSV and Other Respiratory Viruses program in the Americas. Data have been included retrospectively since 31 July 2023.Rates<0.001 per 100,000 population may be rounded to 0.

LicenseThe World Health Organization (“WHO”) encourages public access and use of the data that it collects and publishes on its web site data.who.int. The data are organized in datasets and made available in machine-readable format (“Datasets”). The Datasets have been compiled from data provided by WHO’s Member States under the WHO policy on the use and sharing of data collected by WHO in Member States outside the context of public health emergencies.Use of the data derived from the Datasets, which may appear in formats such as tables and charts, is also subject to these Terms and Conditions. Datasets may include data describing the Dataset called “Metadata”. If any datasets are credited to a source other than WHO, then those materials are not covered by these Terms and Conditions, and permission should be sought from the source provided. You are responsible for determining if this is the case, and if so, you are responsible for obtaining any necessary permission from the sources indicated. The risk of claims resulting from infringement of any third-party-owned component in the materials rests solely with you.You may use our application programming interfaces (“APIs”) to facilitate access to the Datasets, whether through a separate web site or through another type of software application. By using the Datasets or any presentations of data derived from them, or by using our APIs in connection with the Datasets, you agree to be bound by these Terms and Conditions, as may be amended from time to time by WHO at its sole discretion.Any dispute relating to the interpretation or application of this license shall, unless amicably settled, be subject to conciliation. In the event of failure of the latter, the dispute shall be settled by arbitration. The arbitration shall be conducted in accordance with the modalities to be agreed upon by the parties or, in the absence of agreement, with the UNCITRAL Arbitration Rules. The parties shall accept the arbitral award as final.

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Coronavirus Cases

Currently Infected Patients

in Mild Condition

Serious or Critical

Cases which had an outcome:

Recovered / Discharged

The charts above are updated after the close of the day in GMT+0. See more graphs

Reported Cases and Deaths by Country or Territory

Highlighted in green

= all cases have recovered from the infection

Highlighted in grey

= all cases have had an outcome (there are no active cases)

Million lives saved thanks to COVID-19 vaccines

Delivering his first message of the new year, Dr. Hans Kluge stressed that without vaccines, the death toll on the continent “could have been around four million, possibly even higher.”

More than 2.5 million COVID-19 deaths, and 277 million confirmed cases, were reported in the vast WHO European Region, which comprises 53 countries stretching from the Atlantic to the Pacific Ocean.

About this page

Countries around the world are working to “flatten the curve” of the coronavirus pandemic. Flattening the curve involves reducing the number of new COVID-19 cases from one day to the next. This helps prevent healthcare systems from becoming overwhelmed. When a country has fewer new COVID-19 cases emerging today than it did on a previous day, that’s a sign that the country is flattening the curve.

On a trend line of total cases, a flattened curve looks how it sounds: flat. On the charts on this page, which show new cases per day, a flattened curve will show a downward trend in the number of daily new cases.

This analysis uses a 7-day moving average to visualize the number of new COVID-19 cases and calculate the rate of change. This is calculated for each day by averaging the values of that day, the three days before, and the three next days. This approach helps prevent major events (such as a change in reporting methods) from skewing the data. The interactive charts below show the daily number of new cases for the most affected countries, based on the moving average of the reported number of daily new cases of COVID-19 and having more than 1 million inhabitants.

Patients Under Investigation (PUI) in the United States

CDC in the early stages released information regarding the number of cases and people under investigation that was updated regularly on Mondays, Wednesdays, and Fridays. Below we provide the historical reports that we were able to gather in order to track the progression in the number of suspected cases and US states involved through time in the initial stages

As of Feb. 10:

Number of U.S. States with PUI

Pending (specimens awaiting testing)

As of Feb. 7:

As of Feb. 5:

Pending (specimens awaiting testing)

As of Feb. 3:

As of January 31:

Previously, as of January 29, there were 92 suspected cases awaiting testing.

Pending (specimens awaiting testing)

Vaccination must continue

COVID-19 rates in Europe remain elevated but are decreasing. WHO recommends that people at highest risk of the disease should continue to be re-vaccinated six to 12 months after their most recent dose.

This category includes older persons, frontline health workers, pregnant women, and people who are immunocompromised or have significant chronic medical conditions.

Meanwhile, WHO is currently seeing widespread circulation of respiratory viruses like influenza, Respiratory Syncytial Virus (RSV) and measles in the European region.

Flu rates rising

RSV rates peaked before the new year and are now declining, Dr. Kluge reported, and influenza rates are rapidly rising, with a likely surge expected over the coming weeks.

There has been a nearly 60 per cent increase in reported hospitalizations for the flu over the past two weeks and a 21 per cent increase in ICU admissions, compared to the previous two weeks.

Flu cases increased four-fold between November and December, with 38 countries reporting the start of the seasonal influenza epidemic. Those most affected by severe disease are people aged 65 and older and the very young.

“We are concerned about reports of localised pressures on hospitals and overcrowding in emergency rooms, due to a confluence of circulating respiratory viruses,” he said.

Timeline of Events

Prior to this January 31 announcement:

Do Not Travel to China

Below is the complete list of airports where screening for the 2019 Novel Coronavirus (2019-nCoV) is in place:

Sources for the historical account

Dr. Kluge stressed that although COVID-19 infections rates are broadly decreasing across Europe, the situation can rapidly change in the face of the new variant of interest, JN.1, now the most common variant reported globally.

“Though there’s no current evidence to suggest the JN.1 variant is more severe, the unpredictable nature of this virus shows how vital it is that countries continue to monitor for any new variants,” he said.

As many countries have reduced or stopped reporting COVID-19 data to WHO, Dr. Kluge underscored the need for continued surveillance as the disease “is here to stay”.

“We know how to keep ourselves and others safe, whether from COVID-19 or other respiratory infections,” he said, referring to measures such as staying home if sick and wearing masks in settings such as hospitals or crowded places.

Noting that “health is slipping from the political agenda”, Dr. Kluge voiced deep concern over the failure to address the “ticking time-bomb facing our health and care workforce”.

“As health systems come under strain, we are reminded that we may be unprepared for anything out-of-the-ordinary, such as the emergence of a new, more severe COVID-19 variant or a yet unknown pathogen,” he warned, urging leaders to show “demonstrable support” for health workers.

A ‘vital decision’

Analysis of 34 countries showed that most people whose lives were saved by vaccines, 90 per cent, were over 60.

The vaccines reduced deaths by 57 per cent in the period between their rollout in December 2020 through March 2023, with the first booster doses alone saving an estimated 700,000 lives.

“Today, there are 1.4 million people in our region – most of them elderly – who are around to enjoy life with their loved ones because they took the vital decision to be vaccinated against COVID-19,” said Dr. Kluge, speaking from Copenhagen.

“This is the power of vaccines. The evidence is irrefutable,” he added.

Trends in COVID-19 cases, %%COUNTRY%%

%%COUNTRY%%, July 2023 — present

Data may be incomplete for the latest week.

Total COVID-19 cases reported to WHO (weekly)

%%COUNTRY%%, January 2020 — present

Why is COVID-19 data being presented as weekly statistics?

A number of countries have stopped reporting or changed their frequency of reporting COVID-19 case and death counts to WHO. An outcome of these differences in reporting is that WHO may receive daily data from some countries, while other countries may only report data to WHO once every 14 days. In addition, countries differ in how they choose to report statistics; some countries provide their data attributed to specific dates while others who report less frequently may group data from 7 days into a single statistic attributed to a week in their reporting. As of 25 August 2023, WHO declared that it is no longer necessary for Member States to report daily counts of cases and deaths to WHO and requested strengthening of weekly reporting.

What do negative counts of cases or deaths mean? All data is subject to continuous verification and may change based on retrospective updates to accurately reflect trends, changes in country case definitions and/or reporting practices. Significant data errors detected or reported to WHO may be corrected by Member States at more frequent intervals with some countries performing retrospective bulk corrections in their reporting. Bulk corrections may lead to the appearance of significant spikes or negative values which are verified and validated by WHO.

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