COVID-19 Updates - Worldwide Overview

June 23, 2020

As of this morning, there are approximately 476,000 deaths and 9,247,000 confirmed cases of COVID-19 worldwide, representing a 0.7% increase in cases from yesterday. In the US, there have been approximately 122,610 deaths and 2,338,000 confirmed cases. Approximately 4,983,000 cases worldwide are reported to have recovered from the virus. 

 

  • US: In the past week, the number of COVID-19 cases increased in 29 US states. In particular, the Sun Belt and the western US have reported a significant spike in cases. On 22 June, the US accounted for over 20% of new global cases, while the total population of the US only comprises 4.3% of the global population, making the it an epicenter of the virus globally. Experts say expanded diagnostic testing accounts for some, but not all growth in cases. Los Angeles County is the California’s epicenter of COVID-19, reporting 43% of new cases in the last two weeks. However, county officials have stated that the county remains well-positioned in its fight to slow the spread of the virus. On 22 June, San Francisco Mayor, London Breed, announced the expansion of its current Phase Two(b) of reopening on 29 June. The reopening would permit cosmetic services, museums, and outdoor bars to reopen. New York City entered Phase Two of reopening on 22 June, which permits outdoor dining, in-store shopping, and office work to resume. New York City has hired and deployed about 3,000 contact tracers, but the city’s program has a low response rate, scant use of technology, and privacy concerns, which limits the effort’s effectiveness. Georgia has not been COVID-19 hotspot, but daily reported cases have significantly increased since reopening over a month ago. Death and hospitalization rates remain relatively low, indicating that younger Georgians are likely contributing to the ongoing spread and transmission of the virus

 

  • Europe and the Middle East: Beginning on 22 June in the Czech Republic, gatherings may host 1,000 individuals and trade fairs may host up to 5,000 people. Pools, zoos, museums, castles, and chateaus may resume normal operations with no visitor capacity limits. Also today, France entered Phase Three in its easing of lockdown restrictions. In the new phase, social distancing must be maintained at one meter (three feet) between individuals. In Germany, EU area nationals, Schengen area nationals, UK nationals, long term residence holders in these countries, and third country essential workers may now travel into the country. Individuals that meet these requirements do not need a valid reason for entry and do not need to complete a 14-day quarantine. Until 30 June, all other persons will face entry restrictions. In Italy, the government now allows indoor theater venues to host up to 200 individuals and outdoor theater venues to host up to 1,000 individuals if social distancing is maintained. Large-scale gatherings remain banned. The Spanish government has lifted the state-of-emergency in Spain, allowing for entry by EU and Schengen area citizens. All restrictions on internal travel in Spain are lifted. The UK reduced their coronavirus alert level from a four to a three, meaning the virus is “in general circulation,” as opposed to being exponential in growth. Under the new alert level, restrictions may ease beginning tomorrow.

 

  • Asia: In Australia, on 22 June, Western Australia announced lifting more restrictions as part of Phase Four of reopening. While all gathering restrictions will be lifted, the hard border between Western Australia and the rest of the country will remain closed. On 18 June, Hong Kong Disneyland reopened at limited capacity. Individuals are required to wear masks and follow social distancing guidelines while inside the park. The number of new infections continues to rise in India, with the largest single day increase in cases recorded on 21 June. Karnataka extended its statewide lockdown to 30 June but lifted restrictions on intrastate movement. However, on 22 June, Karnataka’s capital city, Bangalore, imposed a strict lockdown in five districts with high infection rates. The lockdown prohibits non-essential travel and requires residents to bring their phones on all outings for contact tracing. On 19 June, Japan lifted all remaining domestic travel restrictions, allowing citizens to move freely between prefectures. Additionally, Japan released a free contact tracing app, allowing the country to more effectively identify and respond to new outbreaks. Cases in New Zealand continue to rise, to a total of 9 cases, after the country recorded two new infections on 16 June, following 24 days of no new cases. In response to the outbreak, New Zealand announced stricter quarantine measures for travelers entering the country. Individuals may be tested multiple times for the virus and are not allowed to leave isolation until they test negative. The country also extended its ban on cruise ships beyond the 30 June expiration date.

 

  • Latin America & Africa: The number of cases in Argentina have more than doubled in the month of June, and densely populated poorer neighborhoods are continuing to report increasing numbers of infections. Argentina reported a new record number of cases on 19 June after the country previously reported records on both 12 and 13 June. In Brazil, the Ministry of Health published new guidelines on 19 June on the safe resumption of activities; however, the local authorities can still determine what is allowed to resume in each city. The ministry also recommended continued social distancing and using masks to prevent further spread, but did not mandate them, indicating that the government may begin taking further action to curb COVID-19 spread in Brazil. Peru now has the seventh highest number of COVID-19 cases in the world, which accounts for more cases than both Italy and Spain. On 20 June the Ministry of Health changed its methodology for counting cases and now is including “probable” COVID-19 deaths, increasing the overall numbers.

 

San Diego- Open Now

The San Diego County public health officer has approved the following to open. Links to specific guidance if available.

Latest approved

The following are allowed as of June 19. All use guidance for Expanded Personal Care Services

  • Nail salons
  • Facial salons
  • Cosmetology
  • Body art, including tattoo parlors and piercing
  • Massage therapy in non-healthcare settings

Approved earlier

Partial list of essential businesses and activities.  

State guidance for essential workforce

  • Grocery stores, farmers markets, food banks, convenience stores
  • Restaurants, with modified dine-in service
  • Pharmacies
  • Banks
  • Laundromats/laundry
  • Hardware/home improvement stores
  • Airports and public transportation
  • Gas stations
  • Auto repair
  • Childcare. Updated state guidance goes into effect June 12.

Outdoor recreation

You can go out for exercise if you can keep six feet away from people who are not members of your household. Avoid groups and crowded outdoor spaces. Wear a face covering when within six feet of others.

 

Major Event Updates:

  • Tennis star Novak Djokovic tested positive for coronavirus after hosting the Adira tournament in Zadar, Crotia where players were photographed ignoring social distancing guidelines.  
  • Royal Caribbean and MSC Cruises announced a suspension of all cruises through 15 September and Carnival Cruise Lines has announced a suspension through 30 September.
  • Twitchcon San Diego, originally scheduled from 25-27 September, has been cancelled.
  • The US Open tennis tournament will be held from 31 August to 13 September without an audience. 
  • The Oscars, originally scheduled for 28 February 2021, has been delayed until 25 April 2021.
  • On 11 June, the Professional Golf Association returned to play with its first event of the year, without spectators, at the Colonial Country Club in Fort Worth, Texas.

 

 

Country/State

Event

Indicators

Analysis and Summary

United States

 

 

US Government Travel Advisories: The US State Department has advised against traveling internationally. (Source)

Gathering Restrictions: The CDC did not extend its guidance to cancel or postpone in-person events of 50 or more people. (Source)

Social Distancing Regulations: Federal government guidelines aimed at encouraging social distancing expired on 30 April. (Source)

Quarantine Requirements: 14-day self-isolation is recommended for all travelers that enter the US. (Source)

Entry/Exit: Foreign nationals who have visited China, Iran, the UK, Ireland, or the EU in the past 14 days are not permitted entry at this time unless they meet certain exceptions. The restriction on non-essential travel between the US, Canada, and Mexico has been extended through 21 July (Source). President Trump has halted new green card issuances indefinitely. (Source 1, 2, 3) (Source). Foreign nationals who have visited Brazil in the last 14 days are not permitted entry to the US. (Source)

Internal Movement: N/A

Business Closures: Many non-essential businesses in US operate at a limited capacity. All 50 US states have begun to reopen to some degree, although reopening guidelines vary greatly across states. (Source)

School Closures: Most schools throughout the country have been closed.

14-day decrease in cases: No (Source)

14-day decrease in deaths: Yes (Source)

Contact Tracking: No nationwide system is available.

Availability of Testing: Not available.

Masks Required: CDC guidance advises staff members at large events be required to wear face masks, and attendees also be encouraged to do so.This new recommendation is in line with previous guidance recommending face coverings in public. (Source)

Other: Non-binding federal guidelines advise states to reduce restrictions in a three-phase approach after new cases decline for 14-days, with the first phase reopening some entertainment venues with strict social distancing and issuing stay-at-home guidance for high-risk populations. The second phase would reopen schools and allow nonessential travel, while still encouraging telework and advising at risk individuals to stay home. Stage three would lift almost all restrictions, but still encourage some social distancing measures.

In the past week, the number of COVID-19 cases increased in 29 US states. In particular, the Sun Belt and the western US have reported a significant spike in cases. (Source) As of 22 June, the total number of US cases is over 2.2 million and the US death toll passed 119,000 people, accounting for over 20% of new global cases, while only comprising of 4.3% of the global population, making the US the epicenter of the virus globally. (Source)Experts say expanded diagnostic testing accounts for some, but not all growth in cases (Source). The non-essential travel restriction between the US, Canada, and Mexico has been extended through 21 July (Source).

 

The CDC guidance to cancel or postpone in-person events of 50 expired on 15 May, but the Center issued a three-phased approach for reopening schools, child-care facilities, restaurants, and mass transit. On 12 June, the CDC issued recommendations for large gatherings and considerations for individuals as the US reopens. (Source) (Source) At this time, the US has not implemented wide-spread testing or a nationwide system for contact tracing, two measures that could help combat emerging outbreaks.