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Pan American Health Organization / World Health Organization. Washington, D.C.: PAHO/WHO; 2021

www.paho.org | © PAHO/WHO, 2021

More information available at: https://paho-covid19-response-who.hub.arcgis.com/

126,165 Additional cases

1,869 Additional deaths

0.14% Relative increase in cases

0.08% Relative increase in deaths

40 Countries/territories reporting new cases

30 Countries/territories reporting new deaths

Cases (≥ 1,000)

United States 105,136 Brazil 5,797 Canada 1,842 Colombia 1,536 Argentina 1,227 Costa Rica 1,195 Chile 1,157 El Salvador 1,132 Mexico 1,121

Deaths (≥ 100)

United States 1,274 Brazil 160 Mexico 150

Region of the Americas Update

COVID-19

Brazil 3 PM WDC. 26 October 2021

Region of the Americas

93,108,487 cases

2,282,785 deaths

56

countries/areas/territories affected.

Highest numbers of cases & deaths in the last 24 hrs.*

Total cases, deaths & CFR (%) among PAHO countries/territories with ≥ 150,000 cumulative cases.

Last 24 hours *

Global

244,033,954 cases

4,956,068 deaths

236 countries/areas/territories affected.

COVID-19 – Highlights

Maps 1, 2 and 3 (below) shows the incidence rate of COVID-19 cases per 100,000 population in the Region of the Americas reported during EW 41 and 42.

In North America, almost all states in the US still show an incidence rate higher than 300 per 100,000 population, with the northwestern states, Alaska, and West Virginia reporting a rate of over 700 per 100,000 people. In Canada, the Northwest Territories report the highest incidence (>700 per 100,000 pop), followed by Saskatchewan (>300 per 100,000 pop) in the country.

In South America, most federal units of Brazil report less than 300 cases per 100,000 population. In Central America, Belize had the highest incidence rates in the region. Belize district, Stann Creek, and Toledo continue to report over 700 cases per 100,000 populations.

In the Caribbean, Pinar del Rio and Sancti Spiritus provinces of Cuba reported over 700 cases per 100,000 populations. In the Dominican Republic, several provinces reported over 300 cases per 100,000 people. French Guiana (Cayenne), Suriname, Dominica, and St. Vincent and the Grenadines observed the highest incidence rates in the region with over 300 cases per 100,000 populations in EW 41 and 42. *Numbers may vary due to differences in

reporting times. Starting the weekend of 26 June 2021, the PAHO COVID-19 daily situation reports will no longer be published on Saturdays and Sundays. The reports will continue to be published

during the workweek – Monday through Friday – at the regularly scheduled time, with the exception of any official holidays observed by PAHO in Washington, DC

https://paho-covid19-response-who.hub.arcgis.com/




Spotlight – COVID-19 Situation Update – Jamaica Country Office Situation Report #472

Trends: As of 26 October, a total of 88,480 confirmed cases of COVID-19 including 2,184 deaths have been

reported in Jamaica. As of 21 October, there were 28,945 cases (32.9% of confirmed cases) in isolation across the island. New cases decreased by 11.4% and new deaths increased by 27.5% during EW 41. A total of 630,456 samples have been tested at the laboratory with a daily positivity rate of 15.7% and a cumulative positivity rate of 14.0%.

Demographics: As of 12 October 2021, the highest burden of total confirmed cases remains within the 20-29

years and 30-39 years age groups, accounting for 18.8% and 18.0% of cases respectively. Proportion of cases among females were slightly higher than males, with a male to female ratio (M:F) of 1:1.3. On the other hand, males accounted for more deaths, with a M:F ratio of 1:0.9.

Geographical Distribution: Data for 18 October 2021 highlighted that Kingston & St. Andrew (24.8%,

n=21,706) and St. Catherine (18.5%, n=16,214) had the highest cumulative number of cases. The highest proportions of active cases for this week, however, were found in the parishes of St. Catherine and St. James (14.9% and 13.6% respectively). Total infection rates were the highest in the western parishes of St. James and Trelawny, accounting for 4,630 and 4,268 cases per 100,000 population respectively. The total rates of active infections, however for this reporting period were in the eastern parishes of St. Thomas (124.3 cases per 100,000 population) and St. Catherine (106.3 cases per 100,000 population

Hospitalizations: As of 21 October 2021, hospitalizations decreased by approximately 13.7% since the last

reporting period (14 Oct 2021). There was a total of 339 hospitalizations (1.2% of active cases), of which approximately 26.0% (n=88) were moderately ill, 9.7% (n=33) severely ill, and 6.8% (n=23) were critically ill. The average hospital occupancy rate as of 18 October 2021 has improved to 59.1%.





Map 1. Incidence rate (per 100,000 population) of COVID-19 cases in the Region of the Americas during EW 41 and EW 42 of 2021.





Map 3. Incidence rate (per 100,000 population) of COVID-19 cases in the Caribbean during EW 41 and EW 42 of 2021. Region of the Americas.

Map 2. Incidence rate (per 100,000 population) of COVID-19 cases in Central America during EW 41 and EW 42 of 2021. Region of the Americas.


Table notes on the next page.




NOTES: Case and death counts may include both confirmed and probable classifications depending on the reporting Member State.

• Antibody tests, including rapid diagnostic tests (RDTs) based on antibody detection, are not recommended for use by PAHO/WHO in clinical diagnosis. Antigen-detecting RDTs may be used following the WHO 126 October 2020 Guidance, available at: https://bit.ly/2FxK2fs.

• Data is updated on a weekly basis for Guadeloupe, Martinique, Nicaragua, Saint Barthelemy, Saint Martin, and Saint Pierre and Miquelon.

• As of 11 November 2020, the previously aggregated Bonaire, Saba and Sint Eustatius are now being presented separately in the table.

• *A dispute exists between the Governments of Argentina and the United Kingdom of Great Britain and Northern Ireland concerning sovereignty over the Falkland Islands (the) (Malvinas) "

Argentina: On 14 March 2021, due to daylight savings time observed in Eastern Standard Time zone, the Argentina data is no longer published by 3:00PM EST same day and is henceforth included in the following day table. Between 22 February and 14 March 2021, the data had corresponded to the same date.

Bahamas: According to the latest Bahamas Ministry of Health (MoH) publication, there are a total of 60 additional deaths under investigation, available at: https://bit.ly/3wh84Aq,

Ecuador: According to a 6 September Ecuador Ministry of Public Health press release, only cases confirmed by RT-PCR will be reported; previously, cases who tested positive by either RT-PCR or RDTs were reported, resulting in the exclusion of 8,956 cases. Available at: https://bit.ly/3h2EWEA

El Salvador: Cumulative cases and deaths as published by the Government of El Salvador: https://covid19.gob.sv/. The government presents a retroactively adjusted epidemiological curve of daily cases on the same dashboard.

Jamaica: According to the latest Jamaica Ministry of Health and Wellness press release, there are a total of 323 additional deaths under investigation, available at: https://bit.ly/3qAwIJo

Mexico: On 1 June 2021, the Mexico Ministry of Health reported 4,272 deaths in 24 hours. Of these, 3,924 were reported in 2020 and the remaining were reported in 2021. Available at: https://bit.ly/3pfdMA8

Nicaragua: Please note there are discrepancies with the data published by the Citizen's Observatory COVID-19 Nicaragua as of 15 October 2021. Available at: https://bit.ly/3pw7ZVR

Peru: Aggregated case total as reported by the Peru MoH; latest disaggregated data available is 651,583 by RT-PCR + 595,943 by antigen tests + 946,606 by other RDTs. Antibody tests, including RDTs based on antibody detection, are not recommended for use by PAHO/WHO in clinical diagnosis. Antigen-detecting RDTs may be used following the WHO 11 September 2020 Guidance, available at: https://bit.ly/3fJVKTM. On 31 May 2021, the Government of Peru announced that, after revision, the death toll was 180,764 deaths as of 22 May 2021, available at: https://bit.ly/3fYGj8V. The number of cumulative deaths reported prior to the revision, on 30 May, was 69,342, available at: https://bit.ly/3pkar2U.

Puerto Rico: Aggregated case total as reported by the Puerto Rico Department of Health (DoH); 151,440 were positive by RT-PCR and 32,782 were positive by antigen tests; previously, cases who tested positive by either RT-PCR or serological RDTs were reported, resulting in the exclusion of 33,965 cases. Available at: https://bit.ly/3AXY7KU

United States of America: Case and death counts include both confirmed and probable classifications, as published on the U.S. Centers for Disease Control and Prevention (US CDC) website on 26-October. Excludes American Samoa, Federated States of Micronesia, Guam, Commonwealth of the Northern Marianas, Puerto Rico, Palau, Republic of Marshall Islands and the United States Virgin Islands. Case and death counts may differ from other US CDC data sources because these are provisional counts which are subject to change, including updates to data

reported previously, adjustments can occur. Sources: https://bit.ly/2RSpap5 and https://bit.ly/2RVI2n6. No update

was available on the US CDC website as of 5 PM on 25 October 2021.

Uruguay: According to the latest Uruguay Ministry of Public Health report, the total notes 05 positive cases reported in the last 24 hours were excluded from the total. Available at: https://bit.ly/3noPwLa.

DATA ADJUSTMENTS: Differences in the total number of cases and/or deaths and respective % increases reflect the following adjustment(s):

Canada: Cases and deaths were retrospectively adjusted for 24-25 October 2021 to align with the Public Health Agency of Canada indicating 1,698,465 and 1,700,745 cases including 28,745 and 28,749 deaths.





Ecuador: Cases were retrospectively adjusted for 24 October 2021 to align with the Ecuador Ministry of Health indicating 515,632. Available at: https://bit.ly/313DxLL

Martinique: Cases and deaths were retrospectively adjusted for 25 October 2021 to align with the Martinique Regional Health Agency (ARS) indicating 43,022 cases including 675 deaths. Available at: https://bit.ly/3EiRzHH Sint Maarten: Cases were retrospectively adjusted for 25 October 2021 to align with data provided by the Netherlands IHR National Focal Point indicating 4,478 cases.

United States of America: The US CDC retrospectively released data. Cases and deaths were adjusted for 24-25 October 2021 to align with the US CDC indicating 45,134,683, 45,153,792 cases including 731,071 and 731,238 deaths.


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