The coronavirus disease COVID-19 continues to spread at the regional and global levels. As of 11 February 2023, the global cumulative incidence reached 755 918 338 reported cases and 6 856 229 associated deaths at a case-fatality ratio (CFR) of 0.91%. Meanwhile, the 22 countries of the Eastern Mediterranean Region (EMR) have reported a total of 23 249 217 cases representing about 3.08% of the global count, with 349 419 associated deaths (CFR 1.5%). Most countries in the Region are in the community transmission phase.

Since the beginning of the outbreak, the country that has reported the highest number of total cases in the Region is Islamic Republic of Iran (7 565 367; 32.54% of the Region’s total), followed by Iraq (2 465 545; 10.60%) and Jordan (1 746 997; 7.52%). Islamic Republic of Iran also reported the highest number of total COVID-19 associated deaths (144 779; CFR 1.91%), followed by Pakistan (30 640; CFR 1.94%) and Tunisia (29 312; CFR 2.55%). The highest CFRs were reported by Yemen (18.07%), followed by Sudan (7.84%) and Syria (5.51%), while the lowest CFRs were reported by United Arab Emirates (0.22%), Bahrain (0.22) and Qatar (0.14%).

During epidemiological week 6, the Region reported an 8% decrease in the number of cases as compared to the previous week (3212 cases compared to 3500 cases). A decrease by 25% was also observed for associated deaths (48 deaths in the current week compared to 64 deaths in the previous week).

The weekly number of cases have decreased in all countries of the Region except in 4 out of 22 countries as compared to the previous week. This week the number of COVID-19 associated deaths also decreased in all countries of the Region except in 2 out of 22 countries as compared to the previous week.*

In terms of testing, a total of 444 303 800 laboratory tests were conducted since the start of the outbreak across the Region including 279 934 tests in week 6, which shows a 4% decrease as compared to the previous week when 292 746 tests were conducted. The highest number of PCR tests were reported from United Arab Emirates (198 879 165), followed by Islamic Republic of Iran (55 113 777) and Saudi Arabia (45 087 249). The average positivity rate for the Region is 5.23%. WHO recommends a positivity rate of around 3% to 12% as a general benchmark indicating adequate testing, which was achieved in most countries of the Region.

Meanwhile, COVID-19 vaccination continues across the Region. The total number of doses administered so far in the 22 countries is 866 493 878. Pakistan has administered the highest number of doses at 333 510 412, followed by Islamic Republic of Iran at 155 011 109 and Egypt at 102 088 497. On the other hand, Bahrain (3 476 633), Yemen (1 242 982) and Djibouti (383 474) administrated the lowest number of COVID-19 doses in the Region.**

Supporting countries in the Region

The regional incident management support team continues to coordinate the response and provide technical support to countries and partners in the Region in the areas of coordination and partnership, surveillance, laboratory capacity, clinical management, infection prevention and control, risk communication and community engagement, points of entry according to the International Health Regulations (2005), research, health systems, and essential health services among others.

For more data from the Region, please visit the COVID-19 dashboard.

*Reporting on weekly relative difference instead of cumulative difference to better reflect the extent of the COVID-19 pandemic as we witness a decline in reported cases. This decline could be partially due to the change in the frequency and quality of data being shared by some countries as they moved to reporting through weekly aggregated data.

**The data on vaccination is obtained from a number of sources including media reports and country websites for ministries of health.

Subscribe to the monthly infectious hazard preparedness newsletter of WHO’s Health Emergencies Programme for the latest data and analysis on the epidemic- and pandemic-prone diseases, as well as news on outbreak preparedness and response within WHO’s Eastern Mediterranean Region.