Deaths due to COVID-19 in Affected Countries

Piryani Rano Mal1*, Piryani Suneel2, Bhandary Shital3

1Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal

2Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan

3School of Public Health, Patan Academy of Health Sciences, Lalitpur, Nepal


A new coronavirus called as novel coronavirus was first emerged in Wuhan, Hubei province of China, at the end of 2019. This was labelled as 2019-nCoV. A first patient of pneumonia of unknown cause was detected in Wuhan, China. The case was reported to the World Health Organization (WHO) Country Office in China on 31 December 2019. Subsequently, the outbreak was declared a Public Health Emergency of International Concern on January 30, 2020. WHO announced a name for the new coronavirus disease, COVID-19 on February 11, 2020. When COVID-19 infection reported from 114 countries then WHO declared COVID-19 infection, a global pandemic on March 11, 2020. Till the writing of this article April 2, 2020, the COVID-19 affected 200 countries and territories around the world and 2 international conveyance (the Diamond Princess cruise ship harbored in Yokohama, Japan and the Holland America’s MS Zaandam cruise ship)1,2,3,4.

Initially, the epicenter was China, later on it was shifted to Italy, then Spain and now epicenter is United States of America. Deaths reported from various countries are varied relative to total new cases reported. The pandemic is very rapidly accelerating. The first case was reported on Dec 31, 2019; 1st one lac cases in 67 days, 2nd in 11 days, 3rd in 4 days, 4th in 3 days, 5th in 2.5 days, 6th in 2 days and 7th 2 days and 8th 1.5 days and 9th in one day5.

We retrieved the secondary data of countries those reported more than 1000 new cases of COVID-19 until 13.36 Greenwich Mean Time March 30, 2020 from worldmeter website. https://www.worldometers.info/coronavirus/. (Table 1). Forty-two countries reported more than 1000 cases. In 18 countries first case was reported in January, 17 countries reported their first case in February while 7 in March4. The data related to total new cases and total deaths were entered into IBM Statistical Package for the Social Sciences version 21 and percentage of death was calculated. The highest number of cases reported from United States of America 142,793 while lowest from Iceland 1,020 among 42 countries. The maximum deaths were reported from Italy 10,779 while lowest from South Africa and Iceland i.e. 2 from each country. (Table 1, Figure 1 and 2) The percentage of deaths was highest among patients of Italy while lowest in Iceland among 42 countries.

Table 1. showing Total cases, New Cases, Total Deaths, New Deaths, Total Recovered, Active Cases, Serious Critical Total Case/1MP, Death/1MP, Reported 1 Cases.
COVID-19 CORONAVIRUS PANDEMIC
Last updated: March 30, 2020, 13:36 GMT

World

739,371

+17,012

35,016

+1,050

156,402

547,953

28,434

94.9

4.5

Jan 10

Country

 other

Total

cases

New

cases

Total

Deaths

New

Deaths

Total

Recovered

Active

Cases

Serious

Critical

Total

case /

1MP

Death/

1MP

Reported

1sr case

USA 

142,793

+333

2,490 

+6

4,562

135,741

2,970

431

8

Jan 20 

Italy 

97,689

 

10,779 

 

13,030

73,880

3,906

1,616

178

Jan 29 

Spain 

85,195

+5,085

7,340 

+537

16,780

61,075

5,231

1,822

157

Jan 30 

China 

81,470

+31

3,304 

+4

75,700

2,466

633

57

2

Jan 10 

Germany

63,079

+644

545 

+4

9,211

53,323

1,979

753

7

Jan 26 

Iran 

41,495

+3,186

2,757 

+117

13,911

24,827

3,511

494

33

Feb 18 

France

40,174

 

2,606 

 

7,202

30,366

4,632

615

40

Jan 23 

UK

19,522

 

1,228 

 

135

18,159

163

288

18

Jan 30 

Switzerland

15,526

+697

333 

+33

1,823

13,370

301

1,794

38

Feb 24 

Belgium

11,899

+1,063

513 

+82

1,527

9,859

927

1,027

44

Feb 03 

Netherlands

11,750

+884

864 

+93

250

10,636

1,053

686

50

Feb 26 

S. Korea

9,661

+78

158 

+6

5,228

4,275

59

188

3

Jan 19 

Austria

9,377

+589

108 

+22

636

8,633

193

1,041

12

Feb 24 

Turkey

9,217

 

131 

 

105

8,981

568

109

2

Mar 09 

Portugal

6,408

+446

140 

+21

43

6,225

164

628

14

Mar 01 

Canada

6,320

 

65 

 

573

5,682

120

167

2

Jan 24 

Norway 

4,393

+109

31 

+5

12

4,350

97

810

6

Feb 25 

Israel

4,347

+100

16 

+1

134

4,197

80

502

2

Feb 20 

Brazil

4,316

+60

139 

+3

120

4,057

296

20

0.7

Feb 24 

Australia

4,245

+82

18 

+1

244

3,983

28

166

0.7

Jan 24 

Sweden

4,028

+328

146 

+36

16

3,866

306

399

14

Jan 30 

Czechia

2,878

+61

17 

+1

11

2,850

52

269

2

Feb 29 

Malaysia

2,626

+156

37 

+2

479

2,110

94

81

1

Jan 24 

Ireland 

2,615

 

46 

 

5

2,564

59

530

9

Feb 28 

Denmark

2,555

+160

77 

+5

1

2,477

113

441

13

Feb 26 

Chile

2,449

+310

+1

156

2,285

14

128

0.4

Mar 02 

Luxembourg

1,988

+38

22 

+1

40

1,926

25

3,176

35

Feb 28 

Poland 

1,984

+122

26 

+4

7

1,951

3

52

0.7

Mar 03 

Romania

1,952

+137

46 

+3

206

1,700

31

101

2

Feb 25 

Ecuador

1,924

 

58 

 

3

1,863

58

109

3

Feb 28 

Japan

1,866

 

54 

 

424

1,388

56

15

0.4

Jan 14 

Russia

1,836

+302

+1

66

1,761

8

13

0.06

Jan 30 

Pakistan

1,650

+53

20 

+6

29

1,601

11

7

0.09

Feb 25 

Philippines

1,546

+128

78 

+7

42

1,426

1

14

0.7

Jan 29 

Thailand

1,524

+136

+2

229

1,286

11

22

0.1

Jan 12 

Saudi Arabia

1,453

+154

 

66

1,379

12

42

0.2

Mar 01 

Indonesia

1,414

+129

122 

+8

75

1,217

 

5

0.4

Mar 01 

Finland

1,352

+112

13 

+2

10

1,329

49

244

2

Jan 28 

South Africa

1,280

 

 

31

1,247

7

22

0.03

Mar 04 

Greece

1,156

 

39 

 

52

1,065

66

111

4

Feb 25 

India 

1,071

+47

29 

+2

100

942

 

0.8

0.02

Jan 29 

Iceland

1,020

 

 

135

883

25

2,989

6

Feb 27

Source: COVID-19 CORONAVIRUS PANDEMIC. https://www.worldometers.info/coronavirus/

JID-20-1156-Fig1

Figure 1: Total cases in 42 countries reported more than 1000 COVID-19 cases on March 30, 2020

Source: COVID-19 CORONAVIRUS PANDEMIC. https://www.worldometers.info/coronavirus/

Table 2. Total cases, total deaths and percentage of deaths in 42 countries reported more than 1000 Covid-19 cases on March 30, 2020

Country

Total New Cases

Total Deaths

Percentage of Deaths

Country

Total New Cases

Total Deaths

Percentage of Deaths

Country

Total New Cases

Total Deaths

Percentage of Deaths

USA

142793

2490

1.74

Portugal

6408

140

2.18

Romania

1952

46

2.35

Italy

97689

10779

11.03

Canada

6320

65

1.02

Ecuador

1924

58

3.01

Spain

85195

7340

8.61

Norway

4393

31

.70

Japan

1866

54

2.89

China

81470

3304

4.00

Israel

4347

16

.36

Russia

1836

9

.49

Germany

63079

545

.86

Brazil

4316

139

3.22

Pakistan

1650

20

1.21

Iran

41495

2757

6.64

Australia

4245

18

.42

Philippines

1546

78

5.04

France

40174

2606

6.48

Sweden

4028

146

3.62

Thailand

1524

9

.59

UK

19522

1228

6.29

Czechia

2878

17

.59

Saudi Arabia

1453

8

.55

Switzerland

15526

333

2.14

Malaysia

2626

37

1.40

Indonesia

1414

122

8.62

Belgium

11899

513

4.31

Ireland

2615

46

1.75

Finland

1352

13

.96

Netherlands

11750

864

7.35

Denmark

2555

77

3.01

South Africa

1280

2

.15

S. Korea

9661

158

1.63

Chile

2449

8

.32

Greece

1156

39

3.37

Austria

9377

108

1.51

Luxembourg

1988

22

1.10

India

1071

29

2.70

Turkey

9217

131

1.42

Poland

1984

26

1.31

Iceland

1020

2

.19

Source: COVID-19 CORONAVIRUS PANDEMIC. https://www.worldometers.info/coronavirus/

JID-20-1156-Fig2

Figure 2: Total Deaths in 46 countries reported more than 1000 COVID-19 cases on March 30, 2020

Source: COVID-19 CORONAVIRUS PANDEMIC. https://www.worldometers.info/coronavirus/

JID-20-1156-Fig3

Figure 3: Percentage of Deaths in 42 countries reported more than 1000 COVID-19 cases on March 30, 2020

Source: COVID-19 CORONAVIRUS PANDEMIC. https://www.worldometers.info/coronavirus/

There is variation observed in percentage of deaths among 42 countries. Why this is so6,7,8?

The possible and probable reasons for this variation could be: in population affected in countries; in people with comorbidities in different countries; in lab test done in countries; in strategies adopted for isolation and quarantine; in treatment especially drugs used and their adverse effects; in healthcare responses; in temperature between different countries, regions or in seasons; in preventive methods, their timing and frequency; in virulence of virus; in immunity differences among people of different countries or among different sections of people within same country; in awareness campaigns and public’s response to it and possibilities of mutation of virus

It is recommended to know the exact reasons for this variation in COVID-19 deaths for future course of action. Hence, analytical studies or systemic review or meta-analysis are required to address this issue.

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  2. "Coronavirus disease 2019" (https://www.who.int/emergencies/diseases/novel-coronavirus- 2019). World Health Organization. Retrieved on 30 March 2020. 

  3. COVID-19 Coronavirus outbreak. (https://www.worldometers.info/coronavirus/coronavirus-death-toll/) Retrieved on 30 March 2020.
  4. COVID-19 CORONAVIRUS PANDEMIC. https://www.worldometers.info/coronavirus/ Retrieved on 30 March 2020.
  5. COVID-19 CORONAVIRUS PANDEMIC. https://www.worldometers.info/coronavirus/ Retrieved on 2 April 2020.
  6. Martha Henrique. Coronavirus: Why death and mortality rates differ. BBC Nwes APRIL 2, 2020. Accessed on April 5, 2020. Available at: https://www.bbc.com/future/article/20200401-coronavirus-why-death-and-mortality-rates-differ
  7. Jordan RE, Adab P, Cheng KK. Covid-19 risk factors for severe disease and death. BMJ March. 2020; 368: m1198. doi: 10.1136/bmj.m1198
  8. Onder G, Rezza G, Brusaferro S. Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy. JAMA. March 23, 2020. doi:10.1001/jama.2020.4683
 

Article Info

Article Notes

  • Published on: April 13, 2020

Keywords

  • COVID-19

  • Pneumonia

*Correspondence:

Rano Mal Piryani
Professor of Internal Medicine and Head of Department of Internal Medicine, Chief Coordinator-Health Professions Training Committee, Universal College of Medical Sciences, Bhairahawa, Nepal; Telephone No: 00977-9841269522
Email: rano.piryani@gmail.com, r_piryani@hotmail.com.