Outbreak Update: Since the last brief (31 March 2020), 518,122 new confirmed1 coronavirus disease 2019 (COVID-19) cases and 34,452 new deaths have been reported globally. This is a 75% increase in cases reported. To date, a total of 1,211,961 COVID-19 cases and 67,666 (CFR 6%) related deaths have been reported worldwide. Six countries and territories2, including four African countries, are reporting cases and 26 countries and territories3, including seven African countries, are reporting deaths for the first time this week. The distribution of cumulative cases (proportion of global cases %) from the WHO reporting regions (excluding Africa) are as follows: Eastern Mediterranean Region 71,391 (6%), European Region 655,339 (54%), Region of the Americas 352,592 (29%), South-East Asia Region 8,828(0.7%) Western Pacific Region 113,234 (9%). For more detailed information on cases and deaths being reported outside of Africa, refer to the WHO daily situation reports.