Outbreak Update: As of 20 June 2022, a total of 545,656,563 COVID-19 cases and 6,315,804 deaths (case fatality ratio [CFR]: 1.2%) have been reported globally by 232 countries and territories to the World Health Organization (WHO). The distribution of cumulative cases (percentage of global cases) from the WHO regions (excluding Africa) are as follows: Eastern Mediterranean Region 18,528,660 (3%), European Region 224,131,653 (41%), Region of the Americas 169,558,244 (31%), South-East Asia Region 58,356,239 (11%) and Western Pacific Region 62,892,484 (12%). In the last seven days, the five countries reporting the highest number of new cases are the United States of America (441,928), China (406,482), Germany (345,910), France (229,470) and Italy (225,785). As of 20 June 2022, over 4.7 billion people (59% of the global population) have been fully vaccinated. For more detailed information on cases and deaths reported outside of Africa, refer to the WHO COVID-19 dashboard.