Policy responses for Cyprus - HSRM

Cyprus


Policy responses for Cyprus

1.4 Monitoring and surveillance

Update 18th May 2021

As of May 11th, 2021, a total of 68,793 Covid-19 cases have been diagnosed, of which 342 died due to Covid-19 (case fatality risk: 0.5%). In the last 14 days (April 28th- May 11th), 6,121 cases were diagnosed compared with 9,186 the period April 20th- May 3rd, recording a significant reduction in the number of new cases. This can be attributed to the lockdown that was implemented as well as the increased number of people that have been vaccinated (42,5% of the population has received the first dose). The 14-day cumulative diagnosis rate is 689.3 per 100,000 population compared with 1,034.5 per 100,000 population that was the period April 28th – May 3rd.

The median age was 35 years (Interquartile range - IQR: 22-49 years); 51.7% were females (n = 3,165), 48.2% males (n = 2,953), and for three cases (0.1%) information is not currently available. By age group, cases included 1,199 infants, children and adolescents aged 0-19 years-old (19.6%), 4,178 adults aged 20-59 years (68.3%), 738 persons aged 60 years and older (12.1%), and for six cases (0.1%) information is not currently available. By place of exposure: 1.4% (n = 84) were imported and 98.6% (n = 6,037) were locally-acquired. Among all cases diagnosed in the last 14 days, 2,341 (38.3%) were reported in N icosia district, 1,698 (27.7%) in Limassol, 995 (16.3%) in Larnaka, 484 (7.9%) in Pafos, 376 (6.1%) in Ammochostos, and 227 (3.7%) were reported either in the British bases or had a residence abroad, or information was not available.

As of May 14th, 2021, 167 people were still hospitalised. The median age of patients still hospitalized at the time of this report is 62 years (IQR: 49-72 years), 58.5% (n = 124) are males, and 35.4% (n = 75) are from Nicosia district. Hundred-eighteen cases (55.7%) still hospitalised have co-morbidities. Of 38 cases in intensive care units (ICU), who are currently notified and diagnosed till May 11th, 36 are intubated. The median age of current ICU patients is 66 (IQR: 51-73) years and 24 (63.1%) are males. Twenty-six (68.4%) patients currently in ICU have pre-existing conditions. (SHORT ENG_Report Covid-19 Cyprus 13May_FINAL.pdf (pio.gov.cy).

It is very interesting to have a look at the trends in intensive care unit admissions and Covid-19 related deaths by age groups during the period November 2020-March 2021. The age distribution of ICU admissions as well as the age distribution of Covid-19 deaths show progressively decreasing proportions, since January 2021 and February 2021, for those aged 80+ and 70-79, respectively. Whereas the proportion are increasing, since December 2020 and February 2021, for those aged 40-59 and 60-69, respectively. These results are related on the one hand to the increased percentage of people aged 70+ who have been vaccinated and on the other to the predominance of the British strain which is more contagious among younger people (ENG_trends.pdf (pio.gov.cy)

Update 7th April 2021

As of April 6th, a total of 47,632 COVID-19 cases have been diagnosed, of which 268 died due to COVID-19 (case fatality risk: 0.6%). The mortality (all-causes) for people with COVID-19 is 36.8 per 100,000 population.

In the last 14 days (24 March - 06 April, 2021), 5,515 cases were diagnosed. The 14-day cumulative diagnosis rate is 621.1 per 100,000 population. The median age was 34 years (Interquartile range - IQR: 22-50 years); 52.8% were females (n = 2,911), 47.2% males (n = 2,603), while for one case information is not currently available. Of those 5,515 cases,  28.9% (n = 1,596) reported no symptoms at diagnosis and 71.1% (n = 3,919) reported at least one of the symptoms. During the same period, 1,263 cases (23%) reported at least one comorbidity.

As of April 8th, 208 people were hospitalised). The median age of patients still hospitalised as of April 8th, (n = 208, including those discharged on that day) is 63 years (IQR: 55-72 years), 60.6% (n = 126) are males, and 47.6% (n = 99) are from the Limassol district. Hundred-thirty-seven cases (65.9%) still hospitalized had comorbidities (https://www.pio.gov.cy/coronavirus/uploads/SHORT%20ENG_Report%20COVID-19%20Cyprus%208April_FINAL.pdf).

The rapid increase in the new cases is related to the new UK variant. From a sample test carried out from the last week of December until January 2021 consisting of 18 specimens the UK variant was at 0%; however, as of February 2021 routine sample tests showed a rapid increase of the prevalence of this particular strain increasing to 31.25% (ie in five samples out of a total of 16) and during the period February 15th - March 6th, the incidence rate of this variant was estimated at 91%, (ie in 40 samples out of a total of 44). During March 2021, the UK variant was detected in all 111 samples that were sent for further investigation. Therefore, until now the UK variant of the virus was identified in 288 out of 572 samples (50,35%) (https://www.pio.gov.cy/coronavirus/uploads/25032021--Αποτελέσματα%20αλληλούχισης%20στελεχών.pdf) (09042021_britishvariantEN.pdf (pio.gov.cy)

Update 13th March 2021

The MoH and the Deputy Ministry of Research, Innovation and Digital Policy on March 11th held a press conference to present the national digital contact tracing application CovTracer – Exposure Notification (CovTracer-EN). CovTracer-EN uses the Bluetooth protocol and detects signals from the apps installed by other users that have been in proximity according to the definition of “close contact” in the MoH relevant protocol. Confirmed cases of Covid-19 who downloaded the application, have the option to enter the diagnostic code provided by the MoH Epidemiological Unit into the application and anonymously inform their potential contacts of the risk of infection.

This project has received funding from the European Union's Emergency Support Instrument programme under grant agreement No. CYPRUS-LC01591248

Source: https://www.pio.gov.cy/coronavirus/uploads/11032021_pressconfYfypourgouapplicationENG.pdf

Update 5th March 2021

As of March 4th, a total of 36,004 COVID-19 cases have been diagnosed, of which 233 died due to COVID-19 (case fatality risk: 0.7%). Cyprus records the second lowest rate of deaths (23 per 100,000 population) among all European Countries (Πύλη Πληροφόρησης Πανεπιστημίου Κύπρου για το COVID-19 (ucy.ac.cy).

During the period 10 – 23 Feb, 2021, 1,498 cases were diagnosed. The 14-day cumulative diagnosis rate is 168.7 per 100,000 population. The median age was 37 years (Interquartile range - IQR: 23-51 years); 50.7% were females (n = 760), and 49.3% males (n = 738). By place of exposure: 1.5% (n = 22) were imported and 98.5% (n = 1,476) were locally-acquired (SHORT ENG_Report COVID-19 Cyprus 25February_FINAL.pdf (pio.gov.cy).

However, during the period February 27th–March 4th there was a sharp increase in the number of new cases that have been diagnosed (n=1,823) increasing the positivity rate from 0,35% to 0,96%, raising great concern among the experts
As of March 4th, 101 people are still hospitalised.

The median age of patients still hospitalised as of 24th of February, 2021 (n = 86, including those discharged on that day) is 66 years (IQR: 54-75 years), 62.8% (n = 54) are males, and 66.3% (n = 57) are from Limassol district. Fifty-eight cases (68.2%) still hospitalised have comorbidities. Of 19 cases in intensive care units (ICU), who are currently notified, 14 were intubated. The median age of current ICU patients is 63 (IQR: 54-74) years and 16 (84.2%) are males. Fourteen (73.7%) patients currently in ICU have preexisting conditions (SHORT ENG_Report COVID-19 Cyprus 25February_FINAL.pdf (pio.gov.cy)).

Update 31st December 2020

On December 12th the Ministry of Education, Culture, Civilization and Youth announced that 1,4% of children attending primary schools, 2,6% of students attending gymnasiums and 2% attending lyceums were self –isolated due to the fact that they were positive cases or close contacts of them (12122020_yppaideias.pdf (pio.gov.cy).

As of December 28th, a total of 20,408 Covid-19 cases have been diagnosed (compared with 15,004 on December 13th), of which 113 died due to COVID-19 (65% men and 35% women, average age: 80 years). In the last 14 days (14 December – 28 December) 5,404 new cases were diagnosed compared with 4,425 in the previous 14 days (30 November - 13 December) showing a steady increase in the number of new cases. 153 patients are hospitalised, of which 51 in serious condition (28 were intubated compared to only 4 on the 13th of December) (28122020--Ανακοίνωσηγιαεπιβεβαίωσηκρουσμάτωνκορωνοϊού.pdf (pio.gov.cy).

As a result of the increased number of new cases the Minister of Health on his statement on December 28th,emphasized that the situation is at a very crucial point, as the capacity of beds for COVID-19 patients at the public hospitals is 200 beds and already 80% of them is occupied.

As of December 28th and following the recommendations of the Scientific Advisory Committee for the new coronavirus (SARS-CoV-2), the MoH announced that given the current epidemiological situation, the positive SARS-CoV-2 antigen detection tests (rapid tests) carried out by the mobile units of the MoH are considered positive and do not need the confirmation of the molecular method (RT-PCR), due to their high positive prediction value (28122020_rapidtestnoconfirmation_EN.pdf (pio.gov.cy)

A total of 727,077 molecular tests have been performed as of December 28th (this number also includes 10,881 rapid tests which have been carried out on December 28th and will not be confirmed by the molecular method based on the previous decision).

Update 8th November 2020

As of November 8th, a total of 5,854 COVID-19 positive cases have been recorded, of which 33 died due to COVID-19 (case fatality risk: 0.6%). The 14-day cumulative diagnosis rate is 247.5 per 100,000 population.

During the last 14 days (October 26th – November 8th 2020), 2,168 cases were diagnosed (37% of the total number of cases that have been detected after the onset of the pandemic). The median age is 35 years (interquartile range - IQR: 23-52 years); 49.5% are female. By age group, cases include 343 infants, children and adolescents aged 0-17 years old (15.8%), 1,501 adults aged 18-59 years (69.2%), 305 persons aged 60 years and older (14.1%), and 19 cases (0.9%) for which information is missing. By place of exposure 7.5% (n = 163) were imported, 85.8% (n = 1,860) were locally-acquired, and 6.7% (n = 145) are unknown. Among all cases diagnosed in the last 14 days, 1,266 (58.4%) were reported in Limassol district, 213 (9.8%) in Paphos, 351 (16.2%) in Nicosia, 173 (8.0%) in Larnaca, 86 (4%) in Ammochostos, and 79 (3.6%) were reported either in the British bases or had a residence abroad, or information was not available.

As of November 11th, 66 people were hospitalised. Their median age was 66 years (IQR: 57-78 years) and 68.2% were males. Among cases hospitalised, six were in Intensive Care Units (ICU) and 4 were intubated. The median age of current ICU patients is 69.5 (IQR: 64-72) years and 83.3% are males. Five out of six (83.3%) patients currently in ICU have pre-existing/underlying medical conditions. (https://www.pio.gov.cy/coronavirus/uploads/SHORT%20ENG_Report%20COVID-19%20Cyprus%2010Nov_FINAL.pdf).

According to the latest data on November 13th 6,853 people were tested positive with COVID-19 and 38 deaths were recorded. 51 patients were hospitalised and eight were in ICU (six were intubated) showing that the number of patients in ICUs although small is gradually increasing (https://www.pio.gov.cy/coronavirus/uploads/13112020--%CE%91%CE%BD%CE%B1%CE%BA%CE%BF%CE%AF%CE%BD%CF%89%CF%83%CE%B7%20%CE%B3%CE%B9%CE%B1%20%CE%B5%CF%80%CE%B9%CE%B2%CE%B5%CE%B2%CE%B1%CE%AF%CF%89%CF%83%CE%B7%20%CE%BA%CF%81%CE%BF%CF%85%CF%83%CE%BC%CE%AC%CF%84%CF%89%CE%BD%20%CE%BA%CE%BF%CF%81%CF%89%CE%BD%CE%BF%CF%8A%CE%BF%CF%8D.pdf).

Cyprus is using the European Centre for Disease Prevention and Control (ECDC) definition for COVID-19. Monitoring of the epidemiology of COVID-19 cases and their contacts is undertaken by the Unit of Surveillance and Control of Communicable Diseases, which has been reinforced with additional workforce from other departments of the MoH.

Since Cyprus is moving towards testing in the community, people with respiratory symptoms are encouraged to contact their personal doctors and ask to be tested. Eleven private laboratories have received a licence from the MoH to perform the RT-PCR test. If their results are positive, then they need to be confirmed by the official Laboratory at The Cyprus Institute of Neurology and Genetics.

In an effort to increase the ability of early detection of positive cases and protect the public hospitals, the MoH announced that from March 27th all admissions at the public hospitals will be tested for COVID-19 and will be isolated until the results are available.

Update 18th April 2020

According to the preliminary results, Paphos district and the municipality of Aradippou are the two areas which have been most affected by COVID-19 (Paphos records 82.9 incidents per 100,000 habitants, and Aradippou 330.3 in 100,000 habitants). Therefore, the MoH in collaboration with the local authorities have launched an extensive sampling in the two regions to assess the level of spread of the virus in these two communities. The results of this study are posted on the website: https://covid19.ucy.ac.cy/.

Update 26th April 2020

For public health purposes the MoH announced a new Decree (No. 169) of 2020, based on which if a case of COVID-19 is identified in any organisation or business in the public or private sector or in any of the Independent Services and Local Government Authorities, then for information and protection of citizens, the MoH must announce its details including the name and location of the organisation/ business within 24 hours  (https://www.pio.gov.cy/coronavirus/diat/20.pdf).

Update 3rd May 2020

According to the Scientific Committee as at April 30th, 294 cases (35.4%) have recovered from COVID-19. The main symptoms mentioned by patients were: fever (37.4%), cough (33.4%), myalgia (23.8%), sore throat (18.9%), anosmia (14.7%), difficulty in breathing (13.2%). 42% of the affected cases had at least one systemic disease (17% hypertension, 9.4% diabetes, 8.6% heart problems, 4.2% cancer).19.6% of the cases had to be admitted in a hospital and 70.7% (n=116) have been discharged. Of those who have been admitted, 18.9% (n=31) were in ICU.

Update 11th May 2020

The latest quantitative-epidemiologic data for Covid-19 cases in Cyprus, as at May 10th are as follows: 76,000 tests, 898 confirmed cases (10 of which at the British sovereign bases), and 22 deaths of which only 15 are attributed to SARS-CoV-2. The mortality rate on confirmed cases is estimated to be 2.4%. Cases are equally distributed between males and females, with a median age of 46 years, and median time from the onset of symptoms to the day of testing is 4 days (https://www.pio.gov.cy/coronavirus/pdf/en7052020.pdf).

In the occupied areas, press reports refer to 22,629 tests, 108 confirmed cases and four deaths. Although there is co-operation between the Republic of Cyprus and the occupied areas through the Bi-communal Health Committee, it is difficult to assess and evaluate the situation and the measures taken in these areas.

Update 18th May 2020

According to the latest report prepared by the Scientific Committee of the MoH, as of May 12th, 904 Covid-19 cases had been recorded, of which 19.1% (n=173) had to be hospitalised; 135 cases (78%), compared to 73.4% in the previous week, have already been discharged. The median age of all hospitalised patients is: 62 years (interquartile range: 49-73 years), and 65.3% are males (https://www.pio.gov.cy/coronavirus/en/pdf/ep1205ien.pdf).

Of all 904 confirmed cases, 481 (53.2%), compared to 45.6% in the previous week, have recovered. The death toll rose to 23, and the mortality rate on confirmed cases is estimated to be 2.5%. Cases are equally distributed between males and females, with a median age of 45 years (https://www.pio.gov.cy/coronavirus/pdf/ep1205i.pdf).

The latest quantitative-epidemiologic data for Covid-19 cases in Cyprus, as of May 17th are as follows: 87,410 tests, 916 confirmed cases (of which 11 at the British sovereign bases), and 24 deaths of which 17 were attributed to SARS-CoV-2. In the occupied areas, press reports refer to 30,228 tests, 108 confirmed cases and four deaths.

Update 6th June 2020

As of June 2nd, a total of 952 COVID-19 cases and 24 deaths (case fatality rate: 2.5%) have been reported in the Republic of Cyprus. For 17 deaths, COVID-19 was the underlying cause of death (COVID-19 CFR: 1.8%). The 14-day cumulative incidence rate of COVID-19 (per 100,000 population), a measure which reflects the number of active COVID-19 cases in the population (prevalence), is 3.4 per 100,000 population.

The median age of cases is 45 years (Interquartile range - IQR: 31-59 years); 50.2% are male and 49.8% are female. By age groups, cases included 61 infants, children and adolescents aged 0-17 years-old (6.4%), 662 adults aged 18-59 years (69.5%), and 229 persons aged 60 years and older (24.1%).

Overall, of 807 cases for which the place of exposure was known, locally acquired infections (index cases and close-contacts of confirmed cases) were 667 (82.7%). On the other hand, 17.3% (n = 140) of laboratory-confirmed COVID-19-cases had history of travel or residence abroad during the 14 days prior to symptom onset (imported). These cases have a direct link mainly to the UK and Greece.
In total, 18.5% (n = 176) of cases that received hospital care, of which 81.9% (n=144) have been discharged. The median age of all hospitalized patients is 62 years (IQR: 49-73 years) and 64.9% are males.

Overall 84.1% (n = 801) of COVID-19 cases have recovered; For symptomatic cases, or for cases hospitalised, a COVID-19 case can be considered recovered after the resolution of symptoms and two negative tests for SARS-CoV-2 at 24-hour interval the least.  For asymptomatic cases, or for persons isolated at home, the negative tests to document recovery should be obtained at a minimum of 14 days following the initial positive test (end of the quarantine period).
712 (74.8%) tested negative for two consecutive times, and 89 (9.4%) have been released as per the new guidelines. The median time between the second negative result and the first date of sampling was 25 days (IQR: 19-37 days) (https://www.pio.gov.cy/coronavirus/en/pdf/ep206ien.pdf).

Finally, the latest numbers for Covid-19 cases in Cyprus, as of June 7th are as follows: 131,476 tests, 964 confirmed cases (of which 11 at the British sovereign bases), and 25 deaths of which only 17 are attributed to SARS-CoV-2.  In the occupied areas, press reports refer to 33,456 tests, 108 confirmed cases and four deaths.

Update 14th June 2020

As of June 12th, a total of 980 COVID-19 cases and 25 deaths have been reported in the Republic of Cyprus. For 18 deaths, COVID-19 was the underlying cause of death (https://covid19.ucy.ac.cy/). However, in the last week (June 6th to June 12th), the origin of the new cases seems to have changed as 75% (n=15) of the newly reported cases were repatriated Cypriots or their close contacts (https://www.pio.gov.cy/coronavirus/press.html). 50.1% of the cases are male and 49.1% are female. The distribution of confirmed cases by age groups, is as follows: 8% infants, children and adolescents aged 0-19 years-old, 67% adults aged 20-59 years and 24% persons aged 60 years and older (https://covid19.ucy.ac.cy/). Overall, until June 12th, 82.3% (n = 807) of COVID-19 cases have recovered (https://covid19.ucy.ac.cy/).

Finally, the latest numbers for Covid-19 cases in Cyprus, as of June 14th are as follows: 142.028 tests, 983 confirmed cases (of which 11 at the British sovereign bases), and 25 deaths of which only 18 are attributed to SARS-CoV-2.  In the occupied areas, press reports refer to 33,730 tests, 108 confirmed cases and four deaths. In a recent television interview, the President of the Republic questioned the reliability of the occupied areas’ data. He wondered how it could be possible to have zero cases for more than 50 consecutive days and yet continue to have the same restrictive measures imposed at the beginning of the pandemic.

Update June 24th 2020

As of June 16th, a total of 985 COVID-19 cases and 25 deaths (case fatality rate: 2.5%) have been reported in the Republic of Cyprus. The mortality rate for COVID-19 is 2.9 per 100,000 population. Among these cases, 19.4% are health-care workers (n = 191) - 4% physicians (n = 39), 9.8% nurses (n = 97), 1.3% other health occupations (n = 13), and 4.3% auxiliary staff (n = 42). The median age of cases is 45 years (Interquartile range - IQR: 30-59 years); 50.7% are male and 49.3% are female. 

Overall, of 840 cases for which the place of exposure was known, locally acquired infections (index cases and close-contacts of confirmed cases) were 674 (80.2%). In the last 14 days (since 3rd June, included), of 31 cases reported, 84% (n = 26) were imported, and 16% (n = 5) were locally-acquired. These cases have a direct link to the UK and Greece, mainly.

In total, 18.2% (n = 179) of cases received hospital care, of which 146 patients (81.6%) have been discharged from the hospital. Median age of all hospitalised patients is 62 years (IQR: 49-73 years) while 64.8% are males. Among the living cases, 818 (85.2%) have recovered (without symptoms and with two negative tests following their diagnosis or released 21 days after diagnosis). The median time between the second negative result and the first date of sampling was 25 days (IQR: 19-38 days).

As of June 16th, the 14-day cumulative incidence rate of COVID-19 (per 100,000 population), a measure which reflects the number of active COVID-19 cases in the population (prevalence) is 3.5 per 100,000 population (https://www.pio.gov.cy/coronavirus/en/pdf/ep1606ien.pdf).

On June 22nd the total number of Covid -19 cases was 988 (https://www.pio.gov.cy/coronavirus/press/22062020_3.pdf). What is important is that for five consecutive days (from June 16th to June 20th) no new cases had been recorded while the maximum daily number of new cases did not exceed two during the past ten days.
Finally, the latest numbers for Covid-19 cases in Cyprus, as of June 24th are as follows: 151,521 tests, 991 confirmed cases (of which 11 at the British sovereign bases), and 26 deaths of which only 19 are attributed to SARS-CoV-2.  In the occupied areas, press reports refer to 35,393 tests, 108 confirmed cases and four deaths.


Update 15th July 2020

During the period June 26th to July 9th, 18 new cases of COVID-19 have been recorded. 61.1% (n=11) of those have previous history of travelling. 89% were male and 11% female. The median age was 34 (IQR2: 24-44), while 89% belonged to the age group of 18- 59 (https://www.pio.gov.cy/coronavirus/pdf/i9072020.pdf).

From the onset of the pandemic until July 14th, 1023 cases of COVID-19 have been recorded in Cyprus. Of those 82.7% (n=845) have been fully recovered. Data show that there is an uneven distribution of cases among districts. The district with the highest prevalence of confirmed cases is Paphos (183 per 100,000 population) following by Larnaca (171 per 100,000 population), Nicosia (109 per 100,000 population), Ammochostos (108 per 100,000 population) and Limassol (51 per 100,000 population). (https://covid19.ucy.ac.cy/).

Finally, the latest numbers for Covid-19 cases in Cyprus, as of July 15th are as follows: 178,805 tests (20,413 per 100,000 pop.), 1,025 confirmed cases (of which 11 at the British sovereign bases), and 26 deaths of which only 19 are attributed to SARS-CoV-2. In the occupied areas, press reports refer to 48,171 tests, 117 confirmed cases and four deaths.

Update 27th July 2020

As of July 25th, a total of 1,053 cases of COVID-19 have been recorded in Cyprus and 26 deaths (Case Fatality Rate - CFR: 2.5%). The mortality rate for COVID-19 is 3 per 100,000 population. For 19 deaths, COVID-19 was the underlying cause of death (COVID-19 CFR: 1.9%)(https://www.pio.gov.cy/coronavirus/press/25072020_1.pdf).

Among cases alive, 852 (84.9%) cases have recovered (without symptoms and with two negative tests following their diagnosis or released 21 days after diagnosis). There are no patients in intensive care units.

In the last thirty days (June 24th to July 23rd), 55 new cases of COVID-19 have been recorded. The majority of them were men (75%), belonging to the age group of 18-59 years old (89%). 62% (n=34) of the cases reported, were imported, and 38% (n = 21) were locally-acquired. 

On July 24th the MoH issued a statement according to which, in the last days there has been an increase of “orphan cases”, that is, cases with no epidemiological connection. This is of great concern to the government as, it is interpreted that there are still active outbreaks of the virus in the community (https://www.pio.gov.cy/ανακοινωθέντα-άρθρο.html?id=14925#flat).

Finally, the latest numbers for Covid-19 cases in Cyprus, as of July 26th are as follows: 195,257 tests (22,292 per 100,000 pop.), 1,057 confirmed cases (of which 11 at the British sovereign bases), and 26 deaths of which 19 are attributed to SARS-CoV-2. In the occupied areas, press reports refer to 60,922 tests, 133 confirmed cases and four deaths.

Update 17th August 2020

As of August 11th, a total of 1,277 COVID-19 cases have been recorded, of which 73.7% (n=870) have been recovered. In addition 27 deaths have been reported (20 are due to COVID-19, of which 14 are men and 6 women, average age: 71years, case fatality rate: 2.2%). (https://www.pio.gov.cy/coronavirus/press/11082020_7.pdf) (https://covid19.ucy.ac.cy/)).

During the last weeks there has been a change in the COVID-19 patient profile. More specifically during the period July 23 - August 6, the characteristics of the new COVID-19 patients (n= 163) were as follows:
  • 51% were male and 49% female.
  • 75% belonged to the age group of 18-59, 12% to the age group of 0-12 and only 13% were over 60. The median age of cases was 32 years (Interquartile range - IQR2: 23-51y), quite lower compared with the median age on July 29th which was 43 years (Interquartile range - IQR: 30-58 years).
  • Of the 142 cases (from the 163 new cases) which the place of  exposure was known, locally acquired infections (index cases and close-contacts of confirmed cases) were 104 (73.2%).
  • There were ten new hospital admissions of which five had already been discharged. There was no patient in ICU.
The data show that the increase in cases observed in recent weeks was mainly due to the spread of the coronavirus among citizens who do not have a travel history (https://www.pio.gov.cy/coronavirus/press/05082020_8.pdf).

Finally, the latest numbers for Covid-19 cases in Cyprus, as of August 14th are as follows: 250,142 tests (28,558 per 100,000 pop.), 1,318 confirmed cases (of which 11 at the British sovereign bases), and 27 deaths of which 20 are attributed to SARS-CoV-2. In the occupied areas, press reports refer to 92,399 tests, 196 confirmed cases and four deaths. It is worth mentioning that almost all the confirmed cases (78 in total) in the occupied areas of Cyprus in the last 30 days were "imported" from Turkey.

Update 29th August 2020

As of August 25th, a total of 1,474 COVID-19 cases have been recorded, 68.3% (n=935) of them have recovered. In addition 27 deaths have been reported (20 are due to COVID-19, of which 14 are men and 6 women, average age: 71y, case fatality rate: 2.2%) (https://covid19.ucy.ac.cy/)).

During the period July 1st -August 20th the characteristics of the new COVID-19 patients (n= 398) were as follows (https://www.pio.gov.cy/coronavirus/en/pdf/i2082020en.pdf):
  • 52% were male and 48% female.
  • 83% belonged to the age group of 18-59, 9% at the age group of 0-12 and only 8%; were over 60. The median age of cases was 30y (Interquartile range - IQR2 : 23-34y), quite lower compared with the median age on July 29th which was 43 years (Interquartile range - IQR: 30-58 years);
  • Of the 398 new cases, locally acquired infections (index cases and close-contacts of confirmed cases) were 250(73.2%), 129 had a travel history and 19 have been characterized as “orphans”
  • There were sixteen new hospital admissions of which fourteen already discharged. There is one patient in ICU

Finally, the latest numbers for Covid-19 cases in Cyprus, as of August 28th are as follows: 296,005 tests (33,794 per 100,000 pop.), 1,481 confirmed cases (of which 11 at the British sovereign bases), and 27 deaths of which 20 are attributed to SARS-CoV-2. In the occupied areas, press reports refer to 112.543 tests, 311 confirmed cases and four deaths.


Update 8th September 2020

As of September 8th, a total of 1,511 COVID-19 cases and 29 deaths (case fatality rate: 1.9%) have been reported in the Republic of Cyprus. For the 22 deaths, COVID-19 was the underlying cause of death (COVID-19 CFR: 1.5%). The mortality rate for COVID-19 was 3.3 per 100,000 population. Twenty-two deaths (75.9%) occurred in men and seven (24.1%) in women; the median age of all deaths was 76 years (IQR: 68-78 years).

Among all cases, 492 (32.6%) were reported in Nicosia district, 388 (25.7%) in Larnaka, 266 (17.6%) in Limassol, 186 (12.3%) in Pafos, 83 (5.5%) in Ammochostos, and 96 (6.4%) were reported either in the British bases or had a residence abroad, or information was not available.

The median age of cases is 39 years (Interquartile range - IQR: 27-56 years) (compared with 43 years that was on July 29th (Interquartile range - IQR: 30-58 years) showing a decreasing trend in the median age of the new cases).

By age group, cases included 114 infants, children and adolescents aged 0-17 years-old (7.5%), 1,114 adults aged 18-59 years (73.7%), and 283 persons aged 60 years and older (18.7%). 51.6% are male and 48.4% are female. Among these cases, 13.6% are health-care workers (n = 205) (2.8% physicians (n = 42), 6.7% nurses (n = 102), 0.7% other health professionals (n = 10), and 3.4% auxiliary staff (n = 51).

From the 1,338 cases for which the place of exposure was identified, the locally acquired infections (index cases and close contacts of confirmed cases) were 966 (72.2%). However since July 1st (included), out of 513 cases reported, 38% (n = 196) were imported and only 56% (n = 287) were locally-acquired, while 6% (n = 30) were of unknown origin demonstrating an increase in the imported cases. The majority of these recent cases (since July 1st) were reported in Limassol (28.7%; n = 147), and 64.6% of them (n = 95) were locally-acquired.

In total, 13.8% (n = 209) of cases received hospital care (compared to 17.2% on July 29th), and 2.4% (n=5) are still hospitalised (either for treatment of COVID-19 symptoms or for pre-existing conditions). Among the symptomatic cases at diagnosis, 20% (n = 178) required hospitalisation. The median age of all hospitalised patients is 62 years (IQR: 47-73 years) and the majority, 62.7% are males. There is one patient in the intensive care unit and intubated. The overall median length of stay in ICU (for all 34 ICU cases) was 11 days (IQR: 8- 28 days).

Among all living cases, 1,281 (86.4%) cases have recovered (without symptoms and with two negative tests following their diagnosis or released 21 days after diagnosis). The median time between the second negative result and the first date of sampling was 22 days (IQR: 18-35 days).

The most commonly reported symptoms were: cough (26.8%), fever (27.9%), myalgia (18.9%), sore throat (15.7%), anosmia (12%), and shortness of breath ( 9.4%).

The 14-day cumulative incidence rate of COVID-19 (per 100,000 population), a measure which reflects the number of active COVID-19 cases in the population (prevalence), is 7 per 100,000 population. (https://www.pio.gov.cy/coronavirus/en/pdf/ep8092020ien.pdf)
Finally, the latest numbers for Covid-19 cases in Cyprus, as of September 13th are as follows: 333,109 tests (38,030 per 100,000 pop.), 1,526 confirmed cases (of which 11 at the British sovereign bases), and 29 deaths of which 22 are attributed to SARS-CoV-2. In the occupied areas, press reports refer to 143,431 tests, 593 confirmed cases and four deaths. In the last thirty days (August 14th - 13 September), the confirmed cases in the occupied areas reached 378 with increasing trends, resulting in additional measures and local lockdowns. For the first few days, most cases were imported from Turkey, but gradually the cases are increasing in the community as well.

Update 28 September 2020

As of September 22nd, a total of 1,620 COVID-19 positive cases and 29 deaths (case fatality rate: 1.8%) have been reported in the Republic of Cyprus. Among these cases, 12.7% were health-care workers (n = 205) (2.6% physicians (n = 42), 6.3% nurses (n = 102), 0.6% other health professionals (n = 10), and 3.2% auxiliary staff (n = 51).

The median age of cases is 39 years (Interquartile range - IQR: 27-55 years); 52.3% are male and 47.7% are female.
For 1,428 cases the place of exposure undetermined, while the locally acquired infections (index cases and close-contacts of confirmed cases) were 1,028 (72%)

Since July 1st (inclusive), of 622 cases reported, 36% (n = 224) were imported, 56% (n = 349) were locally-acquired, and 8% (n = 49) were unknown.

In total, 13.4% (n = 217) of cases received hospital care, and 5.5% (n=12) are still hospitalised (either for treatment for COVID-19 symptoms or for pre-existing conditions). The median age of all hospitalized patients is 62 years (IQR: 48-73 years) and 63.1% are males. There are no patients in intensive care unit or intubated.
Among cases alive, 1,385 (87.1%) have recovered (without symptoms and with two negative tests following their diagnosis or released 21 days after diagnosis)
(https://www.pio.gov.cy/coronavirus/en/pdf/ep22092020ien.pdf ).
Until September 24th 1,654 confirmed cases were reported (https://covid19.ucy.ac.cy/_

Finally, the latest numbers for Covid-19 cases in Cyprus, as of September 27th are as follow: 372,799 tests (42,562 per 100,000 pop.
), 1,696 confirmed cases (of which 11 at the British sovereign bases), and 29 deaths of which 22 are attributed to SARS-CoV-2. In the occupied areas, press reports refer that until 25th of September 163,073 tests were performed with 735 confirmed cases and four deaths.

Update 2nd November 2020

During the last fifteen days there has been a great increase in the number of positive tests in Cyprus with more than 100 new cases per day. More specifically as of October 24th, a total of 3,388 Covid-19 cases and 32 deaths (case fatality risk: 0.9%) have been reported in the Republic of Cyprus. The 14-day cumulative notification rate is 158.1 per 100,000 population. For 25 deaths, Covid-19 was the underlying cause of death (Covid-19 CFR: 0.7%).
In the last 14 days (11-24 October 2020), 1,374 cases were recorded. The median age was 32 years (Interquartile range - IQR: 24-46 years) and 51.7% are male. Regarding the place of exposure, 7.4% were imported, 89.5% were locally-acquired, and for 3.1% place of exposure is unknown.

Among all the cases tested positive in the last 14 days, 794 (57.8%) were reported in Limassol district, 222 (16.2%) in Pafos, 149 (10.8%) in Nicosia, 117 (8.5%) in Larnaka, 36 (2.6%) in Ammochostos, and 56 (4.1%) were reported either in the British bases or had a residence abroad, or information was not available.
As of October 24th, 33 people were hospitalised. The median age is 58 years (IQR: 52-72 years) and 57.6% are male. Among cases hospitalised, two are intubated in intensive care units. The mean age of ICU patients is 68 years, and both are males. Among cases alive, 47.2% (n = 1,583) of Covid-19 cases have recovered; of which 1,091 (68.9%) tested negative two consecutive times, and 492 (31.1%) have been released as per the new guidelines.(https://www.pio.gov.cy/coronavirus/uploads/SHORT%20ENG_Report%20COVID-19%20Cyprus%2024Oct_final.pdf).

Finally, according to the latest data provided by the MoH, on November 1st the total number of COVID-19 cases has reached the 4,563, with 33 deaths, of which 29 are attributed to Covid-19. Also, the number of tests has reached the number of 488,264, or 55,744 per 100,000 population.

Update 1st December 2020

As of November 30th, a total of 10,622 COVID-19 cases have been recorded, of which 52 died due to COVID-19 (case fatality risk: 0.5%). The 14-day cumulative diagnosis rate is 349.8 per 100,000 population.

In the last 14 days (17-30 November), 3,064 cases were diagnosed. The median age was 37 years (Interquartile range - IQR: 24-54 years); 50.1% were female (n = 1,536), 49.1% male (n = 1,505), and for 23 cases (0.8%) sex is unknown. By age group, cases include 477 infants, children and adolescents aged 0-17 years old (15.6%), 2,053 adults aged 18-59 years (67%), 527 persons aged 60 years and older (17.2%), and for 7 cases (0.2%) information was missing. By place of exposure: 1.2% (n = 36) were imported, 82.6% (n = 2,530) were locally-acquired, and 16.3% (n = 498) are unknown. Regarding the distribution of the new cases in the last 14 days, 1,270 (41.5%) were reported in Nicosia district, 918 (30%) in Limassol, 404 (13.2%) in Larnaka, 226 (8.7%) in Ammochostos, 135 (4.4%) in Pafos, and 71 (2.3%) were reported either in the British bases or had a residence abroad, or information was not available.
As of December 2nd, 121 people were still hospitalised. The median age of patients still hospitalised (n = 121) is 78 years (IQR: 63-85 years), 50.4% (n = 61) are females. Among cases still hospitalised, 14 are in intensive care units (ICU) and 10 are intubated. The median age of current ICU patients is 72 (IQR: 68-81) years and 10 (71.4%) are males. Ten (71.4%) patients currently in ICU have pre-existing conditions.

As of December 2nd, among cases alive, 19.5% (n = 2,057) of COVID-19 cases have recovered/released from isolation; of which 1,311 (63.7%) tested negative two consecutive times, and 746 (36.3%) have been released as per later guidelines ((SHORT ENG_Report COVID-19 Cyprus 3December_FINAL.pdf (pio.gov.cy).
According to latest data as of December 4th 11,812 cases of COVID-19 have been recorded in Cyprus since the onset of the pandemic (04122020--Ανακοίνωση για επιβεβαίωση κρουσμάτων κορωνοϊού.pdf (pio.gov.cy).

Update 18th October 2020

As of October 6th, a total of 1,876 Covid-19 cases and 31 deaths (case fatality rate: 1.7%) have been reported in the Republic of Cyprus. For 24 deaths, Covid-19 was the underlying cause of death (Covid-19 CFR: 1.3%). The mortality rate for Covid-19 is 3.5 per 100,000 population. Twenty-three deaths (74.2%) occurred in men and eight (25.8%) in women; the median age of all deaths was 76 years (IQR: 66-79 years).

Among all the cases, 11.3% are healthcare workers (n=212), 2.3% physicians (n=43), 5.7% nurses (n=107), 0.5% other health professions (n=10), and 2,8% auxiliary staff (n=52).

By age group, cases included 156 infants, children and adolescents aged 0-17 years old (8.3%), 1,397 adults aged 18-59 years (74.6%), 321 persons aged 60 + (17.1%), while for two cases information was missing. The median age of all cases is 37 years (IQR: 26-54 years). The median age among adult cases (≥ 18 years) is 40 years (IQR: 29-56 years). 52.8% are male and 47.2% are female.

Among all cases, 545 (29.1%) were recorded in Larnaca district, 530 (28.2%) in Nicosia, 332 (17.7%) in Limassol, 213 (11.4%) in Pafos, 130 (6.9%) in Ammochostos, and 126 (6.7%) involved persons from the British bases and overseas as well as cases with missing or not available information.

From 1,675 cases for which the place of exposure was known, the locally acquired infections (index cases and close-contacts of confirmed cases) were 1,203 (71.8%). Since July 1st (included), from the 878 cases reported, 33.7% (n = 296) were imported, 59.7% (n = 524) were locally acquired, and 6.6% (n = 58) were unknown. The majority of recent cases were recorded in Larnaca (33.8%; n = 297), with 75.8% being (n = 225) locally acquired.
From the 1,876 confirmed Covid-19-cases, clinical information is available for 98.4% (n = 1,846), of which 40.6% (n = 749) reported no symptoms upon diagnosis and 59.3% (n = 1,096) reported at least one symptom. The most commonly reported symptoms among symptomatic cases were: • cough (463/1,084; 42.7%), • fever (465/1,082; 43%), • myalgia (338/1,078; 31.4%), • sore throat (281/1,078; 26.1%), • anosmia (192/987; 19.5%), and • shortness of breath (145/1,061; 13.7%).

Among the symptomatic cases, 18.2% (n=200) required hospitalisation. For cases hospitalised after symptoms onset (n=145), the median time from symptom onset to hospital admission was 6.5 days (IQR: 4.5-9.5 days). In total, 12.4% (n = 233) of cases received hospital care, and 10 (4.3%) are still hospitalised (either for treatment of Covid-19 symptoms or for pre-existing conditions). The median age of all hospitalised patients is 62 years (IQR: 47-73 years) and 62.7% are males. There were two patients in the intensive care unit and both intubated (as of October 6th, including deaths/discharged on that day).

Among living cases, 1,444 (78.3%) have recovered (without symptoms and with two negative tests following their diagnosis or released 21 days after diagnosis) (https://coronavirus.com2go.co/uploads/ep610eni.pdf).

Since October 12th there was a remarkable increase in the number of new cases. More specifically during the week October 12th-October 18th there were 575 new cases while on October 17th the highest number of new cases since the start of the pandemic has been recorded (n=202). The cases concern mainly students and employees in companies. Twenty-two patients are hospitalized and two patients are in ICU.

Finally, the latest numbers for Covid-19 cases in Cyprus, as of October 18th are as follow: 439,256 tests (50,149 per 100,000 pop.), 2,644 confirmed cases, and 32 deaths of which 25 are attributed to SARS-CoV-2. Respectively, in the occupied areas, and according to press reports, have been recorded 852 confirmed cases and 4 deaths.

Update 14th September 2020

The Department of Molecular Virology of the Cyprus Institute of Neurology & Genetics announced the commencement of research in the Cypriot population with the main goal of determining the degree of immunity to SARS-CoV-2, as well as the immunogenicity of surface antigens. The research program, has been approved by the National Bioethics Committee of Cyprus, and deals with the detection of antibodies in individuals tested positive for COVID-19 following a molecular test performed with the internationally recognized method RT-PCR, the detection of antibodies in individuals who tested negative for COVID-19, and the detection of antibodies in individuals who were not tested (https://knews.kathimerini.com.cy/en/news/study-to-assess-coronavirus-immunity-in-cyprus).