CAIRO • Governments in the Middle East must act fast to limit the spread of the coronavirus after cases in the region rose to around 60,000, almost double their level a week earlier, the World Health Organisation (WHO) said.

"New cases have been reported in some of the most vulnerable countries with fragile health systems," Dr Ahmed Al-Mandhari, WHO's director for the Eastern Mediterranean region, said on Thursday. The region includes Pakistan, Afghanistan, Somalia and Djibouti, as well as Middle Eastern states.

"Even in countries with stronger heath systems, we have seen a worrying spike in the numbers of cases and deaths reported," he said.

Outside of Iran, which has reported more than 50,000 cases, confirmed coronavirus numbers have been relatively low in the Middle East compared with Europe, the United States and Asia.

But health officials fear that cases of the highly contagious respiratory illness caused by the virus are under-reported and that many countries with weak governments and health systems eroded by conflict will struggle to cope.

"I cannot stress enough the urgency of the situation," said Dr Mandhari. "The increasing numbers of cases show that transmission is rapidly occurring at local and community levels."

"We still have a window of opportunity, but this window is slowly closing day by day," he said.

The total number of cases in the region has risen to 58,168 from 32,442 on March 26, WHO said on the day when global Covid-19 cases crossed the one-million mark.

One of the countries worst affected by conflict is Yemen, where the World Bank said on Thursday it would provide US$26.9 million (S$38.6 million) in emergency funding to help WHO and local authorities improve capacity for detecting, containing and treating the virus.

Yemen has not confirmed any coronavirus cases but is seen as especially vulnerable because of a five-year conflict that has brought its health system to the brink of collapse. It has already been struggling with overlapping infectious diseases including cholera, diphtheria and dengue fever, and large numbers of people have been displaced by the war.

About 24 million out of a population of 29 million need humanitarian assistance. There are no doctors in 18 per cent of the country's districts, most healthcare workers have not been paid for at least two years, and Covid-19 testing kits are available for just 600 people, according to the World Bank.

"The epidemic does pose unique public health risks in Yemen… given the already weak health system and the high vulnerability among the population," the bank added.

REUTERS