covid-19 pandemic in cambodia covid-19 pandemic in cambodia the covid-19 pandemic in cambodia was a part of the ongoing worldwide pandemic of coronavirus disease 2019 (covid-19) caused by severe acute respiratory syndrome coronavirus 2 (sars-cov-2). the first imported case in cambodia was detected in sihanoukville on 27 january 2020. although a number of imported cases and transmission to direct contacts were confirmed throughout 2020, no community transmission was detected until 29 november 2020. as of july 2021, phnom penh has been the most affected province with the majority of infections and deaths. banteay meanchey has the second-highest number of infections, whereas kandal has second-highest number of deaths. covid-19 pandemic in cambodiamap of provinces with confirmed cases(as of 12 july 2021) ≥ 10,000 5,000–9,999 1,000–4,999 500–999 100–499diseasecovid-19virus strainsars-cov-2locationcambodiafirst outbreakwuhan, hubei, chinaindex casesihanoukvillearrival date27 january 2020(3 years, 3 months, 2 weeks and 2 days)confirmed cases138,735 recovered135,677deaths3,056fatality rate2.2%government websitecommunicable disease control department part of a series on the history of cambodia early history funan chenla khmer empire angkor khmer–cham wars đại việt–khmer war post-angkor period chaktomuk era longvek era siamese-cambodian war cambodian–spanish war cambodian–dutch war oudong era loss of mekong delta nguyễn kingdom's invasion colonial period french protectorate french indochina japanese occupation (cambodia in 1945) independence and conflict post-independence us bombing sihanouk trail cambodian campaign 1970 coup khmer republic us bombing cambodian civil war fall of phnom penh democratic kampuchea mayaguez incident cambodian genocide cambodian–vietnamese war people's republic of kampuchea exiled coalition government k5 plan peace process 1991 paris peace agreements united nations transitionalauthority (untac, 1992–93) 1993 election modern cambodia economy 1997 coup khmer rouge tribunal 2003 phnom penh riots cambodian–thai border dispute 2013–2014 protests covid-19 pandemic by topic buddhism economic history humanitarian crisis military history monarchy names heads of state timeline cambodia portal the public health response is led by the ministry of health with support from the u.s. centers for disease control and prevention, world health organization and institut pasteur du cambodge. contact tracing, quarantining, screening of arrivals and public messaging related to hygiene, social distancing and mask wearing have been central to the containment strategy. according to global health security index's report in 2019, cambodia ranked 89th out of 195 countries in preparedness for infectious disease outbreak. cambodia's initial response was slow - during the initial outbreak in china, few international travel restrictions were introduced, cambodian citizens were not evacuated from wuhan and prime minister hun sen downplayed the threat. cambodia allowed passengers of cruise ship ms westerdam to disembark in february after it was refused entry to other countries. starting in march as the pandemic spread globally, cambodia established its national response committee, introduced restrictions on arrival, closed education institutions, garment factories and entertainment venues, and major public holidays were cancelled. a controversial state of emergency law was passed in april 2020 but has not been implemented to date. most restrictions within the country were lifted by september. in november, some restrictions were reinstated in phnom penh and thousands of cambodian government employees and contacts went into quarantine following a one day-visit by hungarian foreign minister péter szijjártó, who tested positive after arriving in bangkok. on 29 november, the first community transmission cluster was detected in phnom penh, with the virus suspected to have entered the country sometime during october and circulated undetected. the country began its vaccination programme and detected its largest outbreak to date in february 2021 thought to be related to a phnom penh quarantine breach that led to outbreaks at nightlife venues. cambodia reported its first death on 11 march 2021. as lineage b.1.1.7 spread in the capital's markets and garment factories, a curfew was later strengthened to the country's first lockdown across the entirety of phnom penh and takhmau in april 2021 as the who warned cambodia's healthcare system was at risk of becoming overwhelmed. provincial authorities later introduced restrictions elsewhere as outbreaks occurred. cambodia's response up to july 2020 and its welcoming of the ms westerdam were praised by the world health organization. criticism has included prime minister hun sen's downplaying of the risk of an outbreak during the early stages of the pandemic, persecution of critics and testing and surveillance procedures, particularly in overcrowded prisons. the pandemic has had a severe impact on the economy, notably the tourism and garment sectors, with projections of a lasting increase in poverty, debt and unemployment. background on 12 january 2020, the world health organization (who) confirmed that a novel coronavirus was the cause of a respiratory illness in a cluster of people in wuhan city, hubei province, china, which was reported to the who on 31 december 2019. the case fatality ratio for covid-19 has been much lower than sars of 2003, but the transmission has been significantly greater, with a significant total death toll. timeline covid-19 cases in cambodia () deaths recoveries active cases202020202021202120222022janjanfebfebmarmarapraprmaymayjunjunjuljulaugaugsepsepoctoctnovnovdecdecjanjanfebfebmarmarapraprmaymayjunjunjuljulaugaugsepsepoctoctnovnovdecdecjanjanfebfebmarmarapraprmaymayjunjunjuljullast 15 dayslast 15 days date# of cases# of deaths 2020-01-271(n.a.) ⋮ 2020-02-101(n.a.) ⋮ 2020-03-072(n.a.)0(n.a.) 2020-03-082(=)0(n.a.) 2020-03-092(=)0(n.a.) 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⋮136,314(=)3,056(=) 2022-07-17136,455(+141)3,056(=) source: communicable disease control department and ministry of health of cambodia preventive measures poster by communicable disease control department (cdcd) january–february - first case and docking of ms westerdam an empty hand sanitizer shelf in kep on 28 january 2020, the day after the first case was confirmed in cambodia at 3 p.m. on 27 january, the first case had been confirmed in sihanoukville on a 60-year-old chinese man who arrived in 23 january from wuhan, hubei with his family. three other members of his family were placed under quarantine as they did not appear to have symptoms, while he was placed in a separate room at the preah sihanouk referral hospital. on 10 february, after two weeks of being treated and kept under observation, he had fully recovered, health ministry stated on account of testing negative for the third time by pasteur institute of cambodia. the family were finally discharged and flew back to their home country on the next day as of the 80 chinese nationals who arrived in sihanoukville on the same flight as him, most have since returned to china, although the city of wuhan remains under quarantine. the cruise ship ms westerdam was reportedly taking 1,455 passengers and 802 crew around asia, 651 of whom were u.s citizens. it was previously docked in hong kong, around the time it was badly hit by the virus. the westerdam arrived in sihanoukville on 13 february after it had been turned away by four countries due to virus concerns. about 20 passengers on board, who were unwell, took clinical tests but the vast majority had their temperature taken and filled out a form. most of these passengers then disembarked. this move was praised by the world health organization (who), who called it an "example of international solidarity". no officials or passengers implemented social distancing or mask wearing during the ceremony, and passengers were later encouraged to tour around phnom penh. of 145 westerdam passengers who stopped in malaysia by plane on 15 february, an 83-year-old american woman tested positive for the virus, leading to concern that other passengers may also have been infected. by only then, the remaining of 781 passengers were isolated and taken clinical tests, and still, the westerdam was criticized as it was not designed for quarantine and the passengers were able to socialize. a comedian based in oregon who was hired to perform on the westerdam was said to have flouted the quarantine by sneaking a flight back to seattle. however, he averred that the quarantine never took place and was cleared by us cdc on both ends. later tests on the american woman who had already returned home showed negative as she never had carried the virus after all, us cdc stated