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The World Health Organization has recorded 65 cases of the coronavirus among staff based at its headquarters, including five people who worked on the premises and were in contact with one another, an internal e-mail obtained by The Associated Press shows.

The UN health agency said it is investigating how and where the five people became infected – and that it has not determined whether transmission happened at its offices. WHO’s confirmation Monday of the figures in the e-mail was the first time it has publicly provided such a count.

“To my knowledge, the cluster being investigated is the first evidence of potential transmission on the site of WHO,” Dr. Michael Ryan, the agency’s chief of emergencies, told reporters Monday after the AP reported on the internal e-mail.

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The e-mail said about half of the infections recorded so far were in people who had been working from home. But 32 were in staff who had been working on premises at the headquarters building, where more than 2,000 people usually work and the agency says it has put in place strict hygiene, screening and other prevention measures.

In the e-mail, which was sent to staff on Friday, Raul Thomas, who heads business operations at WHO, noted that five people – four on the same team and one who had contact with them – had tested positive for COVID-19. That could indicate that basic infection control and physical distancing procedures in place may have been broken.

“We have had some cases that have been associated with the premises. We do have some cases in the last week that are linked together,” Maria Van Kerkhove, WHO’s technical lead on COVID-19, confirmed Monday.

Of the linked cases, she added: “There are possible ways in which they were infected outside of the premises. So we’re still doing the epidemiologic investigation with that.”

Two weeks ago, Van Kerkhove had said there had been no transmission at headquarters to that point but added that the agency was monitoring it. WHO, which is co-ordinating the global response to the pandemic, had previously said that staffers had been infected but never provided a number or details.

“As per standard protocols, these colleagues are receiving the necessary medical attention and are recovering at home,” the e-mail Friday said. “These last five cases bring the total reported number of affected members of the Geneva based work force to 65 since the beginning of the pandemic.”

According to the e-mail, 49 of the overall cases had occurred in the last eight weeks, “thus very much in line with the situation being reported in Geneva and the surrounding areas.” He added that “a higher number of cases among those who telework might have gone unreported.” The timing of the other 16 cases was not clear.

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The revelation comes amid a surge of cases in Europe, host country Switzerland, and the city of Geneva, in particular.

The e-mail did not specify who was infected, but a WHO staffer with direct knowledge of the situation who spoke on condition of anonymity because she was not authorized to speak to the press said the five linked cases included a member of the WHO director-general’s leadership team who is also an infection control specialist.

Thomas' e-mail was sent after other WHO officials raised concerns that people who had been in contact with the group were still working in the Geneva building and potentially exposing others to COVID-19, the staffer said.

The senior manager reportedly held several in-person meetings at WHO in early November before testing positive last week. The person, contacted by the AP, referred all comments to the WHO media office.

“We have not yet established whether transmission occurred on campus, but are looking into the matter,” Farah Dakhlallah, a WHO spokeswoman, said in an e-mail to the AP.

WHO has faced repeated criticism of its handling of the pandemic. U.S. President Donald Trump accused the UN agency of “colluding” with China to hide the extent of the initial outbreak. In June, the AP found WHO publicly lauded China for its speed and transparency, even though private meetings showed WHO officials frustrated that the country sat on releasing critical outbreak information.

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The e-mail obtained by the AP said enhanced measures to “reduce our risk profile” were being considered.

“Finally, members of the work force are reminded that physical meetings, including gatherings in common areas or in the cafeteria, are strongly discouraged and should only take place where absolutely necessary,” it added.

Elsewhere in Geneva, restaurants are among many public venues that have been closed to prevent the spread of COVID-19.

Last month, Thomas told WHO staffers the agency was restricting access to its Geneva headquarters to critical staffers, including senior directors, their assistants and management officers. “All members for the work force are reminded to always keep proper hand hygiene, respect physical distancing standards (at least one meter) and wear masks, when distancing is not possible,” he wrote.

In normal times, an estimated 2,400 people regularly work at WHO’s seven-story headquarters overlooking Geneva. As the pandemic has swelled in the area, staffers have been encouraged to work from home when possible. Non-staff visitors have been required to wear masks, and access to the building has been curtailed.

And ahead of WHO’s week-long meeting of its member states last week – which was mostly virtual – staffers were told in an internal e-mail to take extra precautions, including mask-wearing in public places.

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On Monday, from a vast meeting room at the headquarters, WHO Director-General Tedros Adhanom Ghebreyesus and other officials were participating in a session of the agency’s latest executive board meeting, which was largely conducted by video conference. He was returning from a two-week self-quarantine at home after coming into contact with a person who tested positive. Because Tedros did not show any symptoms himself, he was not tested for COVID-19 but stayed at home out of an abundance of caution.

British scientists said on Tuesday that an 80% uptake of a COVID-19 vaccine may be needed to protect communities, but volatile levels of misinformation and vaccine mistrust could still undermine efforts to tackle the pandemic. Reuters

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