Out of the 11 African countries where this rare disease is endemic, three countries concentrate most of the confirmed cases: the United Kingdom, the first country where unusual cases were spotted in early May (71 cases), Spain (51 ) and Portugal (37), according to the ECDC.
Europe concentrates most of the cases with 191 cases, including 118 in EU countries. Canada (15), the United States (9), Australia (2), Israel (1) and the United Arab Emirates (1) are the six non-European countries with cases considered confirmed.
Suspicious cases are not counted in the report.
The total number of cases identified Wednesday by the ECDC has quintupled since its first score of May 20, when the agency counted 38 cases.