COVID-19 pandemic in Costa Rica

The COVID-19 pandemic in Costa Rica is part of the ongoing worldwide pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus was confirmed to have spread to Costa Rica on 6 March 2020, after a 49-year-old woman tourist from New York, United States, tested positive for the virus.[1]

COVID-19 pandemic in Costa Rica
Confirmed cases per 100,000 residents by canton (as of 7 August 2020)   743.1+ cases   423.3-743.1 cases   194.8-423.3 cases   57.8-194.8 cases   0–57.8 cases
Map of cantons with confirmed coronavirus cases (as of 8 August 2020)   300+ cases   125-300 cases   75-125 cases   25-75 cases   0-25 cases
Map of deaths in Costa Rica by cantons (as of 8 August 2020)   20+ cases   10-20 cases   5-10 cases   1-5 cases   0 cases
Disease	COVID-19
Virus strain	SARS-CoV-2
Location	Costa Rica
First outbreak	Tocumen International Airport, Panama (first case), and New York, United States (first confirmed)
Index case	Alajuela
Arrival date	6 March 2020 (5 months, 3 weeks and 4 days)
Confirmed cases	27,737
Active cases	18,436
Recovered	9,010
Deaths	291
Fatality rate	1.05%
Government website
Ministerio de Salud

As of 15 August 2020, Costa Rica has reported 27,737 positive cases, 9,010 recoveries, and 291 deaths.[2] As of 30 April, the country had the lowest case fatality rate in the Americas, at about 0.86%.[3] More Costa Ricans have died in the United States than in Costa Rica.[4] Costa Rica is the country with the least daily tests in Central America, an average of 600 to 1,000 daily.

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.[5][6]

The case fatality ratio for COVID-19 has been much lower than SARS of 2003,[7][8] but the transmission has been significantly greater, with a significant total death toll.[9][7]

Control measures

The government has declared a color coded alert system for the control and containment of the pandemic, as follows:[10]

• Green (Information): No reported cases, but neighboring countries exposed.
• Yellow (Moderated): Accelerated increasing of epidemiological variables, high hospital occupancy, low control of cases.
• Orange (High): Increasing of epidemiological variables, medium hospital occupancy, acceptable control of cases.
• Red (Extreme): Extreme hospital occupancy.

The epidemiological variables are:

• Canton risk by attack rate (weekly): New cases by canton population divided by new national cases, 66% of weight.
• Slope and variation coefficient (triweekly): Weekly increase or decrease in the active cases of a canton, 33% of weight.

More specific details, formulas or algorithms for the alert color designation of the cantons or districts have been kept secret and has not been released as of July 2020, which has been contested by local government of the cantons, commerce associations, journalists and open data activists.[11]

As of August 2020, only Yellow Alert or Orange Alert has been used to designate the administrative areas of the country, with differentiated restrictions on each area.

Timeline

COVID-19 cases in Costa Rica  ()      Deaths        Recoveries        Active cases Mar Mar Apr Apr May May Jun Jun Jul Jul Aug Aug Last 15 days Last 15 days
Date			# of cases	# of deaths
2020-03-06		​	2(n.a.)	0(n.a.)
2020-03-07		​	7(+250%)	0(n.a.)
2020-03-08		​	10(+43%)	0(n.a.)
2020-03-09		​	12(+20%)	0(n.a.)
2020-03-10		​	13(+8.3%)	0(n.a.)
2020-03-11		​	22(+69%)	0(n.a.)
2020-03-12		​	23(+4.5%)	0(n.a.)
2020-03-13		​	26(+13%)	0(n.a.)
2020-03-14		​	27(+3.8%)	0(n.a.)
2020-03-15		​	35(+30%)	0(n.a.)
2020-03-16		​	41(+17%)	0(n.a.)
2020-03-17		​	50(+22%)	0(n.a.)
2020-03-18		​	69(+38%)	0(n.a.)
2020-03-19		​ ​	87(+26%)	1(n.a.)
2020-03-20		​ ​	113(+30%)	2(+100%)
2020-03-21		​ ​ ​	117(+3.5%)	2(=)
2020-03-22		​ ​ ​	134(+15%)	2(=)
2020-03-23		​ ​ ​	158(+18%)	2(=)
2020-03-24		​ ​ ​	177(+12%)	2(=)
2020-03-25		​ ​ ​	201(+14%)	2(=)
2020-03-26		​ ​ ​	231(+15%)	2(=)
2020-03-27		​ ​ ​	263(+14%)	2(=)
2020-03-28		​ ​ ​	295(+12%)	2(=)
2020-03-29		​ ​ ​	314(+6.4%)	2(=)
2020-03-30		​ ​ ​	330(+5.1%)	2(=)
2020-03-31		​ ​ ​	347(+5.2%)	2(=)
2020-04-01		​ ​ ​	375(+8.1%)	2(=)
2020-04-02		​ ​ ​	396(+5.6%)	2(=)
2020-04-03		​ ​ ​	416(+5.1%)	2(=)
2020-04-04		​ ​ ​	435(+4.6%)	2(=)
2020-04-05		​ ​ ​	454(+4.4%)	2(=)
2020-04-06		​ ​ ​	467(+2.9%)	2(=)
2020-04-07		​ ​ ​	483(+3.4%)	2(=)
2020-04-08		​ ​ ​	502(+3.9%)	2(=)
2020-04-09		​ ​ ​	539(+7.4%)	3(+50%)
2020-04-10		​ ​ ​	558(+3.5%)	3(=)
2020-04-11		​ ​ ​	577(+3.4%)	3(=)
2020-04-12		​ ​ ​	595(+3.1%)	3(=)
2020-04-13		​ ​ ​	612(+2.9%)	3(=)
2020-04-14		​ ​ ​	618(+0.98%)	3(=)
2020-04-15		​ ​ ​	626(+1.3%)	4(+33%)
2020-04-16		​ ​ ​	642(+2.6%)	4(=)
2020-04-17		​ ​ ​	649(+1.1%)	4(=)
2020-04-18		​ ​ ​	655(+0.92%)	4(=)
2020-04-19		​ ​ ​	660(+0.76%)	4(=)
2020-04-20		​ ​ ​	662(+0.3%)	6(+50%)
2020-04-21		​ ​ ​	669(+1.1%)	6(=)
2020-04-22		​ ​ ​	681(+1.8%)	6(=)
2020-04-23		​ ​ ​	686(+0.73%)	6(=)
2020-04-24		​ ​ ​	687(+0.15%)	6(=)
2020-04-25		​ ​ ​	693(+0.87%)	6(=)
2020-04-26		​ ​ ​	695(+0.29%)	6(=)
2020-04-27		​ ​ ​	697(+0.29%)	6(=)
2020-04-28		​ ​ ​	705(+1.1%)	6(=)
2020-04-29		​ ​ ​	713(+1.1%)	6(=)
2020-04-30		​ ​ ​	719(+0.84%)	6(=)
2020-05-01		​ ​ ​	725(+0.83%)	6(=)
2020-05-02		​ ​ ​	733(+1.1%)	6(=)
2020-05-03		​ ​ ​	739(+0.82%)	6(=)
2020-05-04		​ ​ ​	742(+0.41%)	6(=)
2020-05-05		​ ​ ​	755(+1.8%)	6(=)
2020-05-06		​ ​ ​	761(+0.79%)	6(=)
2020-05-07		​ ​ ​	765(+0.53%)	6(=)
2020-05-08		​ ​ ​	773(+1%)	6(=)
2020-05-09		​ ​ ​	780(+0.91%)	6(=)
2020-05-10		​ ​ ​	792(+1.5%)	6(=)
2020-05-11		​ ​ ​	801(+1.1%)	7(+17%)
2020-05-12		​ ​ ​	804(+0.37%)	7(=)
2020-05-13		​ ​ ​	815(+1.4%)	7(=)
2020-05-14		​ ​ ​	830(+1.8%)	8(+14%)
2020-05-15		​ ​ ​	843(+1.6%)	8(=)
2020-05-16		​ ​ ​	853(+1.2%)	10(+25%)
2020-05-17		​ ​ ​	863(+1.2%)	10(=)
2020-05-18		​ ​ ​	866(+0.35%)	10(=)
2020-05-19		​ ​ ​	882(+1.8%)	10(=)
2020-05-20		​ ​ ​	897(+1.7%)	10(=)
2020-05-21		​ ​ ​	903(+0.67%)	10(=)
2020-05-22		​ ​ ​	911(+0.89%)	10(=)
2020-05-23		​ ​ ​	918(+0.77%)	10(=)
2020-05-24		​ ​ ​	930(+1.3%)	10(=)
2020-05-25		​ ​ ​	951(+2.3%)	10(=)
2020-05-26		​ ​ ​	956(+0.53%)	10(=)
2020-05-27		​ ​ ​	984(+2.9%)	10(=)
2020-05-28		​ ​ ​	1,000(+1.6%)	10(=)
2020-05-29		​ ​ ​	1,022(+2.2%)	10(=)
2020-05-30		​ ​ ​	1,047(+2.4%)	10(=)
2020-05-31		​ ​ ​	1,056(+0.86%)	10(=)
2020-06-01		​ ​ ​	1,084(+2.7%)	10(=)
2020-06-02		​ ​ ​	1,105(+1.9%)	10(=)
2020-06-03		​ ​ ​	1,157(+4.7%)	10(=)
2020-06-04		​ ​ ​	1,194(+3.2%)	10(=)
2020-06-05		​ ​ ​	1,228(+2.8%)	10(=)
2020-06-06		​ ​ ​	1,263(+2.9%)	10(=)
2020-06-07		​ ​ ​	1,318(+4.4%)	10(=)
2020-06-08		​ ​ ​	1,342(+1.8%)	10(=)
2020-06-09		​ ​ ​	1,375(+2.5%)	11(+10%)
2020-06-10		​ ​ ​	1,461(+6.3%)	12(+9.1%)
2020-06-11		​ ​ ​	1,538(+5.3%)	12(=)
2020-06-12		​ ​ ​	1,612(+4.8%)	12(=)
2020-06-13		​ ​ ​	1,662(+3.1%)	12(=)
2020-06-14		​ ​ ​	1,715(+3.2%)	12(=)
2020-06-15		​ ​ ​	1,744(+1.7%)	12(=)
2020-06-16		​ ​ ​	1,796(+3%)	12(=)
2020-06-17		​ ​ ​	1,871(+4.2%)	12(=)
2020-06-18		​ ​ ​	1,939(+3.6%)	12(=)
2020-06-19		​ ​ ​	2,058(+6.1%)	12(=)
2020-06-20		​ ​ ​	2,127(+3.4%)	12(=)
2020-06-21		​ ​ ​	2,213(+4%)	12(=)
2020-06-22		​ ​ ​	2,277(+2.9%)	12(=)
2020-06-23		​ ​ ​	2,368(+4%)	12(=)
2020-06-24		​ ​ ​	2,515(+6.2%)	12(=)
2020-06-25		​ ​ ​	2,684(+6.7%)	12(=)
2020-06-26		​ ​ ​	2,836(+5.7%)	12(=)
2020-06-27		​ ​ ​	2,979(+5%)	13(+8.3%)
2020-06-28		​ ​ ​	3,130(+5.1%)	15(+15%)
2020-06-29		​ ​ ​	3,269(+4.4%)	15(=)
2020-06-30		​ ​ ​	3,459(+5.8%)	16(+6.7%)
2020-07-01		​ ​ ​	3,753(+8.5%)	16(=)
2020-07-02		​ ​ ​	4,023(+7.2%)	17(+6.2%)
2020-07-03		​ ​ ​	4,311(+7.2%)	18(+5.9%)
2020-07-04		​ ​ ​	4,621(+7.2%)	18(=)
2020-07-05		​ ​ ​	4,996(+8.1%)	19(+5.6%)
2020-07-06		​ ​ ​	5,241(+4.9%)	23(+21%)
2020-07-07		​ ​ ​	5,486(+4.7%)	23(=)
2020-07-08		​ ​ ​	5,836(+6.4%)	24(+4.3%)
2020-07-09		​ ​ ​	6,485(+11%)	25(+4.2%)
2020-07-10		​ ​ ​	6,845(+5.6%)	26(+4%)
2020-07-11		​ ​ ​	7,231(+5.6%)	28(+7.7%)
2020-07-12		​ ​ ​	7,596(+5%)	30(+7.1%)
2020-07-13		​ ​ ​	8,036(+5.8%)	31(+3.3%)
2020-07-14		​ ​ ​	8,482(+5.6%)	36(+16%)
2020-07-15		​ ​ ​	8,986(+5.9%)	40(+11%)
2020-07-16		​ ​ ​	9,546(+6.2%)	42(+5%)
2020-07-17		​ ​ ​	9,969(+4.4%)	47(+12%)
2020-07-18		​ ​ ​	10,551(+5.8%)	54(+15%)
2020-07-19		​ ​ ​	11,114(+5.3%)	62(+15%)
2020-07-20		​ ​ ​	11,534(+3.8%)	66(+6.5%)
2020-07-21		​ ​ ​	11,811(+2.4%)	68(+3%)
2020-07-22		​ ​ ​	12,361(+4.7%)	71(+4.4%)
2020-07-23		​ ​ ​	13,129(+6.2%)	80(+13%)
2020-07-24		​ ​ ​	13,669(+4.1%)	87(+8.8%)
2020-07-25		​ ​ ​	14,600(+6.8%)	98(+13%)
2020-07-26		​ ​ ​	15,229(+4.3%)	104(+6.1%)
2020-07-27		​ ​ ​	15,841(+4%)	115(+11%)
2020-07-28		​ ​ ​	16,344(+3.2%)	125(+8.7%)
2020-07-29		​ ​ ​	16,800(+2.8%)	133(+6.4%)
2020-07-30		​ ​ ​	17,290(+2.9%)	140(+5.3%)
2020-07-31		​ ​ ​	17,820(+3.1%)	150(+7.1%)
2020-08-01		​ ​ ​	18,187(+2.1%)	154(+2.7%)
2020-08-02		​ ​ ​	18,975(+4.3%)	162(+5.2%)
2020-08-03		​ ​ ​	19,402(+2.3%)	171(+5.6%)
2020-08-04		​ ​ ​	19,837(+2.2%)	181(+5.8%)
2020-08-05		​ ​ ​	20,417(+2.9%)	191(+5.5%)
2020-08-06		​ ​ ​	21,070(+3.2%)	200(+4.7%)
2020-08-07		​ ​ ​	22,081(+4.8%)	218(+9%)
2020-08-08		​ ​ ​	22,802(+3.3%)	228(+4.6%)
2020-08-09		​ ​ ​	23,286(+2.1%)	235(+3.1%)
2020-08-10		​ ​ ​	23,872(+2.5%)	244(+3.8%)
2020-08-11		​ ​ ​	24,508(+2.7%)	255(+4.5%)
2020-08-12		​ ​ ​	25,057(+2.2%)	263(+3.1%)
2020-08-13		​ ​ ​	26,129(+4.3%)	272(+3.4%)
2020-08-14		​ ​ ​	26,931(+3.1%)	281(+3.3%)
2020-08-15		​ ​ ​	27,737(+3%)	291(+3.6%)
Currently: various news sources and Costa Rica health department websites.[12] See Timeline Table and Timeline narrative for sources.

February 2020

On 22 February, a 54-year-old male Costa Rican citizen arrived from Tocumen International Airport in Panama, he started to show symptoms on 28 February, and due to his work at the San Rafael Hospital in Alajuela, a cluster was formed starting with some of his family members, patients and coworkers. It was treated as a suspicious case, and confirmed on 7 March.[13][14]

March 2020

On March 5, the Costa Rican Ministry of Health announced that it was investigating a possible first case of coronavirus in the country. It was a 52-year-old Costa Rican woman from the canton of Pococí, who visited Italy and Tunisia and returned to the country on February 29 without symptoms.[15] The pertinent tests were carried out on the woman and they were sent to the Costa Rican Institute of Research and Teaching in Nutrition and Health (Inciensa) to either rule out or confirm the case. However, this case was ruled out 24 hours after the test was performed.[16]

On 6 March, the first case in Costa Rica was confirmed. The individual was a 49-year-old American woman who had arrived on a flight from New York on 1 March. She did not exhibit symptoms at the time. She was isolated in a San José lodging along with her husband who had also been in contact with infected persons in New York.[1]

On 7 March, four new cases were confirmed. One of them was directly related to the first case, both being US citizens who were visiting Costa Rica. The other cases are Costa Ricans.[14]

On 8 March, another four new cases were confirmed, two of them were imported. Some patients were located at public hospitals while most of the foreign nationals remained at their respective hotels.[17]

On 11 March, a total of 22 confirmed cases was given by the Minister of Health of Costa Rica. 14 men and 8 women of which 19 are Costa Ricans (one of them a pregnant woman) and the other 3 are from other countries. They range from the ages of 10 to 73 years old.[18] It was also announced by the health authorities that there were confirmed cases in the Costa Rican cantons of Alajuela, Escazú, Desamparados, Grecia, Heredia, San José, San Pablo, Santa Cruz and Tibás.[19]

On 12 March, health authorities confirmed a total of 23 cases, the latest case is a local health care worker.[20]

On 13 March, the Ministry of Health confirmed 3 new cases, raising the total number of cases to 26, found in the provinces of San José, Alajuela, Heredia and Guanacaste, plus now the province of Cartago.[21]

On 15 March, the Costa Rican health authorities reported 8 more cases of the virus, for a total of 35. It was reported that there were 19 women and 16 infected men, of whom 30 were Costa Rican and 5 foreigners, with positive cases being registered in San José, Heredia, Guanacaste, Alajuela and Cartago. The media reported 28 adults, 3 older adults and 4 infected minors were infected, while 450 tests have come back negative. A total of 350 educational centers have been closed down.[22] Three patients were placed in ICU cubicles.[23] Health authorities also confirmed cases in the cantons of Santa Ana, Grecia, Nicoya, La Unión, Poás, Pérez Zeledón, San Pablo and Barva.[24]

On 16 March, the Health Minister confirmed 41 cases of coronavirus in the country.[25]

On 17 March, the Costa Rican health authorities reported 9 new cases. The number of infected women rose to 24 and the number of men to 26, of which 44 are Costa Rican and 6 are foreigners. In addition, the number of negative tests rose to 720. New cases were confirmed in the cantons of Cartago and Curridabat.[26]

On 18 March, 19 more cases were confirmed for a total of 69. Cases were confirmed in 30 women and 39 men, of whom 63 are Costa Rican and 6 foreign, and of whom 57 represent adults, 7 senior citizens and 5 minors.[27] Cases were also confirmed in the cantons of Goicoechea, Moravia, Santo Domingo, and Santa Bárbara.[28]

One senior citizen, an 87-year-old man, died on 18 March and is the first COVID-19 death in Costa Rica. He was one of 25 people infected by a doctor in Alajuela.[29]

On 19 March, 18 more cases were confirmed for a total of 87. Infected people were found in an age range between 2 and 87 years. There were 35 women and 52 men, of whom 79 are Costa Rican and 8 foreigners. The first case was also announced in the province of Limón, in the canton of the same name.[30] On the afternoon of 19 March, the Ministry of Health announced two more cases for a total of 89, these in Ciudad Quesada, in the canton of San Carlos.[31]

Later, on 19 March, the health authorities announced the second death of a patient with Coronavirus in Costa Rica. It was an older adult, of 87 years old, and resident of Alajuela.[32]

On 20 March, the Ministry of Health confirmed a total of 113 cases, adding a total of 24 more cases. The Ministry also reported the recovery of the first two patients with the virus, who were the two American tourists who were isolated in a hotel in San José. New cases were also reported in the cantons of Vásquez de Coronado and Montes de Oca.[33]

On 21 March, health authorities reported only 4 more cases for a total of 117. This is the lowest number of new confirmed cases since 15 March. In addition, the number of negative tests rose to 1,190.[34]

On 22 March, the Ministry of Health reported an increase of 17 cases, giving a total of 134, of which 55 represent women and 79 men, and of which 117 are Costa Rican and 17 foreigners, all with an age range between 2 and 87 years. These cases included the first case in Aserrí and the first case in the province of Puntarenas, this one in the city of San Vito, Coto Brus canton. There are also 1,400 people who tested negative and 9 people in hospitals, three of them in intensive care.[35]

On 23 March, the Ministry of Health reported a total of 158 confirmed cases, an increase of 24 cases. 68 women and 90 men have contracted the disease.[36]

On 24 March, the health authorities reported an increase of 19 cases for a total of 177. It was reported that the cases comprised people between 2 and 87 years of age, of which 103 are men and 74 are women. 159 are Costa Rican and 18 foreigners. It was also reported that there are 6 people hospitalized, of which 4 are in intensive care. Lastly, the number of negative tests rose to 1,619. The cantons of Jiménez, Liberia and Montes de Oro reported their first cases.[37]

On 25 March, a total of 201 cases were reported, for an increase of 24. Of the reported cases, 183 represent Costa Ricans and 18 foreigners. There were 65 more negative results bringing the total to 1,684. The first cases were reported in the cantons of Orotina, Alvarado, Belén, Flores, Puntarenas and Garabito.[38]

On 26 March, the Ministry of Health reported a total of 231 confirmed cases, an increase of 31. Of the reported cases, 101 represent women and 130 men, of which 209 are Costa Rican and 18 foreigners. In addition, the number of negative tests rose to 2,331, and 8 cases were being analyzed for discharge. The first cases were reported in the cantons of Sarchí, Oreamuno, El Guarco and Tilarán. Lastly, 5 people were reported to be in intensive care in hospitals.[39] A total of 22 health care workers have contracted the virus so far.[40]

On 27 March, the health authorities reported an increase of 32 cases, for a total of 263, this being the day with the highest number of confirmed cases since the virus arrived in the country. Of the reported cases, 121 represented women and 142 men, of whom 241 are Costa Rican and 20 foreigners. In addition, a total of 2,786 tests have been negative, and another patient recovered, for a total of 3 recoveries. The first cases were reported in the cantons of Tarrazú, Mora, San Ramón and Carrillo.[41]

On 28 March, a total of 295 cases were reported, an increase of 32. Of the reported cases, 157 represent men and 138 women, of which 272 are Costa Rican, 21 foreigners and 2 are under investigation. A total of 2,912 negative tests and 9 hospitalized patients were reported, plus 6 in intensive care. So far 52 health workers of the Costa Rican Social Security Fund (Caja Costarricense del Seguro Social or CCSS) have contracted the virus.[42] The first cases were reported in the cantons of Alajuelita, Turrubares and Naranjo.[43]

On 29 March, the Ministry of Health reported a total of 314 confirmed cases, for an increase of 19. Of the reported cases, 164 represented men and 150 women, of which 290 are Costa Rican and 24 foreigners. There have been 3115 negative tests, and 13 people have been hospitalized. The first case was also reported in the canton of Osa.[44]

On 30 March, health authorities announced an increase of 16 cases, for a total of 330. Cases included 170 males and 160 females, 303 are Costa Ricans and 27 are foreign nationals; 293 are adults, 24 are senior citizens, plus 13 minors. Out of 3,692 tests, 8.9 percent have been positive and the rest (3,362) have been negative. One patient has recovered, for a total of 4 recoveries. The Minister of Health warned that the country had just started climbing the curve of cases.[45] The first case was reported in canton of San Isidro.[46]

On 31 March, the Minister of Health reported a total of 347 cases, an increase of 17. Cases consisted of 180 males and 167 females, 320 were Costa Ricans and 27 were foreign nationals. They ruled 3,498 cases as negative, and the number of patients hospitalized rose to 15, 8 of whom were in intensive care.[47]

April 2020

On 1 April, the Ministry of Health reported a total of 375 confirmed cases, for an increase of 28. Of the reported cases, 194 represent men and 181 women, of which 346 are Costa Rican and 29 foreigners. In addition, a total of 3,843 negative tests were reported. The first case was also presented in the canton of Esparza.[48]

On 2 April, the health authorities reported an increase of 21 cases, for a total of 396. Of the reported cases, 204 represent men and 192 women, of whom 366 are Costa Rican and 30 foreign, and of whom 356 are adults, 26 older adults and 14 minors. A total of 3,954 tests have been found negative, and 2 more patients recovered, for a total of 6. An increase in the number of hospitalized to 17 was also reported.[49]

On 3 April, a total of 416 cases were reported, an increase of 20. Of these, 215 represent men and 201 women, of whom 385 are Costa Rican and 31 foreigners. There were 4,044 tests ruled negative, and the number of hospitalized people increased to 23, of whom 13 were in intensive care. Five more people were declared as recovered, for a total of 11. The first case was also presented in the canton of Hojancha.[50]

On 4 April, the Ministry of Health reported a total of 435 confirmed cases, for an increase of 19. Of these cases, 223 represent men and 212 women, of which 404 are Costa Rican and 31 foreigners. In addition, a total of 4,219 negative tests were reported. Two more people were declared as recovered, for a total of 13. The first case was also presented in the canton of Paraíso.[51]

On 5 April, the health authorities reported an increase of 19 cases, for a total of 454. Of the reported cases, 232 represent men and 222 women, of whom 423 are Costa Rican and 31 foreigners. The confirmed cases consist of 411 adults, 28 seniors and 15 minors. A total of 4,644 negative tests were reported and 3 more patients were declared as recovered, for a total of 16. An increase in the number of hospitalized was also reported to 26, of which 14 were in intensive care.[52]

On 6 April, a total of 467 cases were reported, an increase of 13. Of these, 240 represent men and 227 women, of whom 435 are Costa Rican and 32 foreigners. 4896 discarded cases were reported. Two more people were declared as recovered, for a total of 18.[53]

On 7 April, the Ministry of Health reported a total of 483 confirmed cases, for an increase of 16. Of these, 246 represent men and 237 women, of which 449 are Costa Rican and 34 foreigners. In addition, a total of 5042 discarded cases were reported and the number of hospitalized persons increased to 25. Six more people were declared as recovered, for a total of 24. The first case was also presented in the canton of Turrialba.[54]

On 8 April, the health authorities reported an increase of 19 cases, for a total of 502. Of the reported cases, 259 represent men and 243 women, of which 468 are Costa Rican and 34 foreign, and of which 455 are adults, 29 older adults and 18 minors. A total of 5533 discarded cases were reported and five more were declared as recovered, for a total of 29. A decrease in the number of hospitalized was also reported to 23, of which 15 were in intensive care. The first recovery of an intensive care patient in the country was also reported.[55]

On the afternoon of April 8, the Ministry of Health confirmed the third death of a patient with Coronavirus in Costa Rica. It was a 45-year-old man, without risk factors, and a resident of San José.[56]

On 9 April, a total of 539 cases were reported, an increase of 37, the highest number of confirmed cases on the same day to date. Of these, 280 represent men and 259 women, of whom 505 are Costa Rican and 34 foreigners. 5759 discarded cases were reported and one more person was declared as recovered, for a total of 30. The number of hospitalized patients decreased to 19. The first case was also presented in the canton of Siquirres.[57]

On 10 April, the Ministry of Health reported a total of 558 confirmed cases, for an increase of 19. Of these cases, 289 represent men and 269 women, of which 524 are Costa Rican and 34 foreigners. In addition, a total of 5894 cases were discarded and the number of hospitalized persons increased to 20, of which 13 were found in intensive care. Twelve others were declared as recovered, for a total of 42. The first case was also presented in the canton of Puriscal.[58]

On 11 April, the health authorities reported an increase of 19 cases, for a total of 577. Of the reported cases, 300 represent men and 277 women, of whom 541 are Costa Rican and 36 foreign, and of whom 526 are adults, 31 older adults and 20 minors. A total of 6031 discarded cases were reported and seven more were declared as recovered, for a total of 49. A decrease in the number of hospitalized patients was also reported to 18. The first case was also presented in the canton of Pococí.[59]

On 12 April, a total of 595 cases were reported, an increase of 18. Of these, 310 represent men and 285 women, of whom 557 are Costa Rican and 38 foreigners. A total of 6167 cases were discarded and seven more were declared as recovered, for a total of 56. The number of hospitalized patients increased to 19.[60]

On 13 April, the Ministry of Health reported a total of 612 confirmed cases, for an increase of 17. Of these, 317 represent men and 295 women, of which 569 are Costa Rican and 43 foreigners. In addition, a total of 6,256 cases were discarded and the number of hospitalized persons increased to 20, of which 14 were found in intensive care. Seven more people were declared as recovered, for a total of 62.[61]

On 14 April, the health authorities reported an increase of 6 cases, for a total of 618, the lowest number of confirmed cases on the same day since March 21. Of the reported cases, 320 represent men and 298 women, of whom 575 are Costa Rican and 43 foreigners, and of whom 562 are adults, 31 older adults and 25 minors. A total of 6326 discarded cases were reported and four more were declared as recovered, for a total of 66. A decrease in the number of hospitalized was also reported to 19, of which 13 were in intensive care.[62]

On 15 April, a total of 626 cases were reported, an increase of 8. Of these, 324 represent men and 302 women, of which 570 are Costa Rican and 43 foreigners. A total of 6511 cases were discarded and one more person was declared as recovered, for a total of 67. The number of hospitalized patients decreased to 16, of which 11 were in intensive care.[63] The Ministry also reported a cluster of cases in a CCSS call center in San José, where up to 31 cases of COVID-19 were reported.[64]

On the morning of April 15, the Ministry of Health confirmed the fourth death of a patient with COVID-19 in Costa Rica. It was an 84-year-old man, with risk factors, and who was admitted to the San Juan de Dios Hospital, in San José.[65]

On 16 April, a total of 642 cases were reported, an increase of 16 from the previous day.

May 2020

Government response

March 2020

On 8 March, the Costa Rican Ministry of Health and the National Emergency Committee (CNE) raised the sanitary alert level to yellow.[17]

On 11 March, the University of Costa Rica ordered its teachers to suspend all face-to-face classes and implement a virtual teaching modality.[66]

On 12 March, the Minister of Health stated Costa Rica will not close its borders to international visitors at that time.[20] The CNE has launched the brand new 1322 COVID-19 help line.[21] Leaders of Belize, Costa Rica, Guatemala, Honduras, Nicaragua, Panama, and the Dominican Republic signed an agreement for dealing with the coronavirus pandemic. It includes canceling the Costa Rican film festival.[67]

On 15 March, the Ministry of Education of Costa Rica decided to temporarily suspend lessons in a total of 317 educational centers, representing 7% of Costa Rica's educational centers. Closures included educational centers with confirmed cases of COVID-19, all public schools for special education, educational centers belonging to the same school circuit as the educational center where a confirmed case was identified, and educational centers that have been affected by prolonged water rationing.[68]

Moreover, an executive agreement between the President of the Republic, Carlos Alvarado Quesada, and the Minister of Health, Daniel Salas, granted health authority to the members of the Costa Rican Public Force (the police enforcement agency) for the surveillance and control of the virus, both to verify the closure of bars, clubs and casinos, as well as to ensure 50% of visiting capacity for the other meeting centers. Businesses that do not comply with the new sanitary policy will be subject of a 30 day long closure.[69]

On 16 March, the government also decreed a state of national emergency, due to the threat of the virus after being present in the country for only 10 days. In addition, lessons were suspended in all public and private schools and colleges until 4 April. Access to the country was also reduced to only Costa Ricans and permanent residents, a measure that will start a minute after midnight on 18 March and last until 12 April. Those entering must remain in quarantine for at least 14 days.[25]

On 20 March, after the school kitchen workers refused to serve students, the Ministry of Public Education (MEP) agreed on delivering food packages to the parents of their students.[70]

On 23 March, the Ministry of Health and the Government announced new prevention measures against the virus, including the total closure of beaches in the country, the mandatory closure of temples and religious services, and vehicle restriction in the main cities of the country from 10 p.m. to 5 a.m.. All residents and refugees will lose their migratory status if they leave the country for any reason.[36]

On 24 March, the government announced they will temporarily reduce their in person workforce by 80% and also void the salary raise approved last January for all public servants except for the police force.[71]

On 26 March, the Finance Minister discussed a bill that the government would be presenting later on. This bill would mean the creation of a solidarity tax that would be deducted from all workers' salaries that earned more than ¢ 500.000. Its goal was helping people impacted by the COVID-19 crisis. Hours later president Carlos Alvarado published that he would not support that bill and stated that "Plan Proteger" consisted of protecting the unemployed and workers already impacted by salary reductions.[72]

On 27 March, the Government announced the extension of the sanitary vehicle restriction on weekends from 8 p.m. until 5 a.m. In addition, the Government announced that it was evaluating the implementation of a temporary solidarity tax on wages above ¢ 1.1 million, a measure that would raise up to ¢ 25,000 million per month, however, the Government announced that other sources of income will be processed and that it will present an extraordinary budget of ¢ 225,000 million.[73]

On 28 March, the Minister of Health Daniel Salas announced they would be imposing a new sanitary restriction for all businesses with sanitary permits that serve the public. This measure would begin at 8 p.m. weekends, starting that very same day.[74]

On 30 March, the Ministry of Health sent a bill to the Asamblea Legislativa, the Costa Rican Congress. This bill pretended to reform the article 378 of the Ley General de Salud (General Health Act) in order to impose fines for violating the sanitary restriction or the quarantine, ranging from 1 through 5 base salaries.[75]

On 31 March, the government announced the opening of the new Centro Especializado de Atención de Pacientes con COVID-19 (CEACO), a center specialized in COVID-19 patients at the facilities of CENARE. It reinforced the services provided by the Caja Costarricense de Seguro Social (CCSS) in Costa Rica by treating up to 88 COVID-19 patients in intermediate or continuing care units.[76]

April 2020

On April 1, with Holy Week and Easter approaching, the government announced new measures to contain the spread of COVID-19 during this time when people are used to going out and vacationing. The main measure was to extend the night driving restriction from Friday, April 3 and until Tuesday, April 7, from 5:00 p.m. to 5:00 a.m. throughout the country. Long-distance public transport will also be restricted, and establishments with sanitary operating permits and attention to face-to-face public will be closed.[77]

In addition, the Legislative Assembly approved two bills to increase the fines for noncompliance with sanitary orders and vehicle restriction. Fines ranging from ₡450,000 (US$780) to ₡2.2 million (US$3,800) would be applied if a person having risk factors and being a suspected or confirmed case of the disease fails to comply with the isolation order. In the case of the traffic law reform, drivers could be subject to a fine of ₡107,000 (US$185), a loss of six points on their license, and removal of license plates if they violate the restriction.[78]

On 9 April, the Government announced the launch of an economic bonus for those workers affected by the COVID-19 pandemic. The bonus varies between ₡125,000 (US$215) per month for people laid off or with a workday reduced to 50% or more, and ₡62,500 (US$108) per month for those who have reduced their workday by 50% or less.[79]

The first week of April, the Clodomiro Picado Research Institute of the University of Costa Rica, together with the Costa Rican Social Security Fund, announced the initiative that they were preparing a treatment for the new coronavirus from the blood donated by people whom recovered from COVID-19. Three options were announced; the first would refer to using convalescent plasma, which is to take blood from a recovered patient to fractionate from their plasma the part where the antibodies that released the virus are found and transfuse to a patient who is COVID-19 positive.

The second investigation would be to use the blood of a recovered person, but also to purify the antibodies produced, isolate those and apply to a patient. The third option is to create antifidical serum in horses, generating only the antibodies against virus proteins.[80][81]

On April 17, the Government announced that it made the first deposit of the Bono Proteger bond to a total of 33,000 beneficiaries.

On April 21, the Ministry of Public Education announced the cancellation of the application of the FARO national standardized tests, which would begin to be applied this year to eleventh-year students of academic schools, in the face of the coronavirus crisis.[82]

On April 23, the Government announced that, due to the high demand for coronavirus test kits, the Costa Rican Social Security Fund together with the National Center for High Technology (CeNAT-Conare) through the CENIBiot Laboratory would begin to produce its own coronavirus tests for the country's population.[83]

May 2020

On 1 May, the Ministry of Health announced the reopening of cinemas, theaters, gyms, bicycle rentals and swimming schools, but with measures to prevent the virus, such as the opening of these only between 5 am and 7 pm and with a reduced capacity of people.[84]

On 11 May, the Ministry of Public Education announced that regular attendance lessons would return after the summer holidays, scheduled between 29 June and 10 July, as long as the situation of the pandemic allows it.[85]

The Ministry of Environment and Energy, announced a plan to reopen twelve National Parks in the country, with health measures to prevent the spread of the virus, such as the limited entry of people. It was also announced the reopening of all the country's beaches between 5 and 8 in the morning, during the week, and for sports only, excluding leisure purposes. Also, the Ministry of Health announced that it will allow the return of physical recreational activities that do not involve direct physical contact between people, while the return of activities such as the soccer championship and other high-performance disciplines will be allowed, which must always operate behind closed doors. Lastly, the Costa Rican Tourism Institute announced the reopening of hotels, but only with 50% of its total capacity and with a maximum of 20 rooms reserved at the same time.[86][87]

The Ministry of Public Works and Transport announced new measures regarding the sanitary vehicle restriction, where the restriction will be exercised from Monday to Friday from 10 at night to 5 in the morning of the following day, and the ends of week from 7 pm to 5 am the following day. In addition, the national restriction by number of plates is maintained.

On 14 May, 52 deputies of the Legislative Assembly of Costa Rica signed a letter addressed to the Pan American Health Organization (PAHO), requesting "urgent and forceful" actions in the face of the COVID-19 situation in Nicaragua, since, according to the legislators, "the Nicaraguan government has recklessly handled the health crisis due to COVID-19", for which they denounce that it could have negative effects in neighboring countries, including Costa Rica.[88]

June 2020

On June 1 the Ministry of Health reported On July 9 Costa Rica got to 649 new cases which is, maybe, the biggest number of cases in one day. Also, the health ministry declared that in GAM (Gran Area Metropolitana) there was community contagion. And in cantons that were in orange zone would have different vehicular restriction

July 2020

On 17 July the Garabito local government announced they would not follow the central government orders on shops and commercial closures for an Orange Alert area due to the data showing that the canton was in good conditions for commercial operations as in a Yellow Alert area. The next day the central government conceded that the Garabito canton in good conditions to be in Yellow Alert.[89]

August 2020

On 3 August 2020, the Constitutional Chamber ordered the Ministry of Health to release an anonymized data set of confirmed cases as requested by journalists and open data activists, the next day there was an unexpected jump in the recovered cases data.[11]

Impact

By 25 March, the Chamber of Commerce and the Federation of Business Chambers of the Central American Isthmus reported that around 3% of the companies have reduced their workforce, with such figure projected to grow to 55% in a month. Other projections forecast an 18% of suspended operations and 11% of definitive closures.[90]

Hospitality businesses

On 25 March, the Costa Rica Institute of Tourism declared the tourism sector in a total emergency and calamity state; a zero visitors season is expected for at least three months.[91]

On 26 March, the Chamber of Restaurants and Bars of Costa Rica (CACORE) reported 109,000 laid off workers, and 42% (7,980) of the affiliated businesses were closed.[92]

Agricultural sector labor exploitation

On June a severe increase in positive cases the northern cantons of the country, neighboring Nicaragua, where the main production of pineapple occurs in the country, exposed the exploitation of migrant workers and a working rights and health crisis ensued.[93]

Statistics

Charts

By region

As of 8 August 2020, there were 22802 confirmed cases in Costa Rica along with 228 deaths and 7589 recoveries. The following table shows the COVID-19 cases by canton in Costa Rica as of such date.[94][95]

Province	Canton	Date first confirmed	Confirmed	Active	Deaths	Recovered
San José	San José	March 15, 2020	5474	4057	56	1361
	Escazú	March 15, 2020	515	429	10	76
	Desamparados	March 15, 2020	1833	1079	24	730
	Puriscal	March 27, 2020	97	64	0	33
	Tarrazú	March 27, 2020	8	4	0	4
	Aserrí	March 22, 2020	346	178	1	167
	Mora	March 27, 2020	118	37	6	75
	Goicoechea	March 18, 2020	742	386	8	348
	Santa Ana	March 15, 2020	443	303	5	135
	Alajuelita	March 28, 2020	1441	947	18	476
	Vásquez de Coronado	March 20, 2020	311	149	6	156
	Acosta	June 17, 2020	92	42	0	50
	Tibás	March 15, 2020	632	471	8	153
	Moravia	March 18, 2020	280	134	3	143
	Montes de Oca	March 20, 2020	264	165	0	99
	Turrubares	March 28, 2020	15	5	0	10
	Dota		0	0	0	0
	Curridabat	March 17, 2020	507	428	5	74
	Pérez Zeledón	March 15, 2020	48	33	0	15
	León Cortés Castro	July 10, 2020	5	5	0	0
Alajuela	Alajuela	March 15, 2020	1546	1326	15	205
	San Ramón	March 27, 2020	295	89	3	203
	Grecia	March 15, 2020	149	124	3	22
	San Mateo	June 2, 2020	5	1	0	4
	Atenas	March 16, 2020	80	43	1	36
	Naranjo	March 28, 2020	162	95	1	66
	Palmares	March 23, 2020	98	39	1	58
	Poás	March 15, 2020	95	41	1	53
	Orotina	March 25, 2020	21	6	0	15
	San Carlos	March 20, 2020	584	192	1	391
	Zarcero	May 28, 2020	27	16	0	11
	Sarchí	March 26, 2020	36	16	0	20
	Upala	May 10, 2020	121	5	1	115
	Los Chiles	May 22, 2020	195	33	1	161
	Guatuso	June 3, 2020	110	17	2	91
	Río Cuarto	June 16, 2020	18	17	0	1
Cartago	Cartago	March 17, 2020	239	127	1	111
	Paraíso	April 4, 2020	55	18	1	36
	La Unión	March 15, 2020	511	346	8	157
	Jiménez	March 24, 2020	10	2	0	8
	Turrialba	April 7, 2020	25	19	0	6
	Alvarado	March 25, 2020	9	4	0	5
	Oreamuno	March 26, 2020	75	21	0	54
	El Guarco	March 26, 2020	66	54	0	12
Heredia	Heredia	March 15, 2020	1094	987	16	91
	Barva	March 15, 2020	162	95	2	65
	Santo Domingo	March 18, 2020	250	173	1	76
	Santa Bárbara	March 18, 2020	117	65	0	52
	San Rafael	March 21, 2020	227	120	1	106
	San Isidro	March 30, 2020	123	90	2	31
	Belén	March 15, 2020	108	63	0	45
	Flores	March 18, 2020	90	75	1	14
	San Pablo	March 15, 2020	156	117	0	39
	Sarapiquí	May 22, 2020	46	26	0	20
Guanacaste	Liberia	March 24, 2020	119	40	1	78
	Nicoya	March 15, 2020	114	22	1	91
	Santa Cruz	March 15, 2020	61	17	0	44
	Bagaces	April 30, 2020	45	7	1	37
	Carrillo	March 27, 2020	30	5	0	25
	Cañas	May 8, 2020	105	15	0	90
	Abangares	April 28, 2020	34	7	0	27
	Tilarán	March 26, 2020	11	2	0	9
	Nandayure	June 14, 2020	4	3	0	1
	La Cruz	May 4, 2020	85	23	1	61
	Hojancha	April 3, 2020	23	3	0	20
Puntarenas	Puntarenas	March 25, 2020	226	74	1	151
	Esparza	April 1, 2020	56	24	0	32
	Buenos Aires	June 25, 2020	8	4	0	4
	Montes de Oro	March 24, 2020	22	16	0	6
	Osa	March 29, 2020	43	35	0	8
	Quepos	May 10, 2020	28	9	0	19
	Golfito	May 1, 2020	82	75	0	7
	Coto Brus	March 22, 2020	9	5	1	3
	Parrita	June 23, 2020	29	22	0	7
	Corredores	May 9, 2020	452	391	4	57
	Garabito	March 25, 2020	49	11	2	36
Limón	Limón	March 19, 2020	178	75	0	103
	Pococí	April 11, 2020	285	192	1	92
	Siquirres	April 9, 2020	39	11	0	28
	Talamanca	May 7, 2020	39	20	0	19
	Matina	June 14, 2020	18	10	1	7
	Guácimo	May 14, 2020	77	59	1	17
Other		March 18, 2020	455	430	0	25
Total			22802	14985	228	7589

Confirmed COVID-19 cases in Costa Rica by day and province (cumulative) [96]()

Reported by	San José	Alajuela	Cartago	Heredia	Guanacaste	Puntarenas	Limón	Unknown	Confirmed		Deaths	Hospitalized	ICU	Rec	Rej. Tests
									New	Total
2020-03-06									2	2
2020-03-07									5	7
2020-03-08									3	10
2020-03-09									2	12
2020-03-10									1	13
2020-03-11									9	22					118
2020-03-12									1	23					206
2020-03-13									3	26					289
2020-03-14									1	27					415
2020-03-15	15	12	1	4	3				8	35					450
2020-03-16	17	16	1	4	3				6	41					615
2020-03-17	23	18	2	4	3				9	50					720
2020-03-18	31	21	5	8	3			1	19	69					855
2020-03-19	39	26	6	11	3		1	1	18	87	1				951
2020-03-20	51	34	6	10	4		1	7	26	113	2				1046
2020-03-21	53	38	9	11	5		1		4	117	2			2	1190
2020-03-22	65	40	9	13	5	1	1		17	134	2			2	1400
2020-03-23	80	44	10	16	5	2	1		24	158	2			2	1533
2020-03-24	83	55	12	17	6	3	1		19	177	2			2	1679
2020-03-25	96	57	13	22	6	6	1		24	201	2			2	1684
2020-03-26	103	71	18	23	7	8	1		30	231	2			2	2331
2020-03-27	117	83	19	26	8	9	1		32	263	2			3	2786
2020-03-28	128	98	20	28	8	9	1	3	32	295	2			3	2912
2020-03-29	140	102	21	31	9	10	1		19	314	2			3	3115
2020-03-30	145	104	23	34	10	13	1		16	330	2			4	3362
2020-03-31	156	105	24	38	10	13	1		17	347	2	15	8	4	3498
2020-04-01	169	112	26	41	10	16	1		28	375	2	15	9	4	3843
2020-04-02	177	116	27	45	12	18	1		21	396	2	17	11	6	3954
2020-04-03	187	118	30	49	13	18	1		20	416	2	23	13	11	4044
2020-04-04	196	126	30	51	13	18	1		19	435	2	25	13	13	4219
2020-04-05	204	136	30	52	13	18	1		19	454	2	26	14	16	4644
2020-04-06	214	138	31	52	13	18	1		13	467	2	26	14	18	4896
2020-04-07	223	142	33	53	13	18	1		16	483	2	25	14	24	5042
2020-04-08	237	145	35	53	13	18	1		19	502	2	23	15	29	5533
2020-04-09	260	151	37	58	13	18	2		37	539	3	19	13	30	5759
2020-04-10	269	158	38	60	13	18	2		19	558	3	20	13	42	5894
2020-04-11	280	160	39	61	13	21	3		19	577	3	18	13	49	6031
2020-04-12	291	162	42	61	13	21	5		18	595	3	19	14	56	6167
2020-04-13	305	162	41	61	13	24	6		17	612	3	20	14	62	6256
2020-04-14	308	163	42	61	13	25	6		6	618	3	19	13	66	6326
2020-04-15	314	164	42	61	13	26	6		8	626	4	16	11	67	6511
2020-04-16	320	164	45	61	13	33	6		16	642	4	16	11	74	6709
2020-04-17	325	166	44	61	13	34	6		7	649	4	15	10	88	6874
2020-04-18	330	166	44	62	13	34	6		6	655	4	16	10	97	7095
2020-04-19	332	167	44	62	13	36	6		5	660	4	15	10	112	7142
2020-04-20	332	167	44	62	13	37	7		2	662	6	13	8	124	7236
2020-04-21	337	168	44	63	13	37	7		7	669	6	11	6	150	7495
2020-04-22	345	170	44	63	13	38	8		12	681	6	11	8	180	7784
2020-04-23	348	171	45	63	13	38	8		5	686	6	13	8	196	8032
2020-04-24	349	171	45	63	13	38	8		1	687	6	12	7	216	8133
2020-04-25	350	172	49	63	13	38	8		6	693	6	13	7	242	8214
2020-04-26	352	172	49	63	13	38	8		2	695	6	16	8	264	8249
2020-04-27	354	172	49	63	13	38	8		2	697	6	16	8	287	8305
2020-04-28	356	176	49	63	15	38	8		8	705	6	16	8	306	8356
2020-04-29	362	176	49	63	15	38	10		8	713	6	16	8	323	8585
2020-04-30	362	177	50	63	19	38	10		6	719	6	16	9	338	8688
2020-05-01	365	178	50	63	19	39	11		6	725	6	16	7	355	8849
2020-05-02	365	180	54	63	21	39	11		8	733	6	16	6	372	8932
2020-05-03	367	180	55	65	21	40	11		6	739	6	16	6	386	9046
2020-05-04	369	180	55	65	22	40	11		3	742	6	17	5	399	9149
2020-05-05	370	180	55	77	22	40	11		13	755	6	17	5	413	9209
2020-05-06	374	182	55	77	22	40	11		6	761	6	18	5	428	9412
2020-05-07	376	182	55	77	22	41	12		4	765	6	19	6	445	9682
2020-05-08	380	184	56	77	23	41	12		8	773	6	21	6	461	10126
2020-05-09	380	187	56	77	26	42	12		7	780	6	22	6	480	10568
2020-05-10	381	189	56	77	34	43	12		12	792	6	21	6	501	11148
2020-05-11	388	189	57	77	29	42	12	7	9	801	7	21	6	517	11259
2020-05-12	390	189	57	77	29	42	13	7	3	804	7	21	6	520	11329
2020-05-13	394	189	57	81	32	42	13	7	11	815	7	20	6	527	11764
2020-05-14	397	190	57	90	33	42	14	7	15	830	8	17	4	535	12064
2020-05-15	404	192	59	90	35	42	14	7	13	843	8	18	5	542	12260
2020-05-16	412	192	60	91	35	42	14	7	10	853	10	17	4	551	12915
2020-05-17	415	194	60	91	37	43	16	7	10	863	10	17	3	565	13481
2020-05-18	416	194	60	92	38	43	16	7	3	866	10	17	3	575	13684
2020-05-19	421	201	60	92	41	43	16	8	16	882	10	18	5	577	13806
2020-05-20	425	202	61	93	44	44	16	12	15	897	10	13	5	582	14225
2020-05-21	427	203	63	93	45	44	16	12	6	903	10	12	3	592	14387
2020-05-22	430	205	63	93	48	44	16	12	8	911	10	14	4	600	14865
2020-05-23	434	206	63	93	50	44	16	12	7	918	10	15	4	607	15093
2020-05-24	442	207	63	93	53	44	16	12	12	930	10	15	3	620	15491
2020-05-25	448	209	64	94	62	46	16	12	21	951	10	15	2	628	15627
2020-05-26	449	210	65	94	63	47	16	12	5	956	10	13	2	634	15747
2020-05-27	453	223	66	94	73	47	16	12	28	984	10	12	2	639	16368
2020-05-28	454	233	66	95	76	48	16	12	16	1000	10	12	2	646	16726
2020-05-29	459	245	66	97	77	50	16	12	22	1022	10	13	2	653	17244
2020-05-30	460	262	66	99	77	51	20	12	25	1047	10	15	4	658	17686
2020-05-31	464	262	66	99	81	51	21	12	9	1056	10	16	4	669	18198
2020-06-01	466	272	66	103	88	55	22	12	28	1084	10	18	5	676	18431
2020-06-02	475	280	68	106	87	55	22	12	21	1105	10	19	5	682	18674
2020-06-03	483	293	67	111	97	59	35	12	52	1157	10	21	5	685	19037
2020-06-04	483	314	68	118	98	63	38	12	37	1194	10	24	5	687	19376
2020-06-05	488	328	68	123	102	64	43	12	34	1228	10	22	4	695	19785
2020-06-06	500	342	69	127	105	64	44	12	35	1263	10	19	3	701	20084
2020-06-07	502	382	69	128	107	65	53	12	55	1318	10	20	4	704	20297
2020-06-08	510	392	71	128	107	69	53	12	24	1342	10	19	5	712	20434
2020-06-09	515	405	71	130	107	73	62	12	33	1375	11	21	4	717	20630
2020-06-10	527	454	75	143	111	76	63	12	86	1461	12	20	3	722	20971
2020-06-11	546	492	76	152	116	76	68	12	77	1538	12	20	3	722	21275
2020-06-12	560	526	78	167	118	81	68	14	74	1612	12	20	3	731	21684
2020-06-13	576	541	79	172	125	86	69	14	50	1662	12	19	3	743	22144
2020-06-14	579	568	79	176	134	88	78	13	53	1715	12	17	3	752	22399
2020-06-15	587	572	79	182	139	91	81	13	29	1744	12	19	4	771	22607
2020-06-16	606	586	81	191	141	93	84	14	52	1796	12	20	2	794	22833
2020-06-17	621	623	85	194	151	96	87	14	75	1871	12	22	3	899	23209
2020-06-18	638	643	90	204	160	99	91	14	68	1939	12	25	3	937	23588
2020-06-19	684	663	96	216	178	105	102	14	119	2058	12	29	5	982	24098
2020-06-20	714	674	100	224	188	108	104	15	69	2127	12	27	5	1014	24486
2020-06-21	747	705	103	233	194	108	109	14	86	2213	12	26	4	1032	24791
2020-06-22	770	719	104	238	211	111	110	14	64	2277	12	28	4	1043	24971
2020-06-23	823	727	107	248	214	118	115	16	91	2368	12	30	3	1129	25323
2020-06-24	884	759	111	267	225	132	116	21	147	2515	12	30	5	1210	25797
2020-06-25	958	814	116	278	234	143	119	22	169	2684	12	29	6	1227	26331
2020-06-26	1022	860	118	297	247	149	120		152	2836	12	36	6	1280	26866
2020-06-27	1098	876	122	318	251	157	125	32	143	2979	13	36	5	1325	27613
2020-06-28	1172	895	129	331	265	167	127	44	151	3130	15	37	3	1366	28205
2020-06-29	1257	910	141	339	269	177	127	49	139	3269	15	40	4	1394	28757
2020-06-30	1358	950	148	362	277	179	133	52	190	3459	16	44	5	1436	29161
2020-07-01	1543	992	156	380	288	186	143	65	294	3753	16	44	6	1516	29720
2020-07-02	1704	1019	172	415	293	194	150	76	270	4023	17	60	6	1589	30709
2020-07-03	1835	1092	178	441	317	207	157	84	288	4311	18	73	10	1657	31354
2020-07-04	1989	1130	186	487	326	228	161	114	310	4621	18	73	10	1721	32042
2020-07-05	2214	1187	195	508	337	264	180	108	375	4996	19	77	10	1745	32864
2020-07-06	2364	1217	205	527	351	265	187	125	245	5241	23	88	9	1766	33619
2020-07-07	2524	1260	209	547	357	282	190	117	245	5486	23	107	11	1810	34596
2020-07-08	2723	1297	225	584	366	291	200	150	350	5836	24	113	11	1929	35374
2020-07-09	3162	1370	259	644	368	312	206	164	649	6485	25	120	14	2023	36475
2020-07-10	3393	1421	271	672	402	320	215	151	360	6845	26	128	17	2110	37482
2020-07-11	3604	1484	278	717	413	339	219	177	386	7231	28	132	22	2220	38691
2020-07-12	3808	1544	288	778	432	351	220	175	365	7596	30	140	27	2239	40118
2020-07-13	4112	1570	311	827	439	371	223	183	440	8036	31	161	30	2304	41529
2020-07-14	4356	1628	339	857	456	379	228	239	446	8482	36	171	27	2441	42518
2020-07-15	4685	1667	356	919	461	408	230	260	504	8986	40	188	31	2551	43348
2020-07-16	5014	1750	386	981	463	431	242	279	560	9546	42	207	35	2673	44350
2020-07-17	5308	1803	402	1035	465	439	244	273	423	9969	47	211	38	2818	45495
2020-07-18	5742	1882	422	1063	478	450	246	268	582	10551	54	225	41	2902	46029
2020-07-19	6092	1949	450	1125	487	475	250	286	563	11114	62	241	44	2966	46990
2020-07-20	6305	2014	465	1180	489	502	264	315	420	11534	66	259	47	3019	47687
2020-07-21	6464	2044	477	1228	492	508	273	325	277	11811	68	272	49	3194	48514
2020-07-22	6809	2119	513	1279	497	531	284	329	550	12361	71	285	50	3322	49192
2020-07-23	7366	2164	570	1339	503	540	312	335	768	13129	80	290	43	3448	50253
2020-07-24	7706	2227	599	1400	507	573	328	329	540	13669	87	298	49	3505	51223
2020-07-25	8331	2292	654	1463	510	632	350	368	931	14600	98	293	51	3640	52134
2020-07-26	8655	2402	684	1530	523	678	377	380	629	15229	104	310	56	3736	53069
2020-07-27	9052	2478	722	1578	530	699	387	395	612	15841	115	323	56	3824	54158
2020-07-28	9384	2535	744	1618	537	713	411	402	503	16344	125	323	53	3920	55156
2020-07-29	9660	2605	764	1655	543	734	430	409	456	16800	133	334	75	4050	56356
2020-07-30	9943	2692	784	1717	546	752	445	411	490	17290	140	352	80	4280	57706
2020-07-31	10267	2751	808	1783	561	778	470	402	530	17820	150	345	75	4404	58920
2020-08-01	10484	2819	825	1821	565	789	481	403	367	18187	154	346	94	4531	60216
2020-08-02	10945	2962	852	1887	599	828	494	408	788	18975	162	366	98	4585	61443
2020-08-03	11145	3056	867	1933	608	852	521	420	427	19402	171	393	97	4689	62566
2020-08-04	11389	3114	882	2003	613	877	531	428	435	19837	181	391	98	6590	63715
2020-08-05	11761	3196	898	2079	615	888	547	433	580	20417	191	388	100	6851	64934
2020-08-06	12148	3310	920	2146	613	931	570	432	653	21070	200	391	103	7038	66116
2020-08-07	12772	3425	968	2272	627	960	612	445	1011	22081	218	373	89	7266	67450
2020-08-08	13171	3542	990	2373	631	1004	636	455	721	22802	228	360	80	7589	68551

See also

• COVID-19 pandemic in North America
• COVID-19 pandemic by country
• 2020 in Central America
• History of smallpox in Mexico
• HIV/AIDS in Latin America
• 2013–2014 chikungunya outbreak
• 2009 swine flu pandemic
• 2019–2020 dengue fever epidemic

References

1. "Costa Rica reporta primer caso de coronavirus en Centroamérica en una turista estadounidense". AméricaEconomía. 7 March 2020. Retrieved 16 March 2020.
2. "Situación Nacional Covid-19". Ministerio de Salud (in Spanish). Retrieved 15 August 2020.
3. Brooks, Darío (30 April 2020). "Cuál es la efectiva fórmula contra el coronavirus de Costa Rica, el país de América Latina donde mueren menos pacientes de covid-19". BBC News Mundo (in Spanish). Retrieved 30 April 2020.
4. Corrales, Eric (25 April 2020). "Autoridades ya confirman 11 ticos muertos por COVID-19 en Estados Unidos | Teletica". Teletica (in Spanish). Retrieved 27 April 2020.
5. Elsevier. "Novel Coronavirus Information Center". Elsevier Connect. Archived from the original on 30 January 2020. Retrieved 15 March 2020.
6. Reynolds, Matt (4 March 2020). "What is coronavirus and how close is it to becoming a pandemic?". Wired UK. ISSN 1357-0978. Archived from the original on 5 March 2020. Retrieved 5 March 2020.
7. "Crunching the numbers for coronavirus". Imperial News. Archived from the original on 19 March 2020. Retrieved 15 March 2020.
8. "High consequence infectious diseases (HCID); Guidance and information about high consequence infectious diseases and their management in England". GOV.UK. Archived from the original on 3 March 2020. Retrieved 17 March 2020.
9. "World Federation Of Societies of Anaesthesiologists – Coronavirus". wfsahq.org. Archived from the original on 12 March 2020. Retrieved 15 March 2020.
10. Jiménez, Luis (28 July 2020). "¿Cómo se definen las alertas por COVID-19?". Retrieved 9 August 2020.
11. Miranda Picado, Hulda (3 August 2020). "Sala IV ordena a ministro de Salud entregar datos de pandemia que negó a periodistas". Retrieved 9 August 2020.
12. "Situacion Nacional COVID-19". Ministerio de Salud (in Spanish). Retrieved 13 April 2020.
13. González, Melissa (7 March 2020). "Segundo caso sospechoso de coronavirus está grave en hospital público". Retrieved 22 March 2020.
14. "Costa Rica confirms four new coronavirus cases". Tico Times. 7 March 2020. Retrieved 8 March 2020 – via ticotimes.net.
15. "Salud estudia primer caso sospechoso por coronavirus en Costa Rica". larepublica.net (in Spanish). Retrieved 26 March 2020.
16. Repretel. "Volvió la tranquilidad a Pococí tras descartarse caso de coronavirus". Repretel (in Spanish). Retrieved 26 March 2020.
17. "Because of Covid-19 cases CNE and Ministry of Health raise the sanitary alert level to yellow". Ministerio de Salud de Costa Rica. 8 March 2020. Retrieved 9 March 2020 – via ministeriodesalud.go.cr.
18. "Costa Rica reporta 22 casos confirmados de COVID-19". crhoy.com (in Spanish). 11 March 2020. Retrieved 19 March 2020.
19. Nine cantons with confirmed cases of coronavirus La República, 11 March 2020
20. "Costa Rica announces new measures to slow spread of coronavirus". Tico Times. 12 March 2020. Retrieved 12 March 2020 – via ticotimes.net.
21. "Costa Rica up to 26 confirmed coronavirus cases: Updates from Friday". Tico Times. 13 March 2020. Retrieved 13 March 2020 – via ticotimes.net.
22. 35 cases of coronavirus are confirmed in Costa Rica elmundo.cr, 15 March 2020
23. Llegan a 35 los casos confirmados de coronavirus larepublica.net, 15 March 2020
24. COVID-19 en Costa Rica: 483 confirmados, 2 fallecidos, 24 recuperados, 5042 descartados La República, 15 March 2020
25. González, Karla Pérez (16 March 2020). "Se confirman 41 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 16 March 2020.
26. Canales, Danny (17 March 2020). "Estos son los 19 cantones con casos positivos de coronavirus". El Mundo CR (in Spanish). Retrieved 17 March 2020.
27. González, Karla Pérez (18 March 2020). "Se confirman 69 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 18 March 2020.
28. "Estos son los 25 cantones donde se confirmaron casos de COVID-19". CRHoy (in Spanish).
29. "Confirman primera muerte por COVID-19 en Costa Rica | Crhoy.com". CRHoy.com | Periodico Digital | Costa Rica Noticias 24/7 (in Spanish). Retrieved 18 March 2020.
30. González, Karla Pérez (19 March 2020). "Se confirman 87 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 19 March 2020.
31. "Coronavirus: Salud confirma dos casos más, el total sube a 89 | Teletica". teletica.com (in Spanish). Retrieved 19 March 2020.
32. González, Karla Pérez (20 March 2020). "Se confirma segundo fallecido por coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 20 March 2020.
33. "Costa Rica reporta 113 casos de Covid-19 | Teletica". teletica.com (in Spanish). Retrieved 20 March 2020.
34. "Cuatro nuevos casos de COVID-19 en Costa Rica; total sube a 117". delfino.cr. Retrieved 21 March 2020.
35. "17 nuevos casos de COVID-19 en Costa Rica; total sube a 134". delfino.cr. Retrieved 22 March 2020.
36. "Actualización: 158 casos confirmados de coronavirus en Costa Rica, se cierran playas y templos". larepublica.net (in Spanish). Retrieved 23 March 2020.
37. "Día 19 de emergencia por nuevo coronavirus en Costa Rica: Gobierno suspende aumento salarial; 177 casos confirmados". La Nación, Grupo Nación (in Spanish). Retrieved 24 March 2020.
38. "Coronavirus en Costa Rica: cifra total supera los 200 casos confirmados". larepublica.net (in Spanish). Retrieved 25 March 2020.
39. "Nuevo coronavirus en Costa Rica: 231 enfermos dispersos en más de la mitad de los cantones". La Nación, Grupo Nación (in Spanish). Retrieved 26 March 2020.
40. "Neurocirujanos del Hospital México están aislados por COVID-19". CRHoy.com (in Spanish).
41. "Nuevo coronavirus en Costa Rica: 263 contagiados; se ampliará restricción fines de semana de 8 p. m. a 5 a. m." La Nación, Grupo Nación (in Spanish). Retrieved 27 March 2020.
42. "Salud reporta 295 casos de Covid-19, aumentan pacientes hospitalizados". Teletica.com (in Spanish).
43. "Sube cantidad de pacientes COVID-19 internados y en cuidados intensivos: 15 en total". Presidencia de la República de Costa Rica (in Spanish). Retrieved 28 March 2020.
44. "Costa Rica alcanza los 314 casos confirmados de coronavirus COVID-19 | El Periódicocr.com" (in Spanish). Retrieved 29 March 2020.
45. "Ministro de Salud: Estamos empezando a subir la curva". Costa Rica Noticias (in Spanish).
46. "52 cantones reportan COVID-19: hoy se sumó San Isidro de Heredia" (in Spanish). 30 March 2020.
47. "Se confirman 347 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). 31 March 2020.
48. "Coronavirus en Costa Rica: Gobierno amplía restricción vehicular para Semana Santa contra covid-19". La Nación, Grupo Nación (in Spanish). Retrieved 5 April 2020.
49. González, Karla Pérez (2 April 2020). "Se han recuperado 6 personas de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 5 April 2020.
50. González, Karla Pérez (3 April 2020). "Se confirman 416 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 5 April 2020.
51. "Aumenta a 435 cifra de confirmados con Coronavirus". larepublica.net (in Spanish). Retrieved 5 April 2020.
52. "Covid-19 en Costa Rica: 19 enfermos más elevan a 454 los casos confirmados este 5 de abril". La Nación, Grupo Nación (in Spanish). Retrieved 5 April 2020.
53. González, Karla Pérez (6 April 2020). "Se confirman 467 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 15 April 2020.
54. González, Karla Pérez (7 April 2020). "Se confirman 483 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 15 April 2020.
55. "CCSS sobre alta de paciente que estuvo en UCI: "Hoy es un día de mucha alegría para el país"". delfino.cr. Retrieved 15 April 2020.
56. E, Daniela Cerdas. "Tercer muerto por coronavirus en Costa Rica: Hombre de 45 años sin factores de riesgo". La Nación, Grupo Nación (in Spanish). Retrieved 15 April 2020.
57. González, Karla Pérez (9 April 2020). "Se confirman 539 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 15 April 2020.
58. González, Karla Pérez (10 April 2020). "Se confirman 558 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 15 April 2020.
59. "19 casos nuevos de Coronavirus en Costa Rica para un total de 577". larepublica.net (in Spanish). Retrieved 15 April 2020.
60. "18 casos nuevos de Coronavirus y Costa Rica llega a 595 personas infectadas". larepublica.net (in Spanish). Retrieved 15 April 2020.
61. "17 nuevos casos de Coronavirus en Costa Rica, para un total de 612". larepublica.net (in Spanish). Retrieved 15 April 2020.
62. González, Karla Pérez (14 April 2020). "Se confirman 618 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 15 April 2020.
63. González, Karla Pérez (15 April 2020). "Se confirman 626 casos de coronavirus en Costa Rica". El Mundo CR (in Spanish). Retrieved 15 April 2020.
64. "Un conglomerado de casos de Coronavirus está en un call center de San José". larepublica.net (in Spanish). Retrieved 15 April 2020.
65. "Se confirma la cuarta muerte por Coronavirus en Costa Rica". larepublica.net (in Spanish). Retrieved 15 April 2020.
66. "Confirmed: UCR orders teachers to teach virtual classes". La República. 11 March 2020. Retrieved 15 March 2020 – via larepublica.net.
67. Central America agrees to regional plan vs. coronavirus; Costa Rican film festival suspended AFP and The Tico Times, 13 March 2020
68. "Confirmed: Ministry of Education lists 317 educational centers that suspend lessons". La República. 13 March 2020. Retrieved 15 March 2020 – via larepublica.net.
69. Ministerio de Salud anuncia cierre de todos los bares, discotecas y casinos elmundo.cr, 15 March 2020
70. "MEP entregará paquetes de comida ante cierre de comedores estudiantiles | Teletica". teletica.com. Retrieved 21 March 2020.
71. Gobierno anuncia medidas laborales en el sector público para combatir el COVID-19 Health Ministry, 24 March 2020
72. "Presidente desmiente a Ministro de Hacienda: No habrá impuesto a salarios mayores a ₡500 mil".
73. Alfaro, Josue. "Gobierno valora impuesto solidario a salarios superiores de ¢1,1 millón, anuncia Alvarado". ameliarueda.com (in Spanish). Retrieved 27 March 2020.
74. "Sube cantidad de pacientes COVID-19 internados y en cuidados intensivos: 15 en total". Ministerio de Salud.
75. "Multa por incumplir cuarentena sería de más de ¢ 2 millones". CRHoy.com.
76. "CCSS refuerza red de servicios para atención COVID-19 con nuevo centro". Presidencia de la República de Costa Rica. Retrieved 31 March 2020.
77. "En el marco de la Semana Santa Gobierno refuerza medidas para contener el contagio por el COVID-19". Ministerio de Salud Pública de Costa Rica (in Spanish). 1 April 2020.
78. González, Karla Pérez (1 April 2020). "Aprueban leyes en primer debate para aumentar multas por incumplir restricción vehicular y orden sanitaria". El Mundo CR (in Spanish). Retrieved 1 April 2020.
79. González, Karla Pérez (9 April 2020). "Gobierno lanza bono económico para trabajadores afectados por COVID-19". El Mundo CR (in Spanish). Retrieved 15 April 2020.
80. "Costa Rica sería pionera con tratamiento contra covid-19". Retrieved 16 April 2020.
81. "Instituto Clodomiro Picado maneja tres opciones para tratar el COVID-19". Retrieved 16 April 2020.
82. "MEP cancela aplicación de pruebas nacionales FARO en 2020". Retrieved 21 April 2020.
83. "Costa Rica desarrollará sus propias pruebas de diagnóstico del Coronavirus". Retrieved 24 April 2020.
84. "Nuevas medidas: Cines, gimnasios y escuelas de natación abrirán entre semana, restricción vehicular y teletrabajo se mantienen". Retrieved 12 May 2020.
85. Cerdas, Daniela. "Clases presenciales volverían después de vacaciones de 15 días, si pandemia lo permite". Retrieved 12 May 2020.
86. "Nuevas medidas: hoteles, Parques Nacionales y surf habilitados". Retrieved 12 May 2020.
87. "Costa Rica reduce horario de restricción vehicular, reabrirá playas y algunos parques nacionales". Retrieved 12 May 2020.
88. "Costa Rica advierte de efectos regionales por manejo de covid-19 en Nicaragua". Retrieved 16 May 2020.
89. Chinchilla, Daniel (17 July 2020). "Video: Alcalde de Garabito se rebela y llama a irrespetar medidas sanitarias". CRHoy.com (in Spanish). Retrieved 9 August 2020.
90. Gudiño, Ronny (25 March 2020). "El 3% de empresas ha reducido su personal". Retrieved 27 March 2020.
91. Gudiño, Ronny (25 March 2020). ""Sector se encuentra en estado de emergencia total": Instituto Costarricense de Turismo". Retrieved 27 March 2020.
92. Solano, Johel (26 March 2020). "109 mil ticos despedidos tras el cierre de 8 mil bares y restaurantes". Retrieved 26 March 2020.
93. Rodríguez, Sebastián (3 June 2020). "Aumento de casos de Covid-19 está ligado a "actividades agrícolas o de empaque", dice Salas". AmeliaRueda.com. Retrieved 25 June 2020.
94. "Mapa del coronavirus en Costa Rica: casos por cantón". Ministerio de Salud Pública. Ministerio de Salud Pública. 2020.
95. "Lineamientos Nacionales para la Vigilancia de la infección por Coronavirus (2019-nCoV)". ministeriodesalud.go.cr. Retrieved 23 April 2020.
96. "Situación Nacional COVID-19". Observatorio Geográfico en Salud. UNED. Retrieved 18 June 2020.