Governments in the Middle East need to act fast to limit the spread of the coronavirus after cases rose to over 60,000, almost double their level a week earlier, the World Health Organization (WHO) has said.
"New cases have been reported in some of the most vulnerable countries with fragile health systems," said Ahmed Al-Mandhari, the WHO's director for the Eastern Mediterranean region, which includes Pakistan, Afghanistan, Somalia and Djibouti, as well as Middle Eastern states.
"Even in countries with stronger health systems, we have seen a worrying spike in the numbers of cases and deaths reported," he said in a statement.
Outside of Iran, which has reported over 50,000 cases, confirmed coronavirus numbers have been relatively low in the Middle East compared to 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 Mr 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 added.
One of the countries in the region worst affected by conflict is Yemen, where the World Bank said yesterday it would provide $26.9m in emergency funding to help the WHO and local authorities improve capacity for detecting, containing and treating the coronavirus.
Yemen has not confirmed any coronavirus cases but is seen as especially vulnerable because a five-year conflict 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% 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," said Marina Wes, the bank's country director.
Meanwhile, Iran's parliament speaker has become the country's highest-ranking government figure to test positive for coronavirus.
Iran's parliament announced Ali Larijani's illness on its website, saying he was receiving treatment in quarantine.
Iran, the epicentre of the virus in the Middle East, has been fighting one of the world's worst outbreaks.
Iran's health ministry said on Friday that Covid-19 had killed another 134 people in the previous 24 hours, pushing the country's death toll to 3,294.