BackgroundThis study updates the COVID-19 pandemic surveillance in the Middle East and North Africa (MENA) we first conducted in 2020 with 2 additional years of data for the region. ObjectiveThe objective of this study is to determine whether the MENA region meets the criteria for moving from a pandemic to endemic. In doing so. this study considers pandemic trends. https://www.nacrack.com/flash-deal-Diamond-Painting-Zee-en-strand-special-find/