CORONA Main Coronavirus thread

jward

passin' thru
Screenshot_2020-01-21-15-43-28.png

Data as reported by: 20 January 2020
SUMMARY
Event highlights from 31 December 2019 to 20 January 2020:
• On 31 December 2019, the WHO China Country Office was informed of cases of pneumonia
unknown etiology (unknown cause) detected in Wuhan City, Hubei Province of China. From
31 December 2019 through 3 January 2020, a total of 44 case-patients with pneumonia of
unknown etiology were reported to WHO by the national authorities in China. During this
reported period, the causal agent was not identified.
• On 11 and 12 January 2020, WHO received further detailed information from the National
Health Commission China that the outbreak is associated with exposures in one seafood
market in Wuhan City.
• The Chinese authorities identified a new type of coronavirus, which was isolated on 7
January 2020.
• On 12 January 2020, China shared the genetic sequence of the novel coronavirus for
countries to use in developing specific diagnostic kits.
• On 13 January 2020, the Ministry of Public Health, Thailand reported the first imported case
of lab-confirmed novel coronavirus (2019-nCoV) from Wuhan, Hubei Province, China.
• On 15 January 2020, the Ministry of Health, Labour and Welfare, Japan (MHLW) reported an
imported case of laboratory-confirmed 2019-novel coronavirus (2019-nCoV) from Wuhan,
Hubei Province, China.
• On 20 January 2020, National IHR Focal Point (NFP) for Republic of Korea reported the first
case of novel coronavirus in the Republic of Korea.
Situation update:
• As of 20 January 2020, 282 confirmed cases of 2019-nCoV have been reported from four
countries including China (278 cases), Thailand (2 cases), Japan (1 case) and the Republic of
Korea (1 case); ETA US is reporting 3 cases as of 1/21/2000
• Cases in Thailand, Japan and Republic of Korea were exported from Wuhan City, China;
• Among the 278 cases confirmed in China, 258 cases were reported from Hubei Province, 14
from Guangdong Province, five from Beijing Municipality and one from Shanghai Municipality;
ZIKA VIRUS
Novel Coronavirus (2019-nCoV)
SITUATION REPORT - 1
21 JANUARY 2020

2
• Of the 278 confirmed cases, 51 cases are severely ill1
, 12 are in critical condition2
;
• Six deaths have been reported from Wuhan City.
I. SURVEILLANCE
Reported incidence of confirmed 2019-nCoV cases
Table 1. Countries, territories or areas with reported confirmed cases of 2019-nCoV, 20 January
2020
WHO Regional
Office
Country, territory, area Total number of
confirmed cases
WPRO China – Hubei Province 258
China – Guangdong 14
China – Beijing Municipality 5
China – Shanghai Municipality 1
Japan 1
Republic of Korea 1
SEARO Thailand 2
Total confirmed
cases
282
Details of cases reported on 20 January 2020:
▪ Wuhan City:
▪ 60 new confirmed cases including three deaths.
▪ Guangdong Province:
▪ Fourteen confirmed cases (one case was confirmed on 19 January) including four severe
cases, two critical cases, no deaths;
▪ Of the 14 confirmed cases, 12 had travel history to Wuhan and two cases had contact history
with cases;
▪ Nine were male and fives were female.
▪ Beijing Municipality:
▪ Five confirmed cases (two cases were confirmed on 19 January);
▪ Of the three new confirmed cases on 20 Jan, two were male and one was a female;
▪ All five cases had a travel history to Wuhan and are currently asymptomatic.
▪ Shanghai Municipality:
▪ One confirmed case in a female;
▪ Travelled to Shanghai from Wuhan on 12 January;

1 Severe illness: According to any of the following criteria:
(1) dyspnea; (2) respiratory rate more than 30 bpm; (3) hypoxemia; (4) chest X-ray with multi-lobar infiltrates or pulmonary
infiltration progressed more than 50% within 24 - 48 hours.
2 Critical condition: According to any of the following criteria:
(1) respiratory failure; (2) septic shock; (3) other organ failure which requires Intensive Care Unit (ICU) admission.
 
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jward

passin' thru
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3
▪ Two contacts have been identified for follow up.
II. PREPAREDNESS AND RESPONSE:
WHO:
• WHO has been in regular and direct contact with Chinese as well as Japanese, Korean and
Thai authorities since the reporting of these cases. The three countries have shared
information with WHO under the International Health Regulations. WHO is also informing
other countries about the situation and providing support as requested;
• On 2 January, the incident management system was activated across the three levels of
WHO (country office, regional office and headquarters);
• Developed the surveillance case definitions for human infection with 2019-nCoV and is
updating it as per the new information becomes available;
• Developed interim guidance for laboratory diagnosis, clinical management, infection
prevention and control in health care settings, home care for mild patients, risk
communication and community engagement;
• Prepared disease commodity package for supplies necessary in identification and
management of confirmed patients;
• Provided recommendations to reduce risk of transmission from animals to humans;
• Updated the travel advice for international travel in health in relation to the outbreak of
pneumonia caused by a new coronavirus in China;
• Utilizing global expert networks and partnerships for laboratory, infection prevention and
control, clinical management and mathematical modelling;
• Activation of R&D blueprint to accelerate diagnostics, vaccines, and therapeutics;
• WHO is working with our networks of researchers and other experts to coordinate global
work on surveillance, epidemiology, modelling, diagnostics, clinical care and treatment, and
other ways to identify, manage the disease and limit onward transmission. WHO has issued
interim guidance for countries, updated to take into account the current situation.
III. COUNTRY RESPONSE:
China:
• National authorities are conducting active case finding in all provinces;
• Since 14 January 2020, 35 infrared thermometers have been installed in airports, railway
stations, long-distance bus stations, and ferry terminals;
• Search expanded for additional cases within and outside of Wuhan City;
• Active / retroactive case finding in medical institutions in Wuhan City;
• The Huanan Seafood Wholesale Market in Wuhan city was closed on 1 January 2020 for
environmental sanitation and disinfection. Market inspection in expansion to other markets;
• Public education on disease prevention and environmental hygiene further strengthened in
public places across the city, farmers’ markets in particular.
 

jward

passin' thru
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4
Thailand:
• The Department of Disease Control has been implementing its surveillance protocol by fever
screening of travellers from all direct flights from Wuhan, China to the Suvarnabhumi, Don
Mueang, Chiang Mai, Phuket and Krabi airports, with the screening protocol starting at Krabi
Airport started on 17 January 2020;
• From 3 to 20 January 2020, among 116 flights, 18,383 passengers and aircrew members
were screened for respiratory symptoms and febrile illness;
• As of 20 January 2020, the Department of Disease Control, Ministry of Public Health,
Thailand has scaled up the Emergency Operations Center to Level 2 to closely monitor the
ongoing situation both at the national and international levels;
• Risk communication guidance has been shared with the public and a hotline has been
established by the Department of Disease Control for people returning from the affected
area in China with related symptoms.
Japan:
• Contact tracing and other epidemiological investigations are underway by the local health
authorities in Japan;
• As of 20 January 2020, 41 contacts have been followed. Of the 41 contacts, 37 have not
shown any symptoms, three have left the country and efforts have been made to reach one
contact;
• The Japanese Government has scaled up a whole-of-government coordination mechanism
on the 16 January;
• The MHLW has strengthened surveillance for undiagnosed severe acute respiratory
illnesses since the report of undiagnosed pneumonia in Wuhan, China;
• From 6 January, MHLW requested local health governments to be aware of the
respiratory illnesses in Wuhan by using the existing surveillance system for serious
infectious illness with unknown etiology;
• NIID is supporting local authorities on epidemiologic investigations including contact
tracing;
• Quarantine and screening measures have been enhanced for travelers from Wuhan city
at the point of entries since 7 January;
• NIID established an in-house PCR assay for nCoV on 16 January;
• Revision of the risk assessment by NIID is being conducted, including case definition of
close contacts;
• The public risk communication has been enhanced;
• A hotline has been established among the different ministries in the government;
• The MHLW is working closely with WHO and other related Member States to foster
mutual investigations and information sharing.
Republic of Korea:
• Contact tracing and other epidemiological investigation are underway;
• The government of the Republic of Korea has scaled up the national alert level from Blue
(Level 1) to Yellow (Level 2 out of 4-level national crisis management system);
 

jward

passin' thru
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5
• The Republic of Korea health authority has strengthened surveillance for pneumonia
cases in health facilities nationwide since 3 January 2020;
• Quarantine and screening measures have been enhanced for travelers from Wuhan at
the point of entries (PoE) since 3 January 2020;
• Public risk communication has been enhanced.
Resources:
• Technical interim guidance for novel coronavirus, WHO:
• WHO travel advice for international travel and trade in relation to the outbreak of pneumonia
caused by a new coronavirus in China:
0901_outbreak_of_Pneumonia_caused_by_a_new_coronavirus_in_C/en/
• Press statement by KCDC (in Korean):
#
• Second Press statement by KCDC (in Korean):
#
• Wuhan Municipal Health Commission's briefing on the pneumonia epidemic situation, (in
Chinese):
• Disease outbreak news, Novel Coronavirus:
• Thailand Ministry of Public Health situation update on novel coronavirus (in Thai):
• Press statement by Ministry of Health, Labour and Welfare, Japan on 16 January 2020 (in Japanese):
• Press statement by Ministry of Health, Labour and Welfare, Japan on 6 January 2020 (in Japanese):
• Notice sent out from Health and Food Safety Planning Division, Quarantine Station Operation
Management Office (in Japanese):
 

jward

passin' thru
Press Release



For Immediate Release

Tuesday, January 21, 2020



Contact: CDC Media Relations

(404) 639-3286



First Travel-related Case of 2019 Novel Coronavirus Detected in United States





The Centers for Disease Control and Prevention (CDC) today confirmed the first case of 2019 Novel Coronavirus (2019-nCoV) in the United States in the state of Washington. The patient recently returned from Wuhan, China, where an outbreak of pneumonia caused by this novel coronavirus has been ongoing since December 2019. While originally thought to be spreading from animal-to-person, there are growing indications that limited person-to-person spread is happening. It’s unclear how easily this virus is spreading between people.



The patient from Washington with confirmed 2019-nCoV infection returned to the United States from Wuhan on January 15, 2020. The patient sought care at a medical facility in the state of Washington, where the patient was treated for the illness. Based on the patient’s travel history and symptoms, healthcare professionals suspected this new coronavirus. A clinical specimen was collected and sent to CDC overnight, where laboratory testing yesterday confirmed the diagnosis via CDC’s Real time Reverse Transcription-Polymerase Chain Reaction (rRT-PCR) test.



CDC has been proactively preparing for the introduction of 2019-nCoV in the United States for weeks, including:

  • First alerting clinicians on January 8, 2020, to be on the look-out for patients with respiratory symptoms and a history of travel to Wuhan, China.
  • Developing guidance for clinicians for testing and management of 2019-nCoV, as well as guidance for home care of patients with 2019-nCoV.
  • Developing a diagnostic test to detect this virus in clinical specimens, accelerating the time it takes to detect infection. Currently, testing for this virus must take place at CDC, but in the coming days and weeks, CDC will share these tests with domestic and international partners
  • On January 17, 2020, CDC began implementing public health entry screening at San Francisco (SFO), New York (JFK), and Los Angeles (LAX) airports. This week CDC will add entry health screening at two more airports – Atlanta (ATL) and Chicago (ORD).
  • CDC has activated its Emergency Operations Center to better provide ongoing support to the 2019-nCoV response.


CDC is working closely with the state of Washington and local partners. A CDC team has been deployed to support the ongoing investigation in the state of Washington, including potentially tracing close contacts to determine if anyone else has become ill.



Coronaviruses are a large family of viruses, some causing respiratory illness in people and others circulating among animals including camels, cats and bats. Rarely, animal coronaviruses can evolve and infect people and then spread between people, such as has been seen with Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). When person-to-person spread has occurred with SARS and MERS, it is thought to happen via respiratory droplets with close contacts, similar to how influenza and other respiratory pathogens spread. The situation with regard to 2019-nCoV is still unclear. While severe illness, including illness resulting in several deaths, has been reported in China, other patients have had milder illness and been discharged. Symptoms associated with this virus have included fever, cough and trouble breathing. The confirmation that some limited person-to-person spread with this virus is occurring in Asia raises the level of concern about this virus, but CDC continues to believe the risk of 2019-nCoV to the American public at large remains low at this time.



This is a rapidly evolving situation. CDC will continue to update the public as circumstances warrant.



For more information about the current outbreak in China, visit: https://www.cdc.gov/coronavirus/novel-coronavirus-2019.html

 

Red Baron

Paleo-Conservative
_______________

mzkitty

I give up.
Another article on US confirmation:

1579644850169.png


2 hours ago

SEATTLE (AP)
- A U.S. resident who recently returned from an overseas trip has been diagnosed with the new virus that has sparked an outbreak in China and stringent monitoring around the world, U.S. health officials said Tuesday.

The man returned to the Seattle area in the middle of last week after traveling to Wuhan in central China, where the outbreak began. The Snohomish County resident is in his 30s and was in good condition Tuesday at a hospital in Everett, outside Seattle. He's not considered a threat to medical staff or the public, health officials said.



The U.S. is the fifth country to report seeing the illness, following China, Thailand, Japan, and South Korea.

Late last week, U.S. health officials began screening passengers from Wuhan at three U.S. airports — New York City's Kennedy airport and the Los Angeles and San Francisco airports. On Tuesday, the CDC announced it will add Chicago's O'Hare airport and Atlanta's airport to the mix later this week.

What's more, officials will begin forcing all passengers that originate in Wuhan to go to one of those five airports if they wish to enter the U.S.

Officials around the world have implemented similar airport screenings in hopes of containing the virus during the busy Lunar New Year travel season.

The U.S. resident had no symptoms when he arrived at the Seattle-Tacoma airport last Wednesday, but he contacted doctors on Sunday when he started feeling ill, officials said.

Last month, doctors began seeing a new type of viral pneumonia — fever, cough, difficulty breathing — in people who spent time at a food market in Wuhan. More than 275 cases of the newly identified coronavirus have been confirmed in China, most of them in Wuhan, according to the World Health Organization.

The count includes six deaths — all in China, most of them age 60 or older, including at least some who had a previous medical condition.

Officials have said it probably spread from animals to people, but this week Chinese officials said they've concluded it also can spread from person to person.

Health authorities this month identified the germ behind the outbreak as a new type of coronavirus. Coronaviruses are a large family of viruses, some of which cause the common cold; others found in bats, camels and other animals have evolved into more severe illnesses.

SARS, or severe acute respiratory syndrome, belongs to the coronavirus family, but Chinese state media say the illness in Wuhan is different from coronaviruses that have been identified in the past. Earlier laboratory tests ruled out SARS and MERS — Middle East respiratory syndrome — as well as influenza, bird flu, adenovirus and other common lung-infecting germs.

The new virus so far does not appear to be as deadly as SARS and MERS, but viruses can sometimes mutate to become more dangerous.

University of Washington coronavirus researcher David Veesler said the public “should not be panicking right now.”

The response has been “very efficient,” Veesler said. “In a couple of weeks, China was able to identify the virus, isolate it, sequence it and share that information.”

Veesler added: “We don’t have enough data to judge how severe the disease is.”

 

packyderms_wife

Neither here nor there.
Delivery became available in the Milwaukee metro area about six months ago.

Aldi uses "instacart" as their delivery contractor.

Enter your zip code and see if it is available in your area.


Thank you, yes we have instacart here, and something else. You just changed my life forever! Thanks!!!
 

Shadow

Swift, Silent,...Sleepy
Being a novel virus no one has any prior immunity. So far the death rate has been fairly low, while incapacitating for a time.

The real worry is if it combines with, or is changed by, something else and becomes more deadly. With it spreading around the world this increases the probability of it happening.

Shadow
 

jward

passin' thru
so where's someone with a math brain...? CFR 6/300 is our ball park figures?

I'm concerned as always during flu season, hoping beds n respirator demand don't outstrip supply...
.,but this thing's not stacking bodies up like cordwood. Of course it's one mutation away from
doomalisciousness DOOMAGEDDEN...but that is our ongoing fate as humans w/ re: to any # of things.
::: Shruggin & hummin 'Let it Be' :mus: :::
 

Reasonable Rascal

Veteran Member
Being a novel virus no one has any prior immunity. So far the death rate has been fairly low, while incapacitating for a time.

The real worry is if it combines with, or is changed by, something else and becomes more deadly. With it spreading around the world this increases the probability of it happening.

Properly stated. The next couple of weeks will be telling.

Meanwhile, no point in burning the huts if they might still be useful and this turns out to be another flash in the pan out of the viral cauldron that China is.

RR
 

jward

passin' thru
GIKorea (@GIKorea) Tweeted:
Picture of the Day: Coronavirus Prevention Efforts Picture of the Day: Coronavirus Prevention Efforts GIKorea on Twitter View: https://twitter.com/GIKorea/status/1219758864356298752?s=20


PICTURE OF THE DAY: CORONAVIRUS PREVENTION EFFORTS
GIKorea | January 22, 2020 | Picture of the Day | No Comments
Coronavirus disinfection
Coronavirus disinfection
Quarantine workers spray disinfectant at Incheon International Airport, west of Seoul, on Jan. 21, 2020, to prevent the advance of a new strain of coronavirus now spreading in China and other parts of Asia. The National Quarantine Station at the airport stepped up inspections after a Chinese woman, who arrived by plane from the Chinese city of Wuhan on Jan. 19, tested positive for the new type of pneumonia-like disease. (Yonhap)
 

night driver

ESFP adrift in INTJ sea
Folks need to REREAD post 171.

6/300 is NOT the correct calculation. 6/30 is. comes back as 19%.

We are just a TAD early to be able to do that calculation in this instance.

Give it 3-5 days.
 

jward

passin' thru
Folks need to REREAD post 171.

6/300 is NOT the correct calculation. 6/30 is. comes back as 19%.

We are just a TAD early to be able to do that calculation in this instance.

Give it 3-5 days.

Well poo. I don't think I like your math brain....tho still...thank you for the loan of it!
And still the jury is out on those currently ill...

The big release from the WHO stated:

Of the 278 confirmed cases, 51 cases are severely ill1
, 12 are in critical condition2

So only those 12 are requiring ICU support at time of report...
 
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Shooter

Veteran Member
so is this big or not? how long do you think it will take, before we know if this will turn into something we should really worry about, as opposed to just worrying about the flue.

this medical stuff confusses me sometimes,
 

Tristan

Has No Life - Lives on TB
Trevor Bedford (@trvrb) Tweeted:
Both these viruses cluster extremely closely with existing diversity with 0 and 2 mutations relative to common ancestor respectively. @richardneher's simple Poisson mutation model puts ancestor to sequenced cases at Nov-Dec 2019. 2/2 Trevor Bedford on Twitter View: https://twitter.com/trvrb/status/1219690049752596480?s=20


Note from the old Pandemic Flu Forum:




PFIFORUM is now closed.

THANK YOU.

Best Regards,
Dude


Well, dang.
 

marsh

On TB every waking moment

CDC Confirms First U.S. Case of Deadly China Virus
1,951
An airport official wearing a face mask checks the passport of a passenger at Don Mueang International Airport in Bangkok on January 21, 2020. - China has confirmed human-to-human transmission in the outbreak of a new SARS-like virus as the number of cases soared and authorities January 21 said a …
Mladen Antonov/AFP/Getty ImagesJOSHUA CAPLAN21 Jan 20201343
2:39

An individual traveling from China has been diagnosed in Seattle with the coronavirus, a Centers for Disease Control and Prevention (CDC) spokesman confirmed on Tuesday.

The CDC is expected to make an announcement on the matter later today.

The development comes after Chinese health officials announced that the virus has killed at least 6 people and sickened over 300. Four cases were confirmed in South Korea, Japan, and Thailand. Additionally, a Taiwanese national who recently visited Wuhan, tested positive for the virus.

China’s Health Commission announced 291 confirmed cases of the virus, with 77 new cases reported on Monday alone. Municipal health commissions of Zhejiang, Tianjin, and Shanghai reported additional cases, pushing the number of infections up to 302.

The number of confirmed cases in Hubei province, where Wuhan is located, has risen to 270; Bejing has five, Guangdong province 14, Shanghai six, Zhejiang five and Tianjin two.

Wuhan announced new measures Tuesday to contain the outbreak, including the cancellation of upcoming Lunar New Year celebrations.

The new measures follow President Xi Jinping ordering increased efforts to stop the spread of the disease Monday, but there are fears efforts to contain the virus impeded by Chinese bureaucracy have come too late. Hundreds of millions of Chinese are expected to travel across the country in the coming days ahead of the Lunar New Year and raise concerns of a potential increase in cases.

Presently, the virus appears to be less lethal than the 2002-2003 SARS outbreak, which resulted in 774 deaths

“Based on current information, an animal source seems the most likely primary source of this outbreak with limited human-to-human transmission occurring between close contacts,” said World Health Organization spokesman Tarik Jasarevic.

“Based on current data, some new cases seem to experience milder diseases which is within the milder end of the spectrum of symptoms caused by respiratory illnesses,” Jasarevic added.
The UPI contributed to this report.

Editor’s Note: The photo on this story was taken at Don Mueang International Airport in Bangkok. The individuals captured in this photo are not involved in this medical case; the picture choice is illustrative rather than literal.
 

night driver

ESFP adrift in INTJ sea
so is this big or not? how long do you think it will take, before we know if this will turn into something we should really worry about, as opposed to just worrying about the flue.

this medical stuff confusses me sometimes,

People like RR, Me, Aesop see this as something to watch, check our supplies of PPE (Protective equipment) etc, but not a serious hair on fire issue.

The gross scratch numbers at this point (what, day 6 or 8?) aren't PANIC NOW AVOID THE RUSH inducing but are concerning and bear watching.

Axe us in 3-5 days when we can get some kind of incidence curves and Mortality curves. As for ME, my bride is just starting to recover from what we believe is a combo of bacterial and viral attacks--sinus and bronchitis.

*I* appear to be following at least the viral path. NOT worrying about SARS 2.0 just yet.

With M Y history, RELIC and I will be aggressive on this so we don't have to play in some institution of Higher Healing as this ramps.
 

night driver

ESFP adrift in INTJ sea
ALSO PLEASE NOTE!

All 3 new cases in the US AS OF THIS WRITING are in Ports of Entry!

This is IMPORTANT as to following the growth of this thang in the US!
 

vector7

Dot Collector
Folks need to REREAD post 171.

6/300 is NOT the correct calculation. 6/30 is. comes back as 19%.

We are just a TAD early to be able to do that calculation in this instance.

Give it 3-5 days.
Worse odds than Russian Roulette. 1 out of 5 don't make it.
 

jward

passin' thru
Yes Shooter, listen to Night. Watching is good, and what we do, but follow your winter flu protocols, cancel your trip to the Chinese wet market, and crack open a cold one. All is almost always well, right?
 

night driver

ESFP adrift in INTJ sea
PW, remember this is in China, and among market animules. Remember that Swine/pigs are walking bio-labs doing uncontrolled recombinant DNA research with no records. And they seem to be WAYY TOO DAMN good at it.
 

forpetesake

Senior Member
Marietta Daviz posted it. You can track it back from there:

Thanks Ms Kitty. A question for everyone. If this thing takes off, at what point will you become concerned enough that you stay home/ shelter in place? I think after 3 confirmed cases in the nearest city I would avoid going out. Any thoughts?
 
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