Archive for ‘quarantine’

20/02/2020

Coronavirus: how Diamond Princess cruise ship became a ‘super spreading’ site

  • It started with a cough by a passenger who had visited China, leading to the two-week quarantine of some 3,700 passengers and crew
  • At least 218 cases have been detected on board the Diamond Princess, which has been described as ill-equipped to prevent the spread of infections
Passengers and crew on the Diamond Princess cruise liner are under quarantine until February 19, 2020. Photo: Reuters
Passengers and crew on the Diamond Princess cruise liner are under quarantine until February 19, 2020. Photo: Reuters
For almost a fortnight and counting, the Diamond Princess has resembled a floating hospital more than a luxury cruise liner, as 3,711 passengers and crew have remained under quarantine in Japan due to an outbreak of the deadly coronavirus on board.
The UK-flagged vessel, which set out on a 29-day voyage from Singapore to Yokohama on January 6, has been in lock-down since arriving at the Japanese city on February 3, after an elderly passenger who disembarked in Hong Kong tested positive for the virus, which causes the respiratory disease officially known as Covid-19.
Along the way, the ship had stopped at 14 ports, including Ho Chi Minh City in 
Vietnam, 

Kobe and Osaka in Japan, and Taipei in Taiwan, with repeat visits to a number of destinations, including Hong Kong.

How did the outbreak start?

While the exact source of the outbreak on the Diamond Princess is yet to be determined, it is suspected to be linked to a 80-year-old man from Hong Kong who had recently made a brief visit to mainland China.

The man boarded the ship on January 20 in Yokohama before disembarking five days later in Hong Kong, where he tested positive for the virus after seeking medical attention for symptoms including a cough.
Coronavirus: 44 more cases on Diamond Princess cruise ship
13 Feb 2020

How many people have tested positive for the coronavirus on board?

Japanese Health Minister Katsunobu Kato announced on Thursday that 44 new cases
of the virus had been detected on the Diamond Princess, including a quarantine officer who tested positive, bringing the total number of infections on board to at least 218.
The hike in infections came after officials announced 40 fresh cases on Wednesday. Authorities have so far tested 713 people on board, fewer than one-fifth of the total, but the outbreak already ranks as the largest single cluster of infections outside mainland

China.

Japan has confirmed 247 cases overall since the virus was first detected in the Chinese city of Wuhan in late December.

Passengers are allowed short visits above deck for fresh air. Photo: Reuters
Passengers are allowed short visits above deck for fresh air. Photo: Reuters

What has it been like for passengers on board?

Passengers who have not been diagnosed with the coronavirus have been asked to stay in their cabins, except for short visits above deck for fresh air, until the quarantine period ends on February 19.

Those who have tested positive have been evacuated to onshore medical facilities. Health officials announced on Thursday that they intended to move elderly people and those with pre-existing conditions off the ship in the coming days even if they tested negative.

Many of those on board have described the tedium of being confined to their cabins and anxiety about the virus spreading further, or expressed frustration at the lack of timely information about the outbreak coming from Japanese authorities.

“It’s getting tougher by the day, and certainly for passengers with the inside cabins, it’s not easy,” said British passenger David Abel in a Facebook live-stream on Thursday.

The sorry state of Hongkongers stuck aboard quarantined cruise ship in Japan

11 Feb 2020

Some passengers have praised the efforts of the crew to keep up people’s spirits, including putting together videos featuring magic tricks and dance and stretching routines.

Matthew Smith, a passenger from the United States, has racked up thousands of followers on Twitter with his regular upbeat appraisals of the ship’s food.

“Don’t believe the honeymooners who would rather be in an American hospital,” he wrote in one post last week. “You might have to drag me off the ship when the quarantine ends.”

The event on the Diamond Princess cruise would fit the description of a super spreading event. David Hui, infectious diseases expert

Why has Japan’s handling of the outbreak been so controversial?

Some medical experts have questioned the wisdom of placing the passengers and crew in quarantine in the close confines of a ship, rather than removing them to dedicated facilities on the shore.

“Ideally, the crew members and the passengers should be quarantined at holiday camps,” said David Shu-Cheong Hui, the director of the Stanley Ho Centre for Emerging Infections Diseases in Hong Kong. “The event on the Diamond Princess cruise would fit the description of a super spreading event.”

Panic buying, mistrust and economic woes as Japan reels from coronavirus

12 Feb 2020

Kumar Visvanathan, an infectious diseases expert at the University of Melbourne, said a cruise liner such as the Diamond Princess would be ill-equipped to prevent the spread of infections.

“It seems that though isolation in individual cabins is somewhat effective, the increasing numbers of symptomatic infections seems to suggest active infections even with the best precautions are occurring,” Visvanathan said.

“It is clear that cruise ships and their individual cabins are not made for isolation purposes and depend heavily on individual participation in the isolation procedures, including respiratory hygiene, cough etiquette and hand hygiene,” he said.

Japanese city encourages travellers in coronavirus quarantine after return from China

Visvanathan said, however, that gauging the correct response was difficult as authorities had to consider the welfare of both the general public and those on the ship.

“I think the way to look at it is there are two disparate concerns that need to be balanced,” he said. “The first is the protection of the outside community which I think the Japanese government is taking as most important, and in this case isolation on board is the most efficient way to prevent infection of the Japanese population.”

Criticism has also been levelled at authorities for not testing all of those on board from the start. After initially insisting that they did not have the resources to test everyone on board, health officials said on Thursday that they were now aiming to test 1,000 people a day.

The World Health Organisation, however, has defended Japan’s handling of the situation, saying the country was ensuring those who were ill received proper treatment, the most important consideration during such an outbreak.

Source: SCMP

20/02/2020

India’s surgical mask makers scramble to meet Asian demand surge amid coronavirus outbreak

  • Eyeing large profits, Indian manufacturers are scrambling to meet the demand from countries such as China and Malaysia
  • But this new focus on exports means the domestic market is being underserved, and substandard masks are hitting shelves
A vendor shows an N95 face mask at medical store in Bhopal, India. Photo: EPA
A vendor shows an N95 face mask at medical store in Bhopal, India. Photo: EPA
Indian

manufacturers and distributors of surgical face masks are currently in overdrive to meet a surge in global demand for protective gear amid the coronavirus outbreak.

With an eye on enormous profits, these suppliers have turned their focus to exports,

particularly China

– causing a chronic local shortage of masks due to the relatively lower margins in the domestic market.

Indian manufacturers produce 240 million disposable masks every year, primarily for domestic use, as per the estimates of the Association of Indian Medical Device Industry.

There are no large-scale manufacturers of surgical masks in the country; the landscape is dominated by more than a dozen medium-sized companies with a production capacity of between 20,000 and 100,000 masks a day.

China, Asean foreign ministers begin emergency meeting on coronavirus in Vientiane

20 Feb 2020

The production cost of a mask is estimated to be 1 rupee (less than 2 US cents), and masks were sold for 2-4 rupees at retail outlets a month ago. As of this week, the price of a surgical mask has skyrocketed to 15 rupees.

In some regions where there is a shortfall, retail stores are reportedly demanding as much as 50 rupees. Some experts, meanwhile, say exporting masks to coronavirus-threatened Asian countries where masks are in high demand could fetch firms up to US$15 per mask.

China has so far imported over 1.2 billion masks to meet soaring demand, according to the Ministry of Commerce.

Manoj Rajawat – director of Orthosut Biomedical and Engineering Company, which distributed about 500,000 masks every month before the surge in demand – estimates that nearly 90 per cent of masks manufactured in India in recent weeks have been exported to countries such as China, Malaysia and Singapore.

“The value of the exported masks could [easily be more than 50] times what it was before the virus outbreak in China,” Rajawat said.

More than 75,000 people have been infected with the coronavirus, the vast majority of them on mainland China, and more than 2,000 patients have died with more than 16,000 staging a full recovery. This includes India’s three cases of infection, which were discovered in Kerala and have since been cured.

To allay fears of a domestic shortage, the Indian government briefly banned exports of masks and protective gear earlier this month, when the country’s first case of coronavirus infection was confirmed. A week later, however, the ban was partially lifted for two- and three-ply masks as the demand for such protective equipment kept rising overseas.

Multiple Indian ministries are closely monitoring the situation, but are reluctant to comment on specific issues beyond releasing official notifications.

Coronavirus: Anxious Asian countries want China flight ban, says new poll

20 Feb 2020

“Indian manufacturers have exponentially increased their production of masks. With the government lifting the restrictions on exports, [these firms] are also catering to international demand, somewhat focusing more on exports as it seems more beneficial,” said Vivek Tiwari, chief executive of Medikabazaar, a business-to-business online platform for medical supplies and equipment.

However, experts and observers such as Prasad Danave, president of the Retail and Dispensing Chemist Association, say Indian manufacturers are not equipped to deal with the sudden demand for such large quantities.

“I talked to one of the manufacturers and his capacity to produce disposable masks is 20,000 pieces per day. Suddenly, two purchasers approached him asking for 2 million masks and 5 million masks respectively. It is impossible to cater to such a need immediately,” Danave said.

A police officer in Kochi, India wears a face mask amid fears of the coronavirus outbreak. Photo: EPA
A police officer in Kochi, India wears a face mask amid fears of the coronavirus outbreak. Photo: EPA
The N95 respirator, an industrial-purpose face mask, is in huge demand as people seek to protect themselves from the coronavirus. Alcohol-based hand sanitisers are also flying off shelves, while there are also concerns of panic buying and shopkeepers hyping up demand for their products to capitalise on the situation.
Abhay Pandey is the national president of the All Food and Drug Licence Holder Foundation, an industry organisation which represents about 7,000 pharmaceutical suppliers across India. He said vendors are distributing substandard face masks to domestic consumers due to a shortage of production time given the increased demand, as well as the lack of a credible mechanism to ensure standards.
Coronavirus: Japan scientist stands by ‘chaotic’ criticism of cruise ship quarantine
20 Feb 2020

“There’s a micro-filter which is usually fitted between two layers in the three-ply face masks used by doctors during surgical procedures. Now, the suppliers are preparing substandard face masks without this filter for the Indian market, and for exports they’re sending the good quality ones,” Pandey said.

Mask makers in China, the world’s largest producer of face masks, are currently operating at 76 per cent capacity, National Development and Reform Commission official Cong Liang said at a press conference in Beijing on Tuesday.

This means they are producing about 15.2 million masks daily but demand is estimated to be between 50 and 60 million units, according to Chinese media reports citing mainland mask manufacturers.

Source: SCMP

17/02/2020

Coronavirus: Americans from quarantined cruise ship flown from Japan

Media caption Americans are taken from the docked ship to Haneda airport in Tokyo

Two planes carrying hundreds of US citizens from a coronavirus-hit cruise ship have left Japan, officials say.

One plane has landed at a US Air Force air base in California, and its passengers will be isolated at military facilities for 14 days.

There were some 400 Americans on board the Diamond Princess. The ship with some 3,700 passengers and crew has been in quarantine since 3 February.

Meanwhile, China reported a total of 2,048 new cases on Monday.

Of those new cases, 1,933 were from Hubei province, the epicentre of the outbreak.

More than 70,500 people across China have been infected by the virus. In Hubei alone, the official number of cases stands at 58,182, with 1,692 deaths. Most new cases and deaths have been reported in Wuhan, Hubei’s largest city.

In other developments:

  • In Japan, a public gathering to celebrate the birthday of new Emperor Naruhito later this week has been cancelled, due to concerns over the spread of the virus while organisers of the Tokyo marathon due to take place on 1 March are considering whether to cancel the amateur part of the race, reports say
  • In China, the National People’s Congress standing committee said it would meet next week to discuss a delay of this year’s Congress – the Communist Party’s most important annual gathering – because of the outbreak
  • At the weekend, an American woman tested positive for the virus in Malaysia after leaving a cruise liner docked off the coast of Cambodia
  • A Russian court has ordered a woman who escaped from a quarantine facility to go back and stay there until she is confirmed to be disease-free, Fontanka news agency reports. Alla Ilyina has until Wednesday to return

What’s happening on the Diamond Princess?

The cruise ship was put in quarantine in Japan’s port of Yokohama after a man who disembarked in Hong Kong was found to have the virus.

On Monday, Japanese officials said there were 99 new cases of infections on board the ship, bringing the total to 454 confirmed cases. It is the largest cluster of cases outside China.

A Russian woman who was on board and tested positive is thought to be the first Russian national to contract the virus after the two previous cases found in Russia were Chinese nationals, Reuters news agency reports.

She will be taken to a hospital for treatment, the Russian embassy in Japan said.

At least 40 US citizens who were on board are infected and will be treated in Japan, Dr Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases told US broadcaster CBS.

Aircraft wait to take Americans home from Japan after they were taken off the quarantined cruise ship, Diamond Princess, 17 February 2020Image copyright AFP
Image caption Those bound for the US left from Tokyo’s Haneda Airport

The two aircraft chartered by the US government left Tokyo’s Haneda Airport in the early hours of Monday. The second flight was due to land at another base in Texas.

More than 300 passengers are being repatriated voluntarily, the US state department said. Fourteen of them were reported during transit to have tested positive for the virus and were being kept separate from the other passengers, it said.

Those entering the US will undergo a 14-day quarantine, on top of the time they have already spent confined on the ship.

“And the reason for that,” Dr Fauci added, “is that the degree of transmissibility, on that cruise ship, is essentially akin to being in a hotspot.”

Some of the Americans have declined to be evacuated, preferring to wait until the ship quarantine comes to an end on 19 February.

Passenger Matt Smith, a lawyer, said he would not want to travel on a bus to the plane with possibly infected people.

To assist with relief efforts, Japan’s government has given away 2,000 iPhones to passengers on the ship – one for each cabin.

The smartphones were distributed so people could use an app, created by Japan’s health ministry, which links users with doctors, pharmacists and mental health counsellors. Phones registered outside of Japan are unable to access the app.

Other evacuation flights have been arranged to repatriate residents of Israel, Hong Kong and Canada. On Monday, Australia announced that it would evacuate 200 of its citizens too.

What is happening in China?

According to official figures for 16 February, 100 people died from the virus in Hubei, down from 139 on Saturday.

The Chinese authorities are tightening curbs on movement to combat the outbreak. People in Hubei province, which has 60 million people, have been ordered to stay at home, though they will be allowed to leave in an emergency.

In addition, a single person from each household will be allowed to leave the building or compound they live in every three days to buy food and essential items.

On housing estates, one entrance will be kept open. It will be guarded to ensure that only residents can enter or leave.

All businesses will stay closed, except chemists, hotels, food shops and medical services.

There will be a ban on the use of private cars, but vehicles used for the delivery of essential goods are exempt.

Media caption Medics in Wuhan resort to shaving their heads in a bid to prevent cross-infection of the coronavirus

In the Chinese capital, Beijing, authorities have ordered everyone returning to the city to go into quarantine for 14 days or risk punishment.

China’s central bank will also disinfect and store used banknotes before recirculating them in a bid to stop the virus spreading.

New cases spiked last week after a change in the way they were counted, but have been falling since.

National Health Commission spokesman Mi Feng said the figures showed China was managing to curb the outbreak.

“The effects of epidemic prevention and control in various parts of the country can already be seen.”

The proportion of infected patients considered to be in a “serious condition” has dropped nationwide from more than 15% to just over 7%, according to China’s State Council.

Taiwan has reported a death from the illness – a taxi driver, 61, who had not travelled abroad recently but had diabetes and hepatitis B, Health Minister Chen Shih-chung said.

The minister said many of his passengers had come from China.

Outside China, there have been more than 500 cases in nearly 30 countries. Four others have died outside mainland China – in France, Hong Kong, the Philippines and Japan.

Meanwhile, a plane carrying 175 evacuated Nepalis, mostly students, has arrived in Kathmandu from Wuhan.

The virus is a new strain of coronavirus and causes an acute respiratory disease which has been named Covid-19.

Source: The BBC

16/02/2020

Coronavirus: China announces drop in new cases for third straight day

A medical worker in protective suitImage copyright REUTERS
Image caption Over 1,660 have died in China since the coronavirus outbreak began

China has announced a drop in new cases from the coronavirus outbreak for a third consecutive day.

On Sunday, authorities reported 2,009 new cases and 142 more deaths nationwide.

New cases spiked earlier in the week after a change in the way they were counted but have been falling ever since.

In total more than 68,000 people have been infected in China, with the death toll standing at 1,665.

Outside of China there have been more than 500 cases in nearly 30 countries. Four people have died – in France, Hong Kong, the Philippines and Japan.

The measures China has taken to stop the spread of the coronavirus are starting to have an impact, Mi Feng, a spokesman at the National Health Commission, said on Sunday.

In other developments:

  • The number of people who have tested positive on the Diamond Princess cruise ship, which is being held in quarantine in Japan, has risen to 355. The US and Canada are sending planes to evacuate their citizens
  • A Chinese tourist has died in France – the first fatality outside Asia
  • An 83-year-old American woman has tested positive after disembarking another cruise ship that was turned away by a number of countries before being allowed to dock in Cambodia
  • In the UK, all but one of nine people being treated have been discharged from hospital

On Saturday, World Health Organization (WHO) head Tedros Adhanom Ghebreyesus praised Beijing’s response to the outbreak.

“China has bought the world time. We don’t know how much time,” he said. “We’re encouraged that outside China, we have not yet seen widespread community transmission.”

How is China coping?

Tens of millions of Chinese still face heavy restrictions on their day-to-day life as part of the government’s efforts to halt the spread of the disease, which causes a disease named Covid-19.

Much of the response has focused on the hard-hit province of Hubei and its capital Wuhan, where the outbreak began. The city is all but sealed off from the rest of the country.

Foreign Minister Wang Yi said that along with a drop in infections within Hubei there had also been a rapid increase in the number of people who had recovered.

As part of measures to contain the coronavirus, Beijing has ordered everyone returning to the city to go into quarantine for 14 days or risk punishment.

China’s central bank will also disinfect and store used banknotes before recirculating them in a bid to stop the virus spreading.

Media caption Medics in Wuhan resort to shaving their heads in a bid to prevent cross-infection of the coronavirus

In another development Chinese state media published a speech from earlier this month in which Chinese President Xi Jinping said he said he had given instructions on 7 January on containing the outbreak.

At the time, local officials in the city of Wuhan were downplaying the severity of the epidemic.

This would suggest senior leaders were aware of the potential dangers of the virus before the information was made public.

With the government facing criticism for its handling of the outbreak, analysts suggest the disclosure is an attempt to show the party leadership acted decisively from the start.

Source: The BBC

07/02/2020

Coronavirus outbreak likely to hit Hong Kong, Thailand economies the hardest in Asia

  • Hong Kong and Thailand are likely to suffer most from the novel coronavirus outbreak because of close their economic ties with China
  • A drop in Chinese tourist arrivals and imports, as well as supply chain disruptions are likely to weigh on regional economy
Thailand’s economy could be one of the most affected by the coronavirus outbreak due to its close ties with China, especially in the tourism sector. Photo: Bloomberg
Thailand’s economy could be one of the most affected by the coronavirus outbreak due to its close ties with China, especially in the tourism sector. Photo: Bloomberg

Hong Kong and Thailand are likely to be the hardest hit Asian economies outside mainland China from the deadly coronavirus outbreak, according to analysts.

The 2019-nCoV, which had claimed the lives of nearly 640 people and infected more than 31,000 in mainland China by Friday, is viewed as even more damaging than the severe acute respiratory syndrome (Sars) epidemic in 2002-2003 because of prolonged factory closures and transport restrictions that have locked down many Chinese cities.

China has become more closely integrated with the rest of Asia since the Sars outbreak, meaning the disruptions to China’s industrial and export sectors, combined with a sharp drop in economic activity in the first quarter, will have significant repercussions across the region, particularly through tourism and trade, analysts said.

“A collapse in tourism arrivals from China will be the first shock wave for the rest of the region,” said Gareth Leather, senior Asia economist at Capital Economics. “Factory closures in China will affect the rest of the region by disrupting regional supply chains.”

A collapse in tourism arrivals from China will be the first shock wave for the rest of the region. Factory closures in China will affect the rest of the region by disrupting regional supply chainsGareth Leather

Hong Kong would likely be the most affected because of its status as a trade hub, its tight linkages to the Chinese economy and the sharp decline in tourism expenditure that is expected, UBS economist William Deng noted.

“Due to the risk of infection, domestic households significantly reduced such activities as dining out, shopping and entertainment,” Deng wrote in a recent note. He cut Hong Kong’s gross domestic product (GDP) growth forecast to minus 1.8 per cent for 2020, against his previous projection of a 0.5 per cent drop.

A community outbreak spread by human-to-human transmission has started in the city, said Professor Yuen Kwok-yung, a top microbiologist at the University of Hong Kong on Wednesday.

Thailand could be the next most affected due to its dependence on Chinese tourism. Outside Hong Kong and Macau, the country has the highest exposure to China as a share of GDP in the region.

China locks down Hangzhou, mega-city far from epicentre of coronavirus outbreak

ANZ Bank’s head of Asia research Khoon Goh said that the novel coronavirus could knock US$760 million from Thailand’s economy in the first quarter. Hong Kong could could see losses of US$1.4 billion. Travel services as a share of GDP were 11.2 per cent in Thailand and 9.4 per cent in Hong Kong.

“The Thai economy would expand at a slower rate in 2020 than previously forecast and much further below its potential due to the outbreak of coronavirus,” Bank of Thailand said in a statement after it slashed interest rates to a record low on Wednesday.

South Korean and Taiwanese businesses will also have negative spillover effects from the coronavirus outbreak because of supply chain disruptions and weaker consumer sentiment inside and outside China, analysts said.

South Korean car and tech companies that rely on parts from Chinese suppliers are exposed to potential production disruptions stemming from factory closures and the evacuation of Korean workers from China-based production lines, said Sean Hwang, corporate finance group analyst at Moody’s Investors Group.

Coronavirus: here are the places and airlines restricting travel to China
For instance, Hyundai Motor Company closed some if its South Korea-based plants on February 4 because of a shortage of wiring harnesses.
Korean customers are also limiting their trips to bricks-and-mortar retail stores such as E Mart and Lotte Shopping to avoid crowds amid the outbreak, potentially leading to a significant decline in revenue and earnings, Hwang said.
Although Singapore is not as closely tied to China as Hong Kong, the city state could still see a knock-on effect from China’s expected near-term downturn, as its economy has become much more integrated with the world’s second largest economy since the Sars outbreak.
The number of Chinese tourists rose six times from 568,000 in 2003 to 3.4 million in 2018, said Irvin Seah, senior economist at DBS Bank.
Coronavirus outbreak: global businesses shut down operations in China
“We expect a decline of about 1 million tourists or about SGD1 billion (US$722 million) of lost tourism receipts for every three months of travel ban,” Seah said. “We have lowered our full-year GDP growth forecast to 0.9 per cent, down from 1.4 per cent previously.”
Taiwan has banned Chinese visitors as well as foreigners who have visited Hong Kong and Macau from entering the island due the coronavirus. International cruise ships are also unable to dock on the island, which will lead to at least 112 liner visits cancelled by the end of March, affecting around 144,000 passengers, said the Taiwan International Ports Corporation.
Capital Economics’ Leather said the economic impact on Taiwan from 2019-nCoV could stand out from the rest of Asia, as it had the most exposure in value-added, intermediate exports to China – 18 per cent of GDP.
20 coronavirus infections confirmed on cruise ship in Japan, as thousands remain under quarantine
Elsewhere, Malaysia’s commodity driven trade growth this year has been threatened by the almost 20 per cent fall in crude oil prices, a decline triggered by fears that the coronavirus outbreak would dampen China’s imports. Malaysia’s purchasing managers’ index, a survey of manufacturers, dropped to 48.8 in January from 50.0 the prior month prior, data released this week showed. The drop was blamed on slowing output, with new orders dropping the most since September amid a decline in exports.
“The Bank Negara Malaysia’s surprising policy rate cut at the last meeting on 22 January, just around the time the coronavirus started to dominate headlines, tells us that the central bank is ahead of the curve in recognising the risk,” said Prakash Sakpal, Asia economist at ING Bank said.
India and Indonesia will be the least affected given the small contribution the tourism sector makes to their economies, and the low share of visitors from China, ANZ’s Goh said.
Source: SCMP
06/02/2020

Coronavirus: Zhejiang adopts draconian quarantine measures to fight disease

  • Some residents of the coastal Chinese province are being locked inside their homes while others must present a ‘passport’ to go out every two days for supplies
  • Weddings and funerals discouraged as ‘unessential’ venues are also shut down
Cured coronavirus patients leave hospital in Hangzhou, one of four cities in the eastern Chinese province of Zhejiang which has adopted draconian quarantine measures for its residents. Photo: Xinhua
Cured coronavirus patients leave hospital in Hangzhou, one of four cities in the eastern Chinese province of Zhejiang which has adopted draconian quarantine measures for its residents. Photo: Xinhua
In the Chinese coastal province of Zhejiang, some 560km (350 miles) east of where the new coronavirus originated, at least four cities have introduced measures that mirror the draconian rules established by Hubei province – epicentre of the outbreak – to keep the virus from spreading.
Authorities in Zhejiang, which neighbours the port city of Shanghai, have closed “unessential” public venues, banned funerals and weddings, limited the number of times people can go out and quarantined families at home, sometimes by locking them in.
In the Zhejiang cities of Wenzhou, Hangzhou, Ningbo and Taizhou – which have a combined population of more than 30 million – each household is being issued a “passport”, usually a piece of paper that carries one’s name, home address and an official stamp. Only one person per household is permitted to leave their home every two days.
The rules were announced on state media and the governments’ social media accounts, and families have already received their “passports”.
Some people have been locked inside their homes, including Allen Li and his family in Hangzhou. Photo: Handout
Some people have been locked inside their homes, including Allen Li and his family in Hangzhou. Photo: Handout
To enforce the new travel rules, community officers have been stationed at the entrance of some residential compounds. Every time a resident leaves their compound, an officer at the entrance marks the time and date on the “passport”. People from the same household are then barred from going out again for the next two days.
With 954 coronavirus patients, the province of Zhejiang is the hardest hit region outside Hubei, which has about 19,665 of the more than 28,000 total cases.

Hangzhou, the provincial capital and home to some of China’s biggest tech companies, has reported 151 confirmed cases. The port city of Wenzhou has reported 396 cases.

Yao Gaoyuan, mayor of Wenzhou, said in an interview with CCTV on February 2 that the city had decided to impose the restrictions to contain the spread the coronavirus. “This could reduce the transmission to the greatest extent possible,” he said.

One neighbourhood in Wenzhou introduced a mobile technology system to enforce the stay-at-home rules, according to the state-run Wenzhou Daily, with residents using their phones to scan a QR code at the checkpoints every time they leave the compound. Only those who have not been out for two days will be allowed through.

In Hangzhou, the government on Tuesday banned all weddings and demanded that funerals, which traditionally involve family gatherings and banquets, be held frugally.

All public venues deemed “unessential” were ordered to close. Underground train services are running at 30-minute intervals. Factories need special permission to resume work during the extended Lunar New Year holiday.

Some families have also been confined to their homes because they have travelled to places with large numbers of confirmed cases.

No, the coronavirus can’t be kept away by saltwater gargling or cow dung

6 Feb 2020

Allen Li, 26, who is now living with his parents in Hangzhou, said the family had been told to stay home for 14 days after they returned from Wenzhou.

Community workers put up a sign saying “quarantined at home, no visitors allowed” on their door. On Wednesday, they locked the flat with a metal chain from the outside despite the family’s protest.

“We argued with them, but they said it’s a decision from above,” Li said. “We understand we should not go out. But this is not humane. What if there’s a fire at our home at midnight, and we can’t get anyone to unlock it?”

China scrambles to deliver food to coronavirus epicentre Wuhan amid lockdown
Some social media users have applauded such measures as ways to contain the virus, but others have criticised the quarantine as essentially “house arrest”.
Wuhan party official apologises for failures in coronavirus outbreak
6 Feb 2020

Some Hangzhou residents have complained online that they were barred from entering their rented homes after having spent the Lunar New Year holiday elsewhere.

The coronavirus was first reported in December in Wuhan, the provincial capital of Hubei that has been sealed off since January 23.

In a sign of the rising fear of contagion, regional authorities across China have imposed travel restrictions on residents that mirror the draconian measures in Hubei province.

But officials said about 5 million people had already travelled out of the city during the Lunar New Year travel season, contributing to the spread of the virus to other Chinese provinces and at least 24 countries.

Source: SCMP

02/02/2020

Coronavirus: hundreds more Europeans flee China virus as second evacuation plane lands in France

  • An Airbus A380 landed at the military base of Istres in the southern French region of Bouches-du-Rhone on Sunday
  • Of the 180 French people who were flown back from Wuhan on Friday, one showed symptoms of being infected with the virus
An Airbus A380-84, believed to be carrying European citizens flown out from the coronavirus zone in Wuhan, approaches the Istres-Le Tube Air Base near Istres. Photo: AFP
An Airbus A380-84, believed to be carrying European citizens flown out from the coronavirus zone in Wuhan, approaches the Istres-Le Tube Air Base near Istres. Photo: AFP

A second French-chartered plane carrying 300 evacuees from China flew to France on Sunday as more foreigners fled China’s rapidly developing virus.

The Airbus A380 landed at the military base of Istres in the southern French region of Bouches-du-Rhone. A first French plane landed Friday.

Officials said that when this latest flight left the central Chinese city of Wuhan, none of the passengers had symptoms of coronavirus. They include French, Belgians, Dutch, Danes, Czechs, Slovaks and some citizens of African countries.

Authorities said the plane would drop off most of its passengers at Istres before leaving for Belgium with several dozen people from northern Europe. Authorities haven’t said if the travellers arriving at Istres will be put into quarantine.

Of the 180 French people who were flown back from Wuhan on Friday, one showed symptoms of being infected with the virus and was sent to a Marseille hospital for testing, French Health Minister Agnes Buzyn said.

The other passengers were being quarantined for 14 days at a large, isolated Mediterranean resort not far from Marseille near Carry-le-Rouet.

German Health Minister Jens Spahn said that two people who were flown back to Germany on Saturday were found to be infected with the virus. That brought the total of cases in Germany to 10. Spahn said the two had been symptom-free when they left Wuhan and when they arrived in Frankfurt, and that they were “doing well at the moment” in quarantine at a Frankfurt hospital.

French police officers gather at the entrance gate of the ENSOSP (French National Fire Officers Academy) where French citizens will be quarantined after their repatriation from Wuhan. Photo: EPA-EFE
French police officers gather at the entrance gate of the ENSOSP (French National Fire Officers Academy) where French citizens will be quarantined after their repatriation from Wuhan. Photo: EPA-EFE
Europe has 25 reported cases of people who have been infected with the virus that emerged from Wuhan: Germany has 10; France has six; Russia, Italy and the U.K have two each and Finland, Sweden and Spain each have one.

The Italian foreign ministry said permission had been given for cargo flights to fly between Italy and China.

Separately, the special commissioner in charge of coordinating Italy’s efforts during the viral outbreak said consideration was being given to letting a handful of Chinese commercial airliners fly to Italy to pick up Chinese tourists and other Chinese citizens stranded in Italy by the suspension of commercial flights.

The commissioner, Angelo Borrelli, was quoted by Italian media as saying that Italy would like those flights, if approved, not to fly to Italy empty, but instead to bring back Italians from China. There are an estimated 500 other Italians in China who have apparently expressed an interest in returning home during the outbreak, but nothing firm had been decided on those flight possibilities.

Meanwhile, an estimated 3,000 tourists and others from China are stranded in Italy and want to return to home, according to Italian media.

Coronavirus:  Indonesia evacuates citizens, stops flights from China

2 Feb 2020

The death toll in China climbed Sunday to 304 and the number of infections rose to 14,380. In addition, the Philippines on Sunday reported the first death from the virus outside China.

On Saturday night, a Turkish military transport plane carrying 42 people arrived in Ankara from Wutan. The 32 Turkish, six Azerbaijani, three Georgian and one Albanian nationals will remain under observation in a hospital for 14 days, Health Minister Fahrettin Koca said.

Twenty Turkish personnel who took part in the evacuation will also be kept in quarantine.

The Egyptian government said 306 of its nationals would return home from Wuhan on a chartered plane later Sunday and will be subject to a 14-day quarantine. The online news outlet Masrawy reported that authorities prepared a hotel in the northwestern city of Marsa Matruh where the returnees would be quarantined.

Source: SCMP

01/02/2020

Coronavirus declared global health emergency by WHO

The new coronavirus has been declared a global emergency by the World Health Organization, as the outbreak continues to spread outside China.

“The main reason for this declaration is not what is happening in China but what is happening in other countries,” said WHO chief Tedros Adhanom Ghebreyesus.

The concern is that it could spread to countries with weaker health systems.

Meanwhile, the US has told its citizens not to travel to China.

The state department issued a level four warning – having previously urged Americans to “reconsider” travel to China – and said any citizens in China “should consider departing using commercial means”.

China has said it will send charter plans to bring back Hubei province residents who are overseas “as soon as possible”.

A foreign ministry spokesman said this was because of the “practical difficulties” Chinese citizens have faced abroad. Hubei is where the virus emerged.

At least 213 people in the China have died from the virus, mostly in Hubei, with almost 10,000 cases nationally.

The WHO said there had been 98 cases in 18 other countries, but no deaths.

Most international cases are in people who had been to Wuhan in Hubei.

However in eight cases – in Germany, Japan, Vietnam and the United States – patients were infected by people who had travelled to China.

People wearing masks

Getty Coronavirus outbreak outside China
  • 18 The number of countries with cases
  • 14 Cases in Thailand and Japan
  • 13 Singapore
  • 11 South Korea
  • 8 Australia and Malaysia
  • 5 France and USA

Source: WHO and local authorities

Speaking at a news conference in Geneva, Dr Tedros described the virus as an “unprecedented outbreak” that has been met with an “unprecedented response”.

He praised the “extraordinary measures” Chinese authorities had taken, and said there was no reason to limit trade or travel to China.

“Let me be clear, this declaration is not a vote of no confidence in China,” he said.

But various countries have taken steps to close borders or cancel flights, and companies like Google, Ikea, Starbucks and Tesla have closed their shops or stopped operations.

The US Commerce Secretary, Wilbur Ross, has said the outbreak could “accelerate the return of jobs to North America”.

Presentational grey line

Preparing other countries

Analysis box by James Gallagher, health and science correspondent

What happens if this virus finds its way into a country that cannot cope?

Many low- and middle-income countries simply lack the tools to spot or contain it. The fear is it could spread uncontrollably and that it may go unnoticed for some time.

Remember this is a disease which emerged only last month – and yet there are already almost 10,000 confirmed cases in China.

The 2014 Ebola outbreak in West Africa – the largest in human history – showed how easily poorer countries can be overwhelmed by such outbreaks.

And if novel coronavirus gets a significant foothold in such places, then it would be incredibly difficult to contain.

We are not at that stage yet – 99% of cases are in China and the WHO is convinced the country can control the outbreak there.

But declaring a global emergency allows the WHO to support lower- and middle-income countries to strengthen their disease surveillance – and prepare them for cases.

Presentational grey line

How unusual is this declaration?

The WHO declares a Public Health Emergency of International Concern when there is “an extraordinary event which is determined… to constitute a public health risk to other states through the international spread of disease”.

It has previously declared five global public health emergencies:

  • Swine flu, 2009 – The H1N1 virus spread across the world in 2009, with death toll estimates ranging from 123,000 to 575,400
  • Polio, 2014 – Although closer than ever to eradication in 2012, polio numbers rose in 2013
  • Zika, 2016 – The WHO declared Zika a public health emergency in 2016 after the disease spread rapidly through the Americas
  • Ebola, 2014 and 2019 – The first emergency over the virus lasted from August 2014 to March 2016 as almost 30,000 people were infected and more than 11,000 died in West Africa. A second emergency was declared last year as an outbreak spread in DR Congo

Media caption Inside the US laboratory developing a coronavirus vaccine

How is China handling the outbreak?

A confirmed case in Tibet means the virus has reached every region in mainland China. According to the country’s National Health Commission, 9,692 cases have tested positive.

The central province of Hubei, where nearly all deaths have occurred, is in a state of lockdown. The province of 60 million people is home to Wuhan, the heart of the outbreak.

The city has effectively been sealed off and China has put numerous transport restrictions in place to curb the spread of the virus.

Coronavirus cases have spread to every province in China. There are now 7711 cases compared to 291 on 20 Jan. Hubei province has more than 4500 cases.
People who have been in Hubei are also being told to work from home until it is considered safe for them to return.

The virus is affecting China’s economy, the world’s second-largest, with a growing number of countries advising their citizens to avoid all non-essential travel to the country.

How is the world responding?

Voluntary evacuations of hundreds of foreign nationals from Wuhan are under way.

The UK, Australia, South Korea, Singapore and New Zealand are expected to quarantine all evacuees for two weeks to monitor them for symptoms and avoid contagion.

Australia plans to quarantine its evacuees on Christmas Island, 2,000km (1,200 miles) from the mainland in a detention centre that has been used to house asylum seekers.

In other recent developments:

  • Italy suspended flights to China after two Chinese tourists in Rome were diagnosed with the virus; earlier 6,000 people on board a cruise ship were temporarily barred from disembarking
  • In the US, Chicago health officials have reported the first US case of human-to-human transmission. Around 200 US citizens have been flown out of Wuhan and are being isolated at a Californian military base for at least 72 hours
  • Russia has decided to close its 4,300km (2,670-mile) far-eastern border with China
  • Two flights to Japan have already landed in Tokyo. Japan has now raised its infectious disease advisory level for China
  • Some 250 French nationals have been evacuated from Wuhan
  • India has confirmed its first case of the virus – a student in the southern state of Kerala who was studying in Wuhan
  • Israel has barred all flight connections with China
  • Papua New Guinea has banned all visitors from “Asian ports”
  • North Korea will suspend all flights and trains to and from China, said the British ambassador to North Korea

Source: The BBC

23/01/2020

Coronavirus: Wuhan shuts public transport over outbreak

Wuhan, a Chinese city of eleven million people, has temporarily shut down its public transport as it tries to halt the outbreak of a new strain of virus.

Those living in the city have been advised not to leave, in a week when millions of Chinese are travelling for the upcoming Lunar New Year holiday.

The respiratory illness has spread to other parts of China, with some cases in other countries including the US.

There are more than 500 confirmed cases and 17 people have died.

Known for now as 2019-nCoV, the virus is understood to be a new strain of coronavirus not previously identified in humans. The Sars (severe acute respiratory syndrome) virus that killed nearly 800 people globally in the early 2000s was also a coronavirus, as is the common cold.

All the fatalities so far have been in Hubei, the province around Wuhan.

Meanwhile, after a day of discussions in Geneva, the World Health Organization’s (WHO) emergency committee has announced it will not yet declare a “global emergency” over the new virus.

Director general Dr Tedros Ghebreyesus said more information was needed about the spread of the infection. The committee of health experts will meet again on Thursday.

A global emergency is the highest level of alarm the WHO can sound and has previously been used in response to swine flu, Zika virus and Ebola.

What measures have been announced?

From Thursday, all flights and passenger train services out of Wuhan have been stopped.

Bus, subway and ferry services all shut down from 10:00 local time (02:00 GMT).

A special command centre in Wuhan set up to contain the virus said the move was meant to “resolutely contain the momentum of the epidemic spreading”.

Map of Wuhan transportThose living in Wuhan had already been told to avoid crowds and minimise public gatherings.

State news agency Xinhua said tourist attractions and hotels in the city had been told to suspend large-scale activities while libraries, museums and theatres were cancelling exhibitions and performances.

A Lunar New Year prayer-giving ceremony at the city’s Guiyuan Temple, which attracted 700,000 people last year, has also been cancelled.

The hashtag “Wuhan is sealed off” was trending on Chinese social media website Weibo.

One user said worries about food and disinfectant made it feel like “the end of the world”, while another said they were on the “verge of tears” when Chinese officials announced the shut-down.

The WHO’s Dr Ghebreyesus described the latest measures as “very strong” and said they would “not only control the outbreak, they will minimise spread internationally”.

Chinese officials said the country was now at the “most critical stage” of prevention and control.

“Basically, do not go to Wuhan. And those in Wuhan please do not leave the city,” said National Health Commission vice-minister Li Bin in one of the first public briefings since the beginning of the outbreak.

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Like shutting down London before Christmas

By James Gallagher, BBC health and science correspondent

Wuhan is starting to look like a city in quarantine.

Officials had already warned residents not to leave the city and visitors not to come.

Now the reported public transport ban – which includes flights – slams many of the routes in and out of the city shut.

A man wears a mask on the subway on January 22, 2020 in Wuhan, Hubei province, ChinaImage copyright GETTY IMAGES
Image caption Subways in Wuhan will be temporarily shut

It is a significant attempt to stop the spread of this new virus, which we now know can spread from person to person.

Limiting transport will cut the chance of the virus reaching other cities in China and other countries around the world.

This all comes just as millions of people are travelling across China for the week-long holiday that is Lunar New Year.

If you’re struggling for context – imagine shutting down London in the week before Christmas.

The big question left is the roads – and whether any of Wuhan’s 11 million inhabitants will be able to simply drive away.

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What’s the picture globally?

Officials in Hong Kong reported the territory’s first two cases on Wednesday and one case was reported in the nearby city of Macau.

The patient in Macau is said to be a businesswoman who arrived from Wuhan over the weekend.

The first US case was confirmed on Tuesday. President Donald Trump said the situation was “totally under control” and that he trusted the information being provided by Chinese authorities.

Map: Confirmed cases in China and around the world
There have been three cases in Thailand, one in Korea, one in Japan and one in Taiwan.

Although only about 500 cases have been confirmed, calculations by scientists at the MRC Centre for Global Infectious Disease Analysis at Imperial College London suggest there are 4,000 people sick with the virus in Wuhan.

What do we know about the virus?

The virus originated in a seafood market in Wuhan that “conducted illegal transactions of wild animals”, authorities said. The market has since been shut down.

There is also evidence of human to human transmission with the new virus spreading to family members and healthcare workers.

But understanding how easily and how often the virus spread between people is one of the major outstanding questions in this outbreak.

The virus infects the lungs and symptoms start with a fever and cough. It can progress to shortness of breath and breathing difficulties.

Source: The BBC

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