First coronavirus death in U.S. reported in Washington state

First coronavirus death in U.S. reported in Washington state
By Gabriella Borter and Steve Gorman

(Reuters) – Washington state health officials reported the first patient death from coronavirus in the United States on Saturday, according to a news release, as federal and local health officials scramble to contain the rapidly spreading disease.

Health officials in King County, Washington said they would provide an update on the patient who died at 1:00 p.m. Pacific Time (2100 GMT), and that the patient was among one of the state’s new cases of the disease.

“Health officials will be providing the latest updates regarding novel coronavirus cases in King County, including new people identified with the infection, one of whom died,” the news release said.

The report of the first coronavirus death in the United States capped a week of stock market upheaval and escalating concern among state and federal health officials about the spread of the disease, which has infected more than 60 people in the United States and spread across 46 countries.

Most of the U.S. cases have occurred in travelers from China, where the virus originated.

But public health officials have also identified four “presumptive” coronavirus cases believed to have emerged from community transmission of the infection, signaling a turning point in strategies needed to contain the disease in the United States.

The U.S. Centers for Disease Control and Prevention (CDC) issued a statement late on Friday citing three cases of unknown origin newly diagnosed by state public health authorities – one each in California, Oregon and Washington state.

If confirmed by the CDC, along with a similar case of unknown origin announced on Wednesday in California, that would bring to four the number of diagnosed individuals in the United States with no history of travel to a country where the virus is circulating and no close contact with an infected person.

Taken together, the four cases are a sign the virus is now spreading within at least four separate locations on the U.S. West Coast spanning nearly 900 miles (1,448 km), from California’s Silicon Valley region in Santa Clara County north to the Puget Sound near Seattle.

U.S. health authorities say it means the respiratory disease that has infected nearly 80,000 people and killed more than 2,800 in China is no longer an imported phenomenon but has taken up residence in the United States.

“What we know now is that the virus is here, present at some level, but we still don’t know to what degree,” said Dr. Sara Cody, chief public health officer for Santa Clara County, speaking of the newly diagnosed case there, the latest of three in her county and the 10th detected in California.

“This case does signal to us that it is now time to shift how we respond,” she told a news conference on Friday.

Local media reported that the illness of two of the patients – a school employee in Oregon and an elementary school student in Washington – have already led to their respective schools being closed temporarily.

The three latest patients – and a fourth new case believed to be travel-related in Washington state – were diagnosed based on results obtained in their respective states from CDC-supplied test kits and are considered “presumptive positive” cases pending CDC confirmatory testing, the U.S. agency said.

Even as confirmation was pending there, local authorities were already working to trace close contacts the patients had with others in a bid to curb transmission.

Reuters graphics on the new coronavirus: https://graphics.reuters.com/CHINA-HEALTH-GRAPHICS/0100B5CD3DP/index.html

PERSON-TO-PERSON TRANSMISSION

Until this week, the CDC had counted just 15 confirmed cases in six states as having been detected through the U.S. public health system since Jan. 21. Most were contracted by individuals while traveling in China. Only two person-to-person transmissions were documented among them, both between married couples.

A swab to be used for testing novel coronavirus is seen in the supplies of Harborview Medical Center’s home assessment team during preparations to visit the home of a person potentially exposed to novel coronavirus at Harborview Medical Center in Seattle, Washington, U.S. February 29, 2020. REUTERS/David Ryder

An additional 47 cases have been confirmed among people recently repatriated, either from the Diamond Princess cruise ship quarantined in Japan or from the Chinese city of Wuhan, the supposed epicenter of the outbreak, according to the CDC.

Health officials said the advent of locally transmitted infections means authorities need to expand their focus from detecting a relatively limited number of cases, identifying close contacts and isolating them, to one that also emphasizes greater prevention among the public at large.

In particular, individuals should be more vigilant about basic hygiene measures, such as washing hands often, avoiding touching their faces, covering coughs and sneezes and staying home from school or work whenever ill, Cody said.

She said schools should plan for increased absenteeism and explore options for expanding learning at home, while businesses likewise allow more work-from-home arrangements, revise their sick leave policies and replace in-person meetings with video or telephone conferences whenever possible.

“I do understand that this whole situation may feel overwhelming and it’s difficult to think about the possible disruption to our everyday lives, especially when we’re still uncertain about what this may look like,” Cody said. “But we do need everyone to start thinking about what actions we can take now so we can be prepared for the possibility for further spread of the virus.”

Coronavirus is spread primarily through tiny droplets coughed or sneezed directly from an infected person into the face of someone nearby, as opposed to the more contagious “airborne” transmission of a virus like measles, which can remain suspended in enclosed spaces and be breathed in hours after being exhaled by sick individuals, experts say.

Coronavirus can also survive on surfaces, such as handrails and door knobs, for “a very long period of time,” and be picked up by hand that way, though the virus is “very susceptible” to cleaning products, Dr. Christopher Braden, deputy director of the CDC’s National Center for Emerging and Zoonotic Infectious Diseases, said on Friday in Santa Clara County.

Still, “It’s mostly a person-to-person transmission that we are concerned about for our communities,” he added.

For the online coverage of the coronavirus outbreak click, https://www.reuters.com/live-events/coronavirus-6-id2921484

(Reporting by Steve Gorman and Dan Whitcomb in Los Angeles; Editing by Daniel Wallis and Paul Simao)

Lebanon confirms first case of coronavirus, two more suspected

BEIRUT (Reuters) – Lebanon confirmed its first coronavirus case on Friday and said it was monitoring two other potential cases after a 45-year-old woman arriving from Iran on Thursday tested positive, Health Minister Hamad Hassan said.

Addressing a news conference, Hassan said the patient was taken directly to isolation from a plane arriving from the Iranian city of Qom on Thursday after exhibiting symptoms of the virus.

The patient is being quarantined at Rafik Hariri University Hospital in Beirut and two other individuals from the Qom flight and suspected of carrying the virus would be transferred to the hospital for quarantine as well, Hassan said.

The plane, a Mahan Air flight that arrived around 7.30pm (1730 GMT) on Thursday, was carrying 125 passengers, a source at Rafic International Airport said.

A coronavirus outbreak in Iran, which has so far seen four people die, began in the Shi’ite Muslim holy city of Qom, authorities in Iran said.

An Iranian health ministry official said the likely source was Chinese workers in Qom who had recently travelled to China, where the epidemic originated.

More than 2,100 people have died in China and new research suggesting the virus is more contagious than previously thought has added to the international alarm over the outbreak.

Hassan said all necessary precautions in line with World Health Organisation advice were being followed and offered Lebanese a hotline to call if they experienced any associated symptoms.

“There is no need for excessive panic at this time… The patient is in a good state,” said Hassan.

He said people who arrived in Lebanon on the Qom flight were asked to remain isolated in their homes for 14 days and that authorities would follow up on arrivals to Lebanon from the past ten days for potential cases.

(Reporting by Ellen Francis, Laila Bassam; Writing by Eric Knecht; Editing by Toby Chopra)

Too early for accurate figures on coronavirus impact on global growth: IMF

RABAT (Reuters) – It is premature to give precise projections of economic growth in China and the World in 2020 following the outbreak of coronavirus, IMF Managing Director Kristalina Georgieva said on Thursday.

The IMF is still reviewing its projections for growth in China while looking at the impact of the epidemic on the global economy, Georgieva told a news conference in Morocco’s capital Rabat, where she discussed preparations for IMF and World Bank Group meetings to be held in October 2021 in Marrakech.

The IMF said last month global growth is projected to rise from an estimated 2.9% in 2019 to 3.3% in 2020 and 3.4% in 2021.

“We are still hoping that the impact will be a V shaped curve” with a sharp decline in China and sharp rebound after the containment of the virus, she said. “But we are not excluding that it might turn to be a different scenario like a U curve where the impact is somewhat longer.”

The IMF chief also said Argentina’s debt was unsustainable and that she would meet Argentinian Economy Minister Martin Guzman in two days to discuss “how the IMF can be of help”.

The IMF is willing to help Argentina stabilize its economy, support its most vulnerable people and address poverty “in a responsible manner”, Georgieva added.

The Buenos Aires government must carry out negotiations with creditors, she said, adding, “The government already announced its commitment to a collaborative process with its creditors”.

(Reporting by Ahmed Eljechtimi; Editing by Mark Heinrich)