Tag Archives: Epidemic

China sees fall in coronavirus deaths, WHO urges caution, Apple takes hit

By Ryan Woo and Stephanie Nebehay

BEIJING/GENEVA (Reuters) – China reported its fewest new coronavirus infections since January on Tuesday and its lowest daily death toll for a week, but the World Health Organization said data suggesting the epidemic had slowed should still be viewed with caution.

The head of a leading hospital in China’s central city of Wuhan, epicentre of the coronavirus outbreak, died of the disease on Tuesday, becoming one of the most prominent victims since the disease first appeared at the end of last year.

Illustrating the economic impact of the outbreak, European shares dropped on Tuesday after Apple Inc issued a revenue warning due to the disruption the disease is causing to global supply chains.

Chinese officials reported 1,886 new cases – the first time the daily figure has fallen below 2,000 since Jan. 30 – bringing the mainland China total to 72,436. A figure of 98 new deaths marked the first time the daily toll in China had fallen below 100 since Feb. 11, bringing the total to 1,868.

Sanitation workers disinfect a residential compound, as the country is hit by an outbreak of the novel coronavirus, in Bozhou, Anhui province, China February 18, 2020. China Daily via REUTERS

World Health Organization Director-General Tedros Adhanom Ghebreyesus said Chinese data “appears to show a decline in new cases” but any apparent trend “must be interpreted very cautiously”.

Outside China, there have been 827 cases of the disease, known as COVID-19, and five deaths, according to a Reuters count based on official statements. More than half of those cases have been on a cruise ship quarantined off Japan.

Tedros said there had been 92 cases of human-to-human spread of the coronavirus in 12 countries outside China but the WHO did not have the data to make meaningful comparisons to what was going on in China.

“We have not seen sustained local transmission of coronavirus except in specific circumstances like the Diamond Princess cruise ship,” he said.

China says figures indicating a slowdown in new cases in recent days show that aggressive steps it has taken to curb travel and commerce are slowing the spread of the disease beyond central Hubei province and its capital, Wuhan.

The WHO’s Mike Ryan said China had had success with “putting out the fire” first in Hubei and ensuring that people returning to Beijing from the Lunar New Year holiday are monitored.

The numbers appear encouraging, said Mark Woolhouse, a professor of infectious disease epidemiology at Britain’s University of Edinburgh, who described himself as cautious.

“Though it is unrealistic to reduce the transmission rate to zero it may have been reduced to a level where the epidemic is brought under control,” Woolhouse said.

“It may be that the epidemic is simply running its natural course, and is starting to run out of new people to infect. It could also be that the unprecedented public health measures introduced in China are having the desired effect.”

Chinese state television said Liu Zhiming, the director of Wuhan Wuchang Hospital, died on Tuesday, the seventh health worker to fall victim. The hospital was designated solely for treating virus-infected patients.

GLOBAL REPERCUSSIONS

Despite global concerns about the economic impact of the disease, China’s ambassador to the European Union said on Tuesday this would be “limited, short-term and manageable” and that Beijing had enough resources to step in if needed.

Chinese state television quoted President Xi Jinping as saying China could still meet its economic growth target for 2020 despite the epidemic.

Economists are warning of potential mass layoffs in China later this year if the virus is not contained soon.

“The employment situation is OK in the first quarter, but if the virus is not contained by end-March, then from the second quarter, we’ll see a big round of layoffs,” said Dan Wang, an analyst with the Economist Intelligence Unit (EIU). Job losses could run as high as 4.5 million, he forecast.

South Korean President Moon Jae-in said the economy there was in an emergency situation and required stimulus as the epidemic had disrupted demand for South Korean goods.

Singapore announced a $4.5 billion financial package to help contain the outbreak in the city-state and weather its economic impact.

Singapore Airlines Ltd said it would temporarily cut flights in the three months to May, as the epidemic hits demand for services touching and transiting the key travel hub.

Japan, where the economy was already shrinking and the epidemic has created fears of recession, the spread of the virus has prompted Tokyo to put limits on public crowds while some companies are telling employees to work from home.

(Reporting by Ryan Woo in Beijing and Samuel Shen in Shanghai; Additional reporting by Lusha Zhang, Gabriel Crossley and Se Young Lee in Beijing, Stephanie Nebehay in Geneva and Jan Strupczewski in Brussels; Writing by Raju Gopalakrishnan, Peter Graff and Nick Macfie; Editing by Clarence Fernandez and Gareth Jones)

‘Every scenario on the table’ in China virus outbreak: WHO’s Tedros

By Stephanie Nebehay

GENEVA (Reuters) – The latest data provided by China on people infected with coronavirus indicates a decline in new cases but “every scenario is still on the table” in terms of the epidemic’s evolution, the World Health Organization said on Monday.

Tedros Adhanom Ghebreyesus, WHO director-general, said that a published Chinese paper on more than 44,000 confirmed cases provided insight into the age range of infected people, disease severity and mortality rates.

“The data also appear to show a decline in new cases,” he told reporters. “This trend must be interpreted very cautiously. Trends can change as new populations are affected.

“It’s too early to tell if this reported decline will continue. Every scenario is still on the table,” he said.

China had reported 70,635 cases of COVID-19, including 1,772 deaths, Tedros said. In the past 24 hours, China had reported 2,051 new cases, including both lab-confirmed results and cases based on clinical observation, usually a chest scan.

Fewer than 700 cases had been reported by 25 other countries, he said.

People wear face masks as a protection from coronavirus in the main shopping area, in downtown Shanghai, China February 17, 2020. REUTERS/Aly Song

Dr. Mike Ryan, head of WHO’s emergencies program, said: “The real issue is whether we are seeing efficient community transmission outside of China and at the present time we are not observing that.”

Referring to China, he said the virus was attacking about out four of every 100,000 people, even within its epicenter in Wuhan city and surrounding Hubei province.

“This is a very serious outbreak and it has the potential to grow. But we need to balance that in terms of the number of people affected. Outside Hubei, this epidemic is affecting a very tiny, tiny, tiny proportion of people,” Ryan said.

“So if we are going to disrupt every cruise ship in the world on the off-chance that there may be some potential contact with some potential pathogen, then where do we stop? We shut down the buses around the world?”

There was no such thing as zero risk, Ryan said, calling for basing decisions on cruise ships and meetings on solid evidence.

Tedros added: “Measures should be taken proportionate to the situation, based on public health science and evidence. And blanket measures may not help.”

The quarantined cruise ship Diamond Princess, with 3,700 passengers total, held by far the largest cluster of cases outside China with more than 400 people testing positive.

Dr. Sylvie Briand, WHO director of global infectious hazard preparedness, said the agency was working closely with Japanese authorities and the chief medical officer on the vessel docked off Yokohama on infections and evacuations.

“Our focus is on our public health objective that we contain the virus and not contain the people,” she said.

(Reporting by Stephanie Nebehay; Editing by Mark Heinrich and Nick Macfie)

Fake news makes disease outbreaks worse, study finds

By Kate Kelland

LONDON (Reuters) – The rise of “fake news” – including misinformation and inaccurate advice on social media – could make disease outbreaks such as the COVID-19 coronavirus epidemic currently spreading in China worse, according to research published on Friday.

In an analysis of how the spread of misinformation affects the spread of disease, scientists at Britain’s East Anglia University (UEA) said any successful efforts to stop people sharing fake news could help save lives.

“When it comes to COVID-19, there has been a lot of speculation, misinformation and fake news circulating on the internet – about how the virus originated, what causes it and how it is spread,” said Paul Hunter, a UEA professor of medicine who co-led the study.

“Misinformation means that bad advice can circulate very quickly – and it can change human behavior to take greater risks,” he added.

In their research, Hunter’s team focused on three other infectious diseases – flu, monkeypox and norovirus – but said their findings could also be useful for dealing with the COVID-19 coronavirus outbreak.

“Fake news is manufactured with no respect for accuracy, and is often based on conspiracy theories,” Hunter said.

For the studies – published on Friday in separate peer-reviewed journals – the researchers created theoretical simulations of outbreaks of norovirus, flu and monkeypox.

Their models took into account studies of real behavior, how different diseases are spread, incubation periods and recovery times, and the speed and frequency of social media posting and real-life information sharing.

They also took into account how lower trust in authorities is linked to tendency to believe conspiracies, how people interact in “information bubbles” online, and the fact that “worryingly, people are more likely to share bad advice on social media than good advice from trusted sources,” Hunter said.

The researchers found that a 10% reduction in the amount of harmful advice being circulated has a mitigating impact on the severity of an outbreak, while making 20% of a population unable to share harmful advice has the same positive effect.

(Reporting by Kate Kelland; Editing by Frances Kerry)

Japan records first coronavirus death, two taxi drivers test positive

By Rocky Swift and Elaine Lies

TOKYO (Reuters) – A woman has died from the coronavirus in Japan, the first such death in the country since the epidemic spread from China, the health minister said on Thursday.

Two taxi drivers, one of them in the capital Tokyo, have also tested positive, raising the possibility that it could be passed on through their passengers.

For a graphic tracking the spread of the coronavirus from China, click here

On the Diamond Princess cruise liner quarantined in the port of Yokohama, 44 new cases were confirmed.

But in some good news for the 3,500-odd passengers and crew who have been stuck onboard since Feb. 3, Japan said it would allow some elderly people who have tested negative for the coronavirus to disembark ahead of schedule.

Japan is of the countries worst affected by the epidemic outside China, with 251 confirmed cases, including those on the Diamond Princess.

Health Minister Katsunobu Kato told a news conference on Thursday that a woman in her 80s living in Kanagawa prefecture, which borders Tokyo, had died. She was the first fatality in Japan, and the third outside mainland China.

The woman fell ill in January but only later showed symptoms of pneumonia and was hospitalised, then transferred to another hospital when her condition worsened.

Her infection with the coronavirus confirmed after her death, Kato said. The route of contagion was being investigated.

The minister also confirmed that a Tokyo taxi driver in his 70s had tested positive for the virus, along with a doctor in central Japan. A third person, also a taxi driver, in Chiba just east of Tokyo has also tested positive.

Kato announced earlier on Thursday that elderly passengers on the Diamond Princess who have pre-existing conditions or are in windowless rooms would be allowed to leave starting from Friday, rather than the originally targeted date of Feb. 19. They will complete their quarantine onshore.

The liner was quarantined on arrival in Yokohama, near Tokyo, on Feb. 3 after a man who disembarked in Hong Kong before it travelled to Japan was diagnosed with the virus that has now killed more than 1,350 people in mainland China.

About 80% of the ship’s passengers were aged 60 or over, with 215 in their 80s and 11 in their 90s, according to Japanese media. The ship, managed by Princess Cruise Lines and owned by Miami-based Carnival Corp, typically has a crew of 1,100 and a passenger capacity of 2,670.

The additional 44 cases included 43 passengers and one crew member, Kyodo news agency said. With the number of those infected on the cruise ship now up to 218 plus one quarantine officer, concerns have been raised about conditions on the ship.

Brandon Brown, a health expert at the University of California, said that despite some passengers’ concerns, recycled air on the ship did not pose a risk.

“The more likely explanation for the spread of infection during quarantine on the ship is the high passenger interaction due to close quarters and limited personal space on any cruise ship,” Brown said.

Indian media aired videos in which Indian crew members said they were working in close quarters and appealed for help from Prime Minister Narendra Modi.

A health ministry official could not confirm how many of those infected so far on the ship were crew.

OLYMPICS CONCERNS

Also on Thursday, Prime Minister Shinzo Abe said the cabinet would decide on Friday on spending 10.3 billion yen ($95 million) from the budget reserve to respond to the coronavirus.

Tokyo 2020 Olympics President Yoshiro Mori repeated that the Summer Olympics due to held in the capital from July 24 would go ahead as planned.

“I would like to clearly reiterate that cancellation or postponement of the Tokyo Games are not being considered,” he said at the start of a meeting with International Olympic Committee Coordination Commission Chief John Coates.

(Additional reporting by Antoni Slodkowski, Kiyoshi Takenaka and Elaine Lies; Writing by Linda Sieg and Elaine Lies; Editing by Angus MacSwan)

Japan cruise ship coronavirus cases climb to 175, including quarantine officer

By Ju-min Park and Elaine Lies

TOKYO (Reuters) – Another 39 people have tested positive for the coronavirus on the Diamond Princess cruise ship quarantined in Japan, with one quarantine officer also infected, bringing the total to 175, the health ministry said on Wednesday.

The Diamond Princess was placed in quarantine for two weeks on arriving in Yokohama, south of Tokyo, on Feb. 3, after a man who disembarked in Hong Kong was diagnosed with the virus.

The epidemic originated in mainland China, where more than 1,100 people have now died of the virus.

It is looking like an increasing economic threat for Japan, where manufacturers are reliant on Chinese companies for parts, and shops and hotels dependent on Chinese tourists.

About 3,700 people are on board the cruise ship, which usually has a crew of 1,100 and a passenger capacity of 2,670. Health Minister Katsunobu Kato said in parliament that he wanted to expand testing to all passengers and crew on board, and that authorities could muster resources to do more than 1,000 tests a day, according to national broadcaster NHK.

The British-flagged Diamond Princess is managed by Princess Cruise Lines, one of the world’s largest cruise lines and a unit of Carnival Corp <CCL.N>.

Kyodo news agency, citing the health ministry, said that of the 39 cases, 10 were crew and 29 were passengers.

Ten were Japanese nationals and the others were from 11 countries, including the United States and China. Four were in serious condition, Kato said.

People who test positive for the virus are taken off the ship to hospital.

The quarantine officer who was infected had been handing out questionnaires checking the health of passengers and crew and had been following rules that require the wearing of a mask and gloves but not a full protective suit, according to the Nikkei business daily, quoting the health ministry.

A health ministry official had no immediate comment, but Nikkei said the ministry was checking the officer’s contacts with colleagues and family members.

The government has decided on a 500 billion yen ($4.5 billion) emergency package of loans and guarantees to help small businesses, particularly in tourism and smaller manufacturers, the Nikkei newspaper reported.

S&P Global Ratings said the outbreak would likely damage the operating performance of Japanese companies in the first half, especially automobile manufacturers that are likely to face a prolonged halt in operations in China.

“The impact might be harsh on Nissan Motor and Honda Motor,” the rating agency said in a note.

About 80% of the ship passengers were aged 60 or over, with 215 in their 80s and 11 in the 90s, the Japan Times newspaper reported.

Japan has sent four chartered flights to China’s Hubei province, the epicenter of the outbreak, for its citizens there to return, and plans a fifth. The 197 people who returned on the first chartered flight tested negative, the health ministry said.

 

(Reporting by Chris Gallagher, Ju-min Park, Ami Miyazaki, Elaine Lies and David Dolan; Writing by Linda Sieg; Editing by Kenneth Maxwell, Gerry Doyle, Raju Gopalakrishnan and Nick Macfie)

China’s new coronavirus cases drop, world still scared

By Ryan Woo and John Geddie

BEIJING/SINGAPORE (Reuters) – China reported on Wednesday its lowest number of new coronavirus cases in two weeks, bolstering a forecast by Beijing’s senior medical adviser for the outbreak in the country to end by April – but fears of further international spread remained.

The 2,015 new confirmed cases took China’s total to 44,653. That was the lowest daily rise since Jan. 30 and came a day after epidemiologist Zhong Nanshan said the epidemic should peak in China this month before subsiding.

His comments gave some balm to public fears and to markets, where global stocks surged to record highs on hopes of an end to disruption in the world’s second largest economy.

But the World Health Organization (WHO) has likened the epidemic’s threat to terrorism and one expert said that while it may be peaking in China, this was not the case beyond.

A man wearing a face mask rides a subway, following an outbreak of the novel coronavirus, in Beijing, China February 12, 2020. REUTERS/Tingshu Wang

“It has spread to other places where it’s the beginning of the outbreak,” Dale Fisher, head of the Global Outbreak Alert and Response Network coordinated by the WHO, said in an interview in Singapore. “In Singapore, we are at the beginning.”

Singapore has 50 cases, including one found at its biggest bank, DBS <DBSM.SI>, on Wednesday that caused an evacuation at head office.

Hundreds of infections have been reported in dozens of other countries and territories, but only two people have died outside mainland China: one in Hong Kong and another in the Philippines.

China’s latest figures also showed that the number of deaths on the mainland rose by 97 to 1,113 by the end of Tuesday.

But doubts have been aired on social media about how reliable the data is, after the government last week amended guidelines on classification.

 

QUARANTINED CRUISES

The biggest cluster outside China is on a cruise ship quarantined off Japan’s Yokohama port, with about 3,700 people on board, of whom 175 have tested positive.

There was a happy ending in sight for another cruise ship, the MS Westerdam, which Thailand, Japan, Taiwan, Guam and the Philippines had refused to let dock over fears one of its 1,455 passengers and 802 crew may have the virus.

Cambodia finally agreed to let it land, the Holland America Line said. Passengers have been whiling away time playing chess and doing puzzles.

“The staff has tried to bolster spirits but you can only play so many games of trivia,” American passenger Angela Jones told Reuters in a video. “I’ve asked others who say they are napping a lot”.

China’s state news agency Xinhua called the epidemic a “battle that has no gunpowder smoke” and chided some officials for “dropping the ball” in some places.

There was no lack of zeal, however, in the city of Chongqing where prosecutors brought charges against a man who strapped on firecrackers, doused himself with gasoline and held up a lighter to defy a ban on public gatherings.

He had planned a birthday banquet, Xinhua said.

The outbreak has been named COVID-19 – CO for corona, VI for virus, D for disease and 19 for the year that it emerged. It is suspected to have originated in a market illegally trading wildlife in Hubei province’s capital of Wuhan in December.

The city of 11 million people remains under virtual lockdown as part of China’s unprecedented measures to seal infected regions and limit transmission routes.

‘RACIST REPORTING’?

Moves by Washington and others to curb visitors from China have offended Beijing, which says they are an over-reaction.

Anti-Chinese sentiment has also reared on social media.

A Xinhua commentary chided some Western media for “racist reporting” on the coronavirus and ignoring “the unswerving efforts and huge sacrifice China and its people have made”.

“Just as the H1N1 influenza outbreak in the United States in 2009 should not be called an ‘American virus’, the NCP (novel coronavirus pneumonia) is neither a ‘China virus’ nor ‘Wuhan virus’,” it said, in a reference to the 2009 swine flu pandemic.

With companies laying off workers and supply chains disrupted from the car industry to smartphones, China’s economy is taking a big hit. ANZ Bank said first quarter growth may slow to between 3.2-4.0%, down from a projection of 5.0%.

However, the troubles were also triggering innovation.

One company in southwestern China built a tunnel to spray employees with disinfectant, while a steamed bun shop in Beijing is using a wooden board to serve customers and avoid contact.

The latest big event to be cancelled was Formula One’s Chinese Grand Prix, originally set for Shanghai on April 19.

Organisers of a global mobile conference in Barcelona were also mulling whether to pull the plug, two sources said, after several European telecom companies pulled out due to the coronavirus.

(Reporting by Ryan Woo, Huizhong Wu, Stella Qiu, Judy Hua, Kevin Yao, Zhang Min, Dominique Patton, Se Young Lee, Gabriel Crossley, Colin Qian, Roxanne Liu in Beijing; Brenda Goh, Josh Horwitz in Shanghai; Keith Zhai and John Geddie in Singapore; Stephanie Nebehay and Emma Farge in Geneva; Kay Johnson in Baghdad; Abhishek Takle in Baku; Isla Binnie in Madrid; Writing by Robert Birsel and Andrew Cawthorne; Editing by Clarence Fernandez, Timothy Heritage and Alex Richardson)

Coronavirus cases may be ‘tip of the iceberg’ outside China: WHO

By Shivani Singh and Colin QianBEIJING (Reuters) – People across China trickled back work on Monday after an extended Lunar New Year holiday as the government eased restrictions imposed to counter the coronavirus, but the World Health Organization (WHO) said the number of cases outside China could be just “the tip of the iceberg”.

The death toll from the epidemic rose to 908, all but two in mainland China, on Sunday as 97 more fatalities were recorded – the largest number in a single day since the virus was detected in the city of Wuhan in December.

The Diamond Princess cruise ship with 3,700 passengers and crew onboard remained quarantined in the Japanese port of Yokohama, with 65 more cases detected, taking the number of confirmed case from the Carnival Corp-owned vessel to 135.

European stocks fell on concerns about the impact of the closure of factories in China, the world’s second-largest economy, on supply chains for companies from Taiwan’s iPhone-maker Foxconn to carmakers Kia Motors and Nissan

Across mainland China, 3,062 new infections were confirmed on Sunday, bringing the total number to 40,171, according to the National Health Commission (NHC). An advance team of international WHO experts was en route to Beijing to investigate the outbreak.

Wu Fan, vice-dean of Shanghai Fudan University Medical school, said there was hope the spread might soon reach a turning point.

“The situation is stabilising,” she told a briefing when asked about the spread in Shanghai, which has had nearly 300 cases and one death.

But WHO chief Tedros Adhanom Ghebreyesus said there had been “concerning instances” of transmission from people who had not been to China.

“The detection of a small number of cases may indicate more widespread transmission in other countries; in short, we may only be seeing the tip of the iceberg,” he said in Geneva.

The virus has spread to at least 27 countries and territories, according to a Reuters count based on official reports, infecting more than 330 people. The two deaths outside mainland China were in Hong Kong and the Philippines.

The death toll from the outbreak has now surpassed that of Severe Acute Respiratory Syndrome (SARS), which killed hundreds worldwide in 2002/2003.

NERVOUS COMMUTERS

Usually teeming cities have become virtual ghost towns after Communist Party rulers ordered lockdowns, cancelled flights and closed factories and schools.

Ten extra days had been added to the Lunar New Year holidays that had been due to finish at the end of January. But even on Monday, many workplaces remained closed and many people worked from home.

Few commuters were seen during the morning rush-hour on one of Beijing’s busiest subway lines. All were wearing masks.

One Beijing government official, Zhang Gewho, said it would be be harder to curb the spread of the virus as people returned to work.

“The capacity of communities and flow of people will greatly increase and the difficulty of virus prevention and control will further rise,” he said.

Hubei, the province of 60 million people that is the hardest hit by the outbreak, remains in virtual lockdown, with its train stations and airports shut and its roads sealed.

In Britain, the government said on Monday the number of confirmed coronavirus cases there had doubled to eight and it declared the virus a serious and imminent threat, giving it additional powers to isolate those suspected of being infected.

China’s central bank has taken a raft of steps to support the economy, including reducing interest rates and flushing the market with liquidity. From Monday, it will provide special funds for banks to re-lend to businesses.

President Xi Jinping, who has largely kept out of the spotlight, leaving Premier Li Keqiang to take the public lead in government efforts to control the outbreak, said on Monday the government will prevent large-scale layoffs, Chinese state television reported.

Xi, who was shown on television inspecting the work of community leaders in Beijing, and wearing a mask as he had his temperature taken, also said China will strive to meet economic and social targets for the year.

He reiterated that China would beat the virus. One senior economist has said growth may slow to 5% or less in the first quarter.

More than 300 Chinese firms including Meituan Dianping, China’s largest food delivery company, and smartphone maker Xiaomi Corp are seeking loans totalling at least 57.4 billion yuan ($8.2 billion), two banking sources said.

Apple’s biggest iPhone maker, Foxconn, won approval to resume production in the eastern central Chinsese city of Zhengzhou, but only 10% of the workforce has managed to return, a source said. But the southern city of Shenzhen rejected a company request to resume work there.

Much remains to be determined about the virus, which has been linked to a market selling animals in Wuhan, the capital of Hubei province.

Scientists at Imperial College London published new estimates of an overall case fatality rate of 1%.

But they said that this could range from 0.5% to 4% and warned there was “substantial uncertainty” due to varying levels of surveillance and data reporting.

For graphic comparing new coronavirus to SARS and MERS, click: https://tmsnrt.rs/2GK6YVK

(Additional reporting by Sophie Yu, Ryan Woo, Huizhong Wu, Liangping Gao, Stella Qiu, Brenda Goh in Beijing, Stephanie Nebehay in Geneva, Joyce Lee and Hyunjoo Jin in Seoul, Kylie MacLellan and Kate Kelland in London, Writing by Lincoln Feast, Robert Birsel and Nick Macfie; Editing by Angus MacSwan)

‘Fragile’ Africa prepares for high risk of coronavirus spread

By Juliette Jabkhiro and Kate Kelland

DAKAR/LONDON (Reuters) – An isolation ward stands ready at a hospital in Khartoum, Sudan. Laboratories in Senegal and Madagascar have the testing equipment they need. Passengers arriving at airports in Gambia, Cameroon and Guinea are being screened for fever and other viral symptoms.

Africa’s Centres for Disease Control and Prevention says it has activated its emergency operation centre in the face of what global health officials say is a high risk the coronavirus disease epidemic that began in China will spread to its borders.

On a poor continent where healthcare capacity is limited, early detection of any outbreak will be crucial.

The fear is great that a spreading epidemic of coronavirus infections will be hard to contain in countries where health systems are already overburdened with cases of Ebola, measles, malaria and other deadly infectious diseases.

“The key point is to limit transmission from affected countries and the second point is to ensure that we have the capacity to isolate and also to provide appropriate treatment to people that may be infected,” said Michel Yao, emergency operations program manager at the World Health Organization’s regional office for Africa in Brazzaville, Congo.

The Democratic Republic of Congo is barring its citizens from flying to China. Burkina Faso has asked Chinese citizens to delay travelling to Burkina, and is warning that they face quarantine if they do. Kenya, Tanzania and Rwanda have all suspended flights to China.

“What we are emphasising to all countries is that they should at least have early detection,” Yao said.

“We know how fragile the health system is on the African continent and these systems are already overwhelmed by many ongoing disease outbreaks, so for us it is critical to detect earlier to that we can prevent the spread.”

John Nkengasong, Africa’s CDC director, told a briefing in the Ethiopian capital Addis Ababa this week that the activation of the emergency operation centre would create a single incident system to manage the outbreak across the continent.

The Africa CDC will also hold a training workshop in Senegal for 15 African countries on laboratory diagnosis, he said.

The continent has more than doubled the number of laboratories now equipped to diagnose the viral infection, this week adding facilities in Ghana, Madagascar and Nigeria and to established testing labs in South Africa and Sierra Leone.

“By the end of the week we expect that an additional 24 countries (in Africa) will receive the reagents needed to conduct the tests and will have the test running,” a spokeswoman for the WHO’s Africa Region told Reuters.

(Additional reporting by Giulia Paravicini in Addis Ababa, Benoit Nyemba in Kinshasa, Thiam Ndiaga in Ouagadougou, Josiane Kouagheu in Douala, Pap Saine in Banjul and Saliou Samb in Conakry. Writing and reporting by Kate Kelland; Editing by Pravin Char)

China facing global isolation as virus toll rises

By David Stanway and Winni Zhou

SHANGHAI (Reuters) – China faced mounting isolation in the face of increasing international travel curbs and flight suspensions on Saturday, as the death toll from a spreading coronavirus outbreak rose to 259.

The epidemic has led to mass evacuations of foreign citizens as world airlines halt flights, and risks exacerbating a slowdown in growth in the world’s second-largest economy.

China’s National Health Commission said there were 2,102 new confirmed infections in China as of Friday, bringing the total to 11,791. Around two dozen other countries have reported more than 130 cases.

All of the reported deaths from the virus have been in China.

The Russian military was to start evacuating Russian citizens from China on Monday and Tuesday, Interfax and TASS news agencies reported. Kremlin spokesman Dmitry Peskov was quoted as saying the evacuations would be from regions that had been most affected by the outbreak.

Russia, which has already restricted direct flights with its biggest trading partner, also said it was suspending visa-free travel for Chinese visitors and halting work visas.

Most international cases have been in people who had recently traveled to or were visiting from Hubei province, the epicenter of the outbreak.

Hubei has been under a virtual quarantine for the last week, with roads sealed off and public transport shut down. Elsewhere, Chinese authorities placed growing restrictions on travel and business.

In Beijing, counters were set up at the entrances of housing estates, where volunteers wearing red arm bands and masks noted details of residents coming back from their hometowns after the Lunar New Year holiday.

“As long as I am properly protected and don’t go to crowded places, I don’t feel scared at all about my hometown or Beijing,” said a 58-year-old migrant worker surnamed Sun.

Others were more worried.

“There will be a huge number of people returning to the city. I think it will put Beijing at risk of more infections,” said Zhang Chunlei, 45, another returning migrant worker.

In Hubei, the provincial government extended the holiday break to Feb. 13 in a bid to contain the outbreak, the Hubei Daily reported.

The World Health Organization, which this week declared the outbreak a public health emergency of international concern, has said global trade and travel restrictions are not needed.

But Singapore and the United States announced measures on Friday to ban foreign nationals who have recently been in China from entering their territories. Australia followed suit on Saturday.

“We’re in fact operating with an abundance of caution in these circumstances so Australians can go about their daily lives with confidence,” Prime Minister Scott Morrison told reporters in Sydney.

The Chinese data would suggest the flu-like virus is less deadly than the 2002-03 outbreak of Severe Acute Respiratory Syndrome (SARS), which killed nearly 800 people of the some 8,000 it infected, although such numbers can evolve rapidly.

EVACUATIONS

The list of international airlines suspending all or some flights to China is growing.

The latest were Qantas Airways Ltd and Air New Zealand, who said travel bans forced them to suspend their direct flights to China from Feb. 9. All three major U.S. airlines said on Friday they would cancel flights to mainland China.

The commander of U.S. forces in the Pacific banned travel to China for all service members and civilian personnel under his authority and ordered those now in China to leave immediately, officials said.

U.S. health officials on Saturday confirmed an eighth case of the virus, a person in Massachusetts who recently returned from Hubei province.

Many nations have sent charter flights to repatriate citizens from China and then place them in isolation for around two weeks, believed to be the incubation period of the virus.

German Health Minister Jens Spahn called for calm and warned against hysteria as more than 100 Germans and family members landed in Frankfurt, none showing any symptoms of the virus. As of Saturday evening Germany had eight confirmed cases.

Britain, which has had two confirmed cases, said it was withdrawing some staff from its embassy and consulates in China.

Many of the private clinics catering to foreigners in China have started to turn away people with fevers.

“I don’t want to go to the local hospital with a sore throat only to catch something else,” said Czech national Veronika Krubner in Tianjin.

DISRUPTIONS

Infections have jumped in two cities flanking Wuhan, where the new virus is believed to have originated, raising concerns that new hot spots are emerging despite strict transport restrictions.

In Huanggang, authorities asked households to designate one individual who can leave the home, a local newspaper said. The mayor of the city of about 7.5 million people said there could be a significant rise in cases this weekend.

The northern city of Tianjin, home to some 15 million, suspended all schools and businesses until further notice.

Efforts to contain the virus risk slowing economic growth in China. The virus impact prompted Goldman Sachs to cut its estimate for first-quarter growth to 4% from 5.6%.

China’s central bank said the impact was temporary and economic fundamentals remained sound, but that it would increase credit support, lowering lending costs for affected companies.

Apple Inc said on Saturday it would close all of its official stores and corporate offices in China until Feb. 9, the latest of dozens of major companies, including IKEA and Walmart Inc, to restrict travel and operations due to the outbreak.

For a graphic comparing this with previous coronavirus outbreaks, see https://graphics.reuters.com/CHINA-HEALTH-VIRUS-COMPARISON/0100B5BY3CY/index.html

(Reporting by Winni Zhou, Brenda Goh and David Stanway in Shanghai, Judy Hua, Se Young Lee, Yilei Sun and Gabriel Crossley in Beijing, Scott Murdoch in Hong Kong, Joori Roh in Seoul, Nick Mulveney in Melbourne, Chris Helgren in Toronto, and Vera Eckert in Frankfurt; Writing by Nick Macfie and Rosalba O’Brien; Editing by Andrew Heavens, Frances Kerry and Bill Berkrot)

Delta, American suspend all China flights as U.S. government takes action

By David Shepardson and Tracy Rucinski

WASHINGTON/CHICAGO (Reuters) – Delta Air Lines Inc and American Airlines Group Inc decided on Friday to temporarily suspend all remaining U.S.-China flights after the U.S. State Department elevated a travel advisory over concerns about the coronavirus.

U.S. officials were due to hold a call with airlines later on Friday to discuss the Chinese flights. Some airline officials worried that if they did not voluntarily halt flights it would prompt the Trump administration to take formal action, potentially complicating any subsequent flight resumption.

The United States told citizens on Thursday not to travel to China due to the epidemic that has infected nearly 10,000 people and been declared a global emergency.

Pilots and flight attendants have been demanding airlines stop flights to the country, with American Airlines’ pilots filing a lawsuit on Thursday seeking an immediate halt.

“The decision to file a lawsuit was made out of concern for the safety of our pilots,” said Dennis Tajer, a spokesman for the Allied Pilots Association which represents American’s pilots.

As of Thursday United Airlines Holdings Inc was still planning to operate some flights from San Francisco, even after its pilots union told its members they would be allowed to drop their trip without pay if they were concerned about flying to the country.

Delta and American had both announced lighter schedules to China earlier this week.

On Friday, American said operations to and from China would be halted starting on Friday through March 27. The carrier will continue to fly to Hong Kong.

Delta said its last China-bound flight departing the United States will leave on Monday, Feb. 3, with the last U.S. return flight departing China on Feb. 5.

The Delta suspension is set to last through April 30.

U.S. airline shares have posted heavy losses this week on concerns of the financial impact of the virus.

Other airlines that have stopped their flights to mainland China include Air France KLM SA, British Airways, Germany’s Lufthansa and Virgin Atlantic.

Major Chinese carriers were still operating flights to and from the United States as of Friday.

(Reporting by David Shepardson and Tracy Rucinski; Editing by Nick Zieminski and Tom Brown)