Coronavirus outbreak ‘getting bigger’, WHO says

By Stephanie Nebehay and Ryan Woo

GENEVA/BEIJING (Reuters) – The rapid rise in coronavirus raised fears of a pandemic on Friday, with six countries reporting their first cases, the World Health Organization warning it could spread worldwide and Switzerland cancelling the giant Geneva car show.

World share markets crashed again, winding up their worst week since the 2008 global financial crisis and bringing the global wipeout to $6 trillion.

Hopes that the epidemic that started in China late last year would be over in months, and that economic activity would quickly return to normal, have been shattered as the number of international cases has spiralled.

“The outbreak is getting bigger,” WHO spokesman Christian Lindmeier told reporters in Geneva.

“The scenario of the coronavirus reaching multiple countries, if not all countries around the world, is something we have been looking at and warning against since quite a while.”

Switzerland joined countries banning big events to try to curb the epidemic, forcing cancellation of next week’s Geneva international car show, one of the industry’s most important gatherings.

Mainland China reported 327 new cases, the lowest since Jan. 23, taking its tally to more than 78,800 cases with almost 2,800 deaths.

China’s three biggest airlines restored some international flights and the Shanghai fashion show, initially postponed, went ahead online.

TROOPS DEPLOYED

But as the outbreak eases in China, it is surging elsewhere.

Five more countries have reported their first case, all with travel history connected to Italy. They were Nigeria, Estonia, Denmark, Netherlands and Lithuania, Lindmeier said.

Mexico also detected its first cases of infection in two men who had travelled to Italy, making the country the second in Latin America to register the virus after Brazil.

Countries other than China now account for about three-quarters of new infections.

Bulgaria said it was ready to deploy up to 1,000 troops and military equipment to the border with Turkey to prevent illegal migrant inflows as steps up measures against the coronavirus. It has not reported any cases.

Mongolia, which has yet to confirm a case, placed its president, Battulga Khaltmaa, in quarantine as a precaution after he returned from a trip to China, state media reported.

A Chinese official called the epidemic the most difficult health crisis in the country’s modern history. Another said some recovered patients had been found to be infectious, suggesting the epidemic may be even harder to eradicate than previously thought.

Lindmeier said the WHO was looking very carefully into reports of some people getting re-infected.

In addition to stockpiling medical supplies, governments ordered schools shut and cancelled big gatherings to try to halt the flu-like disease.

U.S. President Donald Trump’s administration was considering invoking special powers to expand production of protective gear.

In Europe, France’s reported cases doubled, Germany warned of an impending epidemic and Greece, a gateway for refugees from the Middle East, announced tighter border controls.

The death toll in Italy, Europe’s worst-hit country, rose to 17 and those testing positive increased by more than 200 to 655.

Germany has nearly 60 cases, France about 38 and Spain 23, according to a Reuters count.

OLYMPIC DOUBTS

South Korea has the most cases outside China. It reported 571 new infections on Friday, bringing the total to 2,337 with 13 people killed.

The head of the WHO’s emergency programme, Dr Mike Ryan, said Iran’s outbreak may be worse than realised. It has the most deaths outside China – 34 from 388 reported cases.

U.S. intelligence agencies are monitoring the spread of coronavirus in Iran and India, where only a handful of cases have been reported, sources said.

U.S. Secretary of State Mike Pompeo said the United States had offered to help Iran, raising doubts about its willingness to share information.

Japan is scheduled to host the 2020 Olympics in July but Ryan said discussions were being held about whether to go ahead.

Organisers will decide next week on the ceremonial torch relay, due to arrive on March 20 for a 121-day journey past landmarks including Mount Fuji and Hiroshima’s Peace Memorial Park.

A woman wearing a face mask collects food purchased through group orders at the entrance of a residential compound in Wuhan, the epicentre of the novel coronavirus outbreak, Hubei province, China February 28, 2020. REUTERS/Stringer CHINA OUT.

As of Friday, confirmed cases in Japan had risen above 200, with four deaths, excluding more than 700 cases on a quarantined cruise liner, Diamond Princess.

A British man infected on the ship had died, bringing the death toll among passenger to six, Kyodo newswire reported.

Prime Minister Shinzo Abe had called for schools to close and vowed to prevent a severe blow to an economy already teetering on the brink of recession.

In Moscow, authorities were deporting 88 foreigners who violated quarantine measures imposed on them as a precaution, the RIA news agency cited Moscow’s deputy mayor as saying.

Chinese-ruled Hong Kong, where the coronavirus has killed two and infected more than 90, quarantined a pet dog of a coronavirus patient after it tested “weak positive”, though authorities had no evidence the virus can be transmitted to pets.

 Follow this link for Interactive graphic tracking global spread of coronavirus.

(Reporting by Stephanie Nebehay in Geneva, Ryan Woo, Yingzhi Yang in Beijing, Lisa Lambert and Mark Hosenball in Washington, Sangmi Chai in Seoul, Leika Kihara in Tokyo, Kate Kelland in London, Tsvetelia Tsolova in Sofia, Michael Shields and Brenna Hughes Neghaiwi in Zurich, Daina Beth Solomon in Mexico City; Writing by Robert Birsel, Giles Elgood and Nick Macfie; Editing by Simon Cameron-Moore, Jon Boyle and Timothy Heritage)

Schools shut, travel curbed as world races to fight coronavirus

By Colin Packham and Parisa Hafezi

SYDNEY/DUBAI (Reuters) – Governments battling coronavirus epidemics from Iran to Australia shut schools, canceled big events and stocked up on medical supplies on Thursday in a race to contain the outbreak’s rapid global spread.

For the first time, new infections reported around the world surpassed those in mainland China, where the flu-like disease emerged two months ago from an illegal wildlife market but is on the decline after an aggressive containment campaign.

In Japan, where cases rose to 200, there was particular concern after a female tour bus guide tested positive for a second time – one of very few worldwide to do so.

Tokyo has halted big gatherings and sports events for two weeks, and is closing schools early for the spring break. But it still plans to go ahead with the 2020 Olympics, whose cancellation or relocation would be a massive blow for Japan.

The coronavirus has mainly battered China, causing 78,596 cases and 2,746 deaths. But it has spread to another 44 countries with 3,246 cases and 51 deaths reported.

Though meeting the dictionary definition of a pandemic – widespread contagion across a large region – the World Health Organization (WHO) has so far held back from using that term.

“This virus has pandemic potential,” WHO chief Tedros Adhanom Ghebreyesus told reporters in Geneva. “This is not a time for fear. This is a time for taking action to prevent infection and save lives no

MACRON: CRISIS COMING

Australian Prime Minister Scott Morrison ordered hospitals to ensure sufficient medical supplies, protective gear and staff. U.S. President Donald Trump put his vice president, Mike Pence, in charge of America’s response, while France’s President Emmanuel Macron rallied the nation.

“We have a crisis before us. An epidemic is on its way,” Macron said at a Paris hospital where a 60-year-old Frenchman this week became the second person to die from the coronavirus in France.

Germany, too, has warned of an impending endemic. And Greece, which is a gateway for refugees from the Middle East and beyond, announced tighter border controls, with particular attention on islands used by migrants.

Spooked by the impact on China, the heart of corporate supply chains, and the increasing effect on other countries, stocks sank deeper into the red and oil prices fell.

Global markets have dropped for six straight days, wiping out more than $3.6 trillion in value.

“All of us are very worried about what is currently happening with respect to the spread of the coronavirus,” European Central Bank (ECB) executive board member Isabel Schnabel said during a speech in London.

Klaas Knot, seen as one the ECB’s most hawkish members, also expressed concern but noted that after the 2002-03 SARS epidemic, also originating in China, its economy then rebounded to grow from the world’s sixth to its second biggest now.

A rash of countries have had their first cases in recent days, the latest being Denmark with a man back from a ski holiday in Italy, and Estonia with someone returning from Iran.

There is no cure for the virus that can lead to pneumonia, and a vaccine may take up to 18 months to develop.

New cases in South Korea took its total to 1,261 with 12 deaths, while Europe’s hotspot Italy had 453 infections and 12 deaths, and Iran reported 245 cases and 26 fatalities.

In Singapore, authorities said a 12-year-old student at the elite Raffles Institution school was among the three new cases confirmed on Thursday, taking the city state’s tally of infections to 96.

MISINFORMATION ‘EPIDEMIC’

Urging people to avoid unnecessary travel, Tehran extended its closure of cinemas, cultural events and conferences for another week. Iran’s outbreak has added to the isolation of a nation already under U.S. sanctions.

Desperate to stave off a probable recession, Italy warned that the “epidemic of misleading information” could do worse harm than the virus itself.

The coronavirus has played havoc with global aviation and tourism as airlines cancel flights, countries ban visitors from hot spots and nervous passengers put off travel.

The United States is managing 59 cases – most Americans repatriated from a cruise ship quarantined in Japan where almost 700 cases developed. But Trump said the risk was “very low” in the United States which was “very, very ready”.

Chinese authorities said the number of new deaths stood at 29 on Thursday, its lowest daily tally since Jan. 28. There were just 433 new cases in mainland China over the previous day, compared to 586 in nations and territories elsewhere.

 

(Reporting by Ryan Woo, Yilei Sun and Lusha Zhang in Beijing, Daniel Leussink in Tokyo, Aradhana Aravindan in Singapore, Parisa Hafez in Dubai, Stephanie Nebehay in Geneva, Sudip Kar-Gupta and Michel Rose in Paris, Crispian Balmer and Gavin Jones in Rome; Writing by Andrew Cawthorne; Editing by Nick Macfie)

World scrambles to curb fast-spreading coronavirus

By Colin Packham and Parisa Hafezi

SYDNEY/DUBAI (Reuters) – The coronavirus’ rapid spread in Iran, Italy, South Korea and elsewhere left alarmed governments and people across the globe rushing on Thursday to implement emergency measures.

For the first time, new infections around the world in the past 24 hours surpassed those in mainland China, where the flu-like disease emerged two months ago but is on the decline after an aggressive containment campaign.

In Japan, where cases rose to 200, there was particular concern after a female tour bus guide tested positive for a second time – one of very few worldwide to do so.

Tokyo has halted big gatherings and sports events for two weeks, and is closing schools early for the spring break. But it still plans to go ahead with the 2020 Olympics, whose cancellation or relocation would be a massive blow for Japan.

The coronavirus has mainly battered China, causing 78,596 cases and 2,746 deaths. But it has spread to another 44 countries with 3,246 cases and 51 deaths reported.

Though meeting the dictionary definition of a pandemic – widespread contagion across a large region – the World Health Organization (WHO) has so far held back from using that term.

“There is every indication that the world will soon enter a pandemic phase of the coronavirus,” Australian Prime Minister Scott Morrison said as he ordered hospitals to ensure sufficient medical supplies, protective gear and staff.

U.S. President Donald Trump put his vice president, Mike Pence, in charge of America’s response, while France’s President Emmanuel Macron rallied the nation.

“We have a crisis before us. An epidemic is on its way,” Macron said at a Paris hospital where a 60-year-old Frenchman this week became the second person to die from the coronavirus in France.

(Live blog: Online site for coronavirus news – https://www.reuters.com/live-events/coronavirus-6-id2921484)

MARKETS DOWN FOR SIXTH DAY

Spooked by the impact on China, the world’s second-biggest economy and the heart of corporate supply chains, and the increasing effect on other countries, stock markets sank deeper into the red and oil prices fell

Global markets have dropped for six straight days, wiping out more than $3.6 trillion in value.

A rash of countries have had their first cases in recent days, the latest being Denmark with a man back from a ski holiday in Italy, and Estonia with someone returning from Iran.

There is no cure for the virus that can lead to pneumonia, and a vaccine may take up to 18 months to develop.

New cases in South Korea took its total to 1,261 with 12 deaths, while Europe’s hotspot Italy had 453 infections and 12 deaths, and Iran reported 245 cases and 26 fatalities.

Urging people to avoid unnecessary travel, Tehran extended its closure of cinemas, cultural events and conferences for another week. Iran’s outbreak has added to the isolation of a nation already under U.S. sanctions.

The coronavirus has played havoc with global aviation and tourism as airlines cancel flights, countries ban visitors from hot spots and nervous passengers put off travel.

News that a Korean Air flight attendant who worked on flights between Seoul and Los Angeles later tested positive was likely to unnerve passengers further.

The United States is managing 59 cases – most of them Americans repatriated from a cruise ship quarantined in Japan where almost 700 cases developed. But Trump said the risk was “very low” in the United States which was “very, very ready”.

Chinese authorities said the number of new deaths stood at 29 on Thursday, its lowest daily tally since Jan. 28. There were just 433 new cases in mainland China in the last 24 hours, compared to 586 in nations and territories elsewhere.

Interactive graphic tracking global spread of coronavirus: open https://graphics.reuters.com/CHINA-HEALTH-MAP/0100B59S39E/index.html in an external browser)

(Reporting by Ryan Woo, Yilei Sun and Lusha Zhang in Beijing, Daniel Leussink in Tokyo, Parisa Hafez in Dubai, Stephanie Nebehay in Geneva, Sudip Kar-Gupta and Michel Rose in Paris; Writing by Robert Birsel and Andrew Cawthorne; Editing by Nick Macfie)

Coronavirus increases Iran’s isolation, strains South Korea and Italy

By Parisa Hafezi and Ryan Woo

DUBAI/BEIJING (Reuters) – Iran’s coronavirus death toll rose to 16 on Tuesday, the highest outside China, increasing its international isolation as dozens of countries from South Korea to Italy accelerated emergency measures to curb the epidemic’s global spread.

Believed to come from wildlife in Wuhan city late last year, the flu-like disease has infected 80,000 people and killed 2,663 in China. But the World Health Organization (WHO) says the epidemic there has peaked and has been declining since Feb. 2.

Beyond mainland China, however, it has jumped to about 29 countries and territories, with some three dozen deaths, according to a Reuters tally. Growing outbreaks in Iran, Italy and South Korea are of particular concern.

“We are close to a pandemic but there is still hope,” said Raina MacIntyre, head of a biosecurity program at the University of New South Wales, using the term for a widespread global epidemic.

Global stocks sank to their lowest levels in over two months on Tuesday in anxiety over the coronavirus’ spread and its damage to the world economy.

Iran’s outbreak, amid mounting U.S. sanctions pressure, threatens to leave it further cut off. Several countries suspended flights due to cases in travelers from Iran to Canada, Lebanon, the United Arab Emirates and Iraq.

Some neighbors also closed borders, while Oman’s Khasab port halted imports and exports with Iran.

“It is an uninvited and inauspicious visitor. God willing we will get through … this virus,” Iranian President Hassan Rouhani said in a televised speech.

The deputy health minister was among those infected.

Iran canceled concerts and soccer matches nationwide, and schools and universities closed in many provinces. Many Iranians took to social media to accuse authorities of concealing facts.

Popular anger has been high over the handling of a Ukrainian passenger plane crash in January, which the military took three days to acknowledge was caused by an Iranian missile fired in error.

Authorities say U.S. sanctions are hampering its response to the coronavirus by preventing imports of masks and medicines.

CHURCH UNDER SCRUTINY

South Korea has the most virus cases outside China, with 977 infections and 10 deaths, the majority linked to the Shincheonji Church of Jesus in the city of Daegu, where the outbreak is believed to have begun with a 61-year-old woman.

Authorities were to test all members of the church, estimated by media at about 215,000 people. President Moon Jae-in acknowledged the situation was “very grave”.

In Europe, Italy is the front line, with more than 280 cases and seven deaths, most in the northern Lombardy and Veneto regions but one case emerging in Sicily, the first in the country south of Rome.

Italy’s tourist industry, which accounts for about 13% of the economy, fears a plunge amid restrictions on public events affecting soccer matches, cinemas and theaters.

A planned three-week shoot in Italy for Tom Cruise’s seventh outing in the “Mission: Impossible” series was also postponed, while Milan cathedral was closed and Venice carnival canceled.

Airlines began restricting flights to Italy, while prices for masks and gels skyrocketed.

Eurasia consultancy’s Scott Rosenstein said the bad news from Iran, South Korea and Italy had undercut confidence sustained human-to-human transmission can be limited to China.

“This worsening narrative around disease containment has overshadowed the cautious optimism narrative coming out of China,” he said. “Markets have responded accordingly.”

“DON’T HANG ABOUT”

Afghanistan, Bahrain, Iraq, Kuwait and Oman reported their first new coronavirus cases, all in people who had been to Iran.

With dozens of sporting events already hit, Japan, which has had four deaths and 850 cases, said it was premature to talk about cancelling the Tokyo Olympics due to start on July 24.

The United States pledged $2.5 billion to fight the disease, with more than $1 billion going towards developing a vaccine.

China reported a rise in new cases in Hubei province, the epicenter of the outbreak. But excluding those, it had just nine new infections on Monday, its fewest since Jan. 20.

With the pace of new infections slowing, Beijing said restrictions on travel and movement that have paralyzed activity in the world’s second-largest economy should begin to be lifted.

An official with the Beijing Center for Disease Prevention and Control noted that supermarkets were becoming busier – but offered some pointers for shoppers.

“Choose a supermarket with relatively low foot traffic and good ventilation, and prepare a shopping list before actually going to shop,” Liu Xiaofeng told reporters.

“Don’t hang about. Don’t chit-chat.”

(Interactive graphic tracking global spread of coronavirus https://graphics.reuters.com/CHINA-HEALTH-MAP/0100B59S39E/index.html)

(Reporting by Ryan Woo, Yilei Sun and Lusha Zhang in Beijing; Hyonhee Shin and Josh Smith in Seoul; Jeff Mason and Phil Stewart in Washington; Ritvik Carvalho in London; Writing by Andrew Cawthorne; Editing by Nick Macfie and Timothy Heritage)

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)

Experts fear China reluctant to accept WHO ground mission

By Stephanie Nebehay

GENEVA (Reuters) – China is dragging its heels in accepting help on the ground from international health specialists, diplomats and experts said on Thursday, noting four days after a World Health Organization (WHO) advance team arrived in Beijing no details have been released on how and when the full mission will deploy.

China has recorded 48,206 cases of a new coronavirus, now known as SARS-CoV-2, which emerged in a seafood market in the central city of Wuhan in December. The virus has spread to 24 countries infecting more than 440 people, the WHO says.

Dr. Tedros Adhanom Ghebreyesus, WHO director-general, won a pledge from Chinese President Xi Jinping during his trip there two weeks ago that an international team would be able to help investigate the virus’ origin and spread.

An “advance team” of three experts, led by Dr. Bruce Aylward, a WHO official and public health emergency expert from Canada, as well as WHO’s Dr. Maria van Kerkhove, arrived in Beijing on Monday.

“Our advance team in China has made good progress in working out the composition of the team and the scope of its work. We hope to have more news to announce soon,” Tedros told reporters on Wednesday night.

He has said the full mission would include 10-15 experts, but has given no details of who they would be or when they would go to China.

The death toll in Hubei province, which includes Wuhan, leapt by a record 242 on Thursday to 1,310, with a sharp rise in confirmed cases after the adoption of new methodology for diagnosis, health officials said.

“It would obviously have been better if the (mission) team had arrived without delay,” a senior Western diplomat in Geneva told Reuters, though he added they could still do effective work with Chinese colleagues when they arrive.

“It’s just been very worrying and troubling and we are not seeing as much of a substantive and independent role that we would expect at this point,” he added.

The U.S. Centers for Disease Control and Prevention (CDC) said on Wednesday it had not yet been invited to send experts to China to assist with the WHO investigation.

“Not only was China very late in inviting international partners to help with the response, but we still only have a skeletal advance team in Beijing, and not Hubei province,” Lawrence Gostin, professor of global health law at Georgetown Law, told Reuters.

Gostin questioned whether Chinese authorities would accept experienced personnel from CDC – thereby setting aside “political and trade differences”.

“It appears that China has not accepted the U.S. offer of on the ground CDC experts, which is unfortunate. CDC has among the most experienced first responders,” he added.

Gostin voiced doubts that China would allow WHO experts to verify independently crucial information about the epidemic’s trajectory.

“Will they have complete access to epidemiologic, virologic real time data? Will they have the freedom to go into homes and communities…? Will they be full partners in surveillance and public health response?,” he said.

Xi said on Tuesday that China’s prevention and control work on the new coronavirus is having positive results, and the country will win the battle against the virus, state media reported.

WHO officials have said that Chinese authorities have been open and cooperative, sharing data throughout the outbreak.

(reporting by Stephanie Nebehay; editing by Alexandra Hudson)

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)

Countries rush to build diagnostic capacity as coronavirus spreads

By Julie Steenhuysen and Stephanie Nebehay

CHICAGO/GENEVA (Reuters) – A week ago, only two laboratories in Africa could diagnose the novel coronavirus that originated in China and is rapidly spreading around the world. As of Sunday, the World Health Organization (WHO) expected every nation in Africa to be able to diagnose the disease.

The rush reflects a global push for diagnostic capabilities, particularly in developing countries, in hopes of averting a global pandemic. But it is being slowed by a desperate need for virus samples necessary to validate the tests.

“Without vital diagnostic capacity, countries are in the dark as to how far and wide the virus has spread and who has coronavirus or another disease with similar symptoms,” WHO chief Tedros Adhanom Ghebreyesus told a news conference in Geneva on Monday.

As of early Tuesday, there had been 42,708 confirmed cases reported in China and 1017 deaths, as well as 319 cases in 24 other countries, including one death.

Most of the testing is being done by public health laboratories. But several companies including Thermo Fisher Scientific Inc, GenScript Biotech Corp and Co-Diagnostics Inc have developed tests and are taking steps to get them validated for clinical use.

Roche is distributing coronavirus tests developed by Tib Molbiol of Berlin for research use on some of its instruments while developing a test of its own. Abbott Laboratories also is working on a test.

WHO has activated a network of 15 referral laboratories that can support national efforts in confirming new cases, and has identified 168 labs globally with the technology to diagnose the virus.

FILE PHOTO: Workers wearing protective suits drive an ambulance near the cruise ship Diamond Princess, as they prepare to transfer passengers tested positive for the novel coronavirus, at Daikoku Pier Cruise Terminal in Yokohama, south of Tokyo, Japan February 10, 2020. REUTERS/Kim Kyung-Hoon/File Photo

Technicians must be trained to run the tests locally to avoid delays associated with having to send them to centralized labs.

On Tuesday, WHO is convening a two-day meeting of hundreds of researchers and manufacturers to address the outbreak.

WORKLOAD ON LABS IS ‘EXTREME’

Researchers are also working to develop antibody tests that can tell whether someone has been exposed to the virus. They could help answer how broadly this virus has spread, and whether there are milder cases not being detected, Dr. Mike Ryan, head of the WHO emergency program, told reporters.

China appears to have adequate stock of the materials needed to perform diagnostic tests, but there is a limited number of trained technicians who can run them. “The workload on those labs is extreme,” Ryan said.

Outside of China, manufacturers are quickly developing tests based on the genetic code of the virus. Those tests still need to be validated with actual virus samples, for which access has been challenging.

Live isolation of the virus allows a huge advance in diagnostics and potential advances in therapeutics and vaccine development, Ryan said.

GenScript, which has offices in New Jersey and Nanjing, China, has developed a test available to researchers. It cannot be used as a diagnostic until it has been tested in hundreds of virus samples.

“In China, we couldn’t get to the samples directly because we don’t have a lab that can handle the virus,” said Hong Li, a GenScript scientist.

The company has sent its test kits to Chinese health officials to assess their validity. “Because other companies in China are also doing that, we don’t know when it will be our turn,” said Eric Wang, GenScript’s head of marketing.

Utah-based Co-Diagnostics on Monday said it has started shipping its test, which is available for research purposes, to clients. Chief Scientific Officer Brent Satterfield said last week that the company has been struggling to find clinical virus samples to validate the test for use as a diagnostic.

Thermo Fisher developed its tests based on the genetic code of the virus, and ran computer models to validate it.

The company has been providing its test to countries and health ministries with access to virus samples, said Thermo Fisher executive Joshua Trotta. “They will evaluate our kits and make a determination of what is the best test to deploy.”

Meanwhile, Thermo Fisher is scaling up production as countries prepare for more cases. Demand is “growing every day,” Trotta said.

(Reporting by Julie Steenhuysen in Chicago and Stephanie Nebehay in Geneva; Editing by Bill Berkrot)

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)