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Audio https://www.cdc.gov/media/releases/2020/t0221-cdc-telebriefing-covid-19.mp3

News Release Division of Public Health Olivia Kasirye, MD, MS Public Health Officer 7001-A East Parkway, Suite 600A Sacramento, CA 95823 phone (916) 875-5881 fax (916) 875-5888 www.scph.com Department of Health Services Peter Beilenson, MD, MPH, Director FOR IMMEDIATE RELEASE February 21, 2020 Contact: Brenda Bongiorno, Public Information Officer [email protected] / 916-874-7798 Sacramento County Detects 2019 Novel Coronavirus Case First confirmed Sacramento County COVID-19 case; no immediate threat to the public’s health Sacramento, Calif. – Sacramento County Public Health reports the first confirmed travel-related coronavirus disease 2019 (COVID-19) case in a Sacramento County resident. The individual recently traveled from China, where an outbreak of the novel coronavirus has been ongoing since December 2019. The adult returned from China to the U.S. on February 2. The individual took precautionary measures during travel and has self-quarantined since returning. During the quarantine period, the individual began exhibiting mild symptoms. In consultation with the individual’s primary care provider, Sacramento County Public Health coordinated testing with the Center for Disease Control and Prevention (CDC) and the California Department of Public Health (CDPH). Currently, the individual is asymptomatic, but will remain home for mandatory isolation until cleared by Sacramento County Public Health. Sacramento County Public Health’s investigation determined that currently, the public’s risk of exposure is extremely low. As a reminder to residents of Sacramento County, Dr. Peter Beilenson, Sacramento County Department of Health Services Director, said, “Cases in the U.S., including this first case in Sacramento County, have primarily been travel-related. The risk of COVID-19 to the U.S. public continues to be low. Sacramento County health providers are continuing to be vigilant, monitoring for acute respiratory illness, and gathering recent travel information to detect any new COVID-19 cases.” With state and federal health agencies, Sacramento County Public Health has a coordinated system with healthcare partners to identify possible cases, coordinate testing/diagnosis and management of suspect cases, lead investigations to identify those possibly exposed for infection control. Per guidance from the CDC, a clinical specimen was collected from the individual and was sent to CDC where laboratory testing confirmed the infection.

The adult returned from China to the U.S. on February 2. The individual took precautionary measures during travel and has self-quarantined since returning. During the quarantine period, the individual began exhibiting mild symptoms. https://dhs.saccounty.net/PUB/Documents/Communicable-Disease-Control/ME-CoronavirusPressRelease20200221.pdf

CDC announced last they were going to use the existing influenza monitoring network to do surveillance for COVID. Thus, patients of participating network members in LA, SF, Seattle, Chicago, and NYC who have flu-like symptoms will be tested for COVID if their influenza test is negative. Testing kits were delivered to these network sites, but they don't start actual testing of patients until next week,

6th BC case (ex-Iran) Indicates widespread transmission in Iran 129 Canadians evacuated from Diamond Princess

Expected to start at 3:45

Media advisory February 20, 2020, OTTAWA, ON – The Chief Public Health Officer, Dr. Theresa Tam, and the Deputy Chief Public Health Officer, Dr. Howard Njoo, will hold a media availability to provide an update on the novel coronavirus (referred to as COVID-19). The officials will be available to answer questions from the media following their remarks. Date February 21, 2020 Time 3:00 PM (EST) Location Teleconference Only Toll-free (Canada/US) dial-in number: 1-877-413-4814 Passcode: 7383090# Media Inquiries: Media Relations Public Health Agency of Canada 613-957-2983 [email protected]

Influenza network? Community screening starts next week

Iran? Emerging informal reports out of Iran being evaluated

States with testing capacity? Airport screenings? Community spread? Asymptomatic spread? No lag in testing in Atlanta Continue Airport screening for ill people and as of today still targeting China Also doing community surveillance, which expand Are asymptomatic cases those who will become symptomatic?

What is testing process at Lackland? Risk determines testing High risk leads to testing and monitoring

More Diamond Princess? Numbers? High risk situation so expect more

Diamond Princess 28 positives? Some already incubating COVID? More info in next couple of days

MMWR on Community Spread

Hong Kong and Japan travel warnings due to community spread

Seriously ill American cases in Japan 2 deaths of Japanese passengers

329 Repatriated from Diamond Princess 18 at CDC 10 at Japan expect more from Diamond Princess also at risk and will be closely monitored

Case report changes Repatriation numbers being separated 21 total 18 Diamond Princess 3 Wuhan US Cases 13

Cruise Ship warning Repatriation efforts not the standard Enroll literariness

PUBLIC GATHERINGS The spike in cases in two jails outside Hubei - in the northern province of Shandong and Zhejiang in the east - made up most of the 258 newly confirmed Chinese infections outside the epicentre province on Friday. Authorities said officials deemed responsible for the outbreaks had been fired and the government had sent a team to investigate the Shandong episode, media reported. Hubei also reported 271 cases in its prisons. Provincial officials did not say when they had been diagnosed. Data showed mainland China had 889 new confirmed cases and 118 deaths, with the most in Wuhan, which remains under virtual lockdown. Slideshow (17 Images) The virus has emerged in 26 countries and territories outside mainland China, killing 11 people, according to a Reuters tally. South Korea is the latest hot spot with 100 new cases taking its total to 204, most in Daegu, a city of 2.5 million, where scores were infected in what authorities called a “super-spreading event” at a church, traced to an infected 61-year-old woman who attended services. South Korean officials designated Daegu and neighbouring Cheongdo county as special care zones where additional medical staff and isolation facilities will be deployed. Malls, restaurants and streets in the city were largely empty with the mayor calling the outbreak an “unprecedented crisis”. Another centre of infection has been the Diamond Princess cruise ship held under quarantine in Japan since Feb. 3.

South Korea is the latest hot spot with 100 new cases taking its total to 204, most in Daegu, a city of 2.5 million, where scores were infected in what authorities called a “super-spreading event” at a church, traced to an infected 61-year-old woman who attended services. https://www.reuters.com/article/us-china-health/coronavirus-on-g20-agenda-as-china-reports-uptick-in-cases-idUSKBN20F01P

Media Advisory For Immediate Release Friday, Feb. 21, 2020 Contact: CDC Media Relations (404) 639-3286 CDC Media Telebriefing: Update onCOVID-19 What The Centers for Disease Control and Prevention (CDC) will provide an update to media on the COVID-19 response. Who Nancy Messonnier, M.D., Director, National Center for Immunization and Respiratory Diseases Ian Brownlee, Principal Deputy Assistant Secretary, Bureau of Consular Affairs, Department of State When 12:15 p.m. ET Friday, February 21, 2020 Dial-In Media: 800-857-9756 International: 1-212-287-1647 PASSCODE: CDC MEDIA Non-Media: 888-795-0855 International: 1-630-395-0498 PASSCODE: 3896719 Important Instructions Due to anticipated high volume, please plan to dial in to the telebriefing 15 minutes before the start time. Media: If you would like to ask a question during the call, press *1 on your touchtone phone. Press *2 to withdraw your question. You may queue up at any time. You will hear a tone to indicate your question is pending. TRANSCRIPT A transcript will be available following the briefing at CDC’s web site:www.cdc.gov/media.

Nancy Messonnier, M.D., Director, National Center for Immunization and Respiratory Diseases Ian Brownlee, Principal Deputy Assistant Secretary, Bureau of Consular Affairs, Department of State When 12:15 p.m. ET Friday, February 21, 2020

No WHO press conferences slated for the weekend AT THIS TIME

At what point is window of opportunity closed Don't want to pre-empt scientific experts Working on it