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Action review on Diamond Princess Working on it

Iran concerns Will US sanctions hinder actions Virus sequence stable Iran rapid increase in a few days raise questions on levels in Iran Emergency operations usually excluded from sanctions

Do clusters not linked to China signal a pandemic? Situations evolving with different patterns in different places Still evaluating to see if another phase has begun

In China 200 cases from prisons had been excluded Experts dealing with issues Iran and Lebanon Getting info but needs more

China and workers beginning to go back to work WHO still believes can contain COVID However, need to prepare for spread Opportunity being squandered by lack of support China should take precautions proportional to risk

Misinformation on internet causing fear Working with Google, Facebook and Amazon to help direct concerns to WHO and CDC Lab origin misinformation concerning Scientific report refuting claim of lab origin

Window of opportunity closing? Iran likely have more than confirmed Canada and Lebanon ex-Iran Cases not linked to China very worrisome 45F in Lebanon linked to Iran very concerning Window of opportunity narrowing Countries need to act quickly

India and Diamond Princess crew positives Will look at lessons learned

China changed from lab to Clinical confirmed and now back to lab confirmed in Wuhan caused confusion Need numbers for action and why in constant discussion with China

South Korea, Singapore,and Japan community transmission Working with these countries Have seen rapid increases in SARS and MERS to be used for COVID to determine if community transmission

Have basic capacity to detect COVID WHO office in Cairo has contacted and offered assistance to Iran and Lebanon

Iran and Lebanon health care system?

Acknowledges 18 COVID cases Iran

WORLD NEWS FEBRUARY 21, 2020 / 8:32 AM / UPDATED AN HOUR AGO First case of coronavirus confirmed in Lebanon: hospital source 1 MIN READ BEIRUT (Reuters) - The first case of coronavirus was confirmed in Lebanon on Friday after a woman arriving from Iran was found to be positive, a source at a Beirut hospital where the woman is being quarantined told Reuters. https://www.reuters.com/article/us-china-health-lebanon/first-case-of-coronavirus-confirmed-in-lebanon-hospital-source-idUSKBN20F1WE

First case of coronavirus confirmed in Lebanon The first case of coronavirus was confirmed in Lebanon after a woman arriving from Iran was found to be positive. There were also two other suspected cases. "We confirmed the first case today," Lebanese health minister Hassan Hamad said at a press conference in Beirut. The woman arrived in Lebanon from the Iranian holy city of Qom, where several infections and deaths were reported this week.

The woman arrived in Lebanon from the Iranian holy city of Qom, where several infections and deaths were reported this week. https://www.aljazeera.com/news/2020/02/cloneofcloneofcloneofcloneofcloneof2002152244372-200220231446112.html

Iran says coronavirus has spread to several cities, reports two new deaths by Reuters Friday, 21 February 2020 12:51 GMT Share: Newsletter sign up: Most Popular Climate activist Greta Thunberg donates prize money to new foundation EXCLUSIVE-New Ethiopia law to give life sentences to crooked labour brokers Rainbow capes and kisses: Bollywood's first gay rom-com 'breaks stereotypes' Cover up or be censored: Cambodia orders women not look sexy on Facebook Delta Air Lines, Aldi, HSBC lead way in Stop Slavery Award (Adds health ministry official) DUBAI, Feb 21 (Reuters) - The coronavirus has spread to several Iranian cities, a health ministry official said on Friday, as an outbreak that the authorities say began in the holy city of Qom caused two more deaths. Iran confirmed 13 new coronavirus cases, bringing the total in the country to 18, with four of the total having died. "Based on existing reports, the spread of coronavirus started in Qom and with attention to people's travels has now reached several cities in the country including Tehran, Babol, Arak, Isfahan, Rasht and other cities," health ministry official Minou Mohrez said, according to the official IRNA news agency. "It's possible that it exists in all cities in Iran," she said. The majority of coronavirus cases in Iran have been in Qom, a Shi'ite Muslim holy city 120 km (75 miles) south of the capital Tehran. The new cases comprised seven people diagnosed in Qom, four in the capital Tehran and two in Gilan province, Health Ministry spokesman Kianush Jahanpur said in a tweet. Health officials had called on Thursday for the suspension of all religious gatherings in Qom. "It's clear that new coronavirus has circulated in the country and probably the source of this illness was Chinese workers who work in the city of Qom and had traveled to China," health ministry official Mohrez said, according to IRNA. The widening outbreak came as Iranians were voting in a parliamentary election seen as a referendum on authorities after a series of crises, including a near full-blown conflict with the United States last month. State TV showed voters at polling centres in Qom wearing surgical masks on Friday. Iraqi Airways has suspended flights to neighbouring Iran as a protective measure against the coronavirus outbreak, the Iraqi state news agency said on Thursday. The epidemic originated in China and has killed more than 2,100 people there. New research suggesting the virus is more contagious than previously thought has added to the international alarm over the outbreak. (Reporting by Babak Dehghanpisheh; Editing by Toby Chopra)

spread of coronavirus started in Qom and with attention to people's travels has now reached several cities in the country including Tehran, Babol, Arak, Isfahan, Rasht and other cities," health ministry official Minou Mohrez said, according to the official IRNA news agency. "It's possible that it exists in all cities in Iran," she said. https://news.trust.org/item/20200221121556-0yuhj/

Regarding the “Death of Patients Associated with Cruise Ships Quarantined at Yokohama Port” announced on February 20, 1980, the following amendments have been made. ○ Outline of the correction The 　　detailed information on the "3 progress" of the patient (2nd case) was checked again, and the fact was incorrectly corrected. Patient (2nd case)1 Outline of patient(1) Age: 80s(2) Gender: Female(3) Place of residence: Tokyo(4) Basic disease: N / A2 Cause of death Pneumonia3 ProgressionFebruary 3 　 Yokohama Port Quarantine started at quarantine anchorage. (* 1)February 5 Cruise ship returns to Yokohama. Feb.9 　 Communicated with the fever hot line (official name: Fever line).February 10 days visit the Medical Center. When a doctor asked him, a fever had continued since February 5 and a PCR test sample was collected. The doctor determined that the condition was relatively stable, and administered medication and infusion.On February 11, a 　doctor consulted again and determined that hospitalization was necessary. (Transported the next day to go out of port)February 12 Transported to a medical institution. He was hospitalized under the Infectious Diseases Act. On admission, she had shortness of breath and anorexia. Intravenous administration of antibacterial drugs was started with oxygen administration. PCR test revealed positive for new coronavirus (* 2).February 13 (* 2) Respiratory condition worsened. Oxygen is administered at a high flow rate using a mask. No improvement in respiratory status. No artificial respiration was performed.February 20 Death confirmed. (* 1) The same applies to deceased patients (first case).(* 2) Corrected the date and time when the test result was found to be positive. https://www.mhlw.go.jp/stf/newpage_09693.html

Feb 20 Community transmission in Iran 9 deaths in multiple cities 60 hospitalized British Columbia, Canada ex-Iran Community transmission in Humboldt County, California Probable cluster Princess Diamond Fiasco Remaining testing limited More COVID cases at Travis AFB and Lockland AFB A dozen hospitalized in northern California Similar number likely for Texas http://mediaarchives.gsradio.net/rense/special/rense_022020_hr3.mp3

#instantaneous: Two feet in # Lahijan due to # Corona ۱. Doctor Kochnya (Physician) ۲. Mr. Jamshidi (Musician) Source: Myself

Two fatal cases reported in Lahijan including Physician Iran Government confirmation of COVID cases in Iran are limited or lacking. farzaam @farzaam · 14h #فوری: دو فوتی در #لاهیجان در اثر ابتلا به #کرونا ۱. دکتر کوچک‌نیا(پزشک) ۲. آقای جمشیدی(موزیسین) منبع: شخص خودم Show this thread

According to information received, on Thursday, by @IranIntl_En , the number of people who have died, from the #coronavirus, in the Kamkar Arabnia hospital in Qom in #Iran, has risen to eight. Iran's Health Ministry previously announced that this number was two. 6:16 AM · Feb 20, 2020·Twitter Web App 109 Retweets 108 Likes Iran International English @IranIntl_En · 17h Replying to @IranIntl_En According to information received, on Thursday, by @IranIntl_En , a 35-year-old woman has died from the #coronavirus in the Imam Reza hospital in Qom in #Iran. This brings the total of death, in Iran, from the virus, to nine.

Feb. 20, 2020 First case of COVID-19 confirmed in Humboldt County The Humboldt County Department of Health & Human Services Public Health Branch has received confirmation from the California Department of Public Health and the U.S. Centers for Disease Control and Prevention (CDC) of one case of COVID-19 in a Humboldt County resident. A close contact who has symptoms is being tested as well. This marks the first confirmed case of the novel coronavirus in Humboldt County. Presently, the ill individuals are doing well and self-isolating at home, while being monitored for symptoms by the Public Health Communicable Disease Surveillance and Control Unit. Close contacts of these individuals will also be quarantined at home and monitored for symptoms by Public Health staff. With the amount of foreign travel by county residents, including travel to China, it is not surprising that a case has emerged locally. Additional cases may occur either in returning travelers or their close contacts. “It’s important to remember that the risk to the general public remains low at this time,” said Humboldt County Health Officer Dr. Teresa Frankovich. “Despite the fact that Humboldt County now has a confirmed case of COVID-19, there is no evidence to suggest that novel coronavirus is circulating in the community at large.” Frankovich added that transmission in the U.S. to date has been among close contacts and not among the general public. Public Health suggests the following precautions to prevent the spread of COVID-19 and all infectious diseases, including common illnesses like colds and flu: • Stay home when you are sick • If you have a fever, stay home or go home if you are already at work or school, and stay home for at least 24 hours after you no longer have a fever (without the use of fever-reducing medicine). • Wash your hands frequently and particularly before eating or drinking. • Promote good hand hygiene in your home by educating household members and making sure soap, hand sanitizers, and tissues are available. • Avoid touching your face, particularly your eyes, nose and mouth. • Encourage proper cough etiquette. Cough or sneeze into a tissue, sleeve or arm. Do not use your hands. • Perform routine surface cleaning, particularly for items which are frequently touched such as doorknobs, handles, remotes, keyboards and other commonly shared surfaces. The county’s Communicable Disease Surveillance and Control Unit will continue to provide updated information about COVID-19 to health care providers, hospitals and schools, as well as the general public. For updated information about COVID-19, please continue to check the https://www.cdc.gov/coronavirus/. If you are ill and in need of medical care and have been in China within the previous two weeks or have been in contact with an individual who has COVID-19, please contact your health care provider or emergency department before presenting for care. Arrangements will be made to have you evaluated in the safest manner possible for health care staff and other patients. -###- Follow us on Twitter: @HumCoDHHS and Facebook: www.facebook.com/humcodhhs.