niman

few hours for testing testing has started

higher risk individuals possible that more are coming

all will be in Omaha will be in quarantine at least 10 days

others asymptomatic not sure how many tested position maybe 10 all being tested /retested in Omaha

light headedness mild cough fever pre-existing condition

5 rooms in biocontainment facility 2 patients per room

2 am call assist sec of emergency response

1 hospitalized with symptoms incl shortness of breathe

Positive or high likelihood of positive 13 being assessed

151 passengers at Lackland 177 passengers at Travis

For monitoring and possible treatment

Coronavirus Traps Balkan Citizens on Cruise Ship in Japan Anja Vladisavljevic, Danijel Kovacevic and Sinisa Jakov Marusic Banja Luka, Skopje, Zagreb BIRN February 17, 2020 Balkan citizens stranded on the cruise ship containing the largest cluster of coronavirus cases outside China will not be evacuated before the isolation period ends this week. A car leaves the Daikoku Pier Cruise Terminal where the Diamond Princess cruise ship is docked in Yokohama, Japan, 16 February 2020. EPA-EFE/FRANCK ROBICHON. While the US, Canada and some other countries have started evacuating their citizens from the Diamond Princess cruise ship, docked at Yokohama in Japan, and quarantined amid the coronavirus COVID-19 epidemic, citizens from the Balkan region will remain stuck on board until the isolation period ends this week. Some 17 Romanian citizens, 14 Serbian citizens, six Croatians, two Macedonians, one Bosnian and one citizen from Montenegro are on the ship that contains the largest cluster of COVID-19 cases outside China. The ship has been held in quarantine since February 3 and the quarantine is not due to end until Wednesday, February 19. Of the three citizens of North Macedonia on the ship, two are in good health and remain on board, North Macedonia’s Foreign Ministry said last Thursday, confirming that one had tested positive for the virus and was taken to a Japanese hospital. His condition is being checked by North Macedonia’s embassy in Tokyo. Regarding evacuation plans, North Macedonia stated only that it is in daily contact with the two remaining citizens on board and that it will inform the public about any possible evacuation plan. As reported on Thursday, one Romanian citizen tested positive for coronavirus and was also transferred to a Japanese hospital. The Romanian Foreign Ministry said its embassy in Japan was in contact with the other 15 Romanians crew members and two passengers. Ivica Dacic, Serbia’s Foreign Minister, said on Friday that four Serbian nationals were in isolation because of contact with an infected person, but their test results were not known yet. Serbia has not announced plans to evacuate its citizens. The Bosnian Foreign Ministry said that the one Bosnian citizen on board ship was a member of the crew and was not infected with the virus. “Despite the unenviable situation, he is in good psycho-physical condition … We are in daily contact and he is lacking for nothing,” the Bosnian ambassador to Japan, Sinisa Berjan, said on Thursday. According to him, the crew are most exposed to the virus because they are not quarantined like the passengers and must continue to perform their work duties. “Fortunately, our citizen does not work in jobs that are directly related to servicing the needs of passengers and is, therefore, less exposed to contacts with other people,” Berjan said. US citizens leaving the ‘Diamond Princess’ cruise ship, February 17, 2020. EPA-EFE/FRANCK ROBICHON. According to the Croatian Foreign Ministry, the five Croatian passengers and one cruise crew member on board are all well. “Their planned stay is to 19 February at the earliest, depending on the dynamics of testing and other health procedures,” the ministry told BIRN, adding that the embassy in Japan was in constant contact with the authorities and that “so far, it is not planned for Croatian citizens to leave isolation earlier”. The Montenegrin Foreign Ministry on February 5 said that the one Montenegrin citizen on the ship was not known to be among the infected. Some 3,700 people were on board the ship, and according to the latest report by Japanese Health, Labour and Welfare Ministry, the number of people infected has reached 355. On Monday, the more than 300 US citizens were removed from the ship. Canada will also evacuate its 250 citizens. China is under pressure to contain the spread of the virus that has reportedly killed 1,500 people so far. On Saturday, the first death was confirmed in Europe. Media reports said a Chinese tourist died in France after contracting the coronavirus.

one Romanian citizen tested positive for coronavirus and was also transferred to a Japanese hospital. The Romanian Foreign Ministry said its embassy in Japan was in contact with the other 15 Romanians crew members and two passengers. https://balkaninsight.com/2020/02/17/coronavirus-traps-balkan-citizens-on-cruise-ship-in-japan/

Coronavirus Traps Balkan Citizens on Cruise Ship in Japan Anja Vladisavljevic, Danijel Kovacevic and Sinisa Jakov Marusic Banja Luka, Skopje, Zagreb BIRN February 17, 2020 Balkan citizens stranded on the cruise ship containing the largest cluster of coronavirus cases outside China will not be evacuated before the isolation period ends this week. A car leaves the Daikoku Pier Cruise Terminal where the Diamond Princess cruise ship is docked in Yokohama, Japan, 16 February 2020. EPA-EFE/FRANCK ROBICHON. While the US, Canada and some other countries have started evacuating their citizens from the Diamond Princess cruise ship, docked at Yokohama in Japan, and quarantined amid the coronavirus COVID-19 epidemic, citizens from the Balkan region will remain stuck on board until the isolation period ends this week. Some 17 Romanian citizens, 14 Serbian citizens, six Croatians, two Macedonians, one Bosnian and one citizen from Montenegro are on the ship that contains the largest cluster of COVID-19 cases outside China. The ship has been held in quarantine since February 3 and the quarantine is not due to end until Wednesday, February 19. Of the three citizens of North Macedonia on the ship, two are in good health and remain on board, North Macedonia’s Foreign Ministry said last Thursday, confirming that one had tested positive for the virus and was taken to a Japanese hospital. His condition is being checked by North Macedonia’s embassy in Tokyo. Regarding evacuation plans, North Macedonia stated only that it is in daily contact with the two remaining citizens on board and that it will inform the public about any possible evacuation plan. As reported on Thursday, one Romanian citizen tested positive for coronavirus and was also transferred to a Japanese hospital. The Romanian Foreign Ministry said its embassy in Japan was in contact with the other 15 Romanians crew members and two passengers. Ivica Dacic, Serbia’s Foreign Minister, said on Friday that four Serbian nationals were in isolation because of contact with an infected person, but their test results were not known yet. Serbia has not announced plans to evacuate its citizens. The Bosnian Foreign Ministry said that the one Bosnian citizen on board ship was a member of the crew and was not infected with the virus. “Despite the unenviable situation, he is in good psycho-physical condition … We are in daily contact and he is lacking for nothing,” the Bosnian ambassador to Japan, Sinisa Berjan, said on Thursday. According to him, the crew are most exposed to the virus because they are not quarantined like the passengers and must continue to perform their work duties. “Fortunately, our citizen does not work in jobs that are directly related to servicing the needs of passengers and is, therefore, less exposed to contacts with other people,” Berjan said. US citizens leaving the ‘Diamond Princess’ cruise ship, February 17, 2020. EPA-EFE/FRANCK ROBICHON. According to the Croatian Foreign Ministry, the five Croatian passengers and one cruise crew member on board are all well. “Their planned stay is to 19 February at the earliest, depending on the dynamics of testing and other health procedures,” the ministry told BIRN, adding that the embassy in Japan was in constant contact with the authorities and that “so far, it is not planned for Croatian citizens to leave isolation earlier”. The Montenegrin Foreign Ministry on February 5 said that the one Montenegrin citizen on the ship was not known to be among the infected. Some 3,700 people were on board the ship, and according to the latest report by Japanese Health, Labour and Welfare Ministry, the number of people infected has reached 355. On Monday, the more than 300 US citizens were removed from the ship. Canada will also evacuate its 250 citizens. China is under pressure to contain the spread of the virus that has reportedly killed 1,500 people so far. On Saturday, the first death was confirmed in Europe. Media reports said a Chinese tourist died in France after contracting the coronavirus.

Of the three citizens of North Macedonia on the ship, two are in good health and remain on board, North Macedonia’s Foreign Ministry said last Thursday, confirming that one had tested positive for the virus and was taken to a Japanese hospital. His condition is being checked by North Macedonia’s embassy in Tokyo. https://balkaninsight.com/2020/02/17/coronavirus-traps-balkan-citizens-on-cruise-ship-in-japan/

BetaCoV/pangolin/Guangxi/P5L/2017|EPI_ISL_410540 Top 5 matches at Genbank AlignmentsDownloadGenBankGraphicsDistance tree of resultsShow/hide columns of the table presenting sequences producing significant alignments Sequences producing significant alignments: Select for downloading or viewing reports Description Max Score Total Score Query Cover E value Per. Ident Accession Select seq MN997409.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV/USA-AZ1/2020, complete genome 34196 34273 99% 0.0 85.48% MN997409.1 Select seq MN975262.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV_HKU-SZ-005b_2020, complete genome 34196 34273 99% 0.0 85.48% MN975262.1 Select seq MN985325.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV/USA-WA1/2020, complete genome 34192 34268 99% 0.0 85.47% MN985325.1 Select seq MN938384.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV_HKU-SZ-002a_2020, complete genome 34176 34252 99% 0.0 85.47% MN938384.1 Select seq MN994467.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV/USA-CA1/2020, complete genome 34169 34246 99% 0.0 85.46% MN994467.1

Virus detail Virus name: BetaCoV/pangolin/Guangxi/P5L/2017 Accession ID: EPI_ISL_410540 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2017 Location: Asia / China / Guangxi Host: Manis javanica Additional location information: Gender: Unknown Patient age: Unknown Patient status: Specimen source: Lung tissue Additional host information: Outbreak: Last vaccinated: Treatment: Sequencing technology: Assembly method: Coverage: Comment: Institute information Originating lab: Beijing Institute of Microbiology and Epidemiology Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China Sample ID given by the sample provider: Submitting lab: Beijing Institute of Microbiology and Epidemiology Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China Sample ID given by the submitting laboratory: Authors: Wu-Chun Cao; Tommy Tsan-Yuk Lam; Na Jia; Ya-Wei Zhang; Jia-Fu Jiang; Bao-Gui Jiang Submitter information Submitter: Tsan Yuk Lam Submission Date: 2020-02-17 Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China FASTA >BetaCoV/pangolin/Guangxi/P5L/2017|EPI_ISL_410540

BetaCoV/pangolin/Guangxi/P5E/2017|EPI_ISL_410541 top 10 matches at Genbank AlignmentsDownloadGenBankGraphicsDistance tree of resultsShow/hide columns of the table presenting sequences producing significant alignments Sequences producing significant alignments: Select for downloading or viewing reports Description Max Score Total Score Query Cover E value Per. Ident Accession Select seq MN997409.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-AZ1/2020, complete genome 34150 34227 99% 0.0 85.44% MN997409.1 Select seq MN975262.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV_HKU-SZ-005b_2020, complete genome 34150 34227 99% 0.0 85.44% MN975262.1 Select seq MN985325.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-WA1/2020, complete genome 34146 34222 99% 0.0 85.44% MN985325.1 Select seq MN988669.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV WHU02, complete genome 34132 34209 99% 0.0 85.42% MN988669.1 Select seq MN988668.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV WHU01, complete genome 34132 34209 99% 0.0 85.42% MN988668.1 Select seq NC_045512.2 Wuhan seafood market pneumonia virus isolate Wuhan-Hu-1, complete genome 34132 34209 99% 0.0 85.42% NC_045512.2 Select seq MN938384.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV_HKU-SZ-002a_2020, complete genome 34130 34206 99% 0.0 85.43% MN938384.1 Select seq MN994468.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-CA2/2020, complete genome 34123 34200 99% 0.0 85.42% MN994468.1 Select seq MN994467.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-CA1/2020, complete genome 34123 34200 99% 0.0 85.42% MN994467.1 Select seq MN988713.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-IL1/2020, complete genome 34122 34199 99% 0.0 85.41% MN988713.1

Virus detail Virus name: BetaCoV/pangolin/Guangxi/P5E/2017 Accession ID: EPI_ISL_410541 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2017 Location: Asia / China / Guangxi Host: Manis javanica Additional location information: Gender: Unknown Patient age: Unknown Patient status: Specimen source: Intestine tissue Additional host information: Outbreak: Last vaccinated: Treatment: Sequencing technology: Assembly method: Coverage: Comment: Institute information Originating lab: Beijing Institute of Microbiology and Epidemiology Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China Sample ID given by the sample provider: Submitting lab: Beijing Institute of Microbiology and Epidemiology Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China Sample ID given by the submitting laboratory: Authors: Wu-Chun Cao; Tommy Tsan-Yuk Lam; Na Jia; Ya-Wei Zhang; Jia-Fu Jiang; Bao-Gui Jiang Submitter information Submitter: Tsan Yuk Lam Submission Date: 2020-02-17 Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China FASTA >BetaCoV/pangolin/Guangxi/P5E/2017|EPI_ISL_410541

BetaCoV/pangolin/Guangxi/P1E/2017|EPI_ISL_410539 top 10 matches at Genbank AlignmentsDownloadGenBankGraphicsDistance tree of resultsShow/hide columns of the table presenting sequences producing significant alignments Sequences producing significant alignments: Select for downloading or viewing reports Description Max Score Total Score Query Cover E value Per. Ident Accession Select seq MN997409.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-AZ1/2020, complete genome 34165 34241 99% 0.0 85.45% MN997409.1 Select seq MN975262.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV_HKU-SZ-005b_2020, complete genome 34165 34241 99% 0.0 85.45% MN975262.1 Select seq MN985325.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-WA1/2020, complete genome 34160 34237 99% 0.0 85.45% MN985325.1 Select seq MN988669.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV WHU02, complete genome 34147 34223 99% 0.0 85.44% MN988669.1 Select seq MN988668.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV WHU01, complete genome 34147 34223 99% 0.0 85.44% MN988668.1 Select seq NC_045512.2 Wuhan seafood market pneumonia virus isolate Wuhan-Hu-1, complete genome 34147 34223 99% 0.0 85.44% NC_045512.2 Select seq MN938384.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV_HKU-SZ-002a_2020, complete genome 34144 34220 99% 0.0 85.44% MN938384.1 Select seq MN994468.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-CA2/2020, complete genome 34138 34214 99% 0.0 85.43% MN994468.1 Select seq MN994467.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-CA1/2020, complete genome 34138 34214 99% 0.0 85.43% MN994467.1 Select seq MN988713.1 Wuhan seafood market pneumonia virus isolate 2019-nCoV/USA-IL1/2020, complete genome 34137 34213 99% 0.0 85.42% MN988713.1

Virus detail Virus name: BetaCoV/pangolin/Guangxi/P1E/2017 Accession ID: EPI_ISL_410539 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2017 Location: Asia / China / Guangxi Host: Manis javanica Additional location information: Gender: Unknown Patient age: Unknown Patient status: Specimen source: Intestine tissue Additional host information: Outbreak: Last vaccinated: Treatment: Sequencing technology: Assembly method: Coverage: Comment: Institute information Originating lab: Beijing Institute of Microbiology and Epidemiology Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China Sample ID given by the sample provider: Submitting lab: Beijing Institute of Microbiology and Epidemiology Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China Sample ID given by the submitting laboratory: Authors: Wu-Chun Cao; Tommy Tsan-Yuk Lam; Na Jia; Ya-Wei Zhang; Jia-Fu Jiang; Bao-Gui Jiang Submitter information Submitter: Tsan Yuk Lam Submission Date: 2020-02-17 Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China FASTA >BetaCoV/pangolin/Guangxi/P1E/2017|EPI_ISL_410539

Virus detail updated 2020-02-17 Virus name: BetaCoV/pangolin/Guangxi/P4L/2017 Accession ID: EPI_ISL_410538 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2017 Location: Asia / China / Guangxi Host: Manis javanica Additional location information: Gender: Unknown Patient age: Unknown Patient status: Specimen source: Lung tissue Additional host information: Outbreak: Last vaccinated: Treatment: Sequencing technology: Assembly method: Coverage: Comment: Institute information Originating lab: Beijing Institute of Microbiology and Epidemiology Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China Sample ID given by the sample provider: Submitting lab: Beijing Institute of Microbiology and Epidemiology Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China Sample ID given by the submitting laboratory: Authors: Wu-Chun Cao; Tommy Tsan-Yuk Lam; Na Jia; Ya-Wei Zhang; Jia-Fu Jiang; Bao-Gui Jiang Submitter information Submitter: Tsan Yuk Lam Submission Date: 2020-02-17 Address: 20 Dongda Street, Fengtai District, 100071 Beijing, China FASTA >BetaCoV/pangolin/Guangxi/P4L/2017|EPI_ISL_410538

BetaCoV/pangolin/Guangxi/P4L/2017|EPI_ISL_410538 Select for downloading or viewing reports Description Max Score Total Score Query Cover E value Per. Ident Accession Select seq MN997409.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV/USA-AZ1/2020, complete genome 34188 34188 99% 0.0 85.47% MN997409.1 Select seq MN975262.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV_HKU-SZ-005b_2020, complete genome 34188 34188 99% 0.0 85.47% MN975262.1 Select seq MN985325.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV/USA-WA1/2020, complete genome 34184 34184 99% 0.0 85.47% MN985325.1 Select seq MN988669.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV WHU02, complete genome 34170 34170 99% 0.0 85.46% MN988669.1 Select seq MN988668.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV WHU01, complete genome 34170 34170 99% 0.0 85.46% MN988668.1 Select seq NC_045512.2 Wuhan seafood market pneumonia virus isolate Wuhan-Hu-1, complete genome 34170 34170 99% 0.0 85.46% NC_045512.2 Select seq MN938384.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV_HKU-SZ-002a_2020, complete genome 34167 34167 99% 0.0 85.46% MN938384.1 Select seq MN994468.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV/USA-CA2/2020, complete genome 34161 34161 99% 0.0 85.45% MN994468.1 Select seq MN994467.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV/USA-CA1/2020, complete genome 34161 34161 99% 0.0 85.45% MN994467.1 Select seq MN988713.1 Severe acute respiratory syndrome coronavirus 2 isolate 2019-nCoV/USA-IL1/2020, complete genome 34160 34160 99% 0.0 85.44% MN988713.1

BetaCoV/pangolin/Guangxi/P5E/2017 Original EPI_ISL_410541 2017 2020-02-17 29806 Manis javanica Asia / China / Guangxi Beijing Institute of Microbiology and Epidemiology Beijing Institute of Microbiology and Epidemiology BetaCoV/pangolin/Guangxi/P5L/2017 Original EPI_ISL_410540 2017 2020-02-17 29806 Manis javanica Asia / China / Guangxi Beijing Institute of Microbiology and Epidemiology Beijing Institute of BetaCoV/pangolin/Guangxi/P1E/2017 Original EPI_ISL_410539 2017 2020-02-17 29801 Manis javanica Asia / China / Guangxi Beijing Institute of Microbiology and Epidemiology Beijing Institute of Microbiology and Epidemiology BetaCoV/pangolin/Guangxi/P4L/2017 Original EPI_ISL_410538 2017 2020-02-17 29806 Manis javanica Asia / China / Guangxi Beijing Institute of Microbiology and Epidemiology Beijing Institute of Microbiology and Epidemiology