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*U.S. State Dept. will evacuate American citizens and their families aboard the Diamond Princess cruise ship - CDC official *About 380 people will be offered seats on two evacuation flights from Japan back to the U.S. - CDC official ... TO READ THE FULL STORY

Cruise ship infection confirmed to 218 people infected 8 severely 13:15 on February 14, 2020New type pneumonia / cruise ship Outbreaks of the new coronavirus have been confirmed on cruise ships, and so far 218 people have been infected. Eight of the people who have been infected are seriously affected, and two people who are not infected and those who are being tested are also seriously ill. According to the Ministry of Health, Labor and Welfare, a total of 213 passengers and passengers were infected on the Diamond Princess cruise ship, anchored at Yokohama Port, as a result of conducting a test of 713 people by the 13th. Looking at the number of people who were infected by country, Japan was 110, the United States was 40, Australia was 16, Canada and the Philippines were 12, China was 6, Hong Kong was 4, and Britain and India were 3 Humans, Argentina, Ukraine and Taiwan are two, and New Zealand, Thailand, Portugal, Macedonia, Romania, and France are one each. Infections have been confirmed in 18 countries and regions. By age, 10 people in their 20s, 7 people in their 30s, 7 people in their 40s, 20 people in their 50s, 50 people in their 60s, 73 people in their 70s, 49 people in their 80s, and 90 people in their 90s Two people and over 60s account for about 80%. According to the Ministry of Health, Labor and Welfare, 8 of the confirmed cases are severely ill. In addition, two people, including those who have not been confirmed to be infected and those who are being tested, are seriously ill. The cruise ship initially has 3711 crew members and passengers, and those who are confirmed infected are being transported to medical institutions. In addition, a total of 265 people have got off the boat at 6:00 pm on the 13th, with another complaining of poor physical condition being hospitalized. The Ministry of Health, Labor and Welfare has requested that the remaining 3,446 people on board the ship stay in their cabin until the 19th of this month. For those aged 80 years or older who have a medical condition, if the virus test is negative, they will confirm their intentions, get off the boat and move to accommodation provided by the government. You.

The majority of the 218 COVID confirmed cases are from Japan (110) or the United States (40). Remainder are 16 Australia, 12 Canada, 12 Philippines, 6 China, 4 Hong Kong, 3 United Kingdom, 3 India, 2 Argentina, 2 Ukraine, 2 Taiwan, 1 New Zealand, Thailand, Portugal, Macedonia, Romania, France https://www3.nhk.or.jp/news/html/20200214/k10012284691000.html?utm_int=detail_contents_news-related_001

Update on new coronavirus pneumonia epidemic as of 24:00 on February 14 Published: 2020-02-15Source : Health Emergency Office 　　At 04:00 on February 14th, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 2641 newly diagnosed cases, 849 severe cases, and 143 death cases (139 in Hubei and 2 in Henan). Cases, one each in Beijing and Chongqing), and 2277 suspected cases were added. 　　On the same day, 1373 new cases were cured and discharged, and 30081 close contacts were lifted from medical observation. 　　As of 24:00 on February 14, according to reports from 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps, there were 56,873 confirmed cases (of which, 11053 were severe cases), a total of 8,096 discharged cases were cured, and 1,523 died. A total of 66,492 confirmed cases have been reported and 8969 suspected cases have been reported. A total of 513,183 close contacts were tracked, and 169,039 close contacts were still in medical observation. 　　2420 new cases were confirmed in Hubei (1923 in Wuhan), 912 cases were cured and discharged (486 in Wuhan), 139 deaths were added (107 in Wuhan), and 48175 confirmed cases (34289 in Wuhan). Among them, there were 10152 severe cases (8335 cases in Wuhan). A total of 4,774 discharged patients were cured (2502 in Wuhan), a total of 1457 deaths (1123 in Wuhan), and a total of 54406 confirmed cases (37,914 in Wuhan). There were 1216 suspected cases (507 in Wuhan) and 5534 suspected cases (2265 in Wuhan). 　　A total of 84 confirmed cases were reported from Hong Kong, Macao and Taiwan: 56 cases in Hong Kong Special Administrative Region (1 case discharged, 1 death), 10 cases in Macau Special Administrative Region (3 cases discharged), and 18 cases in Taiwan (1 case discharged).     (Note: When quoted by the media, please mark "Information comes from the official website of the National Health and Health Commission.")

11053 were severe cases a total of 8,096 discharged cases were cured, and 1,523 died. http://www.nhc.gov.cn/xcs/yqtb/202002/50994e4df10c49c199ce6db07e196b61.shtml

Egypt MoH announce first confirmed COVID case (imported) https://m.facebook.com/story.php?story_fbid=1097988220538346&id=352015718468937

Epidemic Situation of New Crown Pneumonia in Hubei Province on February 14, 2020 From 04:00 to 24:00 on February 14, 2020 , 2420 new cases of new coronary pneumonia (including 1138 clinically diagnosed cases and 22 clinically diagnosed cases the day before nuclear subtraction) were newly added in Hubei Province, of which 1923 were in Wuhan (including 922 clinically diagnosed cases Examples) 108 cases in Xianning City (including 97 clinically diagnosed cases) , 105 cases in Xiaogan City (including 68 clinically diagnosed cases) , 67 cases in Ezhou City (including 21 clinically diagnosed cases) , and 43 cases in Jingzhou City (subtraction clinical diagnosis 12 cases) , 37 cases in Huangshi City (including 16 clinically diagnosed cases) , 29 cases in Yichang City (including 16 clinically diagnosed cases) , 28 cases in Suizhou City (2 cases with nuclear subtraction clinical diagnosis) , 26 cases in Huanggang City, Xiangyang 17 cases (including 4 clinically diagnosed cases) , 14 cases in Xiantao City, 12 cases in Shiyan City (1 case of nuclear subtraction clinical diagnosis cases) , 12 cases in Qianjiang City (including 10 clinical diagnosis cases) , and 8 cases in Tianmen City (subtraction of nuclear diagnosis 2 clinically diagnosed cases) , 7 in Enshi (including 6 clinically diagnosed cases) , 6 in Jingmen (5 clinically diagnosed cases with subtraction) . There were 139 new deaths (including 34 clinically diagnosed cases) in the province , of which: 107 in Wuhan (including 30 clinically diagnosed cases) , 9 in Huanggang, 5 in Xiaogan, and 5 in Jingzhou (including clinical diagnosis) 3 cases) , 3 cases in Jingmen City (including 1 clinically diagnosed case) , 3 cases in Suizhou City, 2 cases in Huangshi City, 2 cases in Xiangyang City, 2 cases in Yichang City, and 1 case in Ezhou City. There were 912 new hospital discharges (including 263 clinically diagnosed cases) , of which: 486 in Wuhan (including 231 clinically diagnosed cases) , 107 in Huanggang (including 3 clinically diagnosed cases) , 83 in Ezhou, and 58 in Xiaogan Cases, 33 cases in Huangshi City (including 4 clinically diagnosed cases) , 33 cases in Jingzhou City (including 13 clinically diagnosed cases) , 28 cases in Xianning City (including 10 clinically diagnosed cases) , 24 in Suizhou, and 13 in Enshi 12 cases in Xiangyang City, 11 cases in Shiyan City (including 2 clinically diagnosed cases) , 11 cases in Yichang City, 7 cases in Jingmen City, 5 cases in Xiantao City, and 1 case in Qianjiang City. As of 24:00 on February 14, 2020, Hubei Province has reported a total of 54,406 cases of new coronary pneumonia (including 16,522 clinically diagnosed cases) , of which: 37914 cases (including 14953 clinically diagnosed cases) in Wuhan and 3114 (including clinical 148 cases were diagnosed), 2817 cases in Huanggang City (including 306 clinically diagnosed cases), 1478 cases in Jingzhou (including 257 clinically diagnosed cases), 1232 cases in Suizhou (including 4 clinically diagnosed cases), and 1192 in Ezhou ( Including 189 clinically diagnosed cases), 1128 in Xiangyang (including 4 clinically diagnosed cases) , 980 in Huangshi (including 42 clinically diagnosed cases), 906 in Yichang (including 67 clinically diagnosed cases), and 902 in Jingmen Cases (including 150 clinically diagnosed cases), 840 cases (including 286 clinically diagnosed cases) in Xianning City, 597 cases (including 3 clinically diagnosed cases) in Shiyan City, 514 cases (including 2 clinically diagnosed cases) in Xiantao City, Enshi There were 244 cases in the state (including 27 clinically diagnosed cases), 422 cases in Tianmen City (including 65 clinically diagnosed cases ), 116 cases in Qianjiang City (including 19 clinically diagnosed cases), and 10 cases in Shennongjia Forest District. A total of 4,774 patients were discharged from the hospital (including 631 clinically diagnosed cases). The province has accumulated 1457 deaths (including 69 clinically diagnosed cases), including: 1123 cases in Wuhan (including 64 clinically diagnosed cases), 68 in Huanggang, 62 in Xiaogan, 33 in Ezhou, and 32 in Jingzhou. (Including 3 cases of clinical diagnosis) , 28 cases of Jingmen City (including 1 case of clinical diagnosis cases) , 19 cases of Suizhou City, 18 cases of Xiangyang City, 17 cases of Xiantao City, 15 cases of Yichang City, 13 cases of Huangshi City, and 10 cases of Tianmen City There were 8 cases in Xianning City, 5 cases in Qianjiang City, 4 cases in Enshi Prefecture (including 1 clinically diagnosed case), and 2 cases in Shiyan City. At present, 38,107 cases (including 8309 clinically diagnosed cases) are still being treated in the hospital , of which: http://wjw.hubei.gov.cn/fbjd/dtyw/202002/t20200215_2028355.shtml (including 2155 clinically diagnosed cases) , 1876 cases of critically ill (including 516 clinically diagnosed cases) , all of which are being isolated at designated medical institutions. treatment. There were 5534 suspected cases, 1,702 were excluded that day, and 5,149 were concentrated and isolated. A total of 176,148 close contacts have been tracked, and 77,323 people are still under medical observation.

1876 cases of critically ill 4,774 patients were discharged accumulated 1457 deaths http://wjw.hubei.gov.cn/fbjd/dtyw/202002/t20200215_2028355.shtml

Transcript for CDC Media Telebriefing: Update on COVID-19 Press Briefing Transcript Friday, February 14, 2020 Please Note: This transcript is not edited and may contain errors. playstopskip-backwardskip-forwardvolume Volume Range Slider Scrub Range Slider >>> GOOD AFTERNOON, THANK YOU FOR STANDING BY. AND WELCOME TO THE COVID 2019 UPDATE. YOUR LINES ARE IN A LISTEN ONLY MODE UNTIL QUESTION AND ANSWER SESSION OF THE CONFERENCE. YOU PLAY PRESS STAR AND NUMBER ONE TO ANSWER THE QUESTION. PLEASE STATE YOUR NAME WHEN PROMPTED. PLEASE LIMIT IT TO ONE QUESTION AND ONE FOLLOW-UP. IT IS NOW MY PLEASURE TO TURN THE CONFERENCE OVER TO PAUL FULTON, CDC PUBLIC AFFAIRS. >> THANK YOU, MICHELLE. THANK YOU FOR JOINING US FOR THIS BRIEFING. TO UPDATE YOU ON CDC’S COVID-19 RESPONSE. WE ARE JOINED BY THE DIRECTOR OF THE CDC CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES WHO WILL GIVE OWNING REMARKS BEFORE TAKING YOUR QUESTIONS. I WILL TURN THE QUESTION OVER TO DR. MESSONNIER. >> THANK YOU FOR JOINING US. SINCE WE BRIEFED YOU LAST THERE’S ONE MORE CONFIRMED CASE OF COVID-19 IN A PERSON WHO HAD BEEN UNDER QUARANTINE FACILITATED BY THE STATE DEPARTMENT AT JOINT BASE LACKLAND. THERE ARE MORE THAN 600 PEOPLE STILL UNDER QUARANTINE IN THE UNITED STATES BECAUSE OF THEIR RECENT RETURN FROM THE EPICENTER OF THIS OUTBREAK IN CHINA. IN GENERAL, OUR GUIDANCE IS BASED ON RISK ASSESSMENTS AND OTHER PEOPLE OR GROUPS MAY HAVE DIFFERENT RISKS. AND THESE PEOPLE ARE GOING THROUGH DIFFICULT CIRCUMSTANCES RIGHT NOW. BEING QUARANTINED CAN BE DISRUPTIVE, FRUSTRATING AND FEEL SCARY. ESPECIALLY WHEN THE REASON FOR THE QUARANTINE IS EXPOSURE TO A NEW DISEASE FOR WHICH THERE MAY BE LIMITED INFORMATION. QUARANTINE IS AN UNUSUAL SITUATION FOR PUBLIC HEALTH RESPONDERS TOO. THE LAST TIME WE HAD TO QUARANTINE LARGE GROUPS OF PEOPLE WAS MORE THAN 50 YEARS AGO. SO WHILE WE ARE DOING THE BEST WE CAN, THERE ARE GOING TO BE BUMPS ALONG THE WAY. I UNDERSTAND THAT ONE OF THE BIGGEST QUESTIONS THAT HAS COME UP INVOLVES QUESTIONS ABOUT TESTING AND WHEN PEOPLE SHOULD BE TESTED. I WANT TO SAY RIGHT NOW CDC’S RECOMMENDATIONS AND THE POLICIES WE ARE FOLLOWING ACROSS THE BOARD IS TO TEST PEOPLE WITH THE HISTORY OF EXPOSURE WHO ARE SHOWING SYMPTOMS. THIS IS BECAUSE WE KNOW THAT TESTING PEOPLE TOO EARLY CAN POTENTIALLY MISS INFECTIONS. PEOPLE WITH STILL LATER BECOME SICK. LET ME EXPLAIN. THE OUTER BOUND OF THE INCUBATION PERIOD WE’RE USING FOR THIS NOVEL CORONAVIRUS IS 14 DAYS. THAT MEANS WE EXPECT SOMEONE WHO IS INFECTED TO HAVE SYMPTOMS SOME TIME DURING THOSE 14 DAYS. KNOW, AS SOMEONE IS EXPOSED TO THE VIRUS THAT MIGHT NOT SHOW SYMPTOMS RIGHT AWAY AND TESTING ON DAY ONE OR TWO OR THREE MIGHT PRODUCE A NEGATIVE RESULT. HOWEVER, IT COULD MEAN THE VIRUS HASN’T ESTABLISHED ITSELF SUFFICIENTLY IN THE SYSTEM TO BE DETECTED BY TEST. IT’S NOT A QUESTION OF THE ACCURACY OF THE TEST. THE TEST WE’RE USING AT CDC IS VERY SENSITIVE. IT’S A QUESTION OF WHEN THE VIRUS BECOMES DETECTABLE IN THAT PERSON. SO IF A PERSON TESTS NEGATIVE ONCE, IT’S NOT CLEAR THAT IT’S A TRUE NEGATIVE. THE TEST DOESN’T INFORM PUBLIC HEALTH ACTIONS OR CLINICAL CARE. IN FACT, IN NEGATIVE TEST RESULTS COULD PROVIDE A FALSE SENSE OF SECURITY. WITH THE INCUBATION PERIOD BEING UP TO 14 DAYS, ONE TEST AT A GIVEN POINT IN TIME ONLY TELLS YOU IF SOMEONE IS INFECTED AT THAT ONE MOMENT. CDC DID TEST ALL OF THE INITIAL 195 PEOPLE WHO RETURNED FROM WUHAN ON JANUARY 29th. BUT SINCE THAT TIME, WE HAVE LEARNED MORE ABOUT HOW THE VIRUS BEHAVES IN PEOPLE AND WHEN IS THE OPTIMAL TIME TO TEST THEM TO BEST INFORM OUR PUBLIC HEALTH RESPONSE. CDC MAY DO TESTING OF ALL PEOPLE AGAIN IF THE RISK WARRANTS IT. BUT RIGHT NOW, CDC STAFF AT EACH BASE ARE CHECKING TEMPERATURES TWICE DAILY AND MONITORING PEOPLE FOR ANY NEW SYMPTOMS. IF SOMEONE HAS SYMPTOMS COMPATIBLE WITH THIS NEW VIRUS THEY’RE MEDICALLY EVALUATED AND THEY’RE TESTED. ANOTHER QUESTION I WANT TO ADDRESS IS HOW THIS VIRUS SPREADS. BASED ON WHAT WE KNOW NOW, WE BELIEVE THIS VIRUS SPREADS MAINLY FROM PERSON TO PERSON AMONG CLOSE CONTACTS. WHICH IS DEFINED ABOUT SIX FEET. THROUGH RESPIRATORY DROPLETS PRODUCED WHEN AN INFECTED PERSON COUGHS OR SNEEZES. PEOPLE ARE THOUGHT TO BE THE MOST CONTAGEOUS WHEN THEY’RE MOST SYSTEMATIC. THAT’S WHEN THEY’RE THE SICKEST. SOME SPREAD MAY HAPPEN BY TOUCHING THE CONTAMINATED SURFACE AND TOUCHING THE EYES, NOSE AND MOUTH. BUT REMEMBER THIS DOES NOT LAST LONG ON SURFACES. SOME SPREAD MAY HAPPEN BEFORE PEOPLE SHOW SYMPTOMS. THERE HAVE BEEN A FEW REPORTS OF THIS WITH THE NEW CORONAVIRUS AND IT IS COMPATIBLE WITH WHAT WE KNOW ABOUT OTHER RESPIRATORY VIRUSES INCLUDING SEASONAL FLU. BUT RIGHT NOW, WE DO NOT BELIEVE THESE LAST TWO FORMS OF TRANSMISSION ARE THE MAIN DRIVER OF SPREAD. WE AT CDC RECOGNIZE THIS IS A DIFFICULT TIME FOR THE PEOPLE WHO HAVE RETURNED FROM WUHAN AS WELL AS THE COMMUNITY SUPPORTING THEM. AND ASK FOR THEIR CONTINUED PATIENCE AS WE WORK TOGETHER. THIS IS A DIFFICULT AND CHALLENGING TIME ON MANY FRONTS. THE FOOTAGE OUT OF CHINA IS UPSETTING. OTHERS ARE BEING QUARANTINED IN OTHER COUNTRIES INCLUDING ON THE DIAMOND PRINCESS CRUISE SHIP. ON THE RESPONDERS’ SIDE THERE ARE THOUSANDS OF PEOPLE WORKING AROUND THE CLOCK AROUND THE WORLD TO TRY TO CONTAIN THE DAMAGE. I LOOK AROUND AND I SEE PEOPLE WHO ARE TIRED BUT WHO ARE DETERMINED AND GOVERNED BY A SENSE OF URGENCY THAT THE HEALTH OF THE ENTIRE COUNTRY IS DEPENDENT AT LEAST IN PART ON THEIR WORK. THIS NEW VIRUS REPRESENTS THE UNPRECEDENTED PUBLIC HEALTH THREAT AND WE ARE TAKING AGGRESSIVE ACTION TO KEEP THESE PEOPLE, OUR FAMILIES AND OUR NATION SAFE. WE APPRECIATE EVERYONE’S CONTINUED COOPERATION THROUGHOUT THIS PROCESS. CDC’S CURRENT ACTIONS INCLUDING QUARANTINES AND THE TRAVEL RESTRICTIONS ARE INTENDED TO SLOW THE INTRODUCTION AND IMPACT OF THE NOVEL CORONAVIRUS IN THE U.S. HOWEVER, WE MUST PREPARE FOR THE POSSIBILITY THAT AT SOME POINT WE MAY SEE SUSTAINED COMMUNITY SPREAD IN OTHER COUNTRIES OR IN THE U.S. AND THIS WILL TRIGGER A CHANGE IN OUR RESPONSE STRATEGY. THIS WILL REQUIRE THE EFFORTS OF ALL LEVELS OF GOVERNMENT, THE PUBLIC HEALTH SYSTEM AND OUR COMMUNITIES AS WE FACE THIS CHALLENGE TOGETHER. LAST NIGHT, THE VICE MINISTER OF CHINA’S NATIONAL HEALTH COMMISSION ANNOUNCED THERE ARE MORE THAN 1,700 HEALTH CARE WORKERS WHO ARE ILL WITH THIS NEW VIRUS IN CHINA. MAINLY IN HUBEI PROVINCE. THIS IS CONCERNING AND WE SAW THAT TRANSMISSION CAN BE AMPLIFIED IN HEALTH CARE SETTINGS IF INFECTION CONTROL PRACTICES ARE NOT CAREFULLY FOLLOWED. HEALTH CARE WORKERS ARE ON THE FRONT LINE, SUPPORTING THE PHYSICAL AND MENTAL HEALTH OF THOSE WHO ARE INFECTED. AS WE LEARN MORE ABOUT HOW THIS VIRUS IS SPREAD, KEEPING HEALTH CARE WORKERS SAFE IS A HIGH PRIORITY. CDC HAS PUBLISHED GUIDANCE FOR HEALTH CARE WORKERS ON HOW TO PROTECT THEMSELVES AS THEY CARE FOR PATIENTS AND I’M HAPPY TO REPORT THAT SO FAR NO HEALTH CARE WORKERS IN THE U.S. HAVE BECOME INFECTED IN THE LINE OF DUTY. BEFORE TAKING QUESTIONS, I WANT TO GIVE YOU AN UPDATE ON TWO MORE THINGS. FIRST, YESTERDAY, SECRETARY AZAR MENTIONED THAT THE CDC HAS BEGUN WORKING WITH FIVE PUBLIC HEALTH LABS TO CONDUCT COMMUNITY BASED INFLUENZA BASED SURVEILLANCE SO WE CAN TEST THOSE WITH FLU LIKE SYMPTOMS FOR NOVEL CORONAVIRUS. THOSE PUBLIC HEALTH LABS ARE IN LOS ANGELES, SAN FRANCISCO, SEATTLE, CHICAGO AND NEW YORK CITY AND I WANT TO THANK THEM FOR THEIR PARTICIPATION, COLLABORATION AND SUPPORT. THIS IS JUST THE STARTING POINT AND WE PLAN TO EXPAND TO MORE SITES IN THE COMING WEEKS UNTIL WE HAVE NATIONAL SURVEILLANCE. THIS IS LEVERAGING OUR EXISTING INFLUENZA AND VIRAL RESPIRATORY SURVEILLANCE SYSTEMS. THIS IS AN EXTRA LAYER OF OUR RESPONSE THAT WILL HELP US DETECT IF AND WHEN THIS VIRUS IS SPEADING IN THE COMMUNITY. ALL OF OUR EFFORTS NOW ARE TO PREVENT THE SUSTAINED SPREAD OF THE VIRUS IS IN OUR COMMUNITY BUT WE NEED TO BE PREPARED FOR THE POSSIBILITY THAT IT WILL SPREAD. RESULTS FROM THIS SURVEILLANCE WOULD BE AN EARLY WARNING SIGNAL TO TRIGGER A CHANGE IN OUR RESPONSE STRATEGY. SECOND, AS WE TALK ABOUT THE POTENTIAL THREAT OF THIS NEW VIRUS, I WANT TO REMIND EVERYONE OF THE VERY REAL THREAT OF SEASONAL INFLUENZA. REPORTS OF INFLUENZA LIKE ILLNESS AND TESTING FOR INFLUENZA HAVE INCREASED IN THE PAST FEW WEEKS. WHILE INFLUENZA “B” WAS PREDOMINANT IN DECEMBER, WE HAVE SEEN A SHARP RISE IN INFLUENZA “A” H1N1 RECENTLY. HOSPITAL RATES IN CHILDREN ARE HIGH, ABOUT AS HIGH AS WE SAW DURING THE 2017-18 SEASON WHICH WAS A SEVERE SEASON. SO FAR THIS SEASON, WE ESTIMATE THAT THERE HAVE BEEN AT LEAST 26 MILLION FLU ILLNESSES, 250,000 HOSPITALIZATIONS, AND 14,000 DEATHS FROM FLU, SOME OF THOSE AMONG CHILDREN. WE HAVE THE VACCINES AND THE DRUGS TO FIGHT FLU ILLNESS. WE DON’T HAVE THE TOOLS YET FOR THIS NOVEL VIRUS BUT THERE ARE THINGS EVERYONE CAN DO TO CONTAIN THE SPREAD OF THE VIRUS. STAY INFORMED. CDC’S UPDATING THE WEBSITE DAILY WITH THE LATEST INFORMATION AND ADVICE FOR THE PUBLIC. AND REMEMBER TO TAKE EVERYDAY PREVENTIVE ACTIONS TO PREVENT THE SPREAD OF RESPIRATORY VIRUS. WE RECOGNIZE THE UNCERTAINTY OF THE CURRENT SITUATION AS ALWAYS CDC PUBLIC HEALTH EXPERTS STRIVE TO MAKE THE BEST RECOMMENDATIONS ON THE MOST UP TO DATE DATA. OUR GUIDANCE WILL CHANGE AS WE LEARN MORE ABOUT THIS VIRUS. I’D BE HAPPY TO TAKE QUESTIONS. >> THANK YOU. IF YOU’D LIKE TO ASK A QUESTION, YOU MAY PRESS STAR ONE. PLEASE LIMIT TO ONE QUESTION AND ONE FOLLOW-UP. THANK YOU. LENA SUN FROM “WASHINGTON POST,” YOU MAY GO AHEAD. >> HI, THANK YOU VERY MUCH FOR TAKING MY QUESTIONS. FIRST, COULD YOU PROVIDE A LITTLE BIT MORE DETAIL ABOUT HOW THIS SURVEILLANCE IS GOING TO WORK IN THOSE FIVE LOCALITIES? AND THEN SECOND, I WONDERED WHETHER YOU COULD TALK A LITTLE BIT MORE ABOUT THE INFORMATION YOU HAVE GOTTEN OR WHAT YOU KNOW ABOUT THE HEALTH CARE WORKERS. DO WE KNOW WHETHER THEY WERE INFECTED RECENTLY? IS IT, YOU KNOW, JUST SORT OF A LATE DATA COMING THROUGH FROM EARLIER ON? ANY MORE LIGHT YOU COULD SHED ON THAT WOULD BE VERY HELPFUL. THANK YOU. >> SURE. THANK YOU. SO IN RESPONSE TO THE FIRST QUESTION, WHAT I WOULD GENERALLY SAY IS THAT WE ARE LOOKING AT EXISTING SURVEILLANCE SYSTEMS FOR BOTH INFLUENZA AND FOR VIRAL RESPIRATORY DISEASES AND MODIFYING THEM TO BE ABLE TO DETECT THIS NEW CORONAVIRUS BECAUSE THAT’S A REALLY EFFICIENT WAY FOR US TO STAND UP WITHOUT BUILDING INDEPENDENT SYSTEMS. IF YOU GO TO THE FLU VIEW, YOU WILL SEE ALL OF THE SYSTEMS THAT WE’RE USING AND THAT SHOULD BE ABLE TO DESCRIBE IN MORE DETAIL BASICALLY WHAT WE’RE DOING AT THOSE SITES. EVERY ONE OF THOSE SITES IS A LITTLE BIT DIFFERENT SO IT’S NOT EXACTLY THE SAME OPERATIONS IN EACH OF THE SITES, BUT BASICALLY WE’RE TAKING THOSE FIVE SITES’ FLU SURVEILLANCE SYSTEMS AND ADDING ON LABORATORY TESTING AT THE PUBLIC HEALTH LABS FOR NOVEL CORONAVIRUS. ABOUT THE SECOND ISSUE, ALL WE HAVE SEEN SO FAR IS THE REPORTS THAT CAME OUT OVERNIGHT. IT’S OBVIOUSLY A CONCERNING NUMBER SO I WANTED TO MENTION IT. WE DON’T HAVE MORE DETAILS YET AS TO WHEN THOSE CASES OCCURRED. THAT IS, YOU KNOW, WHEN OVER THE COURSE OF THE OUTBREAK THE CASES OCCURRED AND WE’LL BE HOPING FOR MORE INFORMATION AND OBVIOUSLY THE TEAMS IN THE FIELD HOPEFULLY WILL BE ABLE TO PROVIDE THAT AS THEY GET — AS W.H.O. TEAMS GET THEIR MISSIONS MOVING. NEXT QUESTION. >> ADRIAN JOSEPH, YOU MAY GO AHEAD. >> THANKS. SO THE W.H.O. SAID IN THEIR PRESS BRIEFING THIS MORNING THAT I THINK A 12 MEMBER TEAM HAS — IS GOING INTO CHINA INTO THREE PROVINCES, THEY DIDN’T SPECIFY WHICH AND I GUESS I’M WONDERING IF THE CDC OR ANY AMERICAN MEMBERS ARE PART OF THE TEAM OR THERE STILL NEGOTIATING POSITIONS ABOUT GETTING THE U.S. TEAMS IN? >> I HADN’T SEEN THAT NOTICE YET, BUT I’M HAPPY THAT WAS ANNOUNCED. I DO UNDERSTAND THAT THERE’S A LARGER TEAM GOING IN. WE’RE QUITE HAPPY THAT THE CHINESE GOVERNMENT WILL HAVE THE ADVANTAGE OF SOME OUTSIDE EXPERIMENTS. WE HOPE THAT THE CDC STAFF WILL BE INCLUDED IN THE MISSION BUT I DON’T HAVE THE DETAILS AT HAND AS TO EXACTLY THOSE 12 MEMBERS ARE. AGAIN WHEN WE HAVE THAT INFORMATION WE’LL DEFINITELY PROVIDE IT. NEXT QUESTION. >> MIKE STOBBE FROM THE ASSOCIATED PRESS, YOU MAY GO AHEAD. >> HI, THANK YOU FOR TAKING MY CALL. FIRST, FOLLOWING LENA SUN’S QUESTION — I’LL GO TO YOUR WEBSITE BUT ARE THESE PUBLIC STATE — STATE PUBLIC HEALTH LABS OR CITY LABS OR — JUST A LITTLE BIT MORE ABOUT THE FACILITIES AND WHAT TESTING SYSTEM HAS ALREADY BEEN PART OF. ALSO, COULD YOU GIVE US AN UPDATE ON THE TEST KITS THAT WENT OUT TO THE STATES? HOW IS THAT GOING? HAVE THEY WORKED OUT THE REAGENT PROBLEM THAT THEY REMANUFACTURED IT OR WHEN ARE NEW KITS GOING OUT? THANK YOU. >> SO THE FIRST QUESTION IN TERMS OF WHAT PUBLIC HEALTH LABS ARE TALKING ABOUT, THESE ARE THE SAME PUBLIC HEALTH LABS THAT WE HAVE BEEN TALKING ABOUT THE NETWORK OF PUBLIC HEALTH LABS THAT IS THE INFRASTRUCTURE OF A LOT OF PUBLIC HEALTH SURVEILLANCE IN THE UNITED STATES. SO AMONG THE SITES THAT I MENTIONED ONE OF THOSE AS A CITY — THE OTHER IS A PUBLIC HEALTH LAB AND THEY’RE PART OF THE NATIONAL SURVEILLANCE NETWORK THAT WE DO FOR INFLUENZA WHICH IS WHY I DIRECT YOU TO FLU VIEW. THEY’RE CURRENTLY TESTING FOR INFLUENZA AND THE IDEA IS THEY’LL TEST THE INFLUENZA NEGATIVE SPECIMENS FOR NOVEL CORONAVIRUS. SORRY, FOR SARS COVID 2. SO IT’S BASICALLY TAKING THE ALREADY EXISTING INFLUENZA PUBLIC HEALTH LABORATORY SURVEILLANCE AND LOOKING AT THOSE THAT ARE FLU NEGATIVE FOR THIS NEW VIRUS. AGAIN, IT’S AN EFFICIENT WAY TO STAND UP SOMETHING VERY QUICKLY. IN TERMS OF THE LAB KITS AS WE HAVE TALKED ABOUT WE CAN BE PROUD OF HOW RAPIDLY OUR LABORATORY — WE CAN DEVELOP THE LAB DIAGNOSTIC IT IS BEING USED AT CDC UNDER HIGH QUALITY STANDARDS AS WE MOVED QUICKLY TO GET THAT OUT TO THE STATE AND THE STATES DID THEIR OWN VERIFICATION, THERE WERE SOME PROBLEMS WITH ONE OF THE REAGENTS AT THE STATE — THAT THE STATES IDENTIFIED. THEY WERE GETTING INDETERMINANT ANSWERS WHICH IS A SIGN THAT THERE NEEDED TO BE SOMETHING DONE DIFFERENTLY. SO WHAT WE’RE DOING AT CDC IS REFORMULATING THOSE REAGENTS AND WE ARE MOVING QUICKLY TO GET THOSE BACK OUT TO OUR LABS AT THE STATE AND LOCAL PUBLIC HEALTH LABS. BUT OBVIOUSLY WE HOLD OURSELVES TO THE HIGH QUALITY STANDARD AS WE SHOULD AND AS OUR STATE AND LOCAL PARTNERS DO AND WE WANT TO MAKE SURE THAT EVERY DOT IS DOTTED AND EVERY “T” IS CROSSED BEFORE WE PUT THE KITS OUT. AS SOON AS I HAVE AN ACTUAL TIME LINE I’LL GIVE IT TO YOU BUT I HATE TO PROJECT BECAUSE I WANT TO MAKE SURE THAT EVERYTHING IS DONE AT THE HIGHEST POSSIBLE LEVEL THAT CDC AND FTA AND ALL OF YOU EXPECT OF US. NEXT QUESTION. >> — FROM THE SOUTH CHINA MORNING POST, JIMMY, GO AHEAD. >> HI, I JUST WANTED TO GO BACK TO WHAT YOU WERE TALKING ABOUT IN TERMS OF THE — MOVING ON FROM KIND OF — [ INDISCERNIBLE ]. IS THIS LIKE WHERE THE GOVERNMENT OFFICIALS HAVE BEEN BROACHED — THIS SUBJECT. WHAT WOULD MITIGATION LOOK LIKE IN THE U.S. AND THE HEALTH CARE CONDITIONS ARE IN PLACE IF YOU NEED TO HAVE THAT KIND OF CHANGE IN YOUR RESPONSE STRATEGY? >> THANK YOU. I UNDERSTAND WHAT YOU’RE ASKING ABOUT IS THE CHANGE BETWEEN CONTAINMENT AND MITIGATION AND WHAT IT WOULD LOOK LIKE AND THANKS FOR THAT QUESTION BECAUSE IT ALLOWS ME TO SAY THAT IT’S NOT BLACK AND WHITE. THERE ARE TIMES WHEN THOSE COMPONENTS MERGED TOGETHER ACROSS THE UNITED STATES, POTENTIALLY AT DIFFERENT LOCATIONS IN THE UNITED STATES DEPENDING ON WHAT HAPPENS. WE’RE CONTINUING TO HOPE THAT WE WON’T SEE COMMUNITIES SPREAD AND CERTAINLY HOPING THAT OUR MEASURES GIVE US EXTRA TIME TO PREPARE BY GAINING OURSELVES THIS TIME, THE HOPE IS THAT WE’LL HAVE MORE TIME TO PREPARE. BUT FRANKLY OUR MODEL SUGGESTS THAT WE MAY BLUNT THE HEIGHT OF ANY CURVE AND THAT WOULD BE THE VALUED OUTCOME. WHAT DOES THIS LOOK LIKE, MITIGATION, IS WHEN YOU STOP TRYING TO TRACE CLOSE CONTACTS AROUND EVERY CASE TO CONTAIN THE CASE, AND INSTEAD TO FOCUS ON — FOCUS ON THE DISRUPTION AND THE COMMUNITY TRYING TO DECREASE THE BURDEN, TRYING TO DECREASE THE MORBIDITY AND MORTALITY. DOING EVERYTHING TO HELP AT A SOCIETAL LEVEL. THE KIND OF THINGS THAT WE’RE TALKING ABOUT ARE COMMUNITY LED LEVEL DECISIONS. FOR EXAMPLE, IN GENERAL, SOCIAL DISTANCING, SCHOOL CLOSURES, CANCELING MASS GATHERINGS, SORT OF NONPHARMACEUTICAL INTERVENTIONS WE’RE TALKING ABOUT THINGS LIKE TELEMEDICINE, TELESCHOOLING, TELEWORKING SO THAT AT A SOCIETAL LEVEL WE TRY TO DISRUPT THE SPREAD. IN A SITUATION LIKE THIS WHERE WE DON’T HAVE A VACCINE AND WE DON’T YET HAVE A SPECIFIC COUNTERMEASURE, THOSE KIND OF NONPHARMACEUTICAL INTERVENTIONS AT A COMMUNITY LEVEL ARE REALLY IMPORTANT. THAT’S WHY IN THIS TIME THAT WE HAVE GAINED OURSELF IS WORKING CLOSELY ACROSS ALL OF GOVERNMENT AND WITH OUR LOCAL AND STATE PARTNERS ON PLANNING FOR THOSE OPERATIONS. FORTUNATELY IN THE UNITED STATES BECAUSE WE HAVE DONE A LOT OF PLANNING AROUND PANDEMIC INFLUENZA WE HAVE A GOOD HEAD START, BUT WE NEED TO LOOK AT THE PLANS, SEE HOW THE CURRENT SITUATION MIGHT ALTER THEM AND YOU’LL SEE A LOT OF THE GUIDANCE COMING UP ON THE WEBSITE IN THE COMING WEEKS. NEXT QUESTION. >> JULIE STEENHUYSEN FROM REUTERS, YOU MAY GO AHEAD. >> THANK YOU. I WANT TO GET BACK TO THE HEALTH CARE WORKERS THAT WERE INFECTED IN CHINA. CAN YOU SAY ANYTHING ABOUT THE CHARACTERISTICS OF THIS VIRUS VERSUS OTHER CORONAVIRUSES SUCH AS SARS THAT WOULD BE PLAYING A ROLE IN THESE INFECTIONS? I MEAN, IS THERE ANYTHING, YOU KNOW, DIFFERENT BETWEEN THOSE — I MEAN, HEALTH CARE ASSOCIATED INFECTIONS WERE HUGE WITH SARS BUT THEY WERE ALSO ABLE TO BE CONTROLLED WITH SARS. I’M JUST WONDERING WHAT DO WE KNOW ABOUT THIS VIRUS AND IS IT DIFFERENT THAT COULD EXPLAIN ALL THOSE INFECTIONS? ALSO, YOU MAY BE ABLE TO BLUNT THE HEIGHT OF ANY CURVE. I MEAN, WHAT DO YOU MEAN ABOUT THAT? CAN YOU SAY MORE ABOUT WHAT YOUR MODELS ARE PREDICTING? THANK YOU. >> SURE. IT’S DIFFERENT QUESTIONS, SO START WITH THE FIRST ONE. SO AS YOU SORT OF IMPLY WITH SARS AND MERS, THERE WAS A SIGNIFICANT RISK OF NOSOCOMIAL INFECTIONS AND IT FUELED THE HIGH LEVEL OF CASES IN CERTAIN SITUATIONS. THERE’S NOTHING SPECIFIC THAT HELPS US DIFFERENTIATE IF IT’S MORE OR LESS LIKELY. I GUESS THOSE NUMBERS THAT CAME OUT OVERNIGHT CONCERN ME SO I WANTED TO MAKE SURE TO TALK ABOUT IT ON THIS CALL. TO POINT OUT THAT WE NEED TO BE PRISTINE IN OUR HEALTH CARE SETTING TO MAKE SURE THAT OUR HEALTH CARE WORKERS ARE SAFE. THAT BREAKDOWN IN INFECTION CONTROL IN THE HEALTH CARE SETTING IS ACTUALLY SOMETHING THAT INFECTION CONTROL PRACTITIONERS WORK AT EVERY SINGLE DAY BECAUSE THE CONDITIONS DO EXIST AND THE HEALTH CARE WORKERS DO HAVE TO MAINTAIN A HIGH LEVEL OF PRECISION EVERY DAY TO PREVENT NOSOCOMIAL SPREAD. IT’S A REMINDER WITH THE NEW VIRUS THERE’S A LOT WE DON’T KNOW SO WE NEED TO ERR ON THE SIDE OF CAUTION. IN TERMS OF MODELING, I HAVE BEEN ASKED THIS BEFORE BUT AT CDC WE HAVE LEARNED A LOT FROM PREVIOUS OUTBREAKS OF THE VARIETY OF DISEASES. ESPECIALLY WITH INFLUENZA. THERE AREN’T — THERE ARE SOMETHING LIKE 50 DIFFERENT GROUPS IN THE UNITED STATES RIGHT NOW THAT ARE DOING MATHEMATICAL MODELING AROUND THIS OUTBREAK. AND WHAT WE’RE DOING IS LOOKING ACROSS ALL OF THOSE GROUPS AND LOOKING AT ALL OF THE MODELS TO TRY TO GET THE BEST DATA THAT WE CAN TO HELP US INFORM THE U.S. RESPONSE. THEY’RE LOOKING AT A WIDE VARIETY OF THINGS AND STARTING WERE THE SAME ASSUMPTIONS WE CAN LOOK AT THOSE THINGS WITH THE DIFFERENT MODELS TOGETHER. ONE OF THE THINGS THAT OUR INFLUENZA MODELERS HAVE LOOKED AT IS THE IDEA THAT IF YOU COULD PUT IN PLACE SOME OF THESE COMMUNITY MITIGATION EFFORTS, YOU CAN DELAY THE ON SET OF THE PEAK OF THE CURVE BUT ALSO BLUNT THE CURVE. SO I GUESS WHAT I WAS TRYING TO EXPLAIN AND THERE’S A PICTURE SITTING IN FRONT OF ME, I WISH I COULD POINT IT OUT, BUT I THINK IT MIGHT BE ON THE WEBSITE. BUT IT’S A TYPICAL PICTURE THAT WE USE WHEN WE TALK ABOUT THESE KIND OF INTERVENTIONS WITH PANDEMIC INFLUENZA. YOU KNOW, THE IDEA IS THAT THIS VIRUS IS BEHAVING IN MANY WAYS LIKE WE’D EXPECT INFLUENZA IN TERMS OF ITS SPREAD. THEREFORE, WE THINK THE SAME MITIGATION EFFORTS MIGHT HAVE THE SAME KIND OF IMPACT AND THAT’S WHAT WE’RE USING THE MATHEMATICAL MODELING TO LOOK AT. NEXT QUESTION. >> FROM “THE WALL STREET JOURNAL,” YOU MAY GO AHEAD. >> HI, THANKS. I WANTED TO ASK ABOUT THE DIAMOND PRINCESS. JUST WONDERING IF AMERICANS WHO DISEMBARK FROM THE CRUISE SHIP WILL THEY UNDERGO ADDITIONAL SCREENINGS BY CDC OR QUARANTINE WHEN THEY RETURN TO THE U.S.? JUST WHAT’S THE PLAN FOR THEM? >> WELL, THANKS FOR THAT QUESTION. WHAT I CAN SAY IS WHILE I’M ON THE PHONE WITH YOU, OTHER SENIOR CDC STAFF ARE WORKING ACROSS THE GOVERNMENT, INTERAGENCY, WITH THE STATE DEPARTMENT AS WELL AS WITH THE FOLKS IN JAPAN, THE EMBASSY IN JAPAN, TO FIGURE OUT A PLAN. THESE — IT’S REALLY IMPORTANT TO ALL OF US THAT THESE PEOPLE ARE SAFE AND TAKEN WELL CARE OF. WE ARE ALSO CONCERNED THAT THE DATA COMING OUT OF JAPAN SUGGESTS THERE’S A HIGHER RISK AMONG THE PEOPLE ON THE SHIP AND THEREFORE THEIR SAFETY IS OF UTMOST IMPORTANCE. AND THAT SAFETY MEANS PRECAUTIONS FOR THEM TO DO THE BEST WE CAN TO MAKE SURE THAT THEY’RE SAFE AND WELL TREATED IF THEY ARE INDEED SICK. BUT ALSO TO MAKE SURE THAT THERE ARE PRECAUTIONS TO AVOID SPREAD OF THE VIRUS TO ANYONE ELSE. I DON’T HAVE A SPECIFIC ANSWER RIGHT NOW YET. I’M SORRY BECAUSE THOSE DISCUSSIONS ARE ONGOING BUT THERE WHEN THERE’S A SPECIFIC PLAN WE’LL BE LETTING YOU KNOW. NEXT QUESTION. >> EMMA COURT FROM BLOOMBERG NEWS, YOU MAY GO AHEAD. >> HI, I WAS HOPING YOU COULD PROVIDE SOME MORE CLARITY ABOUT THE MISSION — THE WORLD HEALTH ORGANIZATION MISSION AND WHETHER U.S. OFFICIALS WILL BE PART OF IT ALSO. HOPING YOU CAN FIND DISTRESSING — YOU CAN TALK ABOUT WHAT YOU FIND DISTRESSING ABOUT THE WUHAN FOOTAGE. >> YES. AS I SAY, WE — I HAD NOT SEEN THE ANNOUNCEMENT THIS MORNING FROM THE WORLD HEALTH ORGANIZATION. I DID UNDERSTAND THAT THERE WAS SOME THE ADVANCE — THE ADVANCED TEAM WAS PLANNING FOR A FURTHER MISSION WITH MORE STAFF SO I’M HAPPY TO HEAR THAT THAT HAS BEEN ANNOUNCED. THE COMPOSITION OF THE TEAM IN TERMS OF WHO THE ACTUAL MEMBERS ARE ON THIS FIRST TEAM HASN’T BEEN ANNOUNCED YET SO I CAN’T SPEAK TO THAT. BUT WE CONTINUE TO HOPE THAT CDC STAFF WILL BE — WILL BE INCLUDED IN THAT MISSION. OBVIOUSLY, I BELIEVE THAT WE HAVE GREAT EXPERTISE HERE AT CDC AND I HOPE WE CAN USE IT TO SUPPORT OUR CHINESE COLLEAGUES. IN TERMS OF WUHAN, WHAT I WOULD SAY IS THAT THE PICTURES CERTAINLY SHOW CASE THAT THE CITIZENS OF WUHAN ARE SUFFERING, BOTH FROM THE DISEASE, BUT ALSO FROM THE FEAR THAT IS CLEARLY PRESENT IN THEIR COMMUNITIES AND I THINK THAT WE SHOULD ALL FEEL FOR THAT SUFFERING AND, YOU KNOW, OUR WORK HERE IN THE UNITED STATES IS TO CONTAIN THE VIRUS. WE KNOW THAT THERE ARE CASES HERE, WE EXPECT THAT THERE MAY BE ADDITIONAL CASES. BUT WHAT WE’RE FOCUSING ON RIGHT NOW IS CONTAINING THE VIRUS WITH ONLY 15 CASES HERE IN THE UNITED STATES. WE REMAIN OPTIMISTIC THAT OUR AGGRESSIVE MEASURES HAVE SLOWED THE IMPACT OF IT HERE. AND WE’RE GOING TO CONTINUE TO MOVE AGGRESSIVELY IN THAT WAY. PREPARING FOR THE SPREAD BUT HOPING THAT WITH THE MEASURES WE HAVE TAKEN WE’LL BE ABLE TO PREVENT IT. I THINK NOW MAYBE WE HAVE TIME FOR TWO MORE QUESTIONS. >> THANK YOU. DAN VERGANO — FROM BUZZFEED NEWS, YOU MAY GO AHEAD. >> THANK YOU VERY MUCH. I WAS WONDERING IF YOU COULD TALK A LITTLE BIT ABOUT THE DEVELOPMENT OF SEROLOGICAL TESTING AND WHAT’S THE HOLDUP IN WHAT THAT WOULD REQUEST US UP AND CAN YOU TALK ABOUT WHAT YOU’RE DOING TO BLUNT THE OUTBREAKS OF THE MEASURES? >> SO THE ANSWER TO THE SECOND QUESTION, YES, WE’LL POST IT ON THE WEBSITE TO MAKE IT CLEARER. TRYING TO DESCRIBE THE GRAPH AND — WORDS IT WILL BE BEYOND ME A LITTLE BIT. YES, WE’LL DEFINITELY POST THAT. IN TERMS OF THE SEROLOGY I’LL START BY SAYING THAT I AGREE A SEROLOGICAL TEST IS IMPORTANT. WE CAN IDENTIFY WHETHER PEOPLE ARE BEING EXPOSED ENOUGH TO MOUNT AN IMMUNE RESPONSE WITHOUT GETTING ILL. SO IT WOULD HELP US WITH THE UNDERSTANDING OF HOW WIDESPREAD THIS IS. AND WHETHER THERE ARE PEOPLE WITH NO OR MILD SYMPTOMS ARE GETTING EXPOSE AND ZERO CONVERTING THAT’S SOMETHING WE WANT TO KNOW FOR THE UNITED STATES AND SOMETHING TO HELP US BETTER UNDERSTAND THE OUTBREAK OF THE — IN CHINA. OUR UNDERSTANDING FROM THE LABORATORY COLLEAGUES IT JUST TAKES A WHILE. WE NEED TO WAIT TO DRAW SPECIMENS FROM U.S. PATIENTS OVER A PERIOD OF TIME SO THAT WE CAN UNDERSTAND WHAT THE — WHAT THE SEROLOGY RESULTS LOOK LIKE IN PATIENTS OVER TIME TO BE ABLE TO SET THE RIGHT METRICS IN ORDER TO BE ABLE TO USE IT IN PATIENTS WHO AREN’T YET DIAGNOSED. SO MY UNDERSTANDING IS THAT THIS KIND OF DELAY IS WHAT YOU’D EXPECT TO SEE AND THEY’RE MOVING VERY QUICKLY AND DEFINITELY A PRIORITY FOR US. WHEN WE HAVE A TIME LINE, WHICH WILL LET YOU KNOW. ONCE THEY HAVE ALL OF THE APPROPRIATE SPECIMENS COLLECTED, I UNDERSTAND THAT IT’S A MATTER OF SEVERAL WEEKS AFTER THAT BECAUSE THEY’LL ACTUALLY HAVE THE TEST. BUT WE DON’T HAVE ALL OF THE SPECIMENS YET. I THINK THIS IS THE LAST QUESTION. >> LAST QUESTION. >> THANK YOU. DAVID BLOOM FROM POLITICO, YOU MAY GO AHEAD. >> ALL RIGHT. THANK YOU. I’D LIKE TO ASK ABOUT — IT SOUNDS LIKE YOU GUYS ARE — [ INDISCERNIBLE ]. AND CHECKING OUT THE THREAT IN THE UNITED STATES. ARE YOU LOOKING TO THE RISK — [ INDISCERNIBLE ]. >> I’M SORRY. THAT WAS A LITTLE GARBLED BUT I WANT TO MAKE SURE I UNDERSTAND IT. I THINK WHAT YOU’RE ASKING ABOUT IS FUNDING AND AS WE’RE MOVING FORWARD, SETTING UP ADDITIONAL SURVEILLANCE THE QUESTION OF THE RESOURCES NEEDED TO DO THAT. SO I WILL START BY SAYING AGAIN THAT WE ARE GRATEFUL TO CONGRESS FOR THEIR INVESTMENTS OVER THE PAST NUMBER OF YEARS IN PANDEMIC INFLUENZA PREPAREDNESS, IT’S BECAUSE OF THOSE INVESTMENTS THAT WE HAVE BUILD THE SURVEILLANCE SYSTEMS THAT WE’RE NOW LEANING ON AS WELL AS THE SYSTEMS TO HELP US FOR EXAMPLE FIGURE OUT MITIGATION EFFORTS. SO THAT’S A LONG TERM INVESTMENT AT CDC AND OUR STATES WHICH WE THINK IS SHOWING ITSELF NOW. IN ADDITION, WE’RE GRATEFUL FOR THE EMERGENCY RESPONSE, RAPID RESPONSE FUND. THAT REALLY HAS BEEN A GAME CHANGER FOR US IN ENABLING CDC TO QUICKLY STAND UP OPERATIONS AND WE’RE GRATEFUL FOR THAT USE. THE ADDITIONAL — WE SAID THAT WHEN WE NEED ADDITIONAL FUNDS WE’LL ASK FOR IT. RIGHT NOW, FUNDING HAS NOT BEEN A CONSTRAINT FOR US IN STANDING UP THE ACTIVITIES THAT WE’RE DOING NOW. AND AS WE MOVE FORWARD, I’M SURE THAT THERE WILL BE SOME ADDITIONAL CONSIDERATION OF WHAT THOSE NEEDS ARE. BUT THE REASON WE’RE DOING THE SURVEILLANCE THE WAY WE ARE BECAUSE IT’S THE EFFECTIVE WAY TO MOVE FORWARD BUT WE THINK IT’S EFFICIENT BECAUSE THOSE ARE EXISTING SYSTEMS AT CDC AND OUR STATE AND LOCAL PARTNERS ARE ALREADY USING SO THAT’S WHY WE’RE LEANING ON THE SYSTEMS. THANK YOU. >> OKAY. THANK YOU. THANK YOU ALL FOR JOINING US TODAY’S BRIEFING. PLEASE CHECK CDC’S COVID-19 UPDATED WEBSITE. 444-639-3286 OR EMAIL MEDIA AT CDC.GOV. THANK YOU. >> THANK YOU, THIS CONCLUDES TODAY’S CONFERENCE CALL. YOU MAY DISCONNECT AT THIS TIME. https://www.cdc.gov/media/releases/2020/t0214-covid-19-update.html.html

Cruise ship infection confirmed to 218 people infected 8 severely 13:15 on February 14, 2020New type pneumonia / cruise ship Outbreaks of the new coronavirus have been confirmed on cruise ships, and so far 218 people have been infected. Eight of the people who have been infected are seriously affected, and two people who are not infected and those who are being tested are also seriously ill. According to the Ministry of Health, Labor and Welfare, a total of 213 passengers and passengers were infected on the Diamond Princess cruise ship, anchored at Yokohama Port, as a result of conducting a test of 713 people by the 13th. Looking at the number of people who were infected by country, Japan was 110, the United States was 40, Australia was 16, Canada and the Philippines were 12, China was 6, Hong Kong was 4, and Britain and India were 3 Humans, Argentina, Ukraine and Taiwan are two, and New Zealand, Thailand, Portugal, Macedonia, Romania, and France are one each. Infections have been confirmed in 18 countries and regions. By age, 10 people in their 20s, 7 people in their 30s, 7 people in their 40s, 20 people in their 50s, 50 people in their 60s, 73 people in their 70s, 49 people in their 80s, and 90 people in their 90s Two people and over 60s account for about 80%. According to the Ministry of Health, Labor and Welfare, 8 of the confirmed cases are severely ill. In addition, two people, including those who have not been confirmed to be infected and those who are being tested, are seriously ill. The cruise ship initially has 3711 crew members and passengers, and those who are confirmed infected are being transported to medical institutions. In addition, a total of 265 people have got off the boat at 6:00 pm on the 13th, with another complaining of poor physical condition being hospitalized. The Ministry of Health, Labor and Welfare has requested that the remaining 3,446 people on board the ship stay in their cabin until the 19th of this month. For those aged 80 years or older who have a medical condition, if the virus test is negative, they will confirm their intentions, get off the boat and move to accommodation provided by the government. You.

The majority of the 218 COVID confirmed cases are from Japan (110) or the United States (40). Remainder are 16 Australia, 12 Canada, 12 Philippines, 6 China, 4 Hong Kong, 3 United Kingdom, 3 India, 2 Argentina, 2 Ukraine, 2 Taiwan, 1 New Zealand, Thailand, Portugal, Macedonia, Romania, France https://www3.nhk.or.jp/news/html/20200214/k10012284691000.html?utm_int=detail_contents_news-related_001

Interviews are on the nCoV interview thread (since jan 11)

COPD leads to poorer outcomes smoking history may correlate with severity

Diamond Princess Need to balance health and welfare of those on ship and safety of those in Japan

Time for solidarity and not stigma

1716 HCW infections and 6 deaths

are aymptomatic people sero-converting draw serum over time to fine tune sero-surveillance

CDC working out a plan with Japan to deal with Diamond Princess

Disrupt spread via limiting contacts school closings mass gatherings telecommuting

Setting up surveillance for influenza-like illness sites in LA, SF, Seattle, Chicago, NYC H1N1 levels increasing

600 still under quarantine testing symptomatic trying to slow entry of COVID community spread in additional countries and US likely 1700 HCWs infected in China

Media Advisory For Immediate Release Friday, February 14, 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 When 12:30 p.m. ET Friday, February 14, 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 When 12:30 p.m. ET Friday, February 14, 2020

14th February 2020 – (Hong Kong) As of yesterday, total coronavirus cases in Hong Kong has reached 53. In the latest media briefing this afternoon, Dr CHUANG Shuk-kwan from Centre of Health Protection expressed that there were three more cases today. The 54th case is the cousin sister of the 53th patient who lives at Big Wave Bay village in Shek O. She works as a clerk at Quarry Bay. She started to cough on 3rd January and was admitted to Ruttonjee Hospital on 13th January. The 54th patient had dinner with 46th, 48th, 49th, 52nd and 53rd patients on 26th January at Star Seafood Restaurant on King’s Road North Point on 26th January. There were a total of 6 confirmed cases from those who attended the dinner. https://www.dimsumdaily.hk/total-number-of-covid-19-cases-in-hong-kong-increases-to-56/

The first case involves a 41-year-old woman (the 54th case) who is the cousin of the 37-year-old male patient of the 53rd case confirmed yesterday (February 13). The patient has good past health and lives in Tai Long Wan Village, Shek O. She developed cough since February 3 and sought medical attention at Ruttonjee Hospital yesterday and was admitted for isolation and management. Her respiratory sample was tested positive for novel coronavirus and she is now in a stable condition. The patient had no travel history during the incubation period. She had dinner with the patients of five confirmed cases (the 46th, 48th, 49th, 52nd and 53rd case) at Star Seafood Restaurant in North Point on January 26 evening. According to the preliminary epidemiological investigations by the CHP, the patient has eight household close contacts. https://www.info.gov.hk/gia/general/202002/14/P2020021400711.htm