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Feb 5 PCR confirmed cases increase to 52,720 National lab confirmations caught up - Suspect cases (24,702) below Confirmed (28,018) Discharged cases (1,153) doubles deaths (563) Tencent flash of higher nCoV numbers on confirmed, suspect, deaths Tencent number on discharges too low - inconsistent with results for exported cases Confirmations on quarantined cruise ship off coast of Japan ex-Hong Kong Ship has 3711 people with 120 symptomatic and 153 contacts (20 nCov confirmed in first 102 tests) 2,666 passengers & 1045 crew Passengers include About 1300 Japanese, 416 Americans, 251 Canadians, 223 Australians , 13 New Zealanders,10 Israelis Crew includes 538 from Philippines nCov equal opportunity infector Confirmed cases 7 Japan, 3 Hong Kong, 3 United States, 2 Australia, 2 Canada, 1 Taiwan, 1 New Zealand, 1 Philippines 14 day quarantine will keep being extended as new nCoV cases are confirmed The increasing numbers will appear for each country with confirmed passengers or crew Demand will increase to remove passengers from ship and return to country of origin Situation starting to look like Twilight Zone episode of "To Serve Man" with nCoV looking for dinner http://mediaarchives.gsradio.net/rense/special/rense_020520_hr3.mp3

Virus detail Virus name: BetaCoV/Australia/NSW01/2020 Accession ID: EPI_ISL_407893 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2020-01-24 Location: Oceania / Australia / New South Wales / Sydney Host: Human

Virus detail Virus name: BetaCoV/Australia/QLD01/2020 Accession ID: EPI_ISL_407894 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2020-01-28 Location: Oceania / Australia / Queensland / Gold Coast

Virus detail Virus name: BetaCoV/Australia/QLD02/2020 Accession ID: EPI_ISL_407896 Type: betacoronavirus Passage details/history: Original Sample information Collection date: 2020-01-30 Location: Oceania / Australia / Queensland / Gold Coast Host: Human

Three nCoV sequences from Australia (2 from Queensland - Gold Coast and 1 from New South Wales - Sydney) are the orf8 lineage with Queensland sequences have mixed signals.

New coronavirus infection confirmed on a cruise ship calling at Yokohama Port 　The cruise ship “Diamond Princess”, which arrived at Yokohama Port on February 3, is undergoing quarantine at sea. As coronavirus positivity was confirmed, we will carry it to a medical institution in Kanagawa today. Positive cases were confirmed in 20 of 102 people, including yesterday. 　Those who are transported include elderly people and foreign nationals, and it is necessary to take measures that take into account physical conditions. The press is requested to give special consideration to coverage of this matter. 　Quarantine of the cruise ship continues to be implemented. We are currently conducting a new coronavirus test for those who need it, and the results will be announced later. https://www.mhlw.go.jp/stf/newpage_09340.html

The Japanese health ministry is holding the Diamond Princess cruise ship in Yakohomo, outside of Tokyo, and testing all 3,711 people on board because a man tested positive for the virus on Feb. 1 after disembarking. On Tuesday, Japanese officials found 10 people on the cruise ship had the virus. By Wednesday, 10 more tested positive, bringing the total to 20. Seven of the infected passengers are from Japan, three from the U.S., three from Hong Kong, two from Canada, two from Australia, one from Taiwan, and one from New Zealand. One person is a Princess Cruises crew member from the Philippines. The Japanese military has taken the people who have the virus to local hospitals, the cruise line said in a statement. Around half of the 2,666 passengers on board the ship are from Japan; 416 are from the U.S.

Coronavirus also confirmed on 7 Japan 3 United States 3 Hong Kong 1 Taiwan 1 New Zealand 1 Philippines https://www.miamiherald.com/news/business/tourism-cruises/article239983068.html

Update on pneumonia of new coronavirus infections as of 24:00 on February 5 Published: 2020-02-06Source : Health Emergency Office 　　At 04:00 on February 5th, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps reported 3694 newly confirmed cases (2987 in Hubei), and 261 newly cured cases (113 in Hubei). There were 21,365 close contacts of medical observations. There were 640 new severe cases (564 in Hubei), 73 new deaths (70 in Hubei, 1 in Tianjin, 1 in Heilongjiang, and 1 in Guizhou), and 5328 suspected cases (3230 in Hubei). 　　As of 24:00 on February 5th, 31 provinces (autonomous regions, municipalities) and the Xinjiang Production and Construction Corps had reported a total of 28,018 confirmed cases, a total of 1153 cases were cured and discharged, 26,302 cases were isolated (including 3,859 severe cases), and a total of 563 died Cases, there are 24,702 suspected cases. A total of 282,813 close contacts were traced, and 186,354 close contacts were still in medical observation. 　　A total of 42 confirmed cases were reported from Hong Kong, Macao and Taiwan: 21 in the Hong Kong Special Administrative Region (1 death), 10 in the Macao Special Administrative Region and 11 in Taiwan.     (Note: When quoted by the media, please mark "Information comes from the official website of the National Health and Health Commission.")

3,859 severe cases 1153 cases were cured and discharged, 563 died http://www.nhc.gov.cn/xcs/yqtb/202002/6b1e029fd22c484281cbc5e73dae98fc.shtml

FEBRUARY 05, 2020 10:56 AM Play VideoDuration 1:16 Novel Coronavirus reaches the United States: What you should know The 2019 Novel Coronavirus has sickened hundreds of people and killed more than two dozen people. Coronavirus is part of a family of viruses that ranges in severity. Learn more about the virus here. BY META VIERS Twenty people aboard a quarantined cruise ship run by Doral-based Carnival Corporation have tested positive for coronavirus, including three Americans. The Japanese health ministry is holding the Diamond Princess cruise ship in Yakohomo, outside of Tokyo, and testing all 3,711 people on board because a man tested positive for the virus on Feb. 1 after disembarking. On Tuesday, Japanese officials found 10 people on the cruise ship had the virus. By Wednesday, 10 more tested positive, bringing the total to 20. Seven of the infected passengers are from Japan, three from the U.S., three from Hong Kong, two from Canada, two from Australia, one from Taiwan, and one from New Zealand. One person is a Princess Cruises crew member from the Philippines. The Japanese military has taken the people who have the virus to local hospitals, the cruise line said in a statement. Around half of the 2,666 passengers on board the ship are from Japan; 416 are from the U.S. The coronavirus is a respiratory illness that has killed more than 560 people worldwide and has infected more than 28,000 people across 25 countries, including the United States, since it was first identified in Wuhan, China about two months ago, the World Health Organization said Wednesday. The majority of those who are infected live in China. Twelve people have fallen ill with the coronavirus in the United States, with 76 still pending testing as of Wednesday, the Centers of Disease Control and Prevention said. None of the confirmed cases are in Florida. Princess Cruises, owned by Carnival Corp., said water and food will be brought on board the ship as the company complies with the minimum two-week quarantine by Japanese health officials. “Guests will continue to be provided complimentary internet and telephone to use in order to stay in contact with their family and loved ones, and the ship’s crew is working to keep all guests comfortable,” the company said in a statement. The company has canceled the Diamond Princess’ scheduled sailings from Yokohama on Feb. 4 and Feb. 12. https://www.miamiherald.com/news/business/tourism-cruises/article239983068.html The coronavirus is a respiratory illness that has killed more than 560 people worldwide and has infected more than 28,000 people across 25 countries, including the United States, since it was first identified in Wuhan, China about two months ago, the World Health Organization said Wednesday. The majority of those who are infected live in China. Twelve people have fallen ill with the coronavirus in the United States, with 76 still pending testing as of Wednesday, the Centers of Disease Control and Prevention said. None of the confirmed cases are in Florida. Princess Cruises, owned by Carnival Corp., said water and food will be brought on board the ship as the company complies with the minimum two-week quarantine by Japanese health officials. “Guests will continue to be provided complimentary internet and telephone to use in order to stay in contact with their family and loved ones, and the ship’s crew is working to keep all guests comfortable,” the company said in a statement. The company has canceled the Diamond Princess’ scheduled sailings from Yokohama on Feb. 4 and Feb. 12.

The Japanese health ministry is holding the Diamond Princess cruise ship in Yakohomo, outside of Tokyo, and testing all 3,711 people on board because a man tested positive for the virus on Feb. 1 after disembarking. On Tuesday, Japanese officials found 10 people on the cruise ship had the virus. By Wednesday, 10 more tested positive, bringing the total to 20. Seven of the infected passengers are from Japan, three from the U.S., three from Hong Kong, two from Canada, two from Australia, one from Taiwan, and one from New Zealand. One person is a Princess Cruises crew member from the Philippines. The Japanese military has taken the people who have the virus to local hospitals, the cruise line said in a statement. Around half of the 2,666 passengers on board the ship are from Japan; 416 are from the U.S.

Twenty people aboard a quarantined cruise ship run by Doral-based Carnival Corporation have tested positive for coronavirus, including three Americans. https://www.miamiherald.com/news/business/tourism-cruises/article239983068.html

WORLD NEWS FEBRUARY 5, 2020 / 7:04 PM / UPDATED 34 MINUTES AGO Ten more on cruise ship in Japan test positive for coronavirus: NHK 2 MIN READ Cruise ship Diamond Princess, where 10 people on the ship had tested positive for coronavirus yesterday, approaches Daikoku Pier Cruise Terminal in Yokohama, south of Tokyo, Japan February 6, 2020. REUTERS/Kim Kyung-Hoon TOKYO (Reuters) - Ten more people on a cruise liner in the port of Yokohama, south of Tokyo, tested positive for coronavirus, NHK said on Thursday, citing the health ministry. About 3,700 people are facing at least two weeks quarantined on the cruise ship after 10 people initially were confirmed positive with the virus and moved out to medical facilities. If the new infections are confirmed, that would bring the total number of coronavirus patients in Japan to 45. The ship was caught up in the global coronavirus epidemic after an 80-year-old Hong Kong man tested positive for the virus after disembarking the ship late last month. Passengers on Carnival’s Diamond Princess, which arrived in Yokohama on Monday after a 14-day round trip, face another two weeks on the ship off Yokohama port near Tokyo. They and their relatives took to social media to detail their predicament and situations on the cruise ship. A passenger using the handle @daxa_tw tweeted early Thursday morning that crew members handed out medication refill request forms for those in need of medicines. Another 73 people on the Chinese mainland died on Wednesday from the coronavirus outbreak, the highest daily increase so far, bringing the total death toll to 563, the country’s health authority said on Thursday. The National Health Commission said another 3,694 coronavirus cases were reported throughout the country on Feb. 5, bringing the total to 28,018. Reporting by Ju-min Park; Editing by Chang-Ran Kim and Michael Perry Our Standards:The Thomson Reuters Trust Principles. https://www.reuters.com/article/us-china-health-japan-cruise/ten-more-on-cruise-ship-in-japan-test-positive-for-coronavirus-nhk-idUSKBN1ZZ360

The cruise ship “Diamond Princess”, which arrived at Yokohama Port on February 3, is undergoing quarantine at sea. As coronavirus positivity was confirmed, we will carry it to a medical institution in Kanagawa today. Positive cases were confirmed in 20 of 102 people, including yesterday. 　Those who are transported include elderly people and foreign nationals, and it is necessary to take measures that take into account physical conditions. The press is requested to give special consideration to coverage of this matter. 　Quarantine of the cruise ship continues to be implemented. We are currently conducting a new coronavirus test for those who need it, and the results will be announced later. https://www.mhlw.go.jp/stf/newpage_09340.html

Japan MoH lab cited 20 nCoV positives out of 102 tested test (up from 10 out of 31)

Epidemic situation of new coronavirus infection in Hubei Province on February 5, 2020 From 00:00 to 24:00 on February 5, 2020 , 2987 new pneumonia cases of new coronavirus infection were added in Hubei Province , of which: 1766 in Wuhan, 424 in Xiaogan, 162 in Huanggang, 128 in Suizhou, and Jingzhou 88 cases, 86 cases in Jingmen City, 67 cases in Yichang City, 57 cases in Huangshi City, 52 cases in Xiangyang City, 41 cases in Ezhou City, 40 cases in Xiantao City, 35 cases in Shiyan City, 15 cases in Xianning City, 10 cases in Tianmen City, Qianjiang City There were 10 cases in the city and 6 cases in Enshi Prefecture. There were 70 new deaths in the province , including 52 in Wuhan, 2 in Yichang, 1 in Jingzhou, 1 in Jingmen, 7 in Xiaogan, 4 in Huanggang, 1 in Xianning, 1 in Suizhou, One case in Xiantao City. A total of 113 new patients were discharged , including 63 in Wuhan, 7 in Huangshi, 5 in Shiyan, 3 in Xiangyang, 9 in Jingzhou, 5 in Jingmen, 2 in Ezhou, 3 in Xiaogan, and Huanggang There were 10 cases, 1 in Xianning City, 4 in Enshi Prefecture, and 1 in Tianmen City. As of 24:00 on February 5, 2020, 19665 cases of pneumonia of new coronavirus infection have been reported in Hubei Province , including 10117 cases in Wuhan, 1886 cases in Xiaogan City, 1807 cases in Huanggang City, 834 cases in Suizhou City, and 801 cases in Jingzhou City. 787 cases in Xiangyang City, 566 cases in Huangshi City, 563 cases in Yichang City, 508 cases in Jingmen City, 423 cases in Ezhou City, 399 cases in Xianning City, 353 cases in Shiyan City, 265 cases in Xiantao City, 144 cases in Enshi Prefecture, and 138 cases in Tianmen City There were 64 cases in Qianjiang City and 10 cases in Shennongjia Forest District. 633 patients have been cured and discharged. There were 549 deaths, including: 414 in Wuhan, 2 in Huangshi, 2 in Xiangyang, 6 in Yichang, 10 in Jingzhou, 17 in Jingmen, 18 in Ezhou, 25 in Xiaogan, and 29 in Huanggang. 1 in Xianning, 9 in Suizhou, 5 in Xiantao, 10 in Tianmen, and 1 in Qianjiang. At present , 14314 cases are still being treated in the hospital , including 2328 cases of severe cases and 756 cases of critical cases, all of which are receiving isolation treatment at designated medical institutions. A total of 90,997 close contacts have been tracked, and 64,127 people are still under medical observation.

2328 cases of severe cases and 756 cases of critical cases - 633 patients have been cured and discharged - 549 deaths http://wjw.hubei.gov.cn/fbjd/dtyw/202002/t20200206_2019847.shtml

2019 Novel Coronavirus (2019-nCoV), Wuhan, China Updated 2/5/2020 Wisconsin Investigation Details As of February 5, 2020 We plan to update this information by 2 p.m. on weekdays. The Centers for Disease Control and Prevention (CDC) and the Division of Public Health (DPH) are closely monitoring an outbreak caused by a novel (new) coronavirus (2019-nCoV) that originated in Wuhan, China. On February 5, Wisconsin confirmed its first case of 2019-nCoV. See the DHS press release for more information. Health care providers should contact DPH at 608-267-9003 for consultation and approval of 2019-nCoV testing for patients who meet the clinical and epidemiologic criteria(link is external). 2019-nCoV was declared a Category I reportable disease by the State Epidemiologist per a memo issued on Feb. 4, 2020. People Under Investigation (PUI) in Wisconsin Test Results Number of People Positive 1 Negative 7 Pending 2 Total 10 https://www.dhs.wisconsin.gov/outbreaks/index.htm

FOR IMMEDIATE RELEASE February 5, 2020 CONTACT: Jennifer Miller, 608-266-1683 Elizabeth Goodsitt, 608-266-1683 2019 Novel Coronavirus Case is Confirmed in Wisconsin Risk to Wisconsin Public Remains Low The Wisconsin Department of Health Services (DHS), UW Hospital and Clinics, the local health department, and the Centers for Disease Control and Prevention (CDC) have confirmed the first case of 2019 novel coronavirus in Wisconsin. The case was confirmed at the CDC. The immediate health risk to the general public for contracting this virus is low. The patient is an adult with a history of travel to Beijing, China prior to becoming ill and was exposed to known cases while in China. The individual is isolated at home, and is doing well. Out of respect for the privacy of the patient and their household, this is the only information that is available. While the risk to the general public remains low, DHS, UW Hospital and Clinics, the local health department, and the CDC are working together to prevent disease transmission by evaluating close contacts of the patient and health care personnel who cared for the patient. “DHS is operating with an abundance of caution and is working very closely with the local health department and UW Hospital and Clinics to ensure that this patient and any close contacts are closely monitored,” said State Health Officer Jeanne Ayers. “The risk of getting sick from 2019 novel coronavirus in Wisconsin is very low. We are responding aggressively to the situation and monitoring all developments. We are committed to keeping the public fully informed and will continue to provide updates as this situation unfolds.” “UW Health has taken precautions, including ongoing staff training and recently expanding our travel history questions,” said UW Health Medical Director of Infection Control Dr. Nasia Safdar. “Since initial treatment at University Hospital, the patient has been self-quarantined at home. We are coordinating with the CDC, DHS, and local health authorities.” Symptoms of the virus include fever, cough, and difficulty breathing, which may appear anywhere from two to 14 days after someone is exposed to the virus. Symptoms have ranged from a mild illness (like a common cold) to severe pneumonia requiring hospitalization. We are encouraging travelers returning from China or contacts of patients with a confirmed case who become ill to let their health care providers know of their possible exposure before arriving at the health care facility. The steps that all Wisconsin residents can take to help prevent the spread of this virus are the same as those used to protect against colds and flu: cover your coughs and sneezes, wash hands frequently, and stay home when you’re sick. Influenza and other seasonal respiratory viruses are common in Wisconsin at this time of year. Updates on the 2019 novel coronavirus, including case counts, are available on the DHS Outbreaks and Investigations webpage by 2 p.m. on weekdays. https://www.dhs.wisconsin.gov/news/releases/020520.htm

MADISON, Wis. (AP) — A Wisconsin resident has been sickened with a new virus that originated in China and spread across the world, the first case in Wisconsin and the 12th in the country, health officials said Wednesday. The patient is an adult isolated at their home but state health officials would not say where they are located, their age or any other details. More details about the person’s location will be coming later from the local health department, said Dr. Ryan Westergaard, chief medical officer in the Department of Health Services Bureau of Communicable Disease. The person was never hospitalized but was evaluated and tested at the University of Wisconsin Hospital in Madison, Westergaard said.

First Wisconsin coronavirus case confirmed by AP News February 5, 2020 in Homepage Showcase, News https://wtmj.com/news/2020/02/05/first-wisconsin-coronavirus-case-confirmed/

References World Health Organization. Novel coronavirus (2019-nCoV). Situation report 1. Geneva, Switzerland: World Health Organization; 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200121-sitrep-1-2019-ncov.pdf?sfvrsnpdf iconexternal icon World Health Organization. Novel coronavirus(2019-nCoV). Situation report 15. Geneva, Switzerland: World Health Organization; 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200204-sitrep-15-ncov.pdf?sfvrsn=88fe8ad6_2pdf iconexternal icon Office of the President. Proclamation on suspension of entry as immigrants and nonimmigrants of persons who pose a risk of transmitting 2019 novel coronavirus. Washington, DC: Office of the President; 2020. https://www.whitehouse.gov/presidential-actions/proclamation-suspension-entry-immigrants-nonimmigrants-persons-pose-risk-transmitting-2019-novel-coronavirus/external icon Holloway R, Rasmussen SA, Zaza S, Cox NJ, Jernigan DB. Updated preparedness and response framework for influenza pandemics. MMWR Recomm Rep 2014;63(No. RR-6). PubMedexternal icon Reed C, Biggerstaff M, Finelli L, et al. Novel framework for assessing epidemiologic effects of influenza epidemics and pandemics. Emerg Infect Dis 2013;19:85–91. CrossRefexternal icon PubMedexternal icon Lu R, Zhao X, Li J, et al. Genomic characterization and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet 2020. Epub January 29, 2020. CrossRefexternal icon Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020.Epub January 29, 2020. CrossRefexternal icon PubMedexternal icon Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020. Epub January 30, 2020. CrossRefexternal icon PubMedexternal icon Hunag C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020. Epub January 24, 2020. CrossRefexternal icon Grohskopf LA, Alyanak E, Broder KR, Walter EB, Fry AM, Jernigan DB. Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices—United States, 2019–20 influenza season. MMWR Recomm Rep 2019;68(No. RR-3). CrossRefexternal icon PubMedexternal icon

TABLE. Characteristics of initial 2019 novel coronavirus cases (N = 11) — United States, January 21–February 4, 2020 Case State Approximate age (yrs) Sex Place of exposure Date laboratory confirmation announced 1 Washington 30s M Wuhan 1/21/2020 2 Illinois 60s F Wuhan 1/24/2020 3 Arizona 20s M Wuhan 1/26/2020 4 California 30s M Wuhan 1/27/2020 5 California 50s M Wuhan 1/27/2020 6 Illinois 60s M Household Illinois 1/30/2020 7 California 40s M Wuhan 1/31/2020 8 Massachusetts 20s M Wuhan 2/01/2020 9 California 50s F Wuhan 2/02/2020 10 California 50s M Wuhan 2/02/2020 11 California 50s F Household California 2/02/2020 Abbreviations: F = female; M = male.

Discussion The 2019-nCoV has impacted multiple countries, caused severe illness, and sustained person-to-person transmission making it a concerning and serious public health threat. It is unclear how this virus will impact the U.S. over time. For the general population, who are unlikely to be exposed to this virus at the current time, the immediate health risk from 2019-nCoV is considered low. CDC, multiple other federal agencies, state and local health departments, and other partners are implementing aggressive measures to slow U.S. transmission of 2019-nCoV (4,5). These measures require the identification of cases and contacts in the United States and the effective management of the estimated 14,000 travelers arriving from mainland China to the United States each day (3). These measures are being implemented based on the assumption that there will be more U.S. 2019-nCoV cases occurring with potential chains of transmission, with the understanding that these measures might not prevent the eventual establishment of ongoing, widespread transmission of the virus in the United States. It is important for public health agencies, health care providers, and the public to be aware of this new 2019-nCoV so that coordinated, timely, and effective actions can help prevent additional cases or poor health outcomes. The critical role that the U.S. health care system plays in halting or significantly slowing U.S. transmission of 2019-nCoV is already evident: eight of the first 11 U.S. cases were detected by clinicians collaborating with public health to test persons at risk. The early recognition of cases in the United States reduces transmission risk and increases understanding of the virus, including its transmission and severity, to inform national and global response actions. 2019-nCoV symptoms are similar to those of influenza (e.g., fever, cough, or sore throat), and the outbreak is occurring during a time of year when respiratory illnesses from influenza, respiratory syncytial virus, and other respiratory viruses are highly prevalent. To prevent influenza, all persons aged ≥6 months should receive an annual influenza vaccine, and vaccination is still available and effective in helping to prevent influenza (10). Reducing the number of persons in the United States with seasonal influenza will reduce possible confusion with 2019-nCoV infection and possible additional risk to patients with seasonal influenza. Public health authorities are monitoring the situation closely. As more is learned about this novel virus and this outbreak, CDC will rapidly incorporate new knowledge into guidance for action. Top Acknowledgments Arizona Department of Health Services; Maricopa County Department of Public Health; California Department of Public Health; Los Angeles County Department of Public Health; Orange County Health Department; San Benito County Public Health Services Department; Santa Clara County Public Health Department; Illinois Department of Public Health; Chicago Department of Public Health; Cook County Department of Public Health; DuPage County Health Department; Massachusetts Department of Public Health; Washington State Department of Health; Snohomish Health District. 1Incident Manager, 2019-nCoV CDC Response, CDC. Top All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed. Top * Includes any of the following: dyspnea, respiratory rate >30 breaths per minute, hypoxemia, or chest x-ray with multilobar infiltrates or >50% progression of pulmonary infiltration within 24–48 hours per WHO. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200123-sitrep-3-2019-ncov.pdfpdf iconexternal icon. † https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)external icon. § https://www.phe.gov/emergency/news/healthactions/phe/Pages/2019-nCoV.aspxexternal icon. ¶ Criteria to guide evaluation and testing of patients under investigation for 2019-nCoV include 1) fever or signs or symptoms of lower respiratory tract illness (e.g., cough or shortness of breath) in any person, including a health care worker, who has had close contact with a patient with laboratory-confirmed 2019-nCoV infection within 14 days of symptom onset; 2) fever and signs or symptoms of lower respiratory tract illness (e.g., cough or shortness of breath) in any person with a history of travel from Hubei Province, China, within 14 days of symptom onset; or 3) fever and signs or symptoms of lower respiratory tract illness (e.g., cough or shortness of breath) requiring hospitalization in any person with a history of travel from mainland China within 14 days of symptom onset. More information is available at https://emergency.cdc.gov/han/han00427.asp and https://emergency.cdc.gov/han/han00426.asp. ** https://wwwnc.cdc.gov/travel/notices/warning/novel-coronavirus-china. †† https://www.cdc.gov/media/releases/2020/p0117-coronavirus-screening.html. §§ CDC’s initial health screening includes a measurement of each traveler’s temperature with a handheld noncontact thermometer, observation of these travelers for visible signs of respiratory illness (e.g., cough or difficulty breathing), and review of symptoms through a self-administered questionnaire. ¶¶ The more comprehensive public health assessment determines, based on the traveler’s illness and exposure, whether the traveler should be taken to a hospital for further medical evaluation and care, which might include testing for 2019-nCoV. *** https://www.cdc.gov/coronavirus/2019-ncov/travelers/communication-resources.html. ††† https://emergency.cdc.gov/han/han00427.asp. §§§ https://emergency.cdc.gov/coca/calls/2020/callinfo_013120.asp. ¶¶¶ Close contact is defined as 1) being within approximately 6 ft (2 m) of a 2019-nCoV patient for a prolonged period while not wearing recommended personal protective equipment (PPE) (e.g., gowns, gloves, National Institute for Occupational Safety and Health–certified disposable N95 respirator, and eye protection); close contact can occur while caring for, living with, visiting, or sharing a health care waiting area or room with a 2019-nCoV patient; or 2) having direct contact with infectious secretions of a 2019-nCoV patient (e.g., being coughed on) while not wearing recommended PPE. **** https://www.cdc.gov/coronavirus/2019-nCoV/lab/guidelines-clinical-specimens.html.