niman

Interview tonight 11 PM ET Dr. Henry Niman PhDNightly SARS 2.0 nCoV Special ReportTop Chinese Virologists Says This Could Easily Be 10 Times Worse Than SARSThe Numbers Soar, Cases Spread, Over 23 Million Quarantined But The WHO Still Refuses To Call A PHEIC

Tonight 11 PM ET Dr. Henry Niman PhDNightly SARS 2.0 nCoV Special ReportTop Chinese Virologists Says This Could Easily Be 10 Times Worse Than SARSThe Numbers Soar, Cases Spread, Over 23 Million Quarantined But The WHO Still Refuses To Call A PHEIC

As the uncertainty continued, Guan, the virologist who identified SARS, offered a chilling perspective on the outbreak. “I’ve seen it all: bird flu, SARS, influenza A, swine fever and the rest. But the Wuhan pneumonia makes me feel extremely powerless,” he told Caixin. “Most of the past epidemics were controllable, but this time, I’m petrified.” https://www.washingtonpost.com/world/coronavirus-china-wuhan-latest/2020/01/23/2dc947a8-3d45-11ea-afe2-090eb37b60b1_story.html

Novel Coronavirus in Wuhan, China Warning - Level 3, Avoid Nonessential Travel Alert - Level 2, Practice Enhanced Precautions Watch - Level 1, Practice Usual Precautions Key Points CDC recommends that travelers avoid all nonessential travel to Wuhan, China. There is an ongoing outbreak of respiratory illness caused by a novel (new) coronavirus that can be spread from person to person. Chinese officials have closed transport within and out of Wuhan, including buses, subways, trains, and the international airport. Preliminary information suggests that older adults and people with underlying health conditions may be at increased risk for severe disease from this virus. The situation is evolving. This notice will be updated as more information becomes available. What is the current situation? CDC recommends that travelers avoid all nonessential travel to Wuhan, China. In response to an outbreak of respiratory illness, Chinese officials have closed transport within and out of Wuhan, including buses, subways, trains, and the international airport. Information for travelers to other parts of China is available at wwwnc.cdc.gov/travel/destinations/traveler/none/china. A novel (new) coronavirus is causing an outbreak of respiratory illness in the city of Wuhan, Hubei Province, China. This outbreak began in early December 2019 and continues to expand in scope and magnitude. Chinese health officials have reported hundreds of cases in the city of Wuhan and severe illness has been reported, including deaths. Cases have also been identified in travelers from Wuhan to other parts of China and other countries, including the United States. We expect more cases to be confirmed. Person-to-person spread is occurring though it’s unclear how easily this virus is spreading between people at this time. Coronaviruses are a large family of viruses. There are several known coronaviruses that infect people and usually only cause mild respiratory disease, such as the common cold. However, at least two previously identified coronaviruses have caused severe disease — severe acute respiratory syndrome (SARS) coronavirus and Middle East respiratory syndrome (MERS) coronavirus. Signs and symptoms of this illness include fever, cough, and difficulty breathing. This novel coronavirus has the potential to cause severe disease and death. Preliminary information suggests older adults and people with underlying health conditions or compromised immune systems may be at higher risk of severe illness from this virus. Many characteristics of this novel coronavirus and how it may affect people are still unclear. In response to this outbreak, Chinese officials are screening travelers leaving the city of Wuhan. Several countries and territories throughout the world are reported to have implemented health screening of travelers arriving from Wuhan. On arrival to the United States, travelers from Wuhan may undergo health screening, including having their temperature taken and being asked to fill out a symptom questionnaire. Travelers with signs and symptoms of illness (fever, cough, or difficulty breathing) will have an additional health assessment. What can travelers do to protect themselves and others? CDC recommends avoiding nonessential travel to Wuhan. If you must travel: Avoid contact with sick people. Avoid animals (alive or dead), animal markets, and products that come from animals (such as uncooked meat). Wash hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer if soap and water are not available. Older adults and travelers with underlying health issues may be at risk for more severe disease and should discuss travel to Wuhan with their healthcare provider. If you traveled to Wuhan in the last 14 days and feel sick with fever, cough, or difficulty breathing, you should: Seek medical care right away. Before you go to a doctor’s office or emergency room, call ahead and tell them about your recent travel and your symptoms. Avoid contact with others. Not travel while sick. Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing. Wash hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer if soap and water are not available. Clinician Information Healthcare providers should obtain a detailed travel history for patients with fever and respiratory symptoms. For patients with these symptoms who were in Wuhan on or after December 1, 2019 and had onset of illness within 2 weeks of leaving, consider the novel coronavirus outbreak in China and notify infection control personnel and your local health department immediately. Although routes of transmission have yet to be definitively determined, CDC recommends a cautious approach to interacting with patients under investigation. Ask such patients to wear a surgical mask as soon as they are identified. Conduct their evaluation in a private room with the door closed, ideally an airborne infection isolation room, if available. Personnel entering the room should use standard precautions, contact precautions, and airborne precautions, and use eye protection (goggles or a face shield). For additional infection control guidance, visit CDC’s Infection Control webpage. For additional information, please see: Novel Coronavirus 2019, Wuhan, China Information for Healthcare Professionals Health Alert Notice, Update and Interim Guidance on Outbreak of 2019 Novel Coronavirus (2019-nCoV) in Wuhan, China WHO, Coronavirus This notice was originally posted January 23, 2020.

CDC raises travel alert for Wuhan to Level 3 https://wwwnc.cdc.gov/travel/notices/warning/novel-coronavirus-wuhan-china

As of 24:00 on January 23, the National Health Commission has received a total of 830 confirmed cases of pneumonia of new coronavirus infection in 29 provinces (autonomous regions and municipalities), including 177 severe cases and 25 deaths, including 24 cases in Hubei Province 1 case in Hebei Province. 34 patients have been cured and discharged. A total of 1072 suspected cases were reported in 20 provinces (autonomous regions and municipalities). A total of 5 confirmed cases were received from Hong Kong, Macao, and Taiwan, including 2 in the Hong Kong Special Administrative Region, 2 in the Macao Special Administrative Region, and 1 in Taiwan. A total of 9 confirmed cases were reported from abroad, including 3 in Thailand (2 cases have been cured), 1 in Japan (have been cured), 1 in South Korea, 1 in the United States, 2 in Vietnam, and 1 in Singapore. At present, 9507 people have been traced, 1087 people have been released from medical observation, and 8420 people are still receiving medical observation.

including 177 severe cases and 25 deaths, A total of 1072 suspected cases were reported in 20 provinces https://news.sina.cn/gn/2020-01-24/detail-iihnzahk6077769.d.html

Liu Zhen in Beijing Published: 1:48pm, 23 Jan, 2020 Updated: 6:47pm, 23 Jan, 2020 A Chinese virologist has said the new coronavirus outbreak could be 10 times as bad as Sars. Photo: EPA-EFE A leading Chinese virology expert has warned that the Wuhan coronavirus epidemic could be 10 times as bad as the Sars outbreak that killed almost 800 people around the world in 2002-03. Guan Yi, director of the State Key Laboratory of Emerging Infectious Diseases at Hong Kong University, said in an interview with Caixin magazine on Thursday that after a brief visit to the central China city on Tuesday and Wednesday, he “chose to become a deserter” and left. “My conservative estimate is that this epidemic could end up at least 10 times the scale of Sars [severe acute respiratory disease],” he said. During the Sars outbreak, which was also caused by a coronavirus, 8,098 people fell ill around the world and 774 died, according to figures from the World Health Organisation (WHO). In mainland China there were 5,327 cases and 348 deaths, and in Hong Kong, 1,755 cases and 298 deaths. As of midnight Thursday, there had been 17 deaths and 583 confirmed cases of the new coronavirus – named 2019-nCoV by the WHO. Hubei province, of which Wuhan is the capital, has accounted for all of the fatalities and 444 cases of the 571 confirmed cases in mainland China. One of the reasons for the prediction was that authorities in Wuhan had missed their best opportunity to contain the spread of the disease, Guan said. Although a travel ban had been introduced in the city on Thursday morning, the “golden time” to contain the virus had passed, as most of the people travelling home for the Lunar New Year holiday had already left, he said. “They might have been in contact with patients in the community and still in the incubation stage when they left Wuhan. They are probably virus carriers on the move.” On Wednesday alone, 299,600 train passengers departed from Wuhan, one of China’s busiest transport hubs, according to figures from the local railway authority. Information on the number of people who had left the city by air, road or river was not immediately available. Guan said he expected the outbreak to peak over the weekend, as the virus had an incubation period of about eight days. He said also that vital evidence that could have been used to trace the source of the virus had been destroyed when the seafood market in Wuhan – the epicentre of the outbreak – was washed clean. Meanwhile, Chinese health authorities said on Thursday that the outbreak in Wuhan had become a full-blown community epidemic. The Centre for Disease Control and Prevention (CDC) said in its latest report that more than half of the 198 infected people it had surveyed had never been to the seafood market in Wuhan, nor had they had any contact with infected patients. “Transmission within communities is believed to be taking place in Wuhan,” the report said. Its assessment “indicated that the epidemic is ongoing in Wuhan and that further spread is almost certain”. Community outbreak is the stage in the spread of a disease when it expands from transmission within families and hospitals, to the wider community. The epidemiological investigation found that 51 per cent of patients studied had neither visited Huanan Seafood Wholesale Market nor had contact with infected patients, the CDC said. Only 22 per cent had had direct exposure to the market, and 32 per cent had had contact with other people showing fever or respiratory symptoms, it said. The CDC said that another health care worker was suspected to be infected, in addition to the 15 already confirmed in Wuhan. In a press conference on Wednesday, Li Bin, director of the National Health Commission, said community outbreaks had been found in only “certain areas of the city”.

Authorities in Wuhan took too long to impose travel ban so ‘golden time’ to contain spread of disease has passed, virologist Guan Yi says Vital evidence that could have been used to identify source of infection also lost when seafood market in Wuhan was washed clean, he says https://www.scmp.com/news/china/article/3047319/wuhan-coronavirus-full-blown-community-epidemic-chinese-health

8 newly diagnosed cases of new coronary pneumonia in Guangxi, a total of 13 cases Beijing News Express According to the Guangxi Zhuang Autonomous Region Health and Health Commission's report, at 04:00 on January 23, 2020, Guangxi reported 8 new confirmed cases of pneumonia with new coronavirus infection. At present, 13 cases of pneumonia confirmed by new coronavirus infection have been reported in the district, including 2 in Liuzhou, 2 in Guilin, 1 in Wuzhou, 6 in Beihai, 1 in Baise, and 1 in Hechi. 113 close contacts have been tracked and are under medical observation. Editor Jia Congcong Source: Health and Health Committee of Guangxi Zhuang Autonomous Region

including 2 in Liuzhou, 2 in Guilin, 1 in Wuzhou, 6 in Beihai, 1 in Baise, and 1 in Hechi. http://www.bjnews.com.cn/news/2020/01/24/678686.html

Beijing adds 4 new cases of pneumonia to a total of 26 people Beijing News (Reporter Dai Xuan) As of 24:00 on the 23rd, Beijing has added 4 new cases of pneumonia caused by a new coronavirus, with a total of 26 cases. From 14:00 to 24:00 on January 23, four new cases of pneumonia of new coronavirus infection in Beijing were male and all had a history of contact in Hubei. The diagnosis was confirmed by the CDC's testing and expert group assessment. Designated medical institutions for treatment. As of 24:00 on the 23rd, there were 26 confirmed cases in Beijing, including 3 in Xicheng District, 3 in Chaoyang District, 3 in Haidian District, 2 in Fengtai District, 1 in Shijingshan District, 2 in Tongzhou District, 1 in Shunyi District, There were 2 cases in Daxing District, 2 cases in Changping District, and 7 cases came from overseas.

As of 24:00 on the 23rd, there were 26 confirmed cases in Beijing, including 3 in Xicheng District, 3 in Chaoyang District, 3 in Haidian District, 2 in Fengtai District, 1 in Shijingshan District, 2 in Tongzhou District, 1 in Shunyi District, There were 2 cases in Daxing District, 2 cases in Changping District, and 7 cases came from overseas. http://www.bjnews.com.cn/news/2020/01/24/678708.html

I heard WHO claim that 2019-nCoV wasn't as bad as SARS and that the CFR was 3.4% (when there were 17 dead and 30 discharges). Jan 2003 there had been 300 SARS cases and 5 deaths. I agree with Yi Guan. China acted too slowly and now they are trying to close the barn door after the horse has left.. The virus is spreading all over China and jumping borders at an alarming rate. The Metropole Hotel incidence didn't happen until the end of FEBRUARY and international cases began to pickup steam in MARCH.

List of proposed members and advisers to International Health Regulations (IHR) Emergency Committee for Pneumonia due to the Novel Coronavirus 2019-nCoV 22 January 2020 Members Stuart Blacksell Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand Dr Martin Cetron Director, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, United States of America Dr Supamit Chunsuttiwat Advisor, Department of Disease Control, Ministry of Public Health, Thailand Dr Vladimir Dubyanskiy Department Head, Epizootic monitoring and forecasting, Stavropol Plague Control Research Institute, Russian Federation Dr Didier Houssin Advisor, Agence Nationale de Sécurité Sanitaire, de l'alimentation, de l'environnement et du travail, France Dr Youngmee Jee Advisor, Global Centre for Infectious Diseases, Seoul National University College of Medicine, Republic of Korea Dr Ansa Jordaan Chief, Aviation Medicine Section, International Civil Aviation Organization, Canada Prof Wannian Liang Head of Expert Panel, China National Health Commission, Beijing, China Dr Hiroshi Kida University Professor, Hokkaido University and Head, Collaborating Research Center for the Control and Prevention of Infectious Diseases, Nagasaki University, Japan Professor Marion Koopmans Chief, Virology Department, Erasmus Medical Center, The Netherlands Professor John Mackenzie Emeritus Professor, Curtin University, Australia Dr Babacar Ndoye Expert Consultant for Hospital Hygiene, Senegal Ms Karen Tan Senior Director, Public Communication Division, Ministry of Communications and Information, Singapore Dr Linfa Wang Programme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore Dr Ziad Memish Senior Infectious Disease Consultant, Director, Research Centre, King Saud Medical City, Ministry of Health, Kingdom of Saudi Arabia Advisors Etienne Bonbon Senior Veterinary Advisor, EMC-AH / Animal Health Service, Food and Agriculture Organization of the United Nations, Rome, Italy Dr Denis Couloumbier Former Head of Unit, Preparedness and Response Support, European Centre for Disease Prevention and Control, Stockholm, Sweden Dr Keith Hamilton Head of the Preparedness and Resilience Department, World Organization for Animal Health (OIE), France Dr David Powell Chief Medical Officer, International Air Transport Association, New Zealand Dr Malik Peiris Director, School of Public Health and Chair in Virology, Co-Director, WHO H5 Reference Laboratory, The University of Hong Kong, Hong Kong SAR, People's Republic of China Dr Theresa Tam Chief Public Health Officer, Public Health Agency of Canada, Canada

Statement on the meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV) Credits Statement on the meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV) 23 January 2020 Statement Geneva, Switzerland The meeting of the Emergency Committee convened by the WHO Director-General under the International Health Regulations (IHR) (2005) regarding the outbreak of novel coronavirus 2019 in the People’s Republic of China, with exportations currently reported in the Republic of Korea, Japan, Thailand and Singapore, took place on Wednesday, 22 January 2020, from 12:00 to 16:30 Geneva time (CEST) and on Thursday, 23 January 2020, from 12:00 to 15:10. The Committee’s role is to give advice to the Director-General, who makes the final decision on the determination of a Public Health Emergency of International Concern (PHEIC). The Committee also provides public health advice or suggests formal temporary recommendations as appropriate. Proceedings of the meeting Members and advisors of the Emergency Committee were convened by teleconference. The Director-General welcomed the Committee and thanked them for their support. He turned the meeting over to the Chair, Professor Didier Houssin. Professor Houssin also welcomed the Committee and gave the floor to the Secretariat. On 22 January, representatives of WHO’s legal department and the department of compliance, risk management, and ethics briefed the Committee members on their roles and responsibilities. Committee members were reminded of their duty of confidentiality and their responsibility to disclose personal, financial, or professional connections that might be seen to constitute a conflict of interest. Each member who was present was surveyed and no conflicts of interest were judged to be relevant to the meeting. The Chair then reviewed the agenda for the meeting and introduced the presenters. On 23 January, representatives of the Ministry of Health of the People’s Republic of China, Japan, Thailand and the Republic of Korea updated the committee on the situation in their countries. There have been increased numbers of reported cases in China, with 557 confirmed as of today. Conclusions and Advice On 22 January, the members of the Emergency Committee expressed divergent views on whether this event constitutes a PHEIC or not. At that time, the advice was that the event did not constitute a PHEIC, but the Committee members agreed on the urgency of the situation and suggested that the Committee should be reconvened in a matter of days to examine the situation further. After the announcement of new containment measures in Wuhan on 22 January, the Director-General asked the Emergency Committee to reconvene on 23 January to study the information provided by Chinese authorities about the most recent epidemiological evolution and the risk-management measures taken. Chinese authorities presented new epidemiological information that revealed an increase in the number of cases, of suspected cases, of affected provinces, and the proportion of deaths in currently reported cases of 4% (17 of 557). They reported fourth-generation cases in Wuhan and second-generation cases outside Wuhan, as well as some clusters outside Hubei province. They explained that strong containment measures (closure of public-transportation systems in Wuhan City, as well as other nearby cities). After this presentation, the EC was informed about the evolution in Japan, Republic of Korea, and Thailand, and that one new possible case had been identified in Singapore. The Committee welcomed the efforts made by China to investigate and contain the current outbreak. The following elements were considered as critical: Human-to-human transmission is occurring and a preliminary R0 estimate of 1.4-2.5 was presented. Amplification has occurred in one health care facility. Of confirmed cases, 25% are reported to be severe. The source is still unknown (most likely an animal reservoir) and the extent of human-to-human transmission is still not clear. Several members considered that it is still too early to declare a PHEIC, given its restrictive and binary nature. Based on these divergent views, the EC formulates the following advice: To WHO The Committee stands ready to be reconvened in approximately ten days’ time, or earlier should the Director-General deem it necessary. The Committee urged to support ongoing efforts through a WHO international multidisciplinary mission, including national experts. The mission would review and support efforts to investigate the animal source of the outbreak, the extent of human-to-human transmission, the screening efforts in other provinces of China, the enhancement of surveillance for severe acute respiratory infections in these regions, and to reinforce containment and mitigation measures. A mission would provide information to the international community to aid in understanding of the situation and its potential public health impact. WHO should continue to provide all necessary technical and operational support to respond to this outbreak, including with its extensive networks of partners and collaborating institutions, to implement a comprehensive risk communication strategy, and to allow for the advancement of research and scientific developments in relation to this novel coronavirus. In the face of an evolving epidemiological situation and the restrictive binary nature of declaring a PHEIC or not, WHO should consider a more nuanced system, which would allow an intermediate level of alert. Such a system would better reflect the severity of an outbreak, its impact, and the required measures, and would facilitate improved international coordination, including research efforts for developing medical counter measures. To the People’s Republic of China Provide more information on cross-government risk management measures, including crisis management systems at national, provincial, and city levels, and other domestic measures. Enhance rational public health measures for containment and mitigation of the current outbreak. Enhance surveillance and active case finding across China, particularly during the Chinese New Year celebration. Collaborate with WHO and partners to conduct investigations to understand the epidemiology and the evolution of this outbreak, including specific investigations to understand the source of the novel coronavirus, notably the animal reservoir, and animals involved in the zoonotic transmission, as well as the understanding of its full potential for human-to-human transmission, and where transmission is taking place, the clinical features associated with infection, and the required treatment to reduce morbidity and mortality. Continue to share full data on all cases with WHO, including genome sequences, and details of any health care worker infections or clusters. Conduct exit screening at international airports and ports in the affected provinces, with the aims early detection of symptomatic travelers for further evaluation and treatment, while minimizing interference with international traffic. Encourage screening at domestic airports, railway stations, and long-distance bus stations as necessary. To other countries It is expected that further international exportation of cases may appear in any country. Thus, all countries should be prepared for containment, including active surveillance, early detection, isolation and case management, contact tracing and prevention of onward spread of 2019-nCoV infection, and to share full data with WHO. Countries are required to share information with WHO according to the IHR. Technical advice is available here. Countries should place particular emphasis on reducing human infection, prevention of secondary transmission and international spread and contributing to the international response though multi-sectoral communication and collaboration and active participation in increasing knowledge on the virus and the disease, as well as advancing research. Countries should also follow travel advice from WHO. To the global community As this is a new coronavirus, and it has been previously shown that similar coronaviruses required substantial efforts for regular information sharing and research, the global community should continue to demonstrate solidarity and cooperation, in compliance with Article 44 of the IHR (2005), in supporting each other on the identification of the source of this new virus, its full potential for human-to-human transmission, preparedness for potential importation of cases, and research for developing necessary treatment. The Director-General thanked the Committee for its advice. https://www.who.int/news-room/detail/23-01-2020-statement-on-the-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)

The Emergency Committee was convened today by the WHO Director-General under the International Health Regulations regarding the outbreak of novel coronavirus 2019. The committee advised that the event did not constitute a Public Health Emergency of International Concern (PHEIC), they agreed on the urgency of the situation and suggested that the Committee should be reconvened in a matter of days to examine the situation further.

The Emergency Committee was convened today by the WHO Director-General under the International Health Regulations regarding the outbreak of novel coronavirus 2019. The committee advised that the event did not constitute a Public Health Emergency of International Concern (PHEIC), they agreed on the urgency of the situation and suggested that the Committee should be reconvened in a matter of days to examine the situation further.

Date: 2020-01-23 13:47 Source: Provincial health committee Views: 　As of 23:30 on January 23, a total of 639 new pneumonia cases were diagnosed nationwide As of 23:30 on January 23, a total of 639 cases of new coronavirus pneumonia were diagnosed nationwide. Among them, the first confirmed case was newly added in Shaanxi, Gansu, and Xi

Novel coronavirus cases in China increased to 1061, which includes 639 confirmed and 422 suspect (PCR confirmed at Provincial level). https://news.sina.cn/2020-01-24/detail-iihnzahk6053487.d.html

Disease detectives hunting down more information about 'super spreader' of Wuhan coronavirus By Elizabeth Cohen, CNN Senior Medical Correspondent Updated 9:54 AM ET, Thu January 23, 2020 PauseMuteMute Current Time0:49 / Duration Time2:45 Loaded: 0% Progress: 0% Fullscreen Source: CNN CNN goes to ground zero of Wuhan coronavirus outbreak in China 02:45 (CNN)Of all the alarming aspects of the rapidly spreading new virus out Wuhan, China, this is perhaps the most alarming: A single patient has infected 14 health care workers. That's what's called a "super spreader," and disease detectives are hot on that patient's trail. It's one element to stopping the spread of this coronavirus that's killed 17 people and infected more than 500 in five different countries, including the United States. CNN goes to ground zero of Wuhan coronavirus outbreak in China 02:45 Super spreaders are a crucial part of a disease outbreak. Think about Mary Mallon, or "Typhoid Mary," who was responsible for widely spreading typhoid in New York City in the early 1900s. Or the Chinese doctor who in 2003 spread SARS, or severe acute respiratory syndrome, to four different countries. Or the single patient at a South Korean hospital who in 2015 infected 82 people with MERS, or Middle East respiratory syndrome. The Wuhan virus is a cousin of SARS and MERS. All three are coronaviruses. Wuhan coronavirus death toll rises to 17 with 547 infected says China, sparking fears of wider spread The presence of a super spreader in Wuhan indicates that the virus can spread with some ease, said Michael Osterholm, an epidemiologist and professor at the University of Minnesota School of Public Health. He calls them "super shedders," since they shed the virus -- for example, in sneezes or coughs -- in larger quantities than most other people. "You only need one super shedder to say, 'This dog is going to hunt,' " he said. "It really does speak to the potential for this virus to be transmitted." He added that there are probably more super spreaders -- or shedders -- of the Wuhan coronavirus than this one patient. "If we have one super shedder, that tells us we're going to have more super shedders," he said. "If there's one, there will be more." A visual guide to the Wuhan coronavirus Osterholm's team at the Center for Infectious Disease Research and Policy is investigating the super spreader, and their research shows there might be more health care workers in or near Wuhan who've become infected than the 14 mentioned by the health official earlier this week. Super spreaders in coronavirus outbreaks On Tuesday, the mayor of Wuhan said one patient spread the coronavirus to a doctor and 13 nurses. The deadly new coronavirus has reached the US. Here's how to protect yourself The mayor, Zhou Xianwang, said a patient wasn't screened for the virus before being admitted to Union Hospital in Wuhan for neurosurgery, and after surgery developed a fever. Zhou, who spoke on CCTV, the state-run television station, did not specify when this occurred. Osterholm said his team's research shows that 20 health care workers have been infected by patients, with the other six cases possibly at hospitals in Wuhan and the nearby city of Huanggang. Public health officials are trying to avoid devastating super spreader events that happened with SARS and MERS. In 2003, a Chinese doctor who was staying at the Metropole Hotel in the city of Guangzhou infected other hotel guests who then traveled back to Vietnam, Hong Kong, Singapore and Canada. In Singapore alone, 94 cases of SARS can be traced back to the hotel, according to WHO. In 2015, there were five super-spreading events of MERS at hospitals in South Korea. In one case, a single patient spread the infection to 82 other people. The ramifications were huge. Two South Korean hospitals closed down, nearly 17,000 people had to be quarantined, and the economic loss was estimated at 9.3 trillion Korean won, or $8.5 billion. In all, 186 people became infected in the South Korea MERS outbreak and 38 died, according to WHO. CNN's Steven Jiang contributed to this story. https://www.cnn.com/2020/01/23/health/wuhan-virus-super-spreader/index.html

Beijing News Express According to the Hebei Provincial Health and Health Committee's report, on January 23, Hebei was diagnosed with the second case of pneumonitis infected with a new coronavirus. Patient Chen, male, 80 years old, from Nanpi County, Cangzhou City. He had lived in Wuhan for more than 2 months. After returning to Nanpi County, he developed chest tightness and dyspnea. He was admitted to the hospital for isolation and treatment, accompanied by hypertension, chronic bronchitis, and lung qi. Swelling and other basic diseases, the rescue died on January 22 and died. On January 23, the provincial and municipal expert groups confirmed the confirmed cases based on a comprehensive assessment of the new coronavirus nucleic acid test results and medical record data. As of 17:00 on January 22, all 76 close contacts have taken isolated medical observation measures. There are no abnormalities such as fever. Editor Jia Congcong Source: Hebei Health Commission http://www.bjnews.com.cn/news/2020/01/24/678676.html

Patient Chen, male, 80 years old, from Nanpi County, Cangzhou City. He had lived in Wuhan for more than 2 months. After returning to Nanpi County, he developed chest tightness and dyspnea

Original title: Hubei new pneumonia has been diagnosed in more than 400 cases Xinhua News Agency, Wuhan, January 23rd. The prevention and control of the new pneumonia epidemic situation has now entered a severe fight. Hubei, the core area of epidemic prevention and control, has reported a total of 444 cases of pneumonia caused by new coronavirus infections. Wuhan, Ezhou, Huanggang and other places in the province have temporarily closed out-of-city passages. According to the latest notified data of the Hubei Provincial Health and Health Committee, as of 24:00 on the 22nd, Hubei Province has reported a total of 444 cases of pneumonia caused by new coronavirus infection, 28 patients have been discharged from the hospital, and 17 have died. At present, 399 patients are still being treated in the hospital, of which 71 cases are critically ill and 24 cases are critically ill. They are all under isolation treatment at designated medical institutions. At present, Hubei Province has established the Hubei Provincial New Coronavirus Infectious Pneumonia Epidemic Prevention and Control Headquarters, which is headed by the Secretary of the Provincial Party Committee and the governor, and has established a special class to coordinate and coordinate the work to effectively strengthen relevant epidemic prevention and control work. Beginning on the 23rd, Hubei officially established a routine press conference mechanism for new-type pneumonia epidemic prevention and control work, and held the first regular press conference. Wuhan City issued a notice in the early morning of the 23rd, deciding to suspend the operation of Wuhan's city buses, subways, ferries, and long-distance passenger transportation from 10:00 on the same day. Since then, Ezhou, Huanggang, and other places next to Wuhan have also issued announcements to clarify that the city's railway station corridors are temporarily closed, and urban buses, long-distance passenger transport and other traffic are temporarily suspended. Affected by the epidemic, Wuhan Tianhe Airport has cancelled more than 280 flights throughout the day, 13 passenger terminals in the city have been closed, and about 4,000 flights have been cancelled. Wuhan urban rail transit stations have closed all entrances and exits and ceased operations, and most of the bus services in the city have been cancelled. To this end, Wuhan's transportation department specially organizes freight vehicles to ensure the transportation of urban materials; establishes emergency convoys to meet the needs of one-way passenger evacuation. At present, Wuhan's business and agricultural departments have jointly arranged 1.55 million kilograms of eggs, 5 million kilograms of vegetables, 1 million kilograms of fresh fish, 200 tons of halal beef and 6,000 pigs, and carried out the market through more than 300 "spring supply" supply outlets in the city. Orderly release to ensure that the main necessities of life are kept in stock during the Spring Festival and not out of stock. On the basis of increasing the number of beds for epidemic prevention and control through 7 large general hospitals and hosting 7 small and medium-sized hospitals in the early stage, Wuhan has designated the first batch of 10 institutions to carry out the detection of pathogenic nucleic acids for the diagnosis of new pneumonia and urgently dispatch a large number of kits. It is expected that the maximum detectable sample per day will be increased from 200 to 2000, and 7 hospitals will be recruited at the same time, and all of its outpatients will be centralized as hot fever clinics, in order to cope with the current increasing trend of patients with fever. In response to the current large demand for medical institutions such as goggles, N95 masks, surgical masks, protective clothing, medical equipment, reagents, drugs and other materials, Wuhan New Pneumonia Prevention and Control Headquarters issued a notice, which is clearly under the responsibility of Wuhan Charity Federation When accepting donations and general supplies, the Wuhan Red Cross is responsible for receiving special supplies such as medical consumables and protective supplies. Several hospitals have also issued announcements of accepting donations. In addition, various industries such as transportation, public security, and electric power in Hubei Province have fully invested in the fight against the new pneumonia epidemic. State Grid Hubei Provincial Electric Power Co., Ltd. has tens of thousands of power supply employees to adhere to the front line of Baodian. Fang Min, the leader of the inspection team at the Customer Service Center of the State Grid Wuhan Huanghua District Power Supply Company, led the team members every day to conduct a 24-hour uninterrupted inspection of the power supply of the two hospitals in the jurisdiction. He said that in the face of epidemic prevention and control, we cannot retreat. "We must stand on the job, be united, and go all out to participate in this epidemic prevention and control campaign."