Los Angeles Times

Health officials on alert for new cases of virus

Most people being tested in U.S. had contacts in Chinese city at center of crisis.

- By Alex Wiggleswor­th

Public health officials remain on high alert for additional cases of the new strain of coronaviru­s after two positive diagnoses in Southern California over the weekend.

A total of 110 people in 26 U.S. states are under investigat­ion for possible infection with the deadly strain, a number that is expected to rise, the Centers for Disease Control and Prevention announced.

Five people in the United States have tested positive — the two in California, plus one each in Washington, Illinois and Arizona. No new U.S. cases were confirmed overnight, CDC officials said in a briefing on Monday.

The strain of coronaviru­s has sickened more than 4,400 people in more than a dozen countries and territorie­s and resulted in more than 100 deaths since it was discovered late last month in central China. The majority of the cases have been reported in Hubei province, where most of the early victims said they had visited a large seafood and live animal market in the provincial capital, Wuhan. Symptoms of the virus include fever, coughing and shortness of breath.

Most of the people being tested for coronaviru­s in the U.S. had either recently traveled to Wuhan or had contact with someone who did, said Dr. Nancy Messonnier, director of the CDC’s National Center for Immunizati­on and Respirator­y Diseases.

“At this time in the U.S., this virus is not spreading in the community,” she said, and for that reason, officials continue to believe the immediate health risk to the general U.S. public remains low.

Of the two Southern California cases, one was announced by Orange County health officials late Friday, and the second by Los Angeles County officials on Saturday. The Orange County patient was described only as a traveler from Wuhan. The L.A. County patient is a Wuhan resident who was f lying through Los Angeles Internatio­nal Airport on Wednesday on his way back to China, L.A. County public health officials said.

Once at LAX, the patient presented themselves as being symptomati­c in conjunctio­n with the CDC traveler screening protocol that was

in place, Dr. Muntu Davis, L.A. County health officer, said Monday. The patient is not believed to have left the airport in L.A., outside of being transporte­d to a hospital for treatment.

Davis declined to disclose how many people have been screened for the new strain of coronaviru­s in L.A. County.

“We are actively involved in CDC screening at LAX, and that number is very dynamic,” he said.

The CDC briefing on Monday came after a top Chinese health official said the Wuhan coronaviru­s is contagious during its incubation period, before patients who are infected show symptoms. That would mean it could spread more easily than the severe acute respirator­y syndrome virus that ravaged Asia in 2003.

Ma Xiaowei, director of the National Health Commission of China, said Sunday that “walking infections” of people who aren’t seriously ill make stopping the spread of the virus more difficult, according to the commission’s website. Patients often do not have a high fever at first, and there are many mild cases of the illness, he added.

Messonnier said that U.S. health officials are aware of those reports, but that the CDC has no clear evidence of patients being infectious before symptom onset. Still, officials are being “very aggressive and very cautious” in tracking the contacts of infected patients as a result, she said. The CDC has not seen any cases of human-to-human transmissi­on in the U.S., she said.

Meanwhile, a flight carrying government employees who are being evacuated from the U.S. Consulate in Wuhan because of the outbreak is now scheduled to land in Ontario rather than at San Francisco Internatio­nal Airport as initially announced.

The charter flight procured by the U.S. State Department is scheduled to depart from Wuhan and head to Ontario on Wednesday morning, China time, a department representa­tive said Monday. All travelers will be screened for symptoms at the airport before the flight, the department said.

“Ontario Internatio­nal is an official repatriati­on center for the West Coast and has conducted extensive training in managing situations such as this,” the Ontario Internatio­nal Airport said in a statement. No disruption to airport operations is expected, the statement said.

California has activated the Medical and Health Coordinati­on Center at the state Department of Public Health in Sacramento, and the center is coordinati­ng with all health agencies and emergency services across the state, the airport said.

“The safety and security of our facilities are of utmost importance to ONT, and we are taking whatever steps are necessary to minimize the risk to our customers, our staff and the community at large,” the airport said.

The coronaviru­s diagnoses coincide with the height of the U.S. flu season, when hospitals are already seeing an uptick in patients with upper respirator­y complaints. As such, it’s difficult to tell whether facilities are seeing more people reporting such symptoms than usual, experts said.

In order to reduce the risk of transmissi­on, public health officials say, people should take the same precaution­s they’d take to avoid passing along any other virus. Those include frequent hand-washing, refraining from touching one’s eyes, nose and mouth with dirty hands, disinfecti­ng frequently touched surfaces and staying away from others when feeling sick.

“In general, it really is your typical flu season recommenda­tions at this point,” Davis said. “That informatio­n may change as we learn more about this novel virus, and that’s what world and local health officials are actively trying to understand or confirm.”

‘Ontario Internatio­nal ... has conducted extensive training in managing situations such as this.’ — Ontario Internatio­nal Airport, on receiving Americans being evacuated from China

 ?? Petr David Josek Associated Press ?? PASSENGERS bound for China prepare to check in at the internatio­nal airport in Prague, Czech Republic, wearing masks to guard against the coronaviru­s.
Petr David Josek Associated Press PASSENGERS bound for China prepare to check in at the internatio­nal airport in Prague, Czech Republic, wearing masks to guard against the coronaviru­s.
 ?? Dake Kang Associated Press ?? A MEDICAL center in Wuhan, China, the city where the coronaviru­s started. It has sickened more than 4,400 people and resulted in more than 100 deaths.
Dake Kang Associated Press A MEDICAL center in Wuhan, China, the city where the coronaviru­s started. It has sickened more than 4,400 people and resulted in more than 100 deaths.

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