The Reporter (Lansdale, PA)

Cases of new viral respirator­y illness rise sharply in China

- By Ken Moritsugu

BEIJING >> Chinese health authoritie­s urged people in the city of Wuhan to avoid crowds and public gatherings, after warning that a new viral illness that has infected more than 400 people and killed at least 17 could spread further.

The appeal came as the World Health Organizati­on convened a group of independen­t experts to advise whether the outbreak should be declared a global emergency.

The number of new cases has risen sharply in China, the center of the outbreak. Seventeen people have died, all in Hubei province, since the outbreak emerged in its provincial capital of Wuhan late last month, officials announced Wednesday night. They said the province has confirmed 444 cases there.

“There has already been human-to-human transmissi­on and infection of medical workers,” Li Bin, deputy director of the National Health Commission, said at a news conference with health experts. “Evidence has shown that the disease has been transmitte­d through the respirator­y tract and there is the possibilit­y of viral mutation.”

The illness comes from a newly identified type of coronaviru­s, a family of viruses that can cause the common cold as well as more serious illnesses such as the SARS outbreak that spread from China to more than a dozen countries in 2002-2003 and killed about 800 people. Some experts have drawn parallels between the new coronaviru­s and Middle Eastern respirator­y syndrome, another coronaviru­s that does not spread very easily among humans and is thought to be carried by camels.

But WHO’s Asia office tweeted this week that “there may now be sustained human-to-human transmissi­on,” which raises the possibilit­y that the epidemic is spreading more easily and may no longer require an animal source to spark infections, as officials initially reported.

Authoritie­s in Thailand on Wednesday confirmed four cases, a Thai national and three Chinese visitors.

Japan, South Korea, the United States and Taiwan have all reported one case each. All of the illnesses were of people from Wuhan or who recently traveled there.

“The situation is under control here,” Thai Public Health Minister Anutin Charnvirak­ul told reporters, saying there are no reports of the infection spreading to others. “We checked all of them: taxi drivers, people who wheeled the wheelchair­s for the patients, doctors and nurses who worked around them.”

Macao, a former Portuguese colony that is a semiautono­mous Chinese city, reported one case Wednesday.

Some experts said they believe the threshold for the outbreak to be declared an internatio­nal emergency had been reached.

Dr. Peter Horby, a professor of emerging infectious diseases at Oxford University, said there were three criteria for such a determinat­ion: the outbreak must be an extraordin­ary event, there must be a risk of internatio­nal spread and a globally coordinate­d response is required.

“In my opinion, those three criteria have been met,” he said.

In response to the U.S. case, President Donald Trump said: “We do have a plan, and we think it’s going to be handled very well. We’ve already handled it very well . ... we’re in very good shape, and I think China’s in very good shape also.”

In Wuhan, pharmacies limited sales of face masks to one package per customer as people lined up to buy them. Residents said they were not overly concerned as long as they took preventive measures.

“As an adult, I am not too worried about the disease,” Yang Bin, the father of a 7-year-old, said after buying a mask. “I think we are more worried about our kids . ... It would be unacceptab­le to the parents if they got sick.”

Medical workers in protective suits could be seen carrying supplies and stretchers into Wuhan Medical Treatment Center, where some of the patients are being treated.

Travel agencies that organize trips to North Korea said the country has banned foreign tourists because of the outbreak. Most tourists to North Korea are either Chinese or travel to the country through neighborin­g China. North Korea also closed its borders in 2003 during the SARS scare.

Other countries have stepped up screening measures for travelers from China, especially those arriving from Wuhan. Worries have been heightened by the Lunar New Year holiday rush, when millions of Chinese travel at home and abroad.

 ?? DAKE KANG — THE ASSOCIATED PRESS ?? Staff sell masks at a Yifeng Pharmacy in Wuhan, Chin, Wednesday. Pharmacies in Wuhan are restrictin­g customers to buying one mask at a time amid high demand and worries over an outbreak of a new coronaviru­s. The number of cases of the new virus has risen over 400 in China and the death toll to 9, Chinese health authoritie­s said Wednesday.
DAKE KANG — THE ASSOCIATED PRESS Staff sell masks at a Yifeng Pharmacy in Wuhan, Chin, Wednesday. Pharmacies in Wuhan are restrictin­g customers to buying one mask at a time amid high demand and worries over an outbreak of a new coronaviru­s. The number of cases of the new virus has risen over 400 in China and the death toll to 9, Chinese health authoritie­s said Wednesday.
 ?? DAKE KANG — THE ASSOCIATED PRESS ?? Hospital staff wash the emergency entrance of Wuhan Medical Treatment Center, where some infected with a new virus are being treated, in Wuhan, China, Wednesday.
DAKE KANG — THE ASSOCIATED PRESS Hospital staff wash the emergency entrance of Wuhan Medical Treatment Center, where some infected with a new virus are being treated, in Wuhan, China, Wednesday.

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