Rabu, 05 Februari 2020

Coronavirus Live Updates: Hong Kong Imposes Quarantines as China Death Toll Rises - The New York Times

Credit...Chinatopix, via Associated Press

The death toll from the monthlong coronavirus outbreak has continued to climb in China, rising to 490. New cases have surged by double-digit percentages in the past 11 days, with no sign of a slowdown.

More people have now died in this epidemic than in the severe acute respiratory syndrome, or SARS, outbreak of 2002-3 in mainland China. During that outbreak, 349 people died in the mainland.

The new figures from China’s Health Commission on Wednesday showed that 65 people died on Tuesday and that 3,887 more people had been infected. So far, 24,324 people are known to have been infected.

Health experts say the death toll is likely to rise because of the large number of infections. The mortality rate of the coronavirus, about 2 percent so far, appears to be far lower than SARS, which has a mortality rate of about 10 percent.

Experts warn they still lack enough data to say definitively how lethal the new coronavirus is. Many residents in Wuhan, the epicenter of the outbreak and the capital of Hubei Province, believe the death toll is much higher than the official tally because people with flulike symptoms are being turned away by overstretched hospitals. The health care system in Wuhan is so overwhelmed that many cases have not been diagnosed because of a shortage of testing kits.

Still, the number of people in China recovering from the virus is rising, suggesting that the treatment plan may be working. On Tuesday, 262 people left hospitals nationwide. The number of suspected cases has dropped for two days in a row. Officials said they were tracking 3,971 suspected cases, compared with 5,173 cases the day before.

On Tuesday, health officials released details of the deaths so far, saying that two-thirds of them were men. More than 80 percent were over 60 years old, and they typically had pre-existing health conditions such as cardiovascular diseases or diabetes.

Hubei Province has been hardest hit by the virus, and is home to the bulk of deaths (479) and infections (16,678). Wuhan in particular has borne the brunt of the deaths and infections.

The government said it has put 252,154 people under surveillance.

Video player loading
Aerial footage shows a quiet and desolate picture of Wuhan, China. The city, which has been at the center of the coronavirus outbreak, has been sealed off since Jan. 23.

What is a coronavirus, and how dangerous is it? Read up on the basics, including its symptoms and how it is transmitted.

How bad could the outbreak be? Here are the six key factors that will determine whether it can be contained.

Where has the virus spread? You can track its movement with this map.

How is the United States being affected? There were 11 confirmed cases as of Tuesday. American citizens and permanent residents who fly to the United States from China are now subject to a two-week quarantine.

What if I’m traveling? Several countries, including the United States, have discouraged travel to China, and several airlines have canceled flights. Many travelers have been left in limbo while looking to change or cancel bookings.

How do I keep myself and others safe? Washing your hands is the most important thing you can do.

Hong Kong said that it will begin requiring people who arrive from mainland China to undergo a mandatory 14-day quarantine, as it tries to reduce the potential for imported cases of the coronavirus.

Carrie Lam, Hong Kong’s top official, has resisted demands from some lawmakers and medical workers to completely close off the border, calling it discriminatory and not in line with World Health Organization guidelines.

But she has enacted a series of measures, including closing all but three border crossings, which have resulted in a sharp drop in entries from the mainland.

Mrs. Lam said that Hong Kong now had 21 confirmed cases of the coronavirus, including three that were transmitted locally.

The government will also allocate $1.3 billion to help fight the outbreak, she said.

One of the confirmed cases involved someone working at the Kowloon Commerce Center, a hub of multinational firms, according to an internal note sent to employees at the Bank of America, which has an office in one of the towers.

The building’s management office did not respond to a request for comment, and Bank of America declined to comment.

Separately, Taiwan said that beginning on Thursday it would temporarily suspend entry by Chinese citizens who live on the mainland. It previously announced that foreigners who had been to mainland China over the previous 14 days would not be allowed to enter Taiwan.

From Amy Qin, a China correspondent, and Elsie Chen, a researcher, on the ground in Wuhan:

We came prepared, bringing with us two bags full of masks, hand sanitizer, goggles and disinfectant wipes to protect us as we went around reporting in Wuhan, the Chinese city at the center of the coronavirus outbreak.

But after arriving last Friday, my colleague Elsie Chen and I quickly realized we had overlooked an important question: What do you eat when covering the coronavirus outbreak?

Since the government imposed a lockdown in this city of 11 million two weeks ago, most of the restaurants have been shut. Grocery stores are still open, and many residents have stockpiled food to cook at home. But back at our hotel, we didn’t even have a microwave, let alone a stovetop.

Exhausted from a long day of travel, we realized there was only one answer: instant noodles.

Two days and four bowls of sodium-packed instant noodles later, my stomach felt as if it had deteriorated into a churning sack of MSG, salt and dehydrated beef cubes.

Knowing it could be days or weeks before we were able to leave Wuhan, Elsie and I made an executive decision: It was time for an upgrade.

We went to one of the large supermarkets and bought a small electric cooktop, groceries and some basic utensils. Stir-fried tomato and egg, the most basic of Chinese dishes, has never tasted so good.

Of course, we couldn’t leave out the chili oil goddess, savior to Chinese students around the world when they’re missing a taste of home: Lao Gan Ma, or Old Godmother.

In a reflection of the mounting international concern over the coronavirus epidemic, President Trump said the United States was coordinating with China on the response to the outbreak — though he also offered a trade-related barb as well.

“Protecting Americans’ health also means fighting infectious diseases,” Mr. Trump said during his State of the Union address on Tuesday night. “We are coordinating with the Chinese government and working closely together on the coronavirus outbreak in China. My administration will take all necessary steps to safeguard our citizens from this threat.”

He did not elaborate.

Eleven cases have been confirmed in the United States. To stem the problem, the United States government said last week it would bar entry into the country by any foreign national who has traveled to China in the past 14 days. It also told Americans not to travel to China.

Delta Air Lines, United Airlines and American Airlines all said last week that they were temporarily suspending all service to mainland China as concerns about the coronavirus spread internationally.

Mr. Trump, who made China a rhetorical punching bag during his 2016 presidential campaign, still took time to criticize Beijing’s trade practices. Last month, the two countries signed an interim trade pact that cooled but did not end an economic conflict between them.

“For decades, China has taken advantage of the United States,” he said. “Now we have changed that, but, at the same time, we have perhaps the best relationship we’ve ever had with China, including with President Xi.”

Chinese scientists are reporting preliminary success with a new approach for treating the coronavirus: an antiviral drug used for treating influenza and an anti-H.I.V. drug.

The researchers found that Arbidol, an antiviral drug used in Russia and China for treating influenza, could be combined with Darunavir, the anti-H.I.V. drug, for treating patients with the coronavirus, according to ChangJiang News, a state-backed newspaper in Wuhan, the epicenter of the outbreak.

The researchers did not say how many patients they had treated with the combination therapy. It could be too soon to assess its effectiveness. The findings have not been reviewed by outside experts.

With no proven cure in sight, the race is on to find a treatment for the coronavirus.

Li Lanjuan, the lead researcher on the team who belongs to an expert group linked to China’s Health Commission, said she would propose the combination of Arbidol and Darunavir for the sixth version of the government’s treatment plan.

The authorities have tried other treatments. Dr. Li said the anti-H.I.V. drug Kaletra, which was prescribed in the current treatment plan, had toxic side effects.

The Chinese authorities have turned to other types of treatments as well. In its treatment plan for the coronavirus released last week, the National Health Commission of China listed traditional Chinese medicine remedies to be used in conjunction with antiviral H.I.V. drugs.

Nine passengers and one crew member on a cruise ship quarantined in Yokohama, Japan, have tested positive for the coronavirus, the cruise line, Princess Cruises, said on Wednesday.

The ship, carrying 2,666 passengers and 1,045 crew members, arrived in Yokohama on Tuesday, but the authorities did not allow anyone off. An 80-year-old Hong Kong resident who had disembarked earlier in his home city was found to be infected.

In all, 273 passengers were tested for the virus after everyone on board underwent an initial health screening. Twenty-one people were cleared, and officials were awaiting the other results.

Princess Cruises said the infected passengers were from Australia, Japan, Hong Kong and the United States, in addition to one crew member from the Philippines.

The passengers who tested positive were being transported by a Japanese Coast Guard ship to a hospital. The other passengers are to remain quarantined on board the ship, the Diamond Princess, for two weeks.

Separately, a cruise ship that left Hong Kong on Sunday was turned around by the authorities in Kaohsiung, Taiwan, on Wednesday, after three passengers on a previous trip were confirmed to be infected with the coronavirus.

The World Dream left the mainland Chinese city of Guangzhou on Jan. 19, returning from Vietnam five days later. Three passengers on that journey were confirmed on Monday to have the new coronavirus, the company, Star Cruises, said in a statement.

Hong Kong’s Department of Health has begun checking temperatures and taking health declaration forms from 1,800 passengers and 1,800 crew members now on the ship. Passengers will not be allowed to disembark without approval from the department.

At least 30 crew members reported having symptoms of illness, Dr. Leung Yiu-hong, the chief port health officer of the Department of Health, said on Wednesday. They were all being tested for the coronavirus, and three who previously had fevers were under isolation, he said.

Of the passengers, 90 percent are Hong Kong residents and the rest foreign nationals, none of whom are from mainland China. Dr. Leung said the passengers now on the ship had not come into contact with those who took the January cruise.

The United States has begun its second airlift of American citizens out of China.

“Two planes have departed Wuhan en route to the United States,” the State Department said in a statement Tuesday night.

Little information was immediately available on the planes’ destination.

But it was believed that like the first Americans evacuated from Wuhan, the passengers will be taken to a military base and directed to remain there pending medical tests.

The first evacuees were flown from Wuhan on Jan. 29, and their plane stopped in Anchorage to refuel and for the passengers to be given initial screenings. The Boeing 747 then continued on to March Air Reserve Base in Riverside, Calif.

Cathay Pacific is asking its 27,000 employees to take three weeks of unpaid leave in an emergency move as Hong Kong’s flagship carrier struggles with a financial blow from the coronavirus outbreak in China.

In recent days, the airline has cut nearly all flights to and from mainland China and has said it will pare back flights across its network as it faces its biggest emergency since the depths of the financial crisis in 2009.

“The situation now is just as grave,” Augustus Tang Kin-wing, the chief executive of the airline, said in a taped video recording.

The outbreak of the coronavirus has decimated large parts of the global travel network. Health experts have warned that the fast-moving virus could become a pandemic, and multinational companies have banned nonessential travel to China. The authorities have announced widespread bans on travel for Chinese citizens.

Cathay was already fighting for survival before the outbreak, besieged by the political turmoil that has gripped Hong Kong. Last summer, it found itself caught between Hong Kong’s pro-democracy protesters and the Chinese government as China demanded loyalty from businesses that depend on it for business. Cathay fired some employees for being openly supportive of the protesters.

As United States officials impose new restrictions on travelers from China, many people who have returned to the country in recent days have hunkered down in their homes to make sure they were not carrying or spreading the disease.

Some were checking in regularly with local public health departments, taking their temperatures at regular intervals and receiving deliveries of food and water. Others were not conferring with the authorities, but choosing on their own to stay indoors, away from work, away from friends and, in some cases, away from everyone.

All were counting down the days since they left China, waiting anxiously to see if symptoms develop — and whether they can get their lives back to normal.

“It’s pretty scary,” said a woman in Massachusetts whose husband and 18-month-old son have been holed up in the family’s basement since returning from China last week.

The woman, a medical researcher who asked not to be named, said her family’s self-imposed quarantine was a necessary step to protect others, especially since she feared her family had traveled on the same flight as a man who was later diagnosed with coronavirus.

“If people are responsible people,” she said, “they are willing to do this.”

Reporting was contributed by Daniel Victor, Sui-Lee Wee, Yiwei Wang, Ben Dooley, Elaine Yu, Austin Ramzy, Alexandra Stevenson, Ezra Cheung, Jack Ewing, Neal E. Boudette, Geneva Abdul, Mitch Smith, Zolan Kanno-Youngs, Farah Stockman and Vanessa Swales.

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2020-02-05 11:51:00Z
52780579291157

Coronavirus Live Updates: China Death Toll Rises and Hong Kong Imposes Quarantines - The New York Times

Credit...Chinatopix, via Associated Press

The death toll from the monthlong coronavirus outbreak has continued to climb in China, rising to 490. New cases have surged by double-digit percentages in the past 11 days, with no sign of a slowdown.

More people have now died in this epidemic than in the severe acute respiratory syndrome, or SARS, outbreak of 2002-3 in mainland China. During that outbreak, 349 people died in the mainland.

The new figures from China’s Health Commission on Wednesday showed that 65 people died on Tuesday and that 3,887 more people had been infected. So far, 24,324 people are known to have been infected.

Health experts say the death toll is likely to rise because of the large number of infections. The mortality rate of the coronavirus, about 2 percent so far, appears to be far lower than SARS, which has a mortality rate of about 10 percent.

Experts warn they still lack enough data to say definitively how lethal the new coronavirus is. Many residents in Wuhan, the epicenter of the outbreak and the capital of Hubei Province, believe the death toll is much higher than the official tally because people with flulike symptoms are being turned away by overstretched hospitals. The health care system in Wuhan is so overwhelmed that many cases have not been diagnosed because of a shortage of testing kits.

Still, the number of people in China recovering from the virus is rising, suggesting that the treatment plan may be working. On Tuesday, 262 people left hospitals nationwide. The number of suspected cases has dropped for two days in a row. Officials said they were tracking 3,971 suspected cases, compared with 5,173 cases the day before.

On Tuesday, health officials released details of the deaths so far, saying that two-thirds of them were men. More than 80 percent were over 60 years old, and they typically had pre-existing health conditions such as cardiovascular diseases or diabetes.

Hubei Province has been hardest hit by the virus, and is home to the bulk of deaths (479) and infections (16,678). Wuhan in particular has borne the brunt of the deaths and infections.

The government said it has put 252,154 people under surveillance.

Video player loading
Aerial footage shows a quiet and desolate picture of Wuhan, China. The city, which has been at the center of the coronavirus outbreak, has been sealed off since Jan. 23.

What is a coronavirus, and how dangerous is it? Read up on the basics, including its symptoms and how it is transmitted.

How bad could the outbreak be? Here are the six key factors that will determine whether it can be contained.

Where has the virus spread? You can track its movement with this map.

How is the United States being affected? There were 11 confirmed cases as of Tuesday. American citizens and permanent residents who fly to the United States from China are now subject to a two-week quarantine.

What if I’m traveling? Several countries, including the United States, have discouraged travel to China, and several airlines have canceled flights. Many travelers have been left in limbo while looking to change or cancel bookings.

How do I keep myself and others safe? Washing your hands is the most important thing you can do.

Hong Kong said that it will begin requiring people who arrive from mainland China to undergo a mandatory 14-day quarantine, as it tries to reduce the potential for imported cases of the coronavirus.

Carrie Lam, Hong Kong’s top official, has resisted demands from some lawmakers and medical workers to completely close off the border, calling it discriminatory and not in line with World Health Organization guidelines.

But she has enacted a series of measures, including closing all but three border crossings, which have resulted in a sharp drop in entries from the mainland.

In a reflection of the mounting international concern over the coronavirus epidemic, President Trump said the United States was coordinating with China on the response to the outbreak — though he also offered a trade-related barb as well.

“Protecting Americans’ health also means fighting infectious diseases,” Mr. Trump said during his State of the Union address on Tuesday night. “We are coordinating with the Chinese government and working closely together on the coronavirus outbreak in China. My administration will take all necessary steps to safeguard our citizens from this threat.”

He did not elaborate.

Eleven cases have been confirmed in the United States. To stem the problem, the United States government said last week it would bar entry into the country by any foreign national who has traveled to China in the past 14 days. It also told Americans not to travel to China.

Delta Air Lines, United Airlines and American Airlines all said last week that they were temporarily suspending all service to mainland China as concerns about the coronavirus spread internationally.

Mr. Trump, who made China a rhetorical punching bag during his 2016 presidential campaign, still took time to criticize Beijing’s trade practices. Last month, the two countries signed an interim trade pact that cooled but did not end an economic conflict between them.

“For decades, China has taken advantage of the United States,” he said. “Now we have changed that, but, at the same time, we have perhaps the best relationship we’ve ever had with China, including with President Xi.”

Chinese scientists are reporting preliminary success with a new approach for treating the coronavirus: an antiviral drug used for treating influenza and an anti-H.I.V. drug.

The researchers found that Arbidol, an antiviral drug used in Russia and China for treating influenza, could be combined with Darunavir, the anti-H.I.V. drug, for treating patients with the coronavirus, according to ChangJiang News, a state-backed newspaper in Wuhan, the epicenter of the outbreak.

The researchers did not say how many patients they had treated with the combination therapy. It could be too soon to assess its effectiveness. The findings have not been reviewed by outside experts.

With no proven cure in sight, the race is on to find a treatment for the coronavirus.

Li Lanjuan, the lead researcher on the team who belongs to an expert group linked to China’s Health Commission, said she would propose the combination of Arbidol and Darunavir for the sixth version of the government’s treatment plan.

The authorities have tried other treatments. Dr. Li said the anti-H.I.V. drug Kaletra, which was prescribed in the current treatment plan, had toxic side effects.

The Chinese authorities have turned to other types of treatments as well. In its treatment plan for the coronavirus released last week, the National Health Commission of China listed traditional Chinese medicine remedies to be used in conjunction with antiviral H.I.V. drugs.

Nine passengers and one crew member on a cruise ship quarantined in Yokohama, Japan, have tested positive for the coronavirus, the cruise line, Princess Cruises, said on Wednesday.

The ship, carrying 2,666 passengers and 1,045 crew members, arrived in Yokohama on Tuesday, but the authorities did not allow anyone off. An 80-year-old Hong Kong resident who had disembarked earlier in his home city was found to be infected.

In all, 273 passengers were tested for the virus after everyone on board underwent an initial health screening. Twenty-one people were cleared, and officials were awaiting the other results.

Princess Cruises said the infected passengers were from Australia, Japan, Hong Kong and the United States, in addition to one crew member from the Philippines.

The passengers who tested positive were being transported by a Japanese Coast Guard ship to a hospital. The other passengers are to remain quarantined on board the ship, the Diamond Princess, for two weeks.

Separately, a cruise ship that left Hong Kong on Sunday was turned around by the authorities in Kaohsiung, Taiwan, on Wednesday, after three passengers on a previous trip were confirmed to be infected with the coronavirus.

The World Dream left the mainland Chinese city of Guangzhou on Jan. 19, returning from Vietnam five days later. Three passengers on that journey were confirmed on Monday to have the new coronavirus, the company, Star Cruises, said in a statement.

Hong Kong’s Department of Health has begun checking temperatures and taking health declaration forms from 1,800 passengers and 1,800 crew members now on the ship. Passengers will not be allowed to disembark without approval from the department.

At least 30 crew members reported having symptoms of illness, Dr. Leung Yiu-hong, the chief port health officer of the Department of Health, said on Wednesday. They were all being tested for the coronavirus, and three who previously had fevers were under isolation, he said.

Of the passengers, 90 percent are Hong Kong residents and the rest foreign nationals, none of whom are from mainland China. Dr. Leung said the passengers now on the ship had not come into contact with those who took the January cruise.

The United States has begun its second airlift of American citizens out of China.

“Two planes have departed Wuhan en route to the United States,” the State Department said in a statement Tuesday night.

Little information was immediately available on the planes’ destination.

But it was believed that like the first Americans evacuated from Wuhan, the passengers will be taken to a military base and directed to remain there pending medical tests.

The first evacuees were flown from Wuhan on Jan. 29, and their plane stopped in Anchorage to refuel and for the passengers to be given initial screenings. The Boeing 747 then continued on to March Air Reserve Base in Riverside, Calif.

Cathay Pacific is asking its 27,000 employees to take three weeks of unpaid leave in an emergency move as Hong Kong’s flagship carrier struggles with a financial blow from the coronavirus outbreak in China.

In recent days, the airline has cut nearly all flights to and from mainland China and has said it will pare back flights across its network as it faces its biggest emergency since the depths of the financial crisis in 2009.

“The situation now is just as grave,” Augustus Tang Kin-wing, the chief executive of the airline, said in a taped video recording.

The outbreak of the coronavirus has decimated large parts of the global travel network. Health experts have warned that the fast-moving virus could become a pandemic, and multinational companies have banned nonessential travel to China. The authorities have announced widespread bans on travel for Chinese citizens.

Cathay was already fighting for survival before the outbreak, besieged by the political turmoil that has gripped Hong Kong. Last summer, it found itself caught between Hong Kong’s pro-democracy protesters and the Chinese government as China demanded loyalty from businesses that depend on it for business. Cathay fired some employees for being openly supportive of the protesters.

As United States officials impose new restrictions on travelers from China, many people who have returned to the country in recent days have hunkered down in their homes to make sure they were not carrying or spreading the disease.

Some were checking in regularly with local public health departments, taking their temperatures at regular intervals and receiving deliveries of food and water. Others were not conferring with the authorities, but choosing on their own to stay indoors, away from work, away from friends and, in some cases, away from everyone.

All were counting down the days since they left China, waiting anxiously to see if symptoms develop — and whether they can get their lives back to normal.

“It’s pretty scary,” said a woman in Massachusetts whose husband and 18-month-old son have been holed up in the family’s basement since returning from China last week.

The woman, a medical researcher who asked not to be named, said her family’s self-imposed quarantine was a necessary step to protect others, especially since she feared her family had traveled on the same flight as a man who was later diagnosed with coronavirus.

“If people are responsible people,” she said, “they are willing to do this.”

Reporting was contributed by Daniel Victor, Sui-Lee Wee, Yiwei Wang, Ben Dooley, Elaine Yu, Austin Ramzy, Alexandra Stevenson, Ezra Cheung, Jack Ewing, Neal E. Boudette, Geneva Abdul, Mitch Smith, Zolan Kanno-Youngs, Farah Stockman and Vanessa Swales.

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2020-02-05 10:43:00Z
52780579291157

Coronavirus Live Updates: China Death Toll Rises and Hong Kong Imposes Quarantines - The New York Times

Credit...Chinatopix, via Associated Press

The death toll from the monthlong coronavirus outbreak has continued to climb in China, rising to 490. New cases have surged by double-digit percentages in the past 11 days, with no sign of a slowdown.

More people have now died in this epidemic than in the severe acute respiratory syndrome, or SARS, outbreak of 2002-3 in mainland China. During that outbreak, 349 people died in the mainland.

The new figures from China’s Health Commission on Wednesday showed that 65 people died on Tuesday and that 3,887 more people had been infected. So far, 24,324 people are known to have been infected.

Health experts say the death toll is likely to rise because of the large number of infections. The mortality rate of the coronavirus, about 2 percent so far, appears to be far lower than SARS, which has a mortality rate of about 10 percent.

Experts warn they still lack enough data to say definitively how lethal the new coronavirus is. Many residents in Wuhan, the epicenter of the outbreak and the capital of Hubei Province, believe the death toll is much higher than the official tally because people with flulike symptoms are being turned away by overstretched hospitals. The health care system in Wuhan is so overwhelmed that many cases have not been diagnosed because of a shortage of testing kits.

Still, the number of people in China recovering from the virus is rising, suggesting that the treatment plan may be working. On Tuesday, 262 people left hospitals nationwide. The number of suspected cases has dropped for two days in a row. Officials said they were tracking 3,971 suspected cases, compared with 5,173 cases the day before.

On Tuesday, health officials released details of the deaths so far, saying that two-thirds of them were men. More than 80 percent were over 60 years old, and they typically had pre-existing health conditions such as cardiovascular diseases or diabetes.

Hubei Province has been hardest hit by the virus, and is home to the bulk of deaths (479) and infections (16,678). Wuhan in particular has borne the brunt of the deaths and infections.

The government said it has put 252,154 people under surveillance.

Video player loading
Aerial footage shows a quiet and desolate picture of Wuhan, China. The city, which has been at the center of the coronavirus outbreak, has been sealed off since Jan. 23.

What is a coronavirus, and how dangerous is it? Read up on the basics, including its symptoms and how it is transmitted.

How bad could the outbreak be? Here are the six key factors that will determine whether it can be contained.

Where has the virus spread? You can track its movement with this map.

How is the United States being affected? There were 11 confirmed cases as of Tuesday. American citizens and permanent residents who fly to the United States from China are now subject to a two-week quarantine.

What if I’m traveling? Several countries, including the United States, have discouraged travel to China, and several airlines have canceled flights. Many travelers have been left in limbo while looking to change or cancel bookings.

How do I keep myself and others safe? Washing your hands is the most important thing you can do.

Hong Kong said that it will begin requiring people who arrive from mainland China to undergo a mandatory 14-day quarantine, as it tries to reduce the potential for imported cases of the coronavirus.

Carrie Lam, Hong Kong’s top official, has resisted demands from some lawmakers and medical workers to completely close off the border, calling it discriminatory and not in line with World Health Organization guidelines.

But she has enacted a series of measures, including closing all but three border crossings, which have resulted in a sharp drop in entries from the mainland.

In a reflection of the mounting international concern over the coronavirus epidemic, President Trump said the United States was coordinating with China on the response to the outbreak — though he also offered a trade-related barb as well.

“Protecting Americans’ health also means fighting infectious diseases,” Mr. Trump said during his State of the Union address on Tuesday night. “We are coordinating with the Chinese government and working closely together on the coronavirus outbreak in China. My administration will take all necessary steps to safeguard our citizens from this threat.”

He did not elaborate.

Eleven cases have been confirmed in the United States. To stem the problem, the United States government said last week it would bar entry into the country by any foreign national who has traveled to China in the past 14 days. It also told Americans not to travel to China.

Delta Air Lines, United Airlines and American Airlines all said last week that they were temporarily suspending all service to mainland China as concerns about the coronavirus spread internationally.

Mr. Trump, who made China a rhetorical punching bag during his 2016 presidential campaign, still took time to criticize Beijing’s trade practices. Last month, the two countries signed an interim trade pact that cooled but did not end an economic conflict between them.

“For decades, China has taken advantage of the United States,” he said. “Now we have changed that, but, at the same time, we have perhaps the best relationship we’ve ever had with China, including with President Xi.”

Chinese scientists are reporting preliminary success with a new approach for treating the coronavirus: an antiviral drug used for treating influenza and an anti-H.I.V. drug.

The researchers found that Arbidol, an antiviral drug used in Russia and China for treating influenza, could be combined with Darunavir, the anti-H.I.V. drug, for treating patients with the coronavirus, according to ChangJiang News, a state-backed newspaper in Wuhan, the epicenter of the outbreak.

The researchers did not say how many patients they had treated with the combination therapy. It could be too soon to assess its effectiveness. The findings have not been reviewed by outside experts.

With no proven cure in sight, the race is on to find a treatment for the coronavirus.

Li Lanjuan, the lead researcher on the team who belongs to an expert group linked to China’s Health Commission, said she would propose the combination of Arbidol and Darunavir for the sixth version of the government’s treatment plan.

The authorities have tried other treatments. Dr. Li said the anti-H.I.V. drug Kaletra, which was prescribed in the current treatment plan, had toxic side effects.

The Chinese authorities have turned to other types of treatments as well. In its treatment plan for the coronavirus released last week, the National Health Commission of China listed traditional Chinese medicine remedies to be used in conjunction with antiviral H.I.V. drugs.

Nine passengers and one crew member on a cruise ship quarantined in Yokohama, Japan, have tested positive for the coronavirus, the cruise line, Princess Cruises, said on Wednesday.

The ship, carrying 2,666 passengers and 1,045 crew members, arrived in Yokohama on Tuesday, but the authorities did not allow anyone off. An 80-year-old Hong Kong resident who had disembarked earlier in his home city was found to be infected.

In all, 273 passengers were tested for the virus after everyone on board underwent an initial health screening. Twenty-one people were cleared, and officials were awaiting the other results.

Princess Cruises said the infected passengers were from Australia, Japan, Hong Kong and the United States, in addition to one crew member from the Philippines.

The passengers who tested positive were being transported by a Japanese Coast Guard ship to a hospital. The other passengers are to remain quarantined on board the ship, the Diamond Princess, for two weeks.

Separately, a cruise ship that left Hong Kong on Sunday was turned around by the authorities in Kaohsiung, Taiwan, on Wednesday, after three passengers on a previous trip were confirmed to be infected with the coronavirus.

The World Dream left the mainland Chinese city of Guangzhou on Jan. 19, returning from Vietnam five days later. Three passengers on that journey were confirmed on Monday to have the new coronavirus, the company, Star Cruises, said in a statement.

Hong Kong’s Department of Health has begun checking temperatures and taking health declaration forms from 1,800 passengers and 1,800 crew members now on the ship. Passengers will not be allowed to disembark without approval from the department.

At least 30 crew members reported having symptoms of illness, Dr. Leung Yiu-hong, the chief port health officer of the Department of Health, said on Wednesday. They were all being tested for the coronavirus, and three who previously had fevers were under isolation, he said.

Of the passengers, 90 percent are Hong Kong residents and the rest foreign nationals, none of whom are from mainland China. Dr. Leung said the passengers now on the ship had not come into contact with those who took the January cruise.

The United States has begun its second airlift of American citizens out of China.

“Two planes have departed Wuhan en route to the United States,” the State Department said in a statement Tuesday night.

Little information was immediately available on the planes’ destination.

But it was believed that like the first Americans evacuated from Wuhan, the passengers will be taken to a military base and directed to remain there pending medical tests.

The first evacuees were flown from Wuhan on Jan. 29, and their plane stopped in Anchorage to refuel and for the passengers to be given initial screenings. The Boeing 747 then continued on to March Air Reserve Base in Riverside, Calif.

Cathay Pacific is asking its 27,000 employees to take three weeks of unpaid leave in an emergency move as Hong Kong’s flagship carrier struggles with a financial blow from the coronavirus outbreak in China.

In recent days, the airline has cut nearly all flights to and from mainland China and has said it will pare back flights across its network as it faces its biggest emergency since the depths of the financial crisis in 2009.

“The situation now is just as grave,” Augustus Tang Kin-wing, the chief executive of the airline, said in a taped video recording.

The outbreak of the coronavirus has decimated large parts of the global travel network. Health experts have warned that the fast-moving virus could become a pandemic, and multinational companies have banned nonessential travel to China. The authorities have announced widespread bans on travel for Chinese citizens.

Cathay was already fighting for survival before the outbreak, besieged by the political turmoil that has gripped Hong Kong. Last summer, it found itself caught between Hong Kong’s pro-democracy protesters and the Chinese government as China demanded loyalty from businesses that depend on it for business. Cathay fired some employees for being openly supportive of the protesters.

As United States officials impose new restrictions on travelers from China, many people who have returned to the country in recent days have hunkered down in their homes to make sure they were not carrying or spreading the disease.

Some were checking in regularly with local public health departments, taking their temperatures at regular intervals and receiving deliveries of food and water. Others were not conferring with the authorities, but choosing on their own to stay indoors, away from work, away from friends and, in some cases, away from everyone.

All were counting down the days since they left China, waiting anxiously to see if symptoms develop — and whether they can get their lives back to normal.

“It’s pretty scary,” said a woman in Massachusetts whose husband and 18-month-old son have been holed up in the family’s basement since returning from China last week.

The woman, a medical researcher who asked not to be named, said her family’s self-imposed quarantine was a necessary step to protect others, especially since she feared her family had traveled on the same flight as a man who was later diagnosed with coronavirus.

“If people are responsible people,” she said, “they are willing to do this.”

Reporting was contributed by Daniel Victor, Sui-Lee Wee, Yiwei Wang, Ben Dooley, Elaine Yu, Austin Ramzy, Alexandra Stevenson, Ezra Cheung, Jack Ewing, Neal E. Boudette, Geneva Abdul, Mitch Smith, Zolan Kanno-Youngs, Farah Stockman and Vanessa Swales.

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2020-02-05 10:02:00Z
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Two cruise ships quarantined in Asia amid coronavirus outbreak, stranding more than 5,000 - CNN

People aboard both ships are being given health screenings, and those with suspicious symptoms are being tested for the virus that has quickly spread throughout mainland China and beyond.
The Diamond Princess is anchored off the coast of Yokohama, near Tokyo, with 1,045 crew and 2,666 passengers -- including 428 Americans -- on board.
The second ship, the World Dream, is docked at Hong Kong's Kai Tak Cruise Terminal with 1,800 people on board, the city's Department of Health said Wednesday.
Concerns about potential infection among thousands of passengers at sea exposes the vulnerability of cruise ships to viral illnesses, like the coronavirus. The threat also raises questions about the durability of Asia's booming leisure cruise industry, which counts the elderly as among its most loyal customers.
Older people are especially susceptible to the Wuhan coronavirus -- China's National Health Commission said Tuesday that 80% of all fatalities in mainland China were over the age of 60.
The virus has infected more than 20,000 people in mainland China and nearly 200 worldwide across 25 countries and territories. It has claimed 492 lives worldwide, all but two in mainland China.
Cruise companies worldwide have vowed to enact extra measures to protect their customers from infection, with several barring passengers who have been to mainland China in the past 14 days.
Ships are considered particularly at risk from outbreaks, due to the close living quarters of passengers and crew. Researchers are still unsure exactly how the coronavirus spreads and how infectious it is.
Chinese officials had previously said that patients can be infectious even if they are not presenting symptoms. An early study on asymptomatic transmission of the virus published last week in the prestigious New England Journal of Medicine appeared to confirm Chinese health officials' assessment.
But public health officials now say the report may be flawed. Interviews with the Chinese patient at the center of the study revealed she may have actually had mild, nonspecific symptoms.
An important factor yet to be determined is whether the Wuhan coronavirus spreads via the fecal-oral route, like norovirus and Severe acute respiratory syndrome (SARS), according to Dr. John Nicholls, a clinical professor in pathology at the University of Hong Kong.
Norovirus is a contagious stomach bug that causes vomiting and diarrhea that is notorious for infecting cruise passengers.
Viruses like norovirus spread so quickly on cruises on cruises because "you've got so many people in a crowded area and people are sharing areas, touching places," Nicholls said.
A passenger wearing a facemask looks out from the cabin of the World Dream cruise ship in Kai Tak cruise terminal Hong Kong on Wednesday.

14 days on board

Ten cases of the Wuhan coronavirus have been confirmed aboard the Diamond Princess off Japan.
The infected passengers include one American, two Australians, two Japanese and three Hong Kong citizens. One Filipino crew member is also ill, Princess Cruises, which operates the Diamond Princess, said in a statement.
They will be taken ashore by the Japanese Coast Guard and transferred to local hospitals. The rest of the passengers on board will remain under quarantine for at least 14 days, "as required by the Ministry of Health," the statement added.
The cases were detected after medical officials went room-to-room to check each guests' temperature and condition, Japan's health ministry said in a statement. Those who showed symptoms were subject to further testing.
More passengers than expected needed to be temporarily quarantined while being tested, the statement said. More than 100 test results are still pending, it added. The company also said the first phase of screening of all the passengers on board has been completed.
Spencer Fehrenbacher, a traveler on the ship, told CNN he was tested because he complained about a sore throat and fever last week. He said swabs were taken of the left and right side of his throat.
Fehrenbacher, a US citizen living in Tianjin, China, and studying for a masters degree there, said he was in good spirits. He is on the cruise with his roommate from Tianjin and two other friends.
"The Princess crew has been incredible in their support and communication up to this point," he said. "They're providing complimentary internet to everyone on board to ensure that everyone is able to communicate with family and friends."
A small boat is pictured next to the Diamond Princess cruise ship as it sits anchored.

Questions in Hong Kong

Three former passengers who took a World Dream cruise from January 19 to 24 to Vietnam tested positive for the coronavirus after they'd left the ship, the ship's operator, Dream Cruises, said in a statement.
The company said 4,482 passengers and 1,814 crew members were on board for that voyage.
Before boarding, all passengers received what the company called "stringent temperatures checks" at Nansha, Dream Cruises said.
Anyone who had a fever was then tested for the coronavirus by the Nansha Center for Disease Control and Prevention. All tests came back negative at the time, Dream Cruises added.
The passengers on that journey disembarked at two stops -- in Nansha in southern China and in Hong Kong -- on 24 January after the cruise to Vietnam, the Hong Kong Department of Health said at a news conference Wednesday.
The 151,000-tonne World Dream, owned by a Hong Kong-based cruise liner, sits anchored at the international port in Manila on January 29 after making a port of call in the Philippine capital.
The crew stayed on and the World Dream then picked up a different set of passengers before arriving in Hong Kong Wednesday morning, Hong Kong authorities said.
Dream Cruises' statement said that once it found out about two of the three infected passengers Monday, it sealed off the cabins where they had been staying. The company said it found out about the first case on Sunday through "Chinese media sources."
The current group of passengers got on for another itinerary, but the exact stops are unclear. Dream Cruises and its parent company, Genting Hong Kong, did not reply to CNN's phone calls and emails seeking clarification.
The World Dream departed the southern Taiwanese port city of Kaohsiung for Hong Kong on February 4. Taiwan's Ministry of Health and Welfare said the World Dream docked there but passengers were not allowed to leave.
In the meantime, Dream Cruises said it was attempting to contact all the passengers who had been on the January 19 to 24 cruise "to inform them of the situation and to remind them to seek professional medical assistance at their local Centers for Disease Control and Prevention or health authorities should any symptoms arise or if they have any questions."
"Crew members that worked in the affected cabins have also been isolated in their crew quarters with daily temperature checks and, since 24 January onwards, there have been no virus-related health issues among any members of its crew," the company said.
Hong Kong's Health Department said Wednesday some 30 members of the crew reported feeling sick, but all are in stable condition. Three who reported fevers are in isolation in a Hong Kong hospital for further testing.

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2020-02-05 09:00:00Z
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Selasa, 04 Februari 2020

Hong Kong sees thousands of medical workers strike as coronavirus spreads - Fox News

Hospitals in Hong Kong have scaled back services as thousands of medical workers continued to strike Tuesday, demanding the closure of the semi-autonomous region's border with mainland China after reports of its first coronavirus death.

The strike of 7,000 hospital workers began Monday, hours before all but two of Hong Kong's land and sea borders with China were shut down amid growing fears the virus could spread locally.

“Important services, critical operations have been affected," said Carrie Lam, Hong Kong's chief executive. “So I’m appealing to those who are taking part in this action: Let’s put the interests of the patients and the entire public health system above all other things."

HOW PAST OUTBREAKS SHAPED CORONAVIRUS RESPONSE IN US

Hong Kong health authorities have reported four coronavirus cases. In mainland China, 425 people have died and more than 20,000 people have been sickened.

Worldwide, 180 cases have been confirmed, including two deaths: a 39-year-old man in Hong Kong and another patient in the Philippines. The Hong Kong patient had traveled to Wuhan, the Chinese city where the outbreak started last month.

The Hospital Authority said Tuesday the man had pre-existing health conditions but gave no details. Many in Hong Kong distrust Chinese authorities, after months of anti-government protests that saw harsh crackdowns and resistance to Beijing's growing influence in the Asian financial hub.

The region was devastated by the 2002-2003 Severe Acute Respiratory Syndrome (SARS), a virus from the same family as the current outbreak.

CORNELL UNIVERSITY SEES POSSIBLE CORONAVIRUS CASE IN STUDENT 

Pro-China supporters wearing masks urge government to deliver masks to local people during a protest in Hong Kong on Tuesday. Hong Kong reported its first death from a new virus, a man who had traveled from the mainland city of Wuhan that has been the epicenter of the outbreak. (AP Photo/Vincent Yu)

Pro-China supporters wearing masks urge government to deliver masks to local people during a protest in Hong Kong on Tuesday. Hong Kong reported its first death from a new virus, a man who had traveled from the mainland city of Wuhan that has been the epicenter of the outbreak. (AP Photo/Vincent Yu)

In Wuhan, authorities quarantined the city, along with 17 other cities, and built two hospitals to treat and evaluate patients. A 1,000-bed hospital was built in just 10 days and another expected to hold 1,500 beds is being constructed.

Other buildings, such as a gym, exhibition hall and cultural center, are being converted into hospitals, as well.

"There are too many patients, it's overcrowded," Fang Bin told The Associated Press about the city's No. 5 hospital that he was taken to. He said some patients were forced to sit on the ground and was later questioned by police after posting a video of what he saw online.

China has struggled to maintain a steady flow of supplies to contain the virus. The Vatican shipped up to 700,000 protective masks to the country and the European Union (EU) office in Beijing said member states have shipped 12 tons of protective equipment to China, with more on the way.

The World Health Organization (WHO), which declared a global emergency last week, has praised China for “setting a new standard for outbreak response,” despite others' criticism of China’s draconian measures to contain the virus.

Outside China, 11 coronavirus cases have been confirmed in the United States. Thailand confirmed 25 cases, the most of any country other than China.

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Nearly 200 Americans were evacuated from Wuhan last week. Evacuees are subject to a 14-day quarantine where they will be monitored for symptoms before being released.

Fox News' Bradford Betz and The Associated Press contributed to this report. 

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2020-02-04 23:56:40Z
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WHO says Wuhan coronavirus outbreak is not yet a pandemic - CNN

The agency acknowledges that it is challenging to contain the virus because of global mass movement.
Second Wuhan coronavirus death outside of mainland China confirmed
"We are not in a pandemic," Dr. Sylvie Briand, director of the World Health Organization's Infectious Hazards Management Department said in a press conference on Tuesday, explaining that the virus is currently considered to be an epidemic with multiple locations.
"We will try to extinguish the transmission in each of these," she said, adding that the agency believes this "can be done with containment measures currently in place."
Current control measures in place include early case detection, early isolation and treatment of cases, contact tracing and social detention measures in places where there is risk of transmission, Briand said. These are the core elements of any outbreak response and might be enough to stop an infection from spreading.
A pandemic is define as the worldwide spread of a new disease, but it's not quite as simple as that. The finer details are debated as many factors, including population immunity and disease severity, need to be taken into account.
An epidemic is more than a normal number cases of an illness, specific health-related behavior or other health-related events in a community or region. A disease outbreak is the occurrence of disease cases in excess of what's normally expected, according to WHO.
The last pandemic reported was the H1N1 flu pandemic in 2009, which killed hundreds of thousand worldwide.
WHO last week declared the novel coronavirus outbreak to be a public health emergency of international concern, which it calls "an extraordinary event" that constitutes a "public health risk to other States through the international spread of disease" and "to potentially require a coordinated international response."
Previous emergencies have included Ebola, Zika and H1N1.
The new virus has infected more than 20,000 people across 26 countries and territories and killed more than 420, but the majority of cases -- currently an estimated 78% -- are coming from Hubei province in China, Briand explained.
"This is the epicentre of the outbreak," she said during Tuesday's press conference.
This is where Wuhan coronavirus cases have been confirmed worldwide
Briand described cases outside of Hubei as "spillover cases" -- people who were mostly infected in Hubei before there was a lockdown there and moved to other places with the disease, causing clusters of cases in other regions. The same can be said of the cases reported in other countries.
Briand believes that in Hubei and places that have spillover, "we can stop transmission," which will prevent the situation from becoming a pandemic.
Many experts believe we've not yet reached pandemic levels, due to the current spread of the outbreak but also because we don't yet know enough about the coronavirus.
"The virus has traveled across multiple continents, but these instances of long-range travel seem to have only resulted in very focal outbreaks," Paul Digard, chair of virology of The Roslin Institute at University of Edinburgh, said in an email. "Unless/until it has been shown to have set up widespread onward transmission chains in other countries, I think it's reasonable to remain calling it an outbreak."
A pandemic "typically refers to sustained transmission of a new infectious disease across numerous countries," added Dr. Michael Head, senior research fellow in global health at University of Southampton. "Here, we have the coronavirus that has been imported into numerous countries, and we have seen some very limited amount of human transmission outside of China, but not really enough yet for the World Health Organisation to declare a pandemic."
Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Disease in the United States, believes we could be heading toward a pandemic.
"My bottom line is the way this is continuing to evolve every day, it looks like it's heading towards what we would call a pandemic," Fauci said.
But Fauci also said the term itself comes down to semantics -- it "means different things to different people," and that we're in a "gray zone."

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2020-02-04 16:36:00Z
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