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Cruise Ship Stranded At Sea Over Coronavirus Fears To Dock In Cambodia

Topline: A cruise ship that was turned away from several ports in Asia over coronavirus fears—despite no cases onboard—will now dock in Cambodia after days of uncertainty and mounting anxiety among passengers.

  • The Holland America Line’s MS Westerdam was banned from docking by Thailand earlier this week, over concerns about coronavirus on the ship. Holland America Line, which is owned by Carnival Cruise, says nobody onboard has reported symptoms.
  • It will now dock in Sihanoukville in Cambodia on Thursday, where passengers will disembark over a few day and will be transported to the capital, Phnom Penh, and flown home. Holland America Line says it will pay for the flight sand refund passengers their entire trip.
  • The MS Westerdam had planned to disembark its passengers in Thailand after Japan, The Philippines and Guam turned away the cruise ship. The Thai government on Tuesday offered fuel, food, and medicine to the cruise ship.
  • Stephen Hansen and his wife are two of the 1,500 passengers stuck on the vessel, which sailed from Hong Kong on February 1st and had been scheduled to end its cruise in Japan on February 15.
  • Hansen told Forbes: “While I can understand that countries want to protect their own citizens first before helping us their decisions to turn us away are based more on misinformation and fear than facts.”
  • Holland America said in a statement on Wednesday: “All approvals have been received and we are extremely grateful to the Cambodian authorities for their support…All guests on board are healthy and despite erroneous reports there are no known or suspected cases of coronavirus on board, nor have their ever been.”
  • Passengers had been calling for political intervention, with Hansen saying that the countries’ decision to reject the vessel was down to “misinformation and fear,” rather than facts.

Key background: Cruise ships have become an unlikely flashpoint in the battle to stop the international spread of the coronavirus. The British-owned Diamond Princess cruise was quarantined in Tokyo last Monday, with 174 out of the 3,700 passengers on board now ill with the pneumonia-like illness. Around 3,600 passengers and crew were held aboard the World Dream cruise ship for four days in Hong Kong over concerns the ship staff had contracted the virus from infected passengers on an earlier cruise. Cruise Lines International Association, the industry’s trade organization, announced last week its members would bar passengers who had visited China, Hong Kong, or Macau, 14 days before their cruise, from boarding.

News peg: Coronavirus, this week renamed Covid-19, has now killed more than 1,000 people and infected at least 42,000 more. The outbreak is concentrated in mainland China, after the virus was first detected in patients who are thought to have visited a Wuhan market in December. Airlines have also been badly disrupted, with some international carriers suspended their flights to and from China, and a number of international companies and manufacturers have been impacted by the Chinese government’s move to extend the Lunar new year holiday in a bid to restrict the spread of the virus. Tens of millions were placed under lockdown by Chinese health authorities in cities like Wuhan that have seen the highest number of reported cases.

Further reading: Thailand Turns Away Cruise Ship Rejected By Three Nations Over Coronavirus Fears

Crew Members Plead For Rescue As Coronavirus Outbreak On Cruise Ship Grows To 135 Cases (Rachel Sandler)

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I am a breaking news reporter for Forbes in London, covering Europe and the U.S. Previously I was a news reporter for HuffPost UK, the Press Association and a night reporter at the Guardian. I studied Social Anthropology at the London School of Economics, where I was a writer and editor for one of the university’s global affairs magazines, the London Globalist. That led me to Goldsmiths, University of London, where I completed my M.A. in Journalism. Got a story? Get in touch at isabel.togoh@forbes.com, or follow me on Twitter @bissieness. I look forward to hearing from you.

Source: Cruise Ship Stranded At Sea Over Coronavirus Fears To Dock In Cambodia

A luxury liner has been stranded for days after been denied entry in the Philippines and Japan. The Westerdam, owned by Holland America Line, has not reported any cases of coronavirus among the 2,200 passengers and crew. Subscribe to our channel here: https://cna.asia/youtubesub Subscribe to our news service on Telegram: https://cna.asia/telegram Follow us: CNA: https://cna.asia CNA Lifestyle: http://www.cnalifestyle.com Facebook: https://www.facebook.com/channelnewsasia Instagram: https://www.instagram.com/channelnews… Twitter: https://www.twitter.com/channelnewsasia

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No Customers, Closed Stores: Chinese Entrepreneurs Brace For The Worst Amid Coronavirus Outbreak

Zhou Yuxiang was not in the mood for festivities during China’s Lunar New Year holiday this year. The 30-year-old CEO of Shanghai-based software startup Black Lake Technologies had to figure out how to manage his company amid the country’s deadly coronavirus outbreak. Working from home to comply with local quarantine rules has lowered productivity, while expenses remained high as he still needs to pay rent even when no one is using the office.

What’s more, Zhou says, clients are slower to take on new contracts as factories remain shut and production is delayed, hurting his otherwise fast growth.

“This epidemic caused production suspension for a considerable number of factory clients,” he says, who counts 300 factory owners as customers of his cloud-based management software. “Unpredictability on when factories could resume production has increased uncertainty for our first quarter growth.”

As the deadly virus, temporarily called 2019-nCoV, shows no sign of slowing, China’s vast business scene is taking a hit. While some companies, including Zhou’s, hope to recoup any losses before the year’s end, others are suffering a much more devastating blow.

This is because the epidemic’s economic damage is far and wide. It is believed to be more contagious than the 2003 Severe Acute Respiratory Syndrome (SARS) epidemic, causing the Chinese government to impose nationwide mall closures, movie cancellations and factory shutdowns to prevent the disease’s further spread. As manufacturing and business activities cease, first quarter GDP growth will plummet to 3.8%—which equals to $62 billion in lost growth—and drag full-year GDP growth below 6% to 5.4%, according to UBS economist Wang Tao.

Sectors that are hardest hit include catering, entertainment, hospitality, retail and transportation. These businesses tend to have heavy inventory or a lot of expenses, but they can’t generate any meaningful revenue when people stay indoors.

Jia Guolong, founder of popular restaurant chain Xi Bei, told local media this week that his company only had enough cash for the next three months. He still needs to pay rent and salary to more than 20,000 employees, even when his restaurants are largely empty. To preserve cash, Hong Kong’s flag carrier, Cathay Pacific has asked its 27,000 employees to take three weeks of unpaid leave, warning that the condition is as grave as the 2009 global financial crisis. And fast-food operator Yum China is expecting negative impact on 2020 full-year sales and profit, after temporarily shutting down 30% of its stores in China.

While these larger businesses may eventually have the resources to weather through, smaller startups could experience a life-and-death moment. Zhang Yi, founder of Guangzhou-based consultancy iiMedia Research, says he won’t be surprised if a wave of bankruptcies occur. And Wang Ran, founder of Beijing-based investment firm CEC Capital, urged startups to do whatever they can to survive.

“Downsize if you need to, relocate if you need to and lay off people if you need to,” Wang wrote in a recent blog post. “Only those who lived through this can see spring, and have a future.”

Beijing has put out rescue measures. The country’s central bank, the People’s Bank of China, announced on February 2 that it would pump $174 billion worth of liquidity into the markets to help cushion the impact. Local governments have called for rent deductions and more flexible salary arrangements, with the Shanghai municipal government promising tax and insurance refunds to employers who don’t engage in layoffs.

But analysts say business survival may ultimately depend on whether the virus can be contained. Since originating in the central Chinese city of Wuhan in December, it has spread across the country, infecting more than 28,000 people and killing over 500. There are now coronavirus cases around the world, including Japan, Thailand, Germany, the United States and the United Arab Emirates. The World Health Organization declared the outbreak a global health emergency and dozens of nations, including Italy, Singapore and the U.S., have placed travel restrictions from China.

“The longer this drags on, the bigger the damage,” iiMedia Research’s Zhang says. “If it lasts for another month, then it would be unbearable for any business.”

Startups are doing what they can to minimize damage. Black Lake’s Zhou is offering discounted services, especially to clients who are based in the most affected areas. Zhou Wenyu (not related to Zhou Yuxiang), founder of Shaoxing-based software startup Youshupai, is slowing down marketing activities and transferring its first quarter sales goal to the second quarter. And Joanne Tang, founder of travel and marketing agency Infinite Luxury, says she is diversifying to other Asian markets while reminding overseas-based clients not to reduce efforts in China.

“For sure, we are in a challenging time,” Tang says. “We have to monitor how it goes, but we won’t be standing still and just wait until this is over.”

I am a Beijing-based writer covering China’s technology sector. I contribute to Forbes, and previously I freelanced for SCMP and Nikkei. Prior to Beijing, I spent six months as an intern at TIME magazine’s Hong Kong office. I am a graduate of the Medill School of Journalism, Northwestern University. Email: ywywyuewang@gmail.com Twitter: @yueyueyuewang

Source: No Customers, Closed Stores: Chinese Entrepreneurs Brace For The Worst Amid Coronavirus Outbreak

CNBC’s Eunice Yoon reports on how the coronavirus outbreak is expected to take a serious toll on China’s economy. Expect supply disruptions as China takes measures to contain an ongoing coronavirus outbreak, says REYL Singapore’s Daryl Liew. “The sharp action taken by the Chinese government to basically delay workers going back to work is definitely going to cause some supply disruptions,” Liew, who is chief investment officer at REYL Singapore, told CNBC’s “Street Signs” on Thursday. With the virus infecting at least 7,700 and killing 170 in China, authorities have taken measures to curb the disease’s spread. At least three provinces have declared that businesses, other than some essential industries, are barred from resuming work before Feb. 10. In Hubei province, where the majority of cases have been found, resumption of local business has been delayed till at least Feb. 14. A “big question mark” remains over how long the disruptions could last, Liew said, as it depends on whether the situation can be contained. That comes as manufacturing numbers were showing “some normalization,” he added. “It’s a bit of a lagging indicator but the December ISM numbers have all been broadly positive, especially for Asian economies … which suggest essentially that global trade is normalizing. It’s not bouncing back significantly but it is rebounding,” Liew said, adding that that has translated to better manufacturing numbers. “The current virus … and the extended shutdown in China will definitely put a crimp to that,” Liew said. Potential impact on US businesses The outbreak has sent tremors across markets in Asia and beyond in recent days, as investor concerns about the potential economic impact grow. “We’re concerned that there could start to be … some overall impact on the Chinese economy which could lend itself, from a sentiment perspective, to greater concerns … for the global economy,” Shannon Saccocia, chief investment officer at Boston Private, told CNBC on Thursday. That could spillover into the performance of U.S. businesses at a time when the “strain of lower production” is being felt stateside, Saccocia said. “If we start to see that upended by the fact that factories aren’t opening and … we’re not able to get the components that we need from the Chinese economy, you know, that could … certainly slow any sort of manufacturing reacceleration that we were hoping for in the first two quarters of 2020,” she said. The Chinese city of Wuhan, the capital of Hubei province, is the epicenter of the outbreak, and authorities have placed multiple cities in the province under partial or complete lockdown. Wuhan and the surrounding region of Hefei and Jiangsu are major manufacturing hubs that work with American firms. But they have also been shut down due to the virus outbreak. “As an investor, you need to understand … where the supply chain starts and ends and factor in to your expectations … for those companies,” Saccocia said, though she acknowledged that it’s “a little early” to “paint the picture that half of the year is going to be meaningfully lower from a growth standpoint due to this virus.” For access to live and exclusive video from CNBC subscribe to CNBC PRO: https://www.cnbc.com/pro/?__source=yo… » Subscribe to CNBC TV: https://cnb.cx/SubscribeCNBCtelevision » Subscribe to CNBC: https://cnb.cx/SubscribeCNBC » Subscribe to CNBC Classic: https://cnb.cx/SubscribeCNBCclassic Turn to CNBC TV for the latest stock market news and analysis. From market futures to live price updates CNBC is the leader in business news worldwide. Connect with CNBC News Online Get the latest news: http://www.cnbc.com/ Follow CNBC on LinkedIn: https://cnb.cx/LinkedInCNBC Follow CNBC News on Facebook: https://cnb.cx/LikeCNBC Follow CNBC News on Twitter: https://cnb.cx/FollowCNBC Follow CNBC News on Instagram: https://cnb.cx/InstagramCNBC #CNBC #CNBC TV

Coronavirus Pushes Airlines To Their Worst Financial Hit In 17 Years

The deadly coronavirus discovered in China has traveled by air to some 25 other countries. It’s no wonder a lot of those countries are restricting flights and handing airlines their worst event-driven financial hit since 2003.

More than 25,000 flights were canceled in the first full week of February, according to data from air travel intelligence firm OAG. Thirty airlines have suspended services to China, reaching a combined 8,000 seats per week, OAG says. The virus, discovered in the central Chinese city of Wuhan in December, has sickened more than 40,000 people and killed over 900 as of February 10.

Airlines will feel a financial pinch that reminds them of the deadly outbreak of Severe Acute Respiratory Syndrome (SARS) that started in China in 2003, aviation experts predict. They say today’s suspensions are already as bad as the SARS peak from March through June 2003. They attribute that to the coronavirus’s quick, widely-reported spread and the equally fast moves around the world to ban travel-related activity—a result of everyone learning from the SARS crisis.

“The levels of cancelations that we are seeing are unprecedented and exceed any other pandemic event that we can recall,” says Mayur Patel, head of Asia at OAG. He attributes the pileup of cancelations to “swift action from regulators and airlines.”

The SARS epidemic hollowed out 8% of annual revenue per kilometer for Asia Pacific airlines and cost them $6 billion in revenues due to lost business, Singapore’s Business Times reports. That epidemic hit Hong Kong, Taiwan and Singapore as well as major mainland Chinese cities.

Losses expected from the coronavirus-linked cancelations are “broadly consistent with the SARS level” when China-headquartered airlines alone slashed at least 50% of flights, says Eric Lin, aviation analyst in Hong Kong with the investment bank UBS. He anticipates industry losses at least in the first quarter this year.

Mainland Chinese airlines have felt most of the impact this year to date, Lin says. Among those are state-owned carriers such as Air China and China Southern Airlines. Privately-owned peers including Hainan Airlines have cut back, too.

Taiwan’s airlines and Hong Kong-based Cathay Pacific will be especially hit hard because of their dependence on China flights, Lin forecasts. Going farther out, United Airlines and British Airways have both reduced China flights.

A spokesperson for Taiwan-based EVA Airways said Friday the carrier planned to scale back China flights through April and that it was “monitoring the development of coronavirus outbreak and passengers’ travel demand to adjust route network and flight frequency.” Taiwanese peer China Airlines set up a Q&A website for worried passengers on February 4 and said it would refund fares booked directly through the company.

Losses this year could add up further if the virus spreads more outside China, Moody’s Investors Service said in a January 31 research note, though a dip in oil prices might offset that. “Carriers with weaker business models or liquidity profiles are likely to be hit harder and take longer to recover,” Moody’s said in the note.

Airlines will probably cope with losses by cutting costs, including non-paid leave for employees, Lin says. But some diversified routes to avoid depending on China, he adds. On whether or not airfares will rise, “do not expect a lot of bargains,” he says.

Civil aviation will bounce back fast once the virus recedes, if the SARS progression repeats this year, analysts believe. The main airport in Beijing, a SARS outbreak area, reported peak passenger flows a month after SARS passed, while the country’s airlines were selling 90% of their seats, China Daily reported back then.

Lin expects a V-shaped recovery from the coronavirus slump that’s now addling airlines. That’s because passengers who spiked travel during the disease outbreak suddenly jump back into it with extra demand, Lin says.

“Our experience of such events is that air services will return quickly after the virus has been contained and demand will rapidly follow,” Patel says.

Follow me on Twitter.

As a news reporter I have covered some of everything since 1988, from my alma mater U.C. Berkeley to the Great Hall of the People in Beijing where I followed Communist officials for the Japanese news agency Kyodo. Stationed in Taipei since 2006, I track Taiwanese companies and local economic trends that resonate offshore. At Reuters through 2010, I looked intensely at the island’s awkward relations with China. More recently, I’ve studied high-tech trends in greater China and expanded my overall news coverage to surrounding Asia.

Source: Coronavirus Pushes Airlines To Their Worst Financial Hit In 17 Years

Airlines have begun suspending flights as fears mount over the coronavirus epidemic. Indonesia’s Lion Air is halting all flights to and from China from Feb 1, while Jetstar Asia will suspend flights between Singapore and several cities in China because of a drop in demand. British Airways said it is stopping all direct flights to and from mainland China. Subscribe to our channel here: https://cna.asia/youtubesub Subscribe to our news service on Telegram: https://cna.asia/telegram Follow us: CNA: https://cna.asia CNA Lifestyle: http://www.cnalifestyle.com Facebook: https://www.facebook.com/channelnewsasia Instagram: https://www.instagram.com/channelnews… Twitter: https://www.twitter.com/channelnewsasia

Why This Week Could Be Pivotal for Understanding the Coronavirus Outbreak

It has been less than two months since authorities in the central Chinese city of Wuhan announced they were investigating a mysterious pneumonia-like viral infection. In that time, the pathogen—later identified as novel coronavirus 2019-nCov—has spread around China with abandon—from a few dozen suspected cases to more than 20,000 confirmed infections, and causing more than 420 deaths.

But this week could prove crucial for understanding how much farther the outbreak is likely to spread and whether the dramatic efforts of Chinese authorities to contain the coronavirus have been effective.

Officials in China began placing entire cities on lockdown in an attempt to stop the spread of the deadly virus on Jan. 23, when outbound trains and flights from Wuhan— the biggest city in Hubei province, population 11 million— were suspended. The next day authorities broadened the lockdown to include 13 cities, and by Jan. 25 the blockade had expanded to 16 surrounding cities with a combined population of more than 50 million, creating what is believed to be the largest quarantine in human history.

“This week we should start to see the effects of the containment strategy,” Ben Cowling, a professor of infectious disease epidemiology at the University of Hong Kong, tells TIME. “This week is a critical week.”

The virus appears to have an average incubation period of about five days, according to a study published by researchers in China on Jan. 29 in the New England Journal of Medicine. The study focused on the first 425 confirmed cases of the coronavirus in Wuhan, where it is believed to have originated in a seafood market. Cowling says it can take at least another five days for a sick person to be tested and receive confirmation of a coronavirus infection.

“If the number of reported cases begin to slow, this might be an early indication that control measures are working, or are least having an effect on the trajectory of the virus,” Charles Chiu, a professor of laboratory medicine at the University of California, San Francisco, says.

Chiu adds that if the number cases continue to rise significantly this week, it’s reason for additional concern. “It would suggest that the stringent control measures that have been put into place by China to prevent spread… are not adequate to prevent spread of this virus,” Chiu says.

Researchers caution that there are a lot of details they don’t know for sure that could change this calculus. For instance, it’s still not certain how long the incubation period lasts. The U.S. Centers for Disease Control and Prevention (CDC) says it can take anywhere from 2 to 14 days for symptoms to appear. Additionally, it’s still not clear whether the virus can be transmitted in the incubation period—while patients are asymptomatic.

Katherine Gibney, an infectious diseases physician at Royal Melbourne Hospital and an epidemiologist at the Doherty Institute in Melbourne, tells TIME that if the control measures delay the epidemic from taking off in countries outside of mainland China—so far there are less than 200 confirmed cases elsewhere—it might buy medical experts time to develop a vaccine or antiviral medication.

Some researchers believe that, despite the efforts of Chinese authorities, that the number of infections is likely to rise for several months. Gabriel Leung, the chair of public health medicine at the University of Hong Kong said in a Jan. 27 press conference that by his projections, the outbreak might only peak in April or May in major cities in China.

That around 5 million people fled Wuhan before the lockdown went into effect might also have hampered containment efforts. The virus is transmissible enough that the average sick patient, according to the NEJM paper, will infect about two others.

Another factor that could push up infection numbers is the mild symptoms some patients experience. Shira Doron, an infectious disease doctor and epidemiologist at Tufts Medical Center, says that the first patients diagnosed are often those who are very sick, and it might be possible that in the coming weeks it will become apparent that the number of people with mild illness, or even asymptomatic infection, is much larger than currently recorded. Doron says that the death rate reported early in an outbreak often “grossly overestimates the true fatality rate.”

Infections shot up from 639 cases in mainland China on Jan. 23, when officials started putting control measures in place, to around 9,700 cases a week later on Jan. 30. As of Tuesday, the number of cases on the mainland stands at around 20,500. In mainland China, the number of both infections and deaths from the virus has already surpassed that of severe acute respiratory syndrome (SARS), which killed 348 people on the mainland and infected more than 5,000 during an outbreak in 2002 and 2003.

The first cases outside of mainland China were confirmed in Thailand and Japan on Jan. 13 and 16. Cases in South Korea, Taiwan and the U.S. were confirmed on Jan. 21, and there are now more than 194 cases in over 23 countries.

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As of Tuesday, 425 people have died in mainland China. There has also been one death in the Philippines and one in Hong Kong.

As infection counts have grown in China, other countries have imposed their own strict measures to curb the advance of the virus—most of them targeting travelers from the world’s most populous nation. Italy and Israel have cancelled all flights from China. Mongolia and Russia have shut their borders with the country, and Singapore has banned the entry and transfer of travelers holding passports issued in Hubei province. In the U.S., the Trump Administration on Jan. 31 declared the coronavirus outbreak a public health emergency and announced that it will temporarily deny entry to any foreign national who “poses a risk” of transmitting the virus. But on Monday, U.S. authorities confirmed the country’s second case of human-to-human transmission in a person who had no recent history of travel to China.

Experts will be watching closely this week for signs that the virus is continuing to grow and spread—especially outside the province where Wuhan is located.

“What we’re worried about is that we don’t see any reduction in the steady increase,” Cowling says.

By Amy Gunia February 4, 2020

Source: Why This Week Could Be Pivotal for Understanding the Coronavirus Outbreak

148K subscribers
An outbreak of a pneumonia-like illness that started in the city of Wuhan has put health authorities on high alert in China and around the world. The new coronavirus—named 2019-nCoV—is thought to have originated in the food market of the central China metropolis and has since infected hundreds of people. China first reported the outbreak on Dec. 30. Most of the deaths have been in Hubei province, where Wuhan is the capital. Ahead of the Lunar New Year on Jan. 25—often dubbed the largest annual human migration in the world—Chinese authorities have restricted some travel to try and stop the illness’s spread. In Wuhan, public transportation and ride-hailing services have been suspended, trains and flights from the city have been stopped and people have been told to leave only for essential reasons. Similar travel restrictions were announced in at least 11 other Chinese cities, impacting more than 40 million people. Subscribe to our YouTube channel: https://bit.ly/2TwO8Gm QUICKTAKE ON SOCIAL: Follow QuickTake on Twitter: twitter.com/quicktake Like QuickTake on Facebook: facebook.com/quicktake Follow QuickTake on Instagram: instagram.com/quicktake Subscribe to our newsletter: https://bit.ly/2FJ0oQZ Email us at quicktakenews@gmail.com QuickTake by Bloomberg is a global news network delivering up-to-the-minute analysis on the biggest news, trends and ideas for a new generation of leaders.

Hundreds of Americans Are in Quarantine. Here’s Why That’s Rare

RIVERSIDE, CA – JANUARY 29: A team in white biohazard suits watch as some of the approximately 200 passengers walk to waiting buses upon arriving on a charter flight from Wuhan, China, after landing at March Air Reserve Base in Riverside, Calif. Wednesday morning Jan. 29, 2020. The flight originated from the area where the coronavirus outbreak started. All the passengers will be held in quarantine for an unknown duration. (Photo by Will Lester/MediaNews Group/Inland Valley Daily Bulletin via Getty Images)

 A typical room has a ceiling fan, striped wallpaper and floral curtains. Above a neatly made bed is a chintzy print showcasing a cobblestone alley. In communal areas, residents have space to watch big-screen TVs or throw around a football or read a book under a tree, and the U.S. Marshals Service is providing security.

Such are the conditions at the March Air Reserve Base in Riverside County, Calif., where 195 people are subject to the first mandatory quarantine orders issued by the Centers for Disease Control and Prevention (CDC) in more than 50 years. Like more than 600 other people assigned to five other military bases around the country, these Americans were recently evacuated from China’s Hubei province, the site of the novel coronavirus outbreak that has now claimed more than 600 lives.

All but two of those deaths have occurred in mainland China, where more than 31,000 cases have been confirmed. The crisis is now creeping around the world, with cases reported in more than 24 other countries, including 12 in the U.S.

There is widespread anxiety about sickness, and much is still unknown about the virus, including whether people without symptoms are capable of spreading it. Facing such uncertainty, the CDC took the extraordinary measure on January 31 of drawing on legal authority that the department hasn’t used since the 1960s — when officials were combatting smallpox — to impose a mandatory, 14-day quarantine on recently repatriated Americans who had been in Hubei. Two weeks is the likely incubation period for the virus.

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“We are taking measures to minimize any contact. We expect confirmed infections among these and other returning travelers from Hubei province,” Dr. Nancy Messonnier, director of CDC’s National Center for Immunization and Respiratory Diseases, said in a briefing on Feb. 5. “Now is the time to act so that we can slow the introduction and impact of this virus in the U.S.”

A few days earlier, when the federal government announced the quarantine, Messonnier called the action “unprecedented.”

There are several good reasons that ordering a quarantine is something that U.S. public health officials rarely do.

Finding quarters can be a challenge

For starters, the government does not have dedicated quarantine facilities just waiting to be used, explains Arthur Reingold, professor of epidemiology at the University of California, Berkeley’s School of Public Health.

Quarantine refers to the containment of apparently healthy people who may be incubating a virus they’ve come in contact with. (Isolation is the term for confining someone who is already sick.) In previous eras, this was often done on sea-going vessels. Passengers who might have a sickness like the plague would wait out the likely incubation period on a ship before being allowed to land. “But quarantine vessels went out of business a long time ago,” Reingold says.

Faced with a need to suddenly house hundreds of people, the Department of Health and Human Services turned to the Department of Defense, and six military bases were made available. The main criteria in choosing them, a DoD spokesman says, was their ability to comfortably house approximately 250 people in one or two buildings, like an on-base motel where everyone has their own bathroom, and close proximity to a hospital. Locations in the West, given the shorter flight distance from China, were also preferable, which is why half of the bases are in California, with one more in each of Colorado, Texas and Nebraska.

Quarantines are expensive

Even with locations secured, executing humane quarantines involves a lot of logistics, and that doesn’t come cheap. There are transportation and ongoing housing costs. Individuals need to be fed and regularly checked for symptoms. It requires medical care on-demand. And there’s security and maintenance to consider.

The CDC and HHS have not responded to requests from TIME asking about cost estimates for the current quarantines or whether the department will cover all costs. The HHS, which oversees the CDC, announced on Feb. 3 that it was making $250 million in emergency funds available to generally cover response, including screening and monitoring of U.S. citizens returning from various parts of China.

Tabulating the bills may also be a messy business. The DoD, for example, tells TIME that it expects full reimbursement for all costs from HHS. So does the state of California. A spokesman for Riverside County, meanwhile, says that while they hope to get reimbursed, it’s not been made clear if it will be.

With five county departments supporting the quarantine at March Air Reserve Base, including the provision of staff that includes doctors, nurses, behavioral health specialists and epidemiologists, as well a mobile health clinic that is at the base in case individuals get a migraine or scrape a knee, the estimated costs for the county alone are an estimated $115,000 per day.

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“Clearly the cost element of it is not a factor when we’re asked to provide services on an urgent basis. Our first priority is to figure out how to do it and then do it,” Riverside County spokesman Jose Arballo, Jr., says. That said, he adds, “The county isn’t in a situation where it’s flush.”

Putting aside the incalculable value of preventing an outbreak of the coronavirus, quarantines can potentially be cost-saving in the long run. “While expensive it’s more than worth it,” Larry Gostin, an expert in public health law and professor at Georgetown University, writes in an email. “It prevents spread of disease and serious illnesses. And it’s far less costly than having to hospitalize many patients who could contract the coronavirus infection.”

People’s freedom must be limited carefully

Another reason mandatory quarantines are uncommon in America is that they are, of course, coercive. Though federal and state governments have the legal ability to impose quarantines in the name of public safety, the ACLU has raised concerns about the government controlling people’s freedom of movement and noted that individuals’ livelihoods can be put at risk if they’re unable to work for weeks at a time. (The CDC has not responded to a request from TIME about whether the department will cover lost wages for individuals under quarantine orders.) It can also cause disruptions in childcare.

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Soon after the 195 people arrived at March Air Reserve Base, one individual did attempt to leave and was ordered back. Otherwise, Arballo says, the individuals in quarantine have been cooperative and “appreciative of the work being done.” Attitudes may have been tempered by gratitude that the U.S. government helped them escape the epicenter of the coronavirus outbreak, as well as knowledge that spread of the disease would be harmful. The U.S. Marshals Service says that agents have not had to stop anyone from leaving — that no one is revolting — but in the unlikely event that someone did, they would intervene.

Georgetown’s Gostin has noted that there is a world of difference between today’s relatively small quarantines at American military bases, where people are housed in the equivalent of a modest hotel room, and what is happening in China, where the government has essentially put 56 million people on lockdown in an attempt to stop the spread of the coronavirus. Such extreme actions can cause panic, drive the epidemic underground and potentially make it worse, leading to cross-infection and social isolation, he explains. People may have difficulty accessing basic necessities, much less sufficient medical care.

The Americans quarantined at the March Air Reserve Base, in contrast, requested and were brought beer to enjoy while watching the Super Bowl.

The efficacy is unclear

Even when quarantines are imposed on narrow populations and rolled out compassionately, it’s not clear how effective it is to limit the movement of people who aren’t showing symptoms, Berkeley’s Reingold says. “For many infectious diseases, transmission basically is limited entirely or almost entirely to people who are symptomatic,” he explains. “Quarantining asymptomatic individuals has generally been viewed as a low priority.”

Yet, in the case of the new coronavirus, there has been conflicting evidence about whether asymptomatic people are contagious. “Until we know more, given the concerns, given the anxiety, this is a reasonable measure to take,” Reingold adds.

W. Ian Lipkin, director of the Center for Infection and Immunity at Columbia University, recently traveled to Beijing and Guangzhou. Upon returning to the U.S., he was mandated by the government to self-quarantine for 14 days because the CDC views those areas of China as medium risk, he says. He is currently in his cabin in upstate New York, writing in to the government with temperature and status reports.

When asked for his thoughts on the quarantines, he responded with concerns about being objective given that he has been personally affected. “The new coronavirus is highly transmissible,” he wrote in an email. “Thus, I appreciate the concern underlying the decision to impose quarantines. I’m not sure that we need 14 days.”

While mandating quarantines could be an expensive and cumbersome overreaction, CDC’s Messonier suggested the department would rather be remembered for doing too much rather than doing too little as scientists race to learn more about the virus. And experts say Americans should feel reassured that they live in a wealthy country where expensive overreactions are an option. Populations who live in poor countries in Asia or Africa, where officials have more limited capabilities of response, are at higher risk if the coronavirus starts to spread.

At the March Air Reserve Base, two individuals — both children — have been found to have fevers. One was transported to a nearby hospital on Feb. 3, with a parent, and was transported back to the base when tests for the virus came back negative. A second was transported on Feb. 5. As of Friday morning, they remained in isolation at the hospital awaiting test results.

By Katy Steinmetz February 7, 2020

Source: Hundreds of Americans Are in Quarantine. Here’s Why That’s Rare

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195 Americans are under quarantine as blood samples and throat cultures get tested by the CDC after the group was evacuated to California from the epicenter of the coronavirus outbreak in China. 6,000 passengers stuck on cruise ship over coronavirus fears READ MORE: https://abcn.ws/392BsP1 #ABCNews #Coronavirus #China

WHO Warns of Global Shortage of Protective Equipment Due to Coronavirus as Death Toll Hits 638

The World Health Organization (WHO) has warned that the world is facing “severe disruption” in the market for personal protective equipment due to the coronavirus outbreak.

“Demand is up to 100 times higher than normal and prices are up to 20 times higher,” WHO Director-General Tedros Adhanom Ghebreyesus said at a Friday press conference.

General Ghebreyesus says there are depleted stockpiles of equipment like masks and respirators and a 4-6 month backlog of orders for necessary supplies.

“We need to make sure we get it [supplies] to the people who need it most in the places that need it most,” General Ghebreyesus said.

The State Department announced that they are offering $100 million to help China and other countries dealing with the virus.

Meanwhile, a Chinese doctor who tried to warn others about the coronavirus outbreak and was subsequently punished by police died of the virus Thursday in Wuhan.

The Wuhan Central Hospital reported Dr. Li Wenliang’s death on social media, saying that he was “unfortunately infected during the fight against the pneumonia epidemic of the new coronavirus infection,” the Associated Press reported.

After initial reports of Li’s death, WHO offered its condolences. “We’re very sorry to hear of the loss of any frontline worker who has attempted to care for patients,” said Dr. Mike Ryan, executive director of WHO’s Health Emergencies Programme.

The coronavirus—known as 2019-nCoV—has infected 31,530 patients globally, according to Johns Hopkins University’s virus tracker.

The virus has also killed one person in the Philippines, and another in Hong Kong.

In Japan, officials said Friday that 41 new cases of the virus had been found on a cruise ship that’s been quarantined in Yokohama harbor, bringing the total number of infections onboard to 61. The ship was quarantined after the company learned that a passenger from Hong Kong who had been diagnosed with the coronavirus sailed on the ship, the Diamond Princess, last month.

Japan and Singapore have reported the most patients outside of China, with 45 and 28 respectively.

The number of cases in Japan rose significantly after 10 more people tested positive on a quarantined cruise ship that docked in Yokohama Wednesday,local media reported. The ship was quarantined after the cruise company learned that a passenger from Hong Kong who has been diagnosed with the coronavirus was on board last month.

So far, 99% of confirmed cases are in China and 80% of the cases in China are in Hubei Province, the WHO stated on Wednesday. Excluding China, there are more than 190 cases across 24 countries. At least 31 of those cases involve people with no travel history to China, but all of those cases involve people considered in close contact of a confirmed case or of someone from Wuhan, the epicenter of the outbreak.

On Friday morning, 27 passengers aboard a Royal Caribbean cruise ship were screened for possible coronavirus sickness when the ship was docked in Bayonne, New Jersey. No cases were confirmed from the screening

On Wednesday, authorities in Hong Kong announced that all arrivals from mainland China would be quarantined for 14 days starting Saturday, acknowledging that there is risk of an outbreak in the city. However, Chief Executive Carrie Lam once again stopped short of closing the border, despite demands from many Hong Kong residents, including thousands of medical workers who went on strike in an attempt to force the action.

Chinese state media said Thursday that the second hospital in Wuhan, the epicenter of the outbreak, officially opened on Thursday. A rush-built hospital with 1,000 beds was completed earlier in the week. Both hospitals were constructed in a matter of days to treat coronavirus patients, an attempt by authorities to contain the deadly outbreak.

Medical experts are suggesting that the illness could be passed from mother-to-fetus as two newborn babies tested positive for the illness, according to Chinese state media.

World Health Organization coordinates global response

The WHO has announced plans to raise at least $675 million for a strategic plan to respond to the outbreak and a forum to convene global researchers to fast-track solutions.

Part of that money — $60 million — is to fund WHO’s operations, while the remainder is for “countries that are especially at risk,” said WHO Director-General Tedros at a press conference on Wednesday.

Tedros had reiterated that the agency’s “greatest concern” is the potential for the respiratory illness to spread to countries with weak health systems.

“Our message to the international community is: invest today or pay more later,” Tedros said. “$675 million U.S. dollars is a lot of money, but it’s much less than the bill we will face if we do not invest in preparedness now during the window of opportunity that we have.”

Tedros thanked the Bill and Melinda Gates Foundation for already pledging up to $100 million and Japan for contributing $10 million.

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The WHO is monitoring all public health measures taken by all member states, and will “try and bring some cohesion and order to that process in the coming days,” Ryan said.

Tedros also downplayed criticism from John Mackenzie, a member of WHO’s coronavirus emergency committee, who said that China’s initial response to the outbreak was “reprehensible” and that they did not report cases quickly enough. Tedros said he would expect more cases to spread from China to the rest of the world if China was hiding cases, but noted that the WHO would still have a retrospective review in the future.

American response

The State Department announced on Friday that they are sending medical supplies, including masks, gowns and respirators to China to assist with the virus.

The United States is also prepared to spend up to $100 million in funds to help China and other countries impacted by the spread.

A second wave of American evacuations from Wuhan took place Wednesday as a plane with 178 passengers landed at Travis Air Force Base in California, the U.S. Centers for Disease Prevention and Control confirmed. Those on board are now subject to a 14-day federal quarantine and will stay at the air force base temporarily.

Those entering the U.S. within 12 days of having been in Hubei or the rest of mainland China will be directed to one of 11 U.S. airports for an additional health assessment, according to the CDC. They include Los Angeles International Airport, San Francisco International Airport, John F. Kennedy International Airport, Hartsfield-Jackson Atlanta International Airport, Honolulu International Airport, Chicago’s O’Hare International Airport, Seattle-Tacoma International Airport, Washington Dulles International Airport, Newark Liberty International Airport, Dallas/Fort Worth International Airport and Detroit Metropolitan Airport.

Americans traveling back to the U.S. from Hubei province 14 days before returning to the country will be subject to up to 14 days of a mandatory quarantine, Secretary of Health and Human Services Alex Azar told reporters at a White House press briefing. Any American citizens who were in mainland China 14 days before returning to the U.S. will have to undergo a “self-imposed” quarantine for 14 days.

International cases and response

At least 191 patients have tested positive for the illness across 24 countries, according to the WHO.

A 44-year-old man died in the Philippines on Saturday, the country’s Department of Health confirmed, marking the first person to succumb to the virus outside of China. The man, a resident of Wuhan, China, had arrived in the Philippines on Jan. 21 with a 38-year-old woman, who was also infected.

A 39-year-old man in Hong Kong died on Tuesday, making him the second death outside of mainland China. The patient reportedly had an underlying illness.

There are 24 confirmed cases of the coronavirus in Hong Kong, which was hard-hit by the 2002-2003 outbreak of severe acute respiratory syndrome (SARS). More than one-third of the nearly 800 deaths from SARS worldwide were in Hong Kong, and the semi-autonomous Chinese territory had more than 1,700 of the 8,000 confirmed cases of the virus.

Hong Kong’s neighbor, the gambling hub of Macau, confirmed its 10th case of the virus Tuesday. Macau announced the same day that it would be shutting its casinos for two weeks. (The city’s casinos are overwhelmingly reliant on mainland Chinese tourists.)

Russia, Sweden, Spain, the Philippines, Italy, India and the U.K. confirmed their first cases of coronavirus last week.

There are also at least 25 confirmed cases in Japan, 30 in Singapore, 25 in Thailand, 25 in Hong Kong and 24 in South Korea, according to Johns Hopkins University’s virus tracker. Governments and health officials in Nepal, Canada,Cambodia, Vietnam, Malaysia,Sri Lanka, UAE, France, the U.K., Italy, Russia, Sweden, Spain and Germany have also reported patients testing positive for the virus.

Several countries have tightened their borders to restrict the flow of mainland Chinese visitors.

In Hong Kong, the government has closed all but two entry points, leaving a cross-border bridge and a port in a northwestern part of the territory open. (Visitors can still fly to Hong Kong, though flights between mainland China and Hong Kong have been cut by half.) All travelers coming from China will be quarantined for 14 days starting Feb 8.

Singapore has said it is banning visitors with recent travel history to mainland China and has also banned the entry and transfer of travelers holding passports issued by China’s Hubei Province.

Russian Prime Minister Mikhail Mishustin said Thursday that Russia would be closing its land border with China from Friday at least until March 1, the Associated Press reported.

Multiple countries are also warning against unnecessary travel to China, and many have already started evacuating their citizens from Wuhan.

Evacuees from Spain, Japan, the U.S. and Europe are among those who have been flown out of Wuhan on government planes.

China travel restricted

Chinese officials have shut down travel in and out of Wuhan — home to 11 million people — and enacted similar, strict transportation restrictions in a number of other cities. Wuhan has suspended immigration administration services, local authorities said Monday, according to Chinese state media.

People in China have started going back to work after an extended Lunar New Year holiday ended, according to the South China Morning Post.

China’s Hubei Province has also suspended services to apply for passports and exit-entry permits.

Apple said Saturday it would close stores, corporate offices and contact centers in China “out of an abundance of caution,” the New York Times reported.

Royal Caribbean also announced restrictions, including the cancellation of eight cruises out of China due to the outbreak, according to the AP. The cruise line announced Monday that it would also prohibit any guest or crew member, regardless of nationality, to board a ship if they traveled through mainland China or Hong Kong less than 15 days prior.

Japanese officials said that Japan would ban foreign nationals who have been to Hubei province within two weeks before their arrival. Those carrying Chinese passports issued in Hubei are also banned from entering the country, although special exceptions may be made, government officials said, according to Japan Times.

Australia said it would ban travelers who have visited or transited through mainland China from Saturday onwards for the next two weeks. The restrictions will not apply to Australian citizens, permanent residents and members of their immediate family, although these groups will be asked to isolate themselves for two weeks from when they departed China, Australian Prime Minister Scott Morrison said on Saturday, according to the Sydney Morning Herald.

Additionally, Singapore has banned all travelers arriving from mainland China who had been there in the past 14 days from entry and transit by Sunday morning. The U.S. Federal Aviation Administration says that Vietnam has suspended almost all flights from and to mainland China, Hong Kong and Macau until May 1, according to the New York Times.

As the deadly virus spreads, a growing number of airlines including British Airways, Air France, Delta and Lufthansa are suspending all flights to China. Many have cut down the number of flights, and some have stopped flying to major cities.

China organized at least three flights to bring home more than 300 Hubei residents from abroad and plans to dispatch nine flights to bring home about 2,000 Chinese tourists in the Philippines., according to Chinese state media.

Virus Expert on the Wuhan Coronavirus Outbreak: ‘Don’t Be Complacent. We Must Treat It Extremely Seriously’

Hong Kong infectious disease expert Yuen Kwok-yung discussed the situation of the Wuhan coronavirus outbreak with TIME in an exclusive interview. He warns that the disease is very infectious and control measures must be followed.

CDC confirms second human-to-human transmission in the U.S.

On Monday, the U.S. Centers for Disease Control and Prevention confirmed the second case of the disease transmitting from person-to-person within the U.S. The first American patient diagnosed with the new coronavirus was also discharged from hospital.

A patient in California, who had not recently traveled to China, tested positive for the virus. The patient is married to a person who had previously traveled to China and tested positive for the respiratory illness, according to the California Department of Public Health.

On Monday, hospital officials at the Providence Regional Medical Center in Everett, Washington, said the 35-year-old man who was the first to test positive for the new coronavirus in the U.S. has left the facility, the Associated Press reported. The unidentified man is recovering and looking forward to life returning to normal, he told the AP.

The CDC has now confirmed at least 12 cases of the coronavirus infection in the U.S. across Wisconsin, Arizona, Massachusetts, California, Washington state and Illinois. On Wednesday, Wisconsin’s Department of Health Services reported an additional confirmed case of the virus in an adult “with a history of travel to Beijing.”

“The individual is isolated at home, and is doing well,” the agency said.

Dr. Nancy Messonnier, director of the National Center for Immunization and Respiratory Diseases, maintained that the risk to the American public continued to be low, but that the CDC expects to find additional cases in the U.S.

The U.S. Food and Drug Administration issued an emergency use authorization for the first 2019 new coronavirus diagnostic Tuesday, before which the test had been limited to being used at CDC’s laboratories. The authorization now allows the test to be used at any CDC-qualified lab in the U.S.

The CDC said as of Wednesday morning that 293 individuals across 36 states were considered to be “persons under investigation.” Of those, more than 200 had so far tested negative for the disease. The status of another 76 cases is currently pending.

By Hillary Leung , Sanya Mansoor , Amy Gunia , Jasmine Aguilera , Tara Law and Josiah Bates

Source: WHO Warns of Global Shortage of Protective Equipment Due to Coronavirus as Death Toll Hits 638

Want to Protect Yourself from Coronavirus? Do the Same Things You Do Every Winter

Any Americans likely grew a little nervous after the U.S. Centers for Disease Control and Prevention (CDC) announced Thursday that a novel coronavirus has spread for the first time within the U.S. But agency officials and other doctors have a simple message for Americans: keep doing what you’re doing to stay healthy.

“The best things that you can do are the things that we generally recommend at this time of year to prevent the spread of infectious diseases,” Dr. Nancy Messonnier, director of the National Center for Immunization and Respiratory Diseases, said during a Jan. 30 call with reporters. “Wash your hands, cover your cough, take care of yourself and keep alert to the information that we’re providing, because we’ll provide new information as it becomes available.”

In Asia, the novel coronavirus known as 2019-nCoV is spreading rapidly, and has reached far enough to warrant being designated a public health emergency of international concern by the World Health Organization. As of noon Friday, it has infected nearly 10,000 people, most of them in mainland China, and killed 213. But public health officials have emphasized that risk to the American public remains low, and spreading within the U.S. has so far been limited to one wife-to-husband transmission.

While 2019-nCoV has never been seen before, it’s part of a family of viruses that are well-known both to doctors and the public; the common cold, for example, can be caused by certain coronaviruses. And while influenza is not a coronavirus, it isn’t so different from 2019-nCoV, either. Both result in symptoms including cough and fever, and—from what scientists can tell so far—both seem to be spread mainly via respiratory droplets and close person-to-person contact.

For those reasons, experts are recommending prevention measures in keeping with those deployed during a normal flu season. The CDC has not recommended that Americans wear protective masks or take dramatic measures against coronavirus. Messonnier did emphasize during Thursday’s call that people who have been in Wuhan, China—where the outbreak originated—or spent time around people who have traveled from the area should monitor themselves for symptoms of coronavirus, such as cough, fever and respiratory distress. These people should call their health care provider and stay home from work or school if any symptoms develop.

Aside from that, though, there’s not much Americans can or should do at this point, beyond the usual measures.

“Good hand-washing helps. Staying healthy and eating healthy will also help,” says Dr. Sharon Nachman, a pediatric infectious disease specialist at New York’s Stony Brook Children’s Hospital. “The things we take for granted actually do work. It doesn’t matter what the virus is. The routine things work.”

And while the flu shot won’t protect against coronavirus—and there’s no vaccine for the new virus yet—experts are still recommending that people get vaccinated against influenza if they haven’t yet, since the likelihood of getting the flu in the U.S. is far higher than contracting coronavirus. (For context, the CDC estimates that around 19 million Americans have gotten the flu so far this season, compared to only a handful who have developed coronavirus domestically.) As long as flu virus is still circulating, it’s not too late to get a flu shot.

By Jamie Ducharme January 31, 2020

 

Source: Want to Protect Yourself from Coronavirus? Do the Same Things You Do Every Winter

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